CPD links & Supports

Irish Hip Fracture Meeting 2020 (Webinar)- 10th November 2020-

Registration link: Click here:

 Introduction to the HSE Library

Training Sessions Tuesdays 10.00/10.45, Thursday 1.15/2.00

REGISTER HERE:

Presenter: Nicola; Host: Helen; Support: Margaret.

  1. Access HSE Library books and electronic resources
  2. Perform a simple topic search and source full text journal articles usin Search E-Library
  3. Develop familiarity with Point of Care Tools

This session is delivered online

Please register in advance, ideally via Chrome. Limited places.

Registration closes 24h before the event. You will need an internet enabled

device to participate in this session and headphones.

https://hselibrary.ie/event/introduction-to-the-hse-library/

HSCP Resources

This repository has been developed to support the Health and Social Care Professions to deliver services in the context of the COVID-19 pandemic. It is intended that this central repository will enable a sharing of HSCP resources, both COVID and non-COVID related resources, to reduce duplication of effort for HSCP frontline staff and managers.

This development will be an iterative process with new content being added as it is received. We invite HSCP frontline staff, professional bodies and other interested parties to continue to send relevant resources to the National HSCP Office by emailing hscp.nationaloffice@hse.ie. Thank you to all HSCP who have generously contributed resources to support the HSCP community in these challenging and unprecedented times.

Resources are available in the following categories :

  • Digital/eHealth Resources for HSCP
  • Clinical Resources for HSCP
  • Operational Documents for HSCP

Access via https://www.hseland.ie/hscp/HSCPResources.aspx

ECR We Want Your Abstracts!
Submit your abstract and be a part of Europe’s most prestigious imaging meeting.

During the submission process, you will be able to choose your preferred presentation format:

  • Oral Presentation
  • Poster Presentation
  • Student Presentation
  • Abstract Submission is open from October 1- November 10, 2020.

Further details : Click Here:

Vitamin D deficit link to Covid-19 severity ‘considerable’

People have “nothing to lose”, and much to gain, by taking vitamin D supplements as protection during the Covid-19 pandemic, according to a new paper by Irish and UK scientists.

Evidence linking vitamin D deficiency with severity of Covid-19 disease is “circumstantial but considerable”, according to the paper co-authored by professor of medical gerontology at Trinity College Dublin, Rose Anne Kenny.

“There seems nothing to lose and potentially much to gain by recommending vitamin D supplementation for all, making it clear that this is to help ensure immune health and not solely for bone and muscle health,” she says.

“This should be mandated for prescription for vulnerable adults and children, such as those in care, prisons, or other institutions where people are likely to be inside for much of the time during the summer.”

Prof Kenny says new US research indicates that virus patients are four times less likely to require admission to ICU if they have normal levels of vitamin D.

https://www.irishtimes.com/news/health/vitamin-d-deficit-link-to-covid-19-severity-considerable-1.4371795

 “Linear accelerator competencies developed by TR/RTTs across European educational institutions”

The profession and education of Therapeutic Radiographers (TR) / Radiotherapists (RTT) is regulated at the national level. Therefore, lack of European regulation leads to differences in the roles and education of TR/RTTs between member-states. The WP3 aimed to identify which education programme characteristics influenced the competency level of graduates and which competencies are less developed across EU. The roles of the TR/RTT are broad, however, this WP focused solely on competencies related to the linear accelerator (linac). This WP feeds this information to WP10, where webinars on the least developed competencies will be made available to the public.

file:///C:/Users/IIRRT%20CPD%20OFFICER/Downloads/FACT%20SHEET%20WP3.pdf

 HSCP Share Blog

This Blog post was written by David Power, Physiotherapy graduate from RCSI

 The stark reality of COVID-19 hit as I, along with my classmates, were completing our final clinical placement; a moment that is usually seen as the beginning of the end of your physiotherapy degree.

Looking back on college in a time of Covid-19, there were definitely positives and negatives.

  • Commute time was drastically reduced, affording students greater free time in both the morning and evening.
  • Another positive for me was the availability of lectures online. This can only be seen to increase accessibility for students, especially those with disability/illnesses that may not be able to attend in-person lectures as regularly or with the same ease as others.
  • A definite drawback for me was the reduced level of human interaction, especially in the final few weeks of college from both a social and academic point of view. There was no ability to have so-called “water cooler conversations”, to bounce ideas off your peers or to ask for help with something you’re struggling with.
  • As someone, who, at the best of times found it difficult to stay focused in lectures,  background distractions at home can be challenging. Having access to a physical library again in a central location will make it easier for remote learning if needed.

Another issue to consider will be that of international students. Two of my classmates attended lectures at ungodly hours of the morning from the west coast of Canada. This was subsequently mitigated with recordings being made available online for later viewing. With physical attendance likely to be reduced, will there be a reduction in the number of international students who begin courses in Ireland? And what impact will these changes have on non-EU student fees which are already far higher than their EU and Irish counterparts?

Can I see remote learning becoming a permanent fixture in Ireland? Definitely. I think the benefits of accessibility and inclusivity far outweigh any negatives deemed to be associated with remote learning. That said, heretofore, healthcare degrees have relied on face-to-face teaching, particularly for the practical elements of the training. Remote learning will not meet this need.

The issue of clinical placements being organised in a time where Covid-19 is still circulating is one that I am sure has caused many headaches and will cause many more for the faculty. One has to imagine that over the next year, while healthcare and education changes from face to face to ‘blended’ versions, clinical placements will need to be reimagined.

Virtual physiotherapy appointments were, and still are, widespread during the height of the pandemic, alongside pulmonary rehabilitation and exercise classes. If this is to become part of our profession’s future, surely it is vital that these skills are learned and practiced while undergoing training as undergraduate students?

Elite sport has been allowed since early in June this year. Given the routine testing of athletes across many sports in Ireland, it is likely that any outbreaks will be highly controlled, reducing the risk of spread. Might we see a higher number of physiotherapy students undertaking clinical placements in elite sporting contexts?

It is likely that the fallout from this pandemic will stretch beyond case numbers and deaths and there will be a large cohort of people who experience reduced physical capacity for many months. Should physiotherapy and other HSCP students expect to have larger placement allocations to the rehabilitation of these people, and should placement allocations be more focused on the treatment/rehabilitation of Covid-19 given the world these students will be graduating into? Clearly, in the coming months, many questions will need to be answered on the student experience of education in the time of Covid-19.

