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  1. Article ; Online: Radiographer training for screening of patients referred for Magnetic Resonance Imaging: A scoping review.

    Barnsley, H / Robertson, S / Cruickshank, S / McNair, H A

    Radiography (London, England : 1995)

    2024  Volume 30, Issue 3, Page(s) 843–855

    Abstract: Introduction: Strict safety practices are essential to ensure the safety of patients and staff in Magnetic Resonance Imaging (MRI). Training regarding the fundamentals of MRI safety is well-established and commonly agreed upon. However, more complex ... ...

    Abstract Introduction: Strict safety practices are essential to ensure the safety of patients and staff in Magnetic Resonance Imaging (MRI). Training regarding the fundamentals of MRI safety is well-established and commonly agreed upon. However, more complex aspect of screening patients, such as image review or screening of unconscious patients/patients with communication difficulties is less well discussed. The current UK and USA guidelines do not suggest the use of communication training for MRI staff nor indicate any training to encourage reviewing images in the screening process. This review aims to map the current guidance regarding safety and patient screening training for MRI diagnostic and therapeutic radiographers.
    Methods: A systematic search of PubMed, Trip Medical database and Radiography journal was conducted. Studies were chosen based on the review objectives and pre-determined inclusion/exclusion criteria using the PRISMA-ScR framework.
    Results: Twenty-four studies were included in the review, which identified some key concepts including MRI safety training and delivery methods, screening and communication, screening of unconscious or non-ambulatory patients and the use of imaging.
    Conclusion: Training gaps lie within the more complex elements of screening such as the inclusiveness of question phrasing, particularly to the neurodivergent population, how we teach radiographers to screen unconscious/unresponsive patients and using imaging to detect implants.
    Implications for practice: The consequences of incomplete or inaccurate pre-MRI safety screening could be the introduction of unexpected implants into the scanner or forgoing MRI for a less desirable modality. The development of enhanced training programs in implant recognition using imaging and communication could complement existing training.
    MeSH term(s) Humans ; Magnetic Resonance Imaging ; Patient Safety ; Allied Health Personnel/education ; Referral and Consultation
    Language English
    Publishing date 2024-04-04
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1289102-2
    ISSN 1532-2831 ; 1078-8174
    ISSN (online) 1532-2831
    ISSN 1078-8174
    DOI 10.1016/j.radi.2024.03.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The use of low dose CT scouts for MR safety screening: A multi-reader evaluation.

    Barnsley, H / Uzoukwu, S / Hassan, S / Borri, M

    Radiography (London, England : 1995)

    2023  Volume 30, Issue 1, Page(s) 168–175

    Abstract: Introduction: Plain film radiographs are recommended to assist in MRI safety screening of patients with unknown medical histories, especially in an emergency setting where patients might be unable to answer a safety questionnaire. This study assesses ... ...

    Abstract Introduction: Plain film radiographs are recommended to assist in MRI safety screening of patients with unknown medical histories, especially in an emergency setting where patients might be unable to answer a safety questionnaire. This study assesses the performance of CT scout images, which have low radiation dose and are faster and easier to acquire compared to plain film radiographs, in finding and naming a range of head and body implants.
    Methods: A retrospective analysis of 40 CT Head and Neck (HN) scout images and 40 CT Chest, Abdomen and Pelvis (CAP) scout images was undertaken. A subset of these were chosen to include a range of common internal implants not identifiable externally to the patient. The images were assessed by three readers with varying levels of clinical experience in MRI who were asked to find and name any implants seen.
    Results: Collectively, all readers reached a sensitivity of 85 % in finding internal implants, regardless of their clinical experience or experience in reviewing CT images, and a minimum specificity of 95 %. Implants were correctly named in 74 % of the images presented.
    Conclusion: CT scout images were able to reveal most of the implants included. However, clinical experience in reviewing the images enhances a reader's ability to identify the type of implant.
    Implications for practice: In an emergency setting, imaging can be critical in the management of patients presenting with acute illnesses. In the unconscious or unresponsive patient, the use of CT scouts, where this is the only option available, could provide valuable MRI safety information prior to a scan, improving access to the MRI scan in a timely manner.
    MeSH term(s) Humans ; Retrospective Studies ; Tomography, X-Ray Computed/adverse effects ; Tomography, X-Ray Computed/methods ; Pelvis ; Magnetic Resonance Imaging
    Language English
    Publishing date 2023-11-29
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1289102-2
    ISSN 1532-2831 ; 1078-8174
    ISSN (online) 1532-2831
    ISSN 1078-8174
    DOI 10.1016/j.radi.2023.11.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Emergence and control of an outbreak of PVL-positive MRSA in a UK-based maternity setting.

    Barnsley, H / McFall, S / White, R / Suleman, S / Pichon, B / Patel, M

    The Journal of hospital infection

    2023  

    Abstract: This paper aims to describe the investigation and control of an outbreak of USA300 ST8 Panton-Valentine leucocidin (PVL)-positive meticillin-resistant Staphylococcus aureus (MRSA), confirmed by whole genome sequencing (WGS), within a maternity and ... ...

    Abstract This paper aims to describe the investigation and control of an outbreak of USA300 ST8 Panton-Valentine leucocidin (PVL)-positive meticillin-resistant Staphylococcus aureus (MRSA), confirmed by whole genome sequencing (WGS), within a maternity and neonatal setting in the UK. The identification of two linked PVL-MRSA cases led to an outbreak investigation. A lookback exercise conducted using the infection control surveillance database, typing of saved MRSA isolates, enhanced patient screening, and staff screening were used to identify further cases. Environmental screening was also performed. Genetic relatedness between isolates was assessed by WGS. During the outbreak, 18 cases were identified between 11
    Language English
    Publishing date 2023-12-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 779366-2
    ISSN 1532-2939 ; 0195-6701
    ISSN (online) 1532-2939
    ISSN 0195-6701
    DOI 10.1016/j.jhin.2023.10.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: 'Black Bone' magnetic resonance imaging as a novel technique to aid the pre-operative planning of posterior tympanotomy for cochlear implantation.

    Connor, S E J / Borri, M / Pai, I / Barnsley, H

    Cochlear implants international

    2020  Volume 22, Issue 1, Page(s) 35–41

    Abstract: Purpose: ...

    Abstract Purpose:
    MeSH term(s) Adult ; Chorda Tympani Nerve ; Cochlear Implantation ; Humans ; Magnetic Resonance Imaging ; Round Window, Ear ; Temporal Bone/surgery
    Language English
    Publishing date 2020-10-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2079515-4
    ISSN 1754-7628 ; 1467-0100
    ISSN (online) 1754-7628
    ISSN 1467-0100
    DOI 10.1080/14670100.2020.1823126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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