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PubMed1995

Multicenter trial to evaluate vascular magnetic resonance angiography of the lower extremity. American College of Radiology Rapid Technology Assessment Group.

OBJECTIVES: To assess the value of magnetic resonance angiography (MRA) in presurgical evaluation of patients with severe lower limb atherosclerotic occlusive disease and to assess the feasibility of rapidly conducting rigorous technology assessment. DESIGN: Blinded, prospective study of consecutive patients with signs or symptoms of severe infrainguinal peripheral vascular disease who were candidates for percutaneous or surgical intervention. Using both descriptive statistics and multivariate logistic analyses, MRA was compared with contrast arteriography (CA) (the current technique) for imaging 15 arterial segments of the leg and foot. Intraoperative contrast angiography was the "gold" standard. Also studied was the effect of adding MRA to the information used in planning treatment. SETTING: Six US hospitals, one a community hospital. PATIENTS: A total of 155; 84% with either rest pain or tissue loss. RESULTS: Sensitivity in distinguishing patent segments from completely occluded segments was 83% for CA and 85% for MRA; both had 81% specificity. For distinguishing near-normal segments (suitable as bypass graft termini), CA was less sensitive than MRA (77% vs 82%), but more specific (92% vs 84%). After adjusting for same-reader effects, odds of correctly distinguishing patent segments were 1.6 times as great for MRA as for CA (P < .01); for distinguishing near-normal segments, the odds for CA were 1.5 times as great as for MRA (P < .05). The addition of MRA changed the treatment plan in 13% of patients; in 86% of these cases, the surgery actually performed indicated that the MRA-inclusive plan was superior. CONCLUSIONS: Individually, MRA and CA are approximately equivalent in diagnostic accuracy. The addition of MRA to treatment plans based only on CA and other diagnostic information clearly improves the plans. Completed in 15 months (as planned), our study demonstrates the feasibility of conducting rigorous technology assessment rapidly enough to be timely even in fields in which diagnostic and treatment techniques are rapidly changing.

Adult↗
PubMed2003

[Status of international radiological publications and archive utilization in Turkey].

PURPOSE: To investigate the use of radiological technology and archive utilization in two sampled international radiological journals and radiology clinics in Turkey, and to explore the impact of these findings on radiological publications. MATERIALS AND METHODS: Randomly selected 22 issues of AJR and Radiology, 1037 articles in total, were reviewed. The type of article, radiological technique, country of origin, use of advanced technology and archiving were defined for each article. Additionally, a questionnaire, investigating implementation of various radiological devices, archiving and their technical features, was posted to the chairmen of the radiology departments in Turkey. RESULTS: Most of the articles (61.4%) originated in US. Studies from Turkey constituted 0.9% of the articles. This ratio was 2% for France, which has almost the same population as Turkey. Magnetic resonance imaging was used in 27.4% of cases. Based on our definition criteria, advanced technology and archiving were used in 19% and 32%, respectively. Data returns of the questionnaire were obtained from 17 of 45 (38%) radiology clinics. Responding clinics had conventional radiography, B mode ultrasound and conventional computed tomography. Archiving of all radiological examinations, excluding plain radiography, was performed in one center while only interesting radiological images and variations were stored in 8 departments. Implementation of archiving was reported sufficient in three clinics, partly sufficient in ten clinics and insufficient in four clinics. Archiving was performed by medical doctors in most of the cases (53%). The leading problems of archiving were technical and economical insufficiencies (82%). CONCLUSION: Archiving is more commonly required than utilization of advanced technology for international radiological publications. The rate of articles originating from Turkey was lower compared to some countries having the same population as Turkey. The lack of sufficient technical infrastructure and shortage of staff may be important reasons for such differences.

Bibliometrics↗
PubMedDate not supplied

The staffing shortage: AHRA responds.

The AHRA Board of Directors formed a Long-Term Staffing Task Force to study the question, "Should AHRA become involved in the resolution(s) of the current staffing crisis, and if so how?" Because the background information that could be gathered was extensive, the Task Force used the following four questions to guide its activity: SENSITIVITY TO MEMBERS' VIEWS: What do we know about the needs, wants and preferences of our members, prospective members and customers relevant to a decision to become involved in activities to resolve the staffing crisis? FORESIGHT ABOUT FUTURE ENVIRONMENT: What do we know about the current and evolving dynamics of our profession relevant to a decision to become involved in activities to resolve the staffing crisis? INSIGHT INTO THE ORGANIZATION: What do we know about the strategic position and internal capacity of our organization relevant to a decision to become involved in activities to resolve the staffing crisis? CONSIDERATION OF OUR CHOICES: What are the ethical implications of our choices relevant to a decision to become involved in activities to resolve the staffing crisis? After considerable investigation and discussion, the Task Force made the following recommendations to the Board: RAISE AWARENESS OF OUR PROFESSION: Expand the number of radiologic technologists in the workforce by increasing the diversity of our students and by changing the traditional method in which we educate students (i.e., full-time, day clinical education). Create a quality monitor useful to the majority of radiology leaders to begin to systematically document the shortage. Support limited licensure and/or create a defined position of "staff extender" for radiologic technology.

Awareness↗
PubMedDate not supplied

Certification and licensure of radiologic technologists: Part II.

This article focuses on the vast inconsistencies in radiologic technology credentialing within the United States. There is no Federal statute requiring licensure of medical radiologic technologists. Historically, professional self-monitoring certifying agencies have provided the voluntary competency requirements that are used in some states. However, among these agencies varying standards prevail. Even though the majority of states do not license radiologic technologists, there are efforts underway to introduce licensure within the field.

Certification↗
PubMed1987

A problem-oriented assessment of continuing education needs of allied health department heads.

A survey of the continuing education needs of allied health department heads in Ohio hospitals and educational institutions provided data on the following professions: Dietetics, Medical Record Administration, Medical Technology, Occupational Therapy, Physical Therapy, Radiologic Technology, and Respiratory Therapy. Seven hundred and eighty responses (51% response rate) representing the seven allied health professions were analyzed by profession and in total. Of the respondents, 93 percent stated an interest in attending continuing education programs but only 59 percent had inservice continuing education provided by their employing institution. Specific topics needed and program characteristics to maximize accessibility were identified for each profession.

Ancillary Services, Hospital↗