BMJ Online webinar on the diagnosis, management, and prognosis of “long covid

On 3 September The BMJ hosted an online webinar on the diagnosis, management, and prognosis of “long covid.” An expert panel discussed its symptoms, course, and character and suggested strategies for managing it. Nikki Nabavi reports

Definition

Panel member Nisreen Alwan (box 1) began the discussion by defining long covid as “not recovering [for] several weeks or months following the start of symptoms that were suggestive of covid, whether you were tested or not.”

https://www.bmj.com/content/370/bmj.m3489

 Radiography/ Journal of Radiotherapy in Practice Articles

IIRRT members can access the full articles, I have synopsised below  from Radiography and the Journal of Radiotherapy in Practice  via www.iirrt.ie

Understanding team dynamics to promote team building in a radiotherapy department

Teamwork is a central framework in healthcare delivery. Team dynamics can impact the team as a whole and has been identified within the literature as a contributory factor to quality and safety, patient satisfaction, staff satisfaction and overall performance. Within radiation therapy (RT), teamwork is essential in the delivery of high-quality care, yet team building, and team development is under-reported.

A middle-aged man with adenoid cystic lung carcinoma: not every dyspnoea is the novel coronavirus, even during a pandemic

Background:

A middle-aged gentleman presenting with dyspnoea was presumptively assumed to be a novel coronavirus suspect.

Findings:

Nasopharyngeal and oropharyngeal swabs were reported negative, and clinico-radiological workup revealed a case of adenoid cystic carcinoma (ACC) of the lung with metastases to the contralateral lung and the lumbar vertebrae.

Radiography A Systematic review of non -pharmacological interventions to reduce anxiety in adults in advance of diagnostic imaging procedures

Anticipation of a diagnostic imaging (DI) procedure, particularly one involving advanced technology, can provoke feelings of anxiety in patients. Anxiolytics (anxiety reducing drugs) can be used to reduce pre-procedural anxiety in patients, however there are several known disadvantages to this approach. The aim of this systematic review was to identify and evaluate any preparatory non-pharmacological interventions used to reduce patient anxiety in advance of DI procedures.

Key Findings

Database searches revealed twelve studies met the eligibility criteria and were included in the review. A narrative synthesis identified three intervention categories: patient information/education, cognitive strategies (i.e. guided imagery, breathing techniques, imaginative visualisation) and music therapy

 Radiography Impact of COVID-19 pandemic on radiographers in the Republic of Cyprus. A questionnaire survey.

Introduction: Imaging is essential for the initial diagnosis and monitoring of the novel coronavirus, which emerged in Wuhan, China. This study aims to assess the insight of radiographers on how the COVID-19 pandemic has affected their work routine and if protective measures are applied.

Radiography Spanish Radiographers’ concerns about the COVID-19 pandemic

The current outbreak of COVID-19 has caused worldwide healthcare and social 5 emergency in which healthcare professionals were under extreme work conditions while 6 being fearful of becoming infected or spreading the disease to their relatives. The perceived 7 threat of COVID-19 has the potential to cause severe psychological maladjustment. The aim 8 of the study is to explore Spanish radiographers’ concerns about the COVID-19 pandemic.

The radiology workforce’s response to the COVID-19 pandemic in the Middle East, North Africa and India

This study aimed to investigate the response of the radiology workforce to the impact of the coronavirus disease 2019 (COVID-19) pandemic on professional practice in India and eight other Middle Eastern and North African countries. It further investigated the levels of fear and anxiety among this workforce during the pandemic.

The patient experience of radiotherapy for breast cancer: A qualitative investigation as part of the Support 4 All study

Breast cancer is a global health problem with 2.09 million cases of breast cancer diagnosed worldwide in 2018. With an increase in breast cancer survival attention has now focussed on the impact treatment side effects can have on the quality of life for women during survivorship. The aim of the Support 4 All project is to develop a support bra for use during radiotherapy, that can reduce normal tissue toxicity (for women with larger breasts) and provide accuracy, dignity and modesty for all women. The first stage of the project involved a co-design pro

Radiography Radiotherapy without tattoos Could this work?

An evaluation to compare the traditional tattoo based set up procedure with a surface guided method to assess the possibility of eliminating permanent tattoos in breast cancer patients who are undergoing radiotherapy to the breast/chest wall.

BMJ Open Access

Here is a list of articles in the current editon of the BMJ and they are open to all. This is the link to access these artciles

https://bmjopen.bmj.com/pages/collections/bmj_open_radiology_and_imaging/

  • An extranodal tumour deposits be diagnosed on MRI? Protocol for a multicentre clinical trial (the COMET trial)
  • MRI for measuring therapy efficiency after revascularisation in ST-segment elevation myocardial infarction: a systematic review and meta-regression analysis
  • Using structural and functional MRI as a neuroimaging technique to investigate chronic fatigue syndrome/myalgic encephalopathy: a systematic review
  • Qualitative study to explore radiologist and radiologic technologist perceptions of outcomes patients experience during imaging in the USA
  • Study protocol for an exploratory interventional study investigating the feasibility of video-based non-contact physiological monitoring in healthy volunteers by Mapping of Lower Limb skIn pErfusion (MOLLIE)
  • Addition of arterial spin-labelled MR perfusion to conventional brain MRI: clinical experience in a retrospective cohort study
  • Reducing the number of unnecessary biopsies of US-BI-RADS 4a lesions through a deep learning method for residents-in-training: a cross-sectional study
  • Pharmacologic and non-pharmacologic interventions to prevent hypersensitivity reactions of non-ionic iodinated contrast media: a systematic review protocol
  • What are the benefits and risks of sharing patients’ diagnostic radiological images with them? A cross-sectional study of the perceptions of patients and clinicians in the UK
  • Measurement challenge: protocol for international case–control comparison of mammographic measures that predict breast cancer risk

Early experiences of radiographers in Ireland during the COVID-19 crisis

Shane J. Foley, Anne O’Loughlin and Jill Creedon

Background: Imaging is crucial for assessing the severity and progression of COVID-19. Radiographers are amongst the first-line health professionals that may be exposed to infected persons. This work describes the early experience of radiographers in Ireland to the impact of COVID-19 using two electronic surveys distributed 6 weeks apart. Results were analysed using descriptive statistics and thematic analysis. Results: A total of 370 responded to the first survey and 276 the second, with all six Irish health regions represented. Three quarters of radiographers (77%) reported having adequate personal protective equipment (PPE) available to them. However, almost half of the radiographers were inadvertently exposed to COVID-19-positive patients without appropriate PPE, largely attributed to poor communication and testing. Anxiety levels while initially high, reduced substantially 6 weeks into the crisis period. However, obvious distress was noted amongst some respondents. Forty percent of radiographers reported burnout symptoms due to the COVID-19 crisis and 30% reported considering changing jobs or retiring since the COVID-19 outbreak. Conclusion: Clear communication regarding changing protocols and importantly patients’ infectious status are essential to safeguard healthcare workers and to minimise unnecessary anxiety and distress. Attention is required to staff mental health including the identification of burnout symptoms to prevent long-term negative consequences of the pandemic on radiography services.

