Rawashdeh Mohammad, El-Sayed Mohamed Zakaria, Hussain Labeeba, Asadullah Siddra, Sharaf Arshad Ahammed, El Safwany Mohamed M, McEntee Mark, Englend Andrew, Ali Magdi A
Medical Imaging Sciences, College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
Faculty of Health Sciences, Jordan University of Sciences and Technology, Irbid, Jordan.
J Educ Health Promot. 2025 Jul 31;14:282. doi: 10.4103/jehp.jehp_2152_24. eCollection 2025.
Despite population growth, the UAE is experiencing a decline in the utilization of plain radiography (X-ray) due to changes in clinical priorities and advancements in imaging technologies like CT and MRI. This decrease impacts medical education, creating a gap between training and practical application. Ensuring evidence-based justification for radiological procedures is crucial to prevent overutilization and strain of healthcare resources, highlighting the need for updated curricula. This study investigates the current role of plain radiography in UAE hospitals, identifies key clinical indications for its use, and highlights opportunities to optimize its application and integrate evidence-based practices.
In a cross-sectional study conducted on 26 UAE radiographers specializing in X-rays, participants were recruited using convenience and snowball sampling. Data were collected via a 156-question online survey adhering to CHERRIES guidelines. The questionnaire included closed and open-ended questions on anatomical regions. Reliability testing achieved a Pearson correlation coefficient of 0.82. Data analysis utilized descriptive statistics and graphical tools.
Survey responses revealed significant variability in projection selection across hospitals for the same anatomical regions and clinical indications. Plain radiography was primarily utilized for assessing the appendicular and axial skeleton in trauma cases, degenerative conditions, and congenital disorders. However, specific projections were consistently omitted, suggesting their declining relevance in modern clinical practice.
Plain radiography is crucial for trauma and musculoskeletal evaluations, but inconsistencies in projection selection necessitate standardized protocols. Evidence-based protocols in the UAE healthcare system are essential for justification and consistency in radiographic practices. Prioritizing trauma cases reduces the use of less clinically significant radiographic projections.
尽管人口增长,但由于临床重点的变化以及CT和MRI等成像技术的进步,阿联酋的普通X线摄影(X线)使用率正在下降。这种下降影响了医学教育,在培训和实际应用之间造成了差距。确保放射学检查基于证据的合理性对于防止医疗资源的过度使用和紧张至关重要,这凸显了更新课程的必要性。本研究调查了普通X线摄影在阿联酋医院中的当前作用,确定了其使用的关键临床指征,并强调了优化其应用和整合循证实践的机会。
在一项对26名专门从事X线摄影的阿联酋放射技师进行的横断面研究中,采用便利抽样和滚雪球抽样的方法招募参与者。数据通过一份遵循CHERRIES指南的156个问题的在线调查问卷收集。问卷包括关于解剖区域的封闭式和开放式问题。可靠性测试的Pearson相关系数为0.82。数据分析采用描述性统计和图形工具。
调查结果显示,对于相同的解剖区域和临床指征,不同医院在投照选择上存在显著差异。普通X线摄影主要用于评估创伤病例、退行性疾病和先天性疾病中的附属骨骼和中轴骨骼。然而,某些特定投照经常被遗漏,这表明它们在现代临床实践中的相关性正在下降。
普通X线摄影对于创伤和肌肉骨骼评估至关重要,但投照选择的不一致需要标准化方案。阿联酋医疗系统中的循证方案对于放射学实践的合理性和一致性至关重要。优先处理创伤病例可减少临床意义较小的X线投照的使用。