Royal Marsden NHS Foundation Trust, UK.
St George's University of London, UK.
Radiography (Lond). 2022 Nov;28(4):1093-1100. doi: 10.1016/j.radi.2022.07.016. Epub 2022 Aug 30.
Therapeutic radiography is a small profession and has adapted in response to advanced techniques. An increase in on-line adaptive MRI-guided radiotherapy (MRIgRT) will require role extension for therapeutic radiographers (TRs). This study will investigate the current role description for TRs and the activities they currently undertake with regards to MRIgRT.
A training needs analysis was used to ask TRs about their current roles and responsibilities and essential skills required for MRIgRT. For the purposes of this paper, the authors present the results from the demographics of the individual, their current job title with roles and responsibilities, and experience with decision making and image assessment. Descriptive statistics was used to analyse the data.
261 responses were received (n = 261). Only 28% of job titles listed contained the protected title of 'therapeutic radiographer'. Advanced clinical practice roles were expressed by participants indicating that if a service need is presented, emerging roles will be created. Variation existed across the standardised roles of TRs and this discrepancy could present challenges when training for MRIgRT. TRs are pivotal in image verification and recognition on a standard linac, and skills developed there can be transferred to MRIgRT. Decision making is crucial for adaptive techniques and there are many skills within their current scope of practice that are indispensable for the MRIgRT.
It has been demonstrated that TRs have a range of roles that cover vast areas of the oncology pathway and so it is important that TRs are recognised so the pivotal role they play is understood by all. TRs have extensive soft-tissue IGRT knowledge and experience, aiding the evolution of decision-making skills and application of off-protocol judgments, the basis of MRIgRT.
Role development and changes in education for therapeutic radiographers.
治疗放射学是一个小专业，已经适应了先进技术的发展。在线自适应磁共振引导放射治疗（MRIgRT）的增加将需要治疗放射技师（TR）的角色扩展。本研究将调查 TR 的当前角色描述以及他们在 MRIgRT 方面开展的活动。
使用培训需求分析来询问 TR 关于他们当前的角色和职责以及 MRIgRT 所需的基本技能。在本文中，作者介绍了个人人口统计学、当前职位的角色和职责以及决策和图像评估方面的经验的结果。使用描述性统计来分析数据。
共收到 261 份回复（n=261）。列出的职位标题中只有 28%包含受保护的“治疗放射技师”头衔。参与者表示，他们表达了高级临床实践角色，如果提出服务需求，将创建新的角色。TR 的标准角色存在差异，这在为 MRIgRT 培训时可能会带来挑战。TR 在标准直线加速器的图像验证和识别中起着关键作用，并且在那里开发的技能可以转移到 MRIgRT 中。决策对于自适应技术至关重要，他们当前实践范围内有许多技能对于 MRIgRT 是不可或缺的。
已经证明，TR 具有广泛的角色，涵盖了肿瘤学途径的广泛领域，因此重要的是要认识到 TR 的作用，以便所有人都了解他们所扮演的关键角色。TR 具有广泛的软组织 IGRT 知识和经验，有助于决策技能的发展和超方案判断的应用，这是 MRIgRT 的基础。
治疗放射技师的角色发展和教育变化。