Article Click Here:

 Imaging findings of Covid-19 on Chest X-ray & CT

https://radiologyassistant.nl/chest/covid-19/covid19-imaging-findings

 EFRS Radiation Protection in Radiotherapy webinar

Join us on October 6th for our next Radiation Protection in Radiotherapy webinar.

Episode 4: Radiation dose reduction: VMAT and IMRT

(06/10/2020 @ 20:00 CET)

Learning objectives

  1. Demonstrate an awareness of the appropriate treatment method and respective low-dose bath exposure of healthy tissues
  2. Optimise the radiation doses by applying an appropriate radiotherapy technique (e.g. objective & constraints to OAR and volumes for optimisation)
  3. Understand and discuss the long-term risks from low-dose bath exposures of healthy tissues

Moderator:

  • Charlotte Beardmore, EFRS Vice-President / Director of Professional Policy, SCoR (UK)

Speakers:

  • Eric Sundqvist, Assistant Professor / Coordinator Radiotherapy, Oslo Metropolitan University (NO)
  • Ainars Bajinskis, Associate Professor / Head of Radiography Studies, University of Latvia (LV)

Register here:

https://register.gotowebinar.com/regi…/1891500154646817035

 Radiological Society of North America (RSNA)

New Video: Chest imaging during the COVID-19 Pandemic: An Update

Following the April 2020 simultaneous publication in Radiology and Chest of the Fleischner Statement on the role of chest imaging in COVID-19, Dr. Geoffrey Rubin, lead author of the statement, provides an update based upon evidence published during the subsequent five months. This evidence bolsters and clarifies the Fleischner recommendations. Watch now on RSNA’s YouTube channel.

https://m.youtube.com/watch?feature=youtu.be&v=Jsf0anpccMo

 World Heart Day 29th September

It’s World Heart Day!

People with cardiovascular disease are more vulnerable to COVID-19.

Know the symptoms of heart attack & stroke. If you are experiencing any of these symptoms, seek medical care immediately.

The National Quality Improvement Team (QI) of the Health Service Executive (HSE) Ireland are delighted to present a regular 1-hour webinar series called ‘QITalktime’ which will focus on Quality Improvement. This series of planned webinars will run approximately every 2 weeks starting in November 2016. The webinars are open to all those that are interested in improving Quality across our Health and Social care services and will help with:

  • Connecting with others interested in Quality Improvement
  • Sharing learning and experiences of service redesign and improvement

We have an exciting line up planned with a mixture of local, national and international speakers. The webinars will be chaired by the National Quality Improvement Team.

Sept 2020 updateWe are delighted to be back with an exciting line up of webinars for an Autumn/Winter series every second Tuesday at 1 p.m.

The webinars are kicking off next Tuesday 22nd September. We hope you can join us. It has been a busy few month for all of us with COVID-19 with a lot of our roles changing to meet the demands of the pandemic. We hope this webinar series will help provide us a platform to connect and share some QI learning from these unprecedented times.

It is free and easy to join, all you need is an internet connection. You can join individually, or we would encourage groups of people interested to get together in their workplace and log on as a group to assist in building you own local QI networks.  If you have any queries, then please contact Roisin Breen who will happy to help.

2020 Webinar Recordings

By all, with all, for all: A strategic approach to improving quality 2020-2024, Dr. P. Crowley, National Director QI Team, 14th January 2020

Leadership skills for engaging staff in QI, Juanita Guidera, Staff Engagement Lead, National QI Team, 28th January 2020

Live from All Ireland Schwartz and QI Conference, Speakers panel, 18th February 2020

QI Toolkit – Practical tips on use of toolkit and demo, Members National QI Team, 3rd March 2020

Quality Improvement during a worldwide pandemic – What have we learned?, Dr. P. Crowley and Dr. J. Fitzsimons, National QI Team, 22nd September 2020

Dr. P. Crowley and Dr. J. Fitzsimons, National QI Team, 22nd September 2020. Access these webinars thorough this link and scroll down to this list Click Here:

Episode 4  Radiation Protection in Radiotherapy Webinar 6th Oct 20.00 CET register.gotowebinar.com/regi…/18915001

Value in Interventional Radiology: Achieving High Quality Outcomes at a Lower Cost

 https://pubs.rsna.org/doi/full/10.1148/radiol.2020203407  

 Dates, webinar topics and registration

  • Paediatric Imaging: How to build a dose-team in paediatric radiology and its added value in daily practice – 22 September 2020. Watch the recording here! https://register.gotowebinar.com/recording/7497374486537173007
  • Interventional Radiology: Radiation protection in fluoroscopy guided interventions. Are we doing enough? – 29 September 2020. Register via : https://register.gotowebinar.com/register/3753058006882007051
  • Computed Tomography: Dose saving options in lung CT – 13 October 2020.
  • Paediatric Imaging: Radiation dose index monitoring conundrum: emerging problems in paediatric radiology – 21st October 2020.
  • Interventional Radiology: Strategies to reduce radiation exposure in fluoroscopy guided interventions – 5 November 2020.
  • Computed Tomography: Dose saving options in cranial and maxillofacial trauma – 17 November 2020.
  • Paediatric Imaging: Shielding in paediatric radiology: pros, cons and controversies – 26 November 2020.
  • Interventional Radiology: The use of simulators and active dosimeters: the impact on patient and staff dose reduction – 9 December 2020.
  • Computed Tomography: Dose saving options in abdominal CT – 15 December 2020.

If you have any questions about the webinar series, please contact info@eurosafeimaging.org

The National Dementia Office has today on World Alzheimer Awareness Day published a report Young Onset Dementia: A Review of Diagnostic and Post-diagnostic Processes and Pathways The Report was written by a research team based in the School of Medicine, UCC, the School of Nursing and Midwifery, UCC and TCD .The report highlights the current position of healthcare for people with Young Onset Dementia, reports on the lived experience and reviews international good practice in relation to appropriate care pathways.  The report puts forward a number of recommendations to guide the development of policy and services to improve the quality of life for those living with Young Onset Dementia. The National Dementia Office will work with stakeholders and partners to support the implementation of these recommendations.

 Report Link http://dementiapathways.ie/permacache/fdd/cf3/6f3/ff8913507de2332d161122b3f1256376.pdf

 Learning Radiology

ADEM

Acute disseminated encephalomyelitis (ADEM), or acute demyelinating encephalomyelitis, is a rare autoimmune disease marked by a sudden, widespread attack of inflammation in the brain and spinal cord. As well as causing the brain and spinal cord to become inflamed, ADEM also attacks the nerves of the central nervous system and damages their myelin insulation, which, as a result, destroys the white matter. It is often triggered by a viral infection

Adreno leukodystrophy

Adrenoleukodystrophy (ALD) is a disease linked to the X chromosome. It is a result of fatty acid build up caused by a defect in the very long chain fatty acids transporter in peroxisomes, which then causes damage to the myelin sheath of the nerves, resulting in seizures and hyperactivity.

