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磁共振成像报告技师——人数和实践范围是增加了还是减少了?

MRI reporting radiographers - Has there been a progression or regression in numbers and scope of practice?

机构信息

Imaging Department, University Hospitals of Leicester NHS Trust, Infirmary Close, Leicester, Leicestershire, UK.

出版信息

J Med Imaging Radiat Sci. 2024 Sep;55(3):101416. doi: 10.1016/j.jmir.2024.04.009. Epub 2024 May 3.

Abstract

INTRODUCTION

The aim of this study was to determine whether there had been a progression or regression in the numbers and scope of practice of reporting radiographers in Magnetic Resonance Imaging (MRI) in the United Kingdom (UK), using data from a previous study conducted by the author in 2019/20 as a comparison.

METHODS

Data was gathered via a survey sent to multiple users and groups of MRI Radiographers in the UK. The survey consisted of a questionnaire, using both numerical and free text answers to enable the responders to elaborate on their scope of practice whilst also allowing numerical data to be easily analysed. The responses were analysed for patterns and comparison was made with the data from the previous survey. The questionnaire was based on three main themes of those in training, those trained and those in practice.

RESULTS

A total of 62 sites had radiographers in training (n =24) or trained (n = 125) in MRI reporting compared to 46 sites in the previous survey. The majority of responders were from England (n = 56/62) with only a few sites in Scotland (n = 4) and Wales (n = 2). There were 24 radiographers in training, a reduction compared to the previous survey and an increase in the number of radiographers trained (n = 80 to n = 125) and in practice (n = 57 to n = 84). Scope of practice had also increased with the addition of MRCPs, orbits and pituitary.

CONCLUSION

This survey provides evidence that the number and scope of practice of MRI reporting radiographers within the UK has progressed when compared to a previous survey from 2019/20. The numbers however are still low and there remain significant geographical variations. The continued predominance of single handed practice is a concern and the reasons behind this and the slow expansion of skill mix reporting in this modality needs further investigation.

IMPLICATIONS FOR PRACTICE

This study provides evidence of the number and scope of practice of the radiographer reporting of MRI examinations in the UK. It also demonstrates that there has been an increase in scope and number of radiographers reporting MRI scans, this will provide evidence and proof of concept for departments looking to initiate or increase this practice.

摘要

简介

本研究旨在通过与作者 2019/20 年进行的先前研究的数据进行比较,确定英国(UK)磁共振成像(MRI)报告放射技师的数量和实践范围是否有所增加或减少。

方法

通过向英国多个 MRI 放射技师的用户和群体发送调查收集数据。该调查包括一份问卷,使用数字和自由文本答案,使回答者能够详细说明他们的实践范围,同时允许数字数据进行轻松分析。对这些数据进行了模式分析,并与先前调查的数据进行了比较。问卷基于培训中的、培训过的和实践中的三个主要主题。

结果

与前一项调查相比,共有 62 个站点有 MRI 报告培训中的(n = 24)或已培训的(n = 125)放射技师,而前一项调查中只有 46 个站点。大多数回复者来自英格兰(n = 56/62),只有少数来自苏格兰(n = 4)和威尔士(n = 2)。有 24 名培训中的放射技师,与前一项调查相比有所减少,而接受培训的放射技师人数(n = 80 至 n = 125)和实践中的放射技师人数(n = 57 至 n = 84)有所增加。实践范围也随着 MRCPs、眼眶和垂体的增加而扩大。

结论

与 2019/20 年的先前调查相比,本调查提供了英国 MRI 报告放射技师数量和实践范围有所增加的证据。然而,数量仍然很低,并且仍然存在显著的地域差异。单人实践的持续主导地位令人担忧,需要进一步调查这种模式下技能组合报告的缓慢扩展背后的原因。

对实践的影响

本研究提供了英国 MRI 检查报告放射技师数量和实践范围的证据。它还表明,MRI 扫描报告的放射技师数量和范围有所增加,这将为希望启动或增加这种实践的部门提供证据和概念证明。

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