CADASIL

Description. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, usually called CADASIL, is an inherited condition that causes stroke and other impairments. This condition affects blood flow in small blood vessels, particularly cerebral vessels within the brain

CNS Lymphoma

Central nervous system lymphoma is a rare non-Hodgkin lymphoma in which malignant (cancer) cells from lymph tissue form in the brain and/or spinal cord (primary CNS) or spread from other parts of the body to the brain and/or spinal cord (secondary CNS).

High Grade Glioma

High grade means that the glioma is growing rapidly. High grade gliomas are either World Health Organization (WHO) grade 3 tumours or grade 4. Grade 3 and 4 tumours tend to grow rapidly and spread faster than tumours of a lower grade.

HIV Encephalopathy

HIV encephalopathy is a serious complication of HIV. HIV affects many body systems, including the immune system and the central nervous system. When the virus reaches the brain, a variety of mental and intellectual problems can happen. When HIV infection causes the brain to swell, it’s called HIV encephalopathy.

Low grade Glioma

Low grade gliomas are brain tumors that come from two different types of brain cells known as astrocytes and oligodendrocytes. They are classified as a grade 2 tumor making them the slowest growing type of glioma in adults.

Metastases

Skull metastases are seen in ~20% (range 15-25%) of all cancer patients 2. The demographics of patients with skull metastases will mirror those of the primary tumor, and as such in general they are found in the older

Migraine

A headache of varying intensity often accompanied by nausea and sensitivity to light and sound.

Migraine headaches are sometimes preceded by warning symptoms. Triggers include hormonal changes, certain food and drink, stress and exercise

Migraine headaches can cause throbbing in one particular area that can vary in intensity. Nausea and sensitivity to light and sound are also common symptoms.

MS Active

active multiple sclerosis

Common to all definitions is the early, unexpected acquisition of disability followed by frequent relapses (often with incomplete resolution) and highly active disease seen on MRI.

highly active MS has not been precisely defined but the most important features include frequent relapses with incomplete recovery, and/or high radiological burden of disease, rapid accrual of disability after disease onset, with otherwise typical features of MS

The radiology workforce’s response  to the COVID–19 pandemic in 19 pandemic the Middle East,    North Africa and India

This study aimed to investigate the response of the radiology workforce to the impact of the coronavirus disease 2019 (COVID-19) pandemic on professional practice in India and eight other Middle Eastern and North African countries. It further investigated the levels of fear and anxiety among this workforce during the pandemic.

Article Link https://www.radiographyonline.com/article/S1078-8174(20)30205-4/pdf

GE Novel Ultrasound tools for the assessment of NAFLD: from steatosis to fibrosis.

Thursday October 1st 17.30-18.30

GE have introduced a new educational program . Experts in Ultrasound will share their experiences through different daily challenges . This is a great opportunity to ask questions , receive answers and develop your clinical skills with other Sonographers

To  Register: Click Here:

Evaluation of radiotherapy education across the EU and the impact on graduate competencies on the linear accelerator

Regulation and education of the professionals administering radiotherapy treatments in the linear accelerator varies across the EU. However, how different programme characteristics affect the level of competency of these professionals has never been studied before. This study also aimed to assess which are the least and most developed competencies in radiotherapy across the EU.

Link to full article Click Here:

 Flu Vaccination E-learning Module

The 2020/2021 seasonal influenza vaccination programme will now inclide children aged 2-12

Abscopal effect of radiation therapy in monotherapy in a patient with malignant melanoma

There is increasing interest in the systemic effect that radiation therapy may provide, namely the abscopal effect—the ability of locally administered radiation therapy to trigger antitumor effects at a distance in nonirradiated metastatic lesions.1 However, the abscopal effect caused by conventional radiation therapy alone has been sparsely reported. In this work we discuss a representative case of this effect, with the objective of adding to the minimal literature on this subject. Click Here:

HSE Webinars

Why Consent Matter’s Practice.  

‘Why consent matters’   Thursday 17 September 2020 @11am

This webinar will examine what is valid and informed consent, the consequences of invalid and uninformed consent, reflections on good practice from children’s services and recent survey results of consent experiences of people using health services.

Chaired by: Professor Mary Donnelly, Vice- Dean of School of Law, UCC and Co-Chair of the HSE National Consent Policy.

Presented by Prof. Shaun O’Keeffe, Consultant Physician and Geriatrician and Co-Chair of the HSE National Consent Policy.

Contributors will include Ms Anne Duffy, Senior Clinical Risk Manager, State Claims Agency; Dr. Barry Lyons, Consultant Anaesthetist, CHI at Crumlin and Ms. Elaine McCaughley, Training and Education Co-ordinator, HSE National Office for Human Rights and Equality Policy
Register via: Link

Questions must be submitted in advance of the seminar to adm@hse.ie. You can view and listen to the webinar on your computer if there is good quality audio on the device following the details sent to you on registration.  Sound quality for the webinar may be better through a phone so you may use the Irish dial-in number by telephone as follows as an alternative: Telephone: 01 526 0058.When prompted, enter the following  access code: 137 723 0920

The webinar will be recorded and uploaded to www.assisteddecisionmaking.ie.

 HIQA Report on significant incident events arising from accidental or unintended medical exposures in 2019.

The Health Information and Quality Authority (HIQA) has published an overview report on the lessons learned from notifications of significant incident events arising from accidental or unintended medical exposures in 2019. .In 2019, HIQA received 68 notifications of significant events of accidental or unintended medical exposures to patients in public and private facilities, which is a small percentage of significant incidents relative to the total number of procedures taking place which can be conservatively estimated at over three million exposures a year.

Annual Report Click Here:

Med R J Club 22nd September 9pm Compassion

For September we revisit one of our most popular chats from May 2016, we’re talking about compassion.

Back in 2016 author Dr Jill Bleiker was conducting her PhD research into compassion in medical radiation sciences, and some of the tweets from that chat were used as data for her research

“Not withstanding the physical and workload challenges, the demand for enough emotional energy to meet expectations of even a smile for every patient over a prolonged period and in demanding circumstances and further, that this appear effortless, spontaneous and genuine is simply too great“

What medical imaging professionals talk about when talk about compassion?

https://www.jmirs.org/article/S1939-8654(20)30222-8/fulltext

European Respiratory Journal COVID-19 and the management of Interstitial Lung Diseases patients: challenges and recommendations

Please see presentation attached below Click here:

Radiotherapy Radiation Protection Series – Episode 3: Image Guided Radiotherapy 17th Sept 

Learning objectives :

  1. Identify and demonstrate an awareness of the appropriate dose optimisation techniques

2. Outline the correct application of imaging method and technique in IGRT 3. Assess and optimise the concomitant doses in IGRT

https://register.gotowebinar.com/register/3059565232902969611e:

 

The New Normal with

Autism Spectrum Disorder (ASD): An All-in-One Guide for Parents

This guide may be helpful for Radiographers and Radaition Theraputs who are proving paediatric x-ray and oncology services. The term autism is not what it once was. “Autism” originally described a severe set of schizophrenia symptoms in 1911 by a German psychiatrist named Eugen Bleuler. This misconception continued until the 1960s when child psychology became a science

Click Here:

Diagnostic Reference Levels based on clinical indications in computed tomography: a literature review

Key points

The establishment, regular review and use of Diagnostic Reference Levels are mandatory according to the Council Directive 2013/59/ EURATOM.  Most of the existing Diagnostic Reference Levels have been established based on anatomical locations, which has some limitations as one could have several clinical indications with consequently different protocols corresponding to different exposure levels.  In the anatomical areas for which Diagnostic Reference Levels based on clinical indications were found, a huge variation of computed tomography dose descriptors values has been identified. The EUCLID project aims to establish Diagnostic Reference Levels based on clinical indications.

https://insightsimaging.springeropen.com/track/pdf/10.1186/s13244-020-00899-y

Radiography Journal Clinical Reporting of radiographs by radiographers :Policy and practice guidance for regional imaging networks

Radiographer reporting is an essential component of imaging across the United Kingdom. Since the previous policy and practice guidance in 2004 the role and contribution of reporting radiographers has changed significantly. The move to imaging networks further reinforces the need for consistency in scope of practice and clinical governance for radiographer reporting

https://www.radiographyonline.com/article/S1078-8174(20)30147-4/fulltext

Clinical Oncology

Developments in deep learning bases corrections of cone beam computed tomography to enable dose calculations for adaptive radiotherapy

Highlights :

  • User-adjustment of auto-contours improves geometric agreement towards the gold standard.
  • Appropriate case selection improves the accuracy of contours generated.
  • No significant dosimetric variations measured between PTVs generated from manual contours and user-adjusted auto-contours.
  • The unique dataset within the study seems to confirm the reliability of user-adjusted contours over time.
  • Longitudinal auto-contouring may have a role in biologically guided radiotherapy for non-small cell lung cancer.

 Brachytherapy -An Update on current UK Practice

This exciting half-day virtual event will provide updates for best practice for gynaecological and prostate brachytherapy from leading clinicians in the field. Radiotherapy experts will explain the best way to plan these treatments. Furthermore, an overview of emerging techniques / treatment accuracy / safety will be presented.

Who should attend? Oncologists / therapy radiographers / radiotherapy physicist of all grades from trainees to consultants.

Educational aims:

  • To be aware of current best practice for gynaecological brachytherapy
  • To be aware of the current most likely causes of errors and incidents in brachytherapy in the UK

Click Here:

Radiation Protection in Radiotherapy

Episode 3: Image-Guided Radiotherapy: 17/09/2020 19.00

Learning objectives

  1. Identify and demonstrate an awareness of the appropriate dose optimisation techniques
  2. Outline the correct application of imaging method and technique in IGRT
  3. Assess and optimize the concomitant doses in IGRT

Speakers:

  • Eric Sundqvist, Assistant Professor/Coordinator Radiotherapy, Oslo Metropolitan University (NO)
  • Ainars Bajinskis, Associate Professor / Head of Radiography Studies, University of Latvia (LV)

https://www.efrs.eu/education

The Red Journal Podcasts Radiation Oncology and the Immune Response
In conjunction with the special September issue of the Red Journal, Silvia Chiara Formenti, MD, FASTRO joins Editor-in-Chief Anthony Zietman, MD, FASTRO to discuss the latest developments in immunotherapy as they relates to radiation oncology, including checkpoint inhibitors, the abscopal effect, and how these changes could affect the future of the field.

To access this podacts log into  https://www.redjournal.org/ and you will see the podcasts on the right hand side of the page

Click Here:

COVID-19 in patients with thoracic malignancies (TERAVOLT): first results of an international registry-based cohort study

Early reports on patients with cancer and COVID-19 have suggested a high mortality rate compared with the general population. Patients with thoracic malignancies are thought to be particularly susceptible to COVID-19 given their older age, smoking habits, and pre-existing cardiopulmonary comorbidities, in addition to cancer treatments. We aimed to study the effect of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on patients with thoracic malignancies

 Hypo fractionated Breast Radiotherapy for One Week Versus Three Weeks (Fast-Forward): Five-year Efficacy and Late Normal Tissue Effects Results from a Multicentre, Non-Inferiority, Randomised, Phase 3 Trial –

We aimed to identify a five-fraction schedule of adjuvant radiotherapy (radiation therapy) delivered in one week that is non-inferior in terms of local cancer control and is as safe as an international standard 15-fraction regimen after primary surgery for early breast cancer. Here, we present five-year results of the Fast-Forward trial.

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Head and Neck Cancer Videos

A unique series of 14 videos on innovations in the treatment of head and neck cancer patients has been launched to mark World Head and Neck Cancer Day on 27 July 2020.

Each video focuses on the clinical practice of multidisciplinary team members and researchers to improve survival and quality of life for people with head and neck cancer. The videos  give the latest evidence-based information to patients, family members and clinicians through interviews with people on the frontline of healthcare. The project was led by Targeting Cancer ambassador, Julie McCrossin. “The project is unique in its scale and content.” said Julie. “But most significantly, it is unique in the editorial independence given to a head and neck cancer patient to interview clinical experts and share the stories and questions of fellow patients.”

Videos focused on radiation therapy look at technology innovations in radiation therapy and managing mask anxiety. Click here:

TCD  Interdisciplinary Practice Education Study Day  17th September

An opportunity to develop your skills and knowledge in the area of practice education

Registration details to follow

 How does a Manager integrate staff fresh from university during a long-term major incident?

Author: Harry Smyth, deputy superintendent radiographer, King’s College Hospital

We welcomed the move by the Health and Care Professions Council to enrol third year students on an emergency register after they completed their final year placement.

However, we made a conscious decision not to contact any of the successful applicants from the Band 5 recruitment campaign we ran a month prior, to ensure pressure free decision making by anyone choosing to put themselves forward to assist with the pandemic. We were humbled and amazed to see every successful applicant who had completed their final year placement proactively contact us, willing to start early. Particular recognition has to go to Emily and her peer Holly who were the first to start at the beginning of April, in the peak of the pandemic, having both found accommodation, moved to London and started work just over a week after confirmation of their job offers!

As Emily says above, the red tape and bureaucracy had refreshingly all disappeared, with extremely fast onboarding, whilst maintaining the same high standard of pre-employment checks straight into Band 5 positions. It is poignant to recognise the efforts made by our non-‘frontline’ colleagues in the workforce team during this incident, who often go unrecognised, but were integral to the efforts of the trust.

As a management team, we had to be conscious of the impact on Emily’s welfare, starting a local radiology induction programme during a declared long-term major incident and whether this would be a fair start for her career at King’s – as well as the risk of burnout from the intensity of the situation we were faced with.

To ensure Emily was supported, throughout her induction, she was supernumerary, so able to observe and learn, and she was assigned a Band 5 mentor, as well as a named superintendent to oversee her induction programme and check on her wellbeing.

As well as the support from the departmental and trust wide welfare teams, any newly qualified radiographers joining early were given study leave around the exams they were due to be completing at their university campus, so they did not have this additional burden on top of the pressures of starting a full-time role.

At the peak of the pandemic at King’s College Hospital there were over 300 coronavirus inpatients across 16 ward’s and nine intensive care units. As a department, we are grateful and exceptionally proud of the part Emily and other newly qualified radiographers played,  fitting into the team so seamlessly and contributing to the department wide effort providing a radiology service for our patients.

Although a highly unconventional start to Emily’s career, it will certainly be a memorable one!​

Read Emily’s Story https://www.sor.org/news/one-day-i-ll-have-cap-and-gown-now-i-have-visor-and-scrubs

 Back to Basics Chest X-rays Nick Barlow

Following the success of his first live lecture, consultant radiographer Nick Barlow will be holding a new free virtual event on Monday, 17 August at 8pm.

Nick said, “I had a lot of feedback after the reporting pulmonary infections event asking for a basic lecture on chest reporting and so this has been created primarily for student radiographers, but anyone interested is welcome to take part.”

Learning outcomes include:

  • Refresh knowledge of key chest anatomy
  • Familiarise yourself with the key review areas
  • Understand appearances of the normal chest
  • Understand the impact of patient position on chest x-ray appearances
  • Familiarise yourself with reporting terminology
  • Learn about the key radiologic manifestations of lung diseases

The lecture is CPD Now endorsed and it is free but delegates are urged to make a contribution to the SoR Benevolent Fund. Donations from the first webinar raised more than £550 and Nick is hoping this event will exceed that amount.

The lecture will be an hour and a half including a 15-minute break and questions. It will not be recorded and will only be available to participants who log-in on the night.

 https://www.sor.org/news/back-basics-how-report-chest-x-ray

 PGD templates for contrast agents commonly used in radiology services for use in NHS England commissioned services.

SPS, NHS England, the Royal College of Radiologists (RCR) and the Society and College of Radiographers (SCoR), with the support of specialists working within NHS clinical practice, have produced PGD templates for contrast agents commonly used in radiology services for use in NHS England commissioned services. The aim of these templates is to produce a consistent presentation which has been reviewed by specialists within radiology. They have ensured that the legislative and clinical parameters have been fully considered and addressed, but have been mindful of the SPS advice on the use of PGDs for contrast agents.

The PGD templates require local adaptation to reflect local policies and populations – the areas of each PGD requiring local adaptation are highlighted in blue throughout each PGD. The PGDs contain advisory text (highlighted in yellow) intended to support the adoption of the PGD – all text in yellow highlight should be removed from final versions of the PGDs. Each organisation using these PGD must ensure that it is formally signed by a senior pharmacist, a senior doctor and any other professional group representatives involved in its review and that it is reviewed in line with the organisation’s PGD governance system. The organisation’s governance lead (or nominated deputy) must sign to authorise the PGD on behalf of the authorising organisation to ensure that this document meets legal requirements for a PGD. See SPS website or NICE guidance for further guidance on signatories.

It is envisaged that until legislative changes occur these templates will be reviewed and re-released prior to reaching their valid to date. If any relevant changes occur to the product SPC or other guidance, then an earlier review will be undertaken. Any decision to locally extend a stated valid to date needs to be locally assessed and agreed as per the organisation’s local policy

The following PGD templates are available:

  • Iomerprol (Iomeron®)
  • Iopamidol (Niopam®)
  • Iohexol (Omnipaque®)
  • Ioversol (Optiray®)
  • Iodixanol (Visipaque®)
  • Gadoteric acid meglumine (e.g. Dotarem®, Clariscan®, Dotagraf®, Cyclolux®)
  • Gadobutrol (e.g. Gadovist®)
  • Gadobenate dimeglumine (e.g. MultiHance®)
  • Gadoxetate disodium (e.g. Primovist®)
  • Gadoteridol (e.g. ProHance®)

Link to templates https://www.sps.nhs.uk/articles/contrast-agent-pgd-templates/

Q All-Ireland workshop ‘Visioning for the Future’ – rapid learning and improvement during COVID-19 26th August from 12.30pm to 2pm.

HSE staff are invited to participate in an All-Ireland virtual workshop ‘Visioning for the Future’, which will take on Wednesday 26 August from 12.30pm to 2pm.

Through a mix of presentations and interactive, collaborative group sessions, the workshop will provide you with ideas and inspiration for how to make sense of the learning generated through the COVID-19 pandemic, and how to use this to enable good decision-making now and in the future. This opportunity is open to anyone who would like to connect with others to explore and take a Quality Improvement (QI) lens to key challenges at this time.  This event is free for participants with an interest in Quality Improvement. This workshop will be delivered by the Q Community from the UK Health Foundation in partnership with the HSE National Quality Improvement Team and Health and Social Care QI Northern Ireland team.

Brain Behaviour and Immunity .Prevalence of depression, anxiety, and  insomnia among health care workers during the COVID-19 pandemic: Asystematic review and meta-analysis

COVID-19 pandemic has the potential to significantly affect the mental health of healthcare workers(HCWs),whostandinthefrontlineofthiscrisis.Itis,therefore,animmediateprioritytomonitorrates of mood, sleep and other mental health issues in order to understand mediating factors and inform tailored interventions. The aim of this review is to synthesize and analyze existing evidence on the prevalence of depression,anxietyandinsomniaamongHCWsduringtheCovid-19outbreak.

prevelence of depression

IR(ME)R: Implications for clinical practice in diagnostic imaging, interventional radiology, and diagnostic nuclear medicine

This guidance seeks to explain how the requirements of the regulations should be interpreted and used in practice. It explains the principles and requirements of IR(ME)R, providing clinical scenarios to enable practical interpretation of the regulations. This document has been written in support of all staff groups involved in medical and non-medical exposures within clinical settings, both in the NHS and the independent sector, research laboratories, universities, and sports facilities, where appropriate. This guidance also applies to those services using ionising radiation outside of radiology and nuclear medicine departments such as cardiology and orthopaedics. Specific guidance is available for dental exposures and therefore is not covered in this guidance. Click Here:

Talk Cancer Workshop

Cancer Research UK

The workshop will be 2 hours long. In that time, we’ll cover basic knowledge and conversational skills around:

  • Cancer facts and myths
  • Reducing cancer risk by taking action to make healthy changes
  • Importance of early diagnosis and speaking to the GP about any unusual changes
  • National cancer screening programmes
  • Tackling barriers, fear, and fatalism
  • Attendees and trainers Q&A

These workshops are open for anyone to join. Register below for our next scheduled online workshop.

Talk Cancer individual sign-up workshop: Thurs 20th August 10:30am-12:30pm Click Here:

Society of Radiographers Information for Obstetric Scanning

Research funded in part by the College of Radiographers Industry Partnership Scheme (CoRIPS) has provided sonographers with specific words and phrases to be used consistently when explaining miscarriages, fetal deaths and anomalies to parents during scans.

Recommendations include:

– Prioritising honest and clear communication

– Using technical terms, but these should be written down

– The term ‘baby’ should be used as a default, even in early pregnancy

– Communication should focus on providing information

– Expectant parents should not be asked to make decisions during the scan

More: Click Here:

BIR Lung Cancer Imaging  11th  September 2020 13:30-16:40 BST

Wonder what the new norm for lung cancer imaging is after the COVID-19 pandemic? Register now and attend this insightful virtual event providing a much needed update in the field of lung cancer imaging suitable for a multidisciplinary audience.

Who should attend?
Radiologists (at all levels), radiographers, advance practice providers, oncologists, pathologists and anyone interested in lung imaging.

 Educational aims:

  • To disseminate information on the general principles of lung cancer imaging
  • To explore whether current imaging techniques, approaches and interpretation need to be modified

Click Here:

MRI Safety Leaflet

The Society has published a leaflet to advise non-radiology hospital staff what the MRI department needs to know about the patient, and how patients and carers should be prepared before an MRI procedure.

The list of information the MRI team needs includes details of implants, pregnancy status, allergies, current infection risk, and details and dates of previous operations. As well as guidance of how to prepare the patient, the leaflet also explains about completing and signing a safety screening questionnaire, as well as what patient escorts need to know. “I urge MRI radiographers to download and share the leaflet with their ward colleagues,” Alex Lipton, the Society’s professional officer for MRI, said, “Ward staff in the hospital setting often interact with MRI team members whilst organising scans for their patients. MRI staff require certain information from ward staff to make sure that the patients’ needs are met.'”

Click Here:

The MSc Radiation Therapy UCC Cork

MSC  (graduate entry) in University College Cork is now open for applications for Sept 2020!

The MSc Radiation Therapy is an accelerated pre-registration programme for students with a primary degree in a subject other than Radiation Therapy. The programme uses the learning and teaching methods that best supports students to develop the knowledge, skills, application of knowledge and skills, and professional attributes commensurate with practice. The course includes a high level of student support including the psychosocial aspects both in the university and in the hospital environment. The aim of this programme is to provide each student with an excellent academic and clinical educational experience.

Click Here:

Lancet Voice Podcast

Richard Horton updates us on a leap forward in the Oxford and China vaccine progress, we talk viral transmission on public transport, and Kathleen O’Reilly explains how scientists create and test model

Click Here:

ECDC Transmission of Covid-19

Detection of viral RNA by PCR does not equate with infectivity, unless infectious virus particles have been confirmed through virus isolation and cultured from the particular samples. Viral load can however be a potentially useful marker for assessing disease severity and prognosis: a recent study indicated that viral loads in severe cases were up to 60 times higher than in mild cases [2].In terms of viral load profile, SARS-CoV-2 is similar to that of influenza, which peaks at around the time of symptom onset [6,7], but contrasts with that of SARS-CoV, which peaks at around 10 days after symptom onset, and that of MERS-CoV which peaks at the second week after symptom onset.

Click Here:

The Journal of Radiotherapy in Practice

The Journal of Radiotherapy in Practice is a peer-reviewed journal covering all of the current modalities specific to clinical oncology and radiotherapy. The journal aims to publish research from a wide range of styles and encourage debate and the exchange of information and opinion from within the field of radiotherapy practice and clinical oncology. The journal also aims to encourage technical evaluations and case studies as well as equipment reviews that will be of interest to an international radiotherapy audience

 List of Articles

·        In-vivo dosimetry in Total Skin Electron Therapy: Literature review
  • Journal of Radiotherapy in Practice, First View
  • Patterns of recurrence in patients receiving conformal radiation for intracranial meningioma: a single-institution experience
  • Journal of Radiotherapy in Practice, First View
  • Dosimetric evaluation of 3 and/or 4 field radiation therapy of breast cancers: clinical experience
  • Journal of Radiotherapy in Practice, First View
  • An evaluation of the information needs of radiotherapy patients and their families
  • Journal of Radiotherapy in Practice, First View
  • Quantitative assessment of the production of radioactive materials by the Mevion S250i Hyperscan proton therapy system: a year-long survey
  • Journal of Radiotherapy in Practice, First View
  • Psychosocial impact of mastectomy on female breast cancer patients presenting at an academic radiotherapy oncology centre in Ghana
  • Journal of Radiotherapy in Practice, First View
  • Dosimetric evaluation of whole-pelvis radiation therapy of prostate cancers: clinical experience
  • Ernest Osei, Hafsa Mansoor, Johnson Darko, Beverley Osei, Katrina Fleming, Ramana Rachakonda
  • Journal of Radiotherapy in Practice, First View
  • Investigation of central electrode artefacts of ionisation chamber effect on dose calculation using advanced calculation algorithms AAA and Acuros XB
  • Journal of Radiotherapy in Practice, First View

Journal of Geriatric Oncology

Adapting care for older cancer patient during the COVID-19 pandemic . Recommendations from the International society of Geriatric Oncology (SIOG) COVID -19 Working Group

The COVID-19 pandemic poses a barrier to equal and evidence-based management of cancer in older adults. The International Society of Geriatric Oncology (SIOG) formed a panel of experts to develop consensus recommendations on the implications of the pandemic on several aspects of cancer care in this age group including geriatric assessment (GA), surgery, radiotherapy, systemic treatment, palliative care and research.

Age and cancer diagnosis are significant predictors of adverse outcomes of the COVID-19 infection. In this setting, GA is particularly valuable to drive decision-making. GA may aid estimating physiologic reserve and adaptive capability, assessing risk-benefits of either providing or temporarily withholding treatments, and determining patient preferences to help inform treatment decisions. In a resource-constrained setting, geriatric screening tools may be administered remotely to identify patients requiring comprehensive GA. Tele-health is also crucial to ensure adequate continuity of care and minimize the risk of infection exposure.

In general, therapeutic decisions should favor the most effective and least invasive approach with the lowest risk of adverse outcomes. In selected cases, this might require deferring or omitting surgery, radiotherapy or systemic treatments especially where benefits are marginal and alternative safe therapeutic options are available .Ongoing research is necessary to expand knowledge of the management of cancer in older adults. However, the pandemic presents a significant barrier and efforts should be made to ensure equitable access to clinical trials and prospective data collection to elucidate the outcomes of COVID-19 in this population. Click Here:

 Society of Radiographers SoR

A Transgender Patient in the Nuclear Medicine Department

In one afternoon, session of scanning in nuclear medicine, we saw two patients who left the radiographers and technologists unsure how to approach the pregnancy safety question. Click Here:

BIR Webinar

This live webinar will be led by a team including the chief of the abdominal imaging division of Massachusetts General Hospital, Boston.
The aim of the webinar is to share experiences in abdominal imaging of COVID 19 patients and present the common findings. The webinar is based on their recent publication in Radiology titled “Abdominal Imaging Findings in COVID-19: Preliminary Observations”.
The session will be moderated by Dr Minal Jagtiani, Consultant Radiologist, London North West University Healthcare NHS Trust

https://birorgukportal.force.com/CommunitiesSelfReg?eventid=a173Y00000EgQjhQAF

Chest reporting event

A recording of Nick Barlow’s lecture is available in full.

A consultant radiographer , webinar on chest reporting, covering the background and radiological appearances of a variety of pulmonary infections, including bacterial pneumonias, TB, fungal infections, viruses and parasites, as well as Covid-19 Click Here:

 Radiotherapy for lung cancer .Consensus statements published

The Royal College of Radiologists has published recommendations for the use of radiotherapy in treating lung cancer.

Supported by the SCoR, the areas covered by the consensus statements include:

  • Optimising patients for radical radiotherapy for lung cancer
  • Technical aspects of radical radiotherapy for lung cancer
  • Stereotactic ablative radiotherapy (SABR) for early stage non-small cell lung cancer (NSCLC)
  • Combined-modality treatment of locally advanced NSCLC
  • Radiotherapy for advanced lung cancer
  • Treatment of small cell lung cancer (SCLC)

https://www.rcr.ac.uk/publication/radiotherapy-lung-cancer-rcr-consensus-statements

Radiotherapy and Oncology

Covid-19 outbreak in a major radiation oncology department; which lessons should be taken? Dr. Lutfi Kirdar Kartal Training and Research Hospital located in Istanbul is one of the biggest state hospitals in Turkey. Our radiation oncology department has been equipped with Cyberknife, Tomotherapy and three conventional linear accelerators with volumetric modulated arc treatment and intensity modulated radiation treatment capabilities. Brachytherapy can also be performed by three-dimensional brachytherapy planning. There are 15 radiation oncology specialists, 5 radiation oncology residents, 8 radiation physicists, 2 brachytherapy nurses, and 22 radiation therapists in our department. Approximately over 2000 new patients are treated in each year, and nearly 200 patients receive radiation treatment every day.

Covid 19 outbreak in major RO dept

 Radiotherapy and Oncology

Is low dose radiation therapy a potential treatment for COVID-19 pneumonia?

Fatal cases of COVID-19 are characterised by acute respiratory distress syndrome (ARDS), sepsis, pneumonia and respiratory failure. The high transmission rate of the virus and the corresponding rapid escalation in the number infections has resulted in unprecedented strains on healthcare systems worldwide, particularly as healthcare workers struggle to treat COVID-19 pneumonia.

We would like to draw the radiotherapy community’s attention to the potential for low doses (<100 cGy) of low LET radiation to treat viral pneumonia as a possible therapy for COVID-19 patients

20.04.2 GL Letter to Transferring Policyholders Claimants_English

Radiotherapy and Oncology

Cancer patients in Covid-19 era: Swimming against the tide

Receiving diagnosis of cancer leads the establishment of several psychological dynamics: fear of dying, uncertainty, loss of control, change in interpersonal relationships and self-image. In this patients’ setting, the psychological structure often represents a “baggage” during their oncological treatments, which are “LIFE-SAVING” and cannot be postponed.

In the present context, SARS-CoV-2 infection has a significant impact on everyone’s daily life, due to some recommendations to reduce its spread (wash your hands, avoid contact with other people, keep a distance, remain at home) . These latter recommendations could have a negative impact on the life of oncological patients. In fact, they experience a different emotional state between the need to undergo LIFE-SAVING treatments (often in a COVID-Hospital) and the fear of exposing themselves to the contagion risk.

 Cancer Patients swimming against tide

Chest Reporting Event Reminder

REMINDER On 6 July, Nicholas Barlow is hosting a free chest reporting event, covering the background and radiological appearances of a variety of pulmonary infections. The meeting is hosted via Microsoft Teams. Please note the link has now changed.

The correct link can be found here: https://www.sor.org/news/free-chest-reporting-event

 ECR 2020 Highlight Weeks Ten Highlight Weeks will take place between July and December 2020, and each of them is dedicated to exploring a set of carefully chosen topics.
Access to all Highlight Weeks is
included in every ECR 2020 registration and all weeks will also be available on-demand afterwards. https://connect.myesr.org/live/

BIR Virtual event – Friday 10 July 13:45-17:00 BST

This half-day event aims to feature some of the most common and uncommon traumatic injuries that can be found in daily practice. The speakers will lead discussion and review the imaging findings, highlighting learning points and potential pitfalls. It is aimed at radiology consultants, registrars and radiographers but will also be of interest to junior and senior clinicians in the emergency department.

Educational aims:
•    To gain confidence in abilities to pick up subtle injuries
•    To learn and reinforce a systematic approach to interpretation of major trauma imaging
•    To get exposure to a wide variety of injuries in a simulated real-life setting

Registration closes on Friday 10 July 2020 at 13:15 hrs.

Joining the meeting

The meeting room will open on Friday 10 July from 13:00.

If you registered on the day you will be able to join the meeting from 12:30 hrs onwards Click Here:

Fast acquisition abdominal MRI study for the investigation of suspected acute appendicitis in paediatric patient

A great piece of collaborative research with Peter C Murphy and @CUH on Fast acquisition abdominal MRI study for the investigation of suspected acute appendicitis in paediatric patients

-MRI offers an alternative imaging option in cases of suspected acute appendicitis in children.

-Fast acquisition MRI protocols are capable of diagnosing or excluding acute appendicitis.

-Free-breathing MRI imaging sequences have improved diagnostic accuracy compared with breath-hold sequences.

Link to full article Click Here:

Radiotherapy and Oncology

Estimating lung cancer and cardiovascular mortality in female breast cancer patients receiving radiotherapy

Radiotherapy (RT) plays an essential part in breast cancer treatment, it halves the recurrence risk and reduces breast cancer death by about one sixth after breast sparing surgery [1]. However it is associated with severe long-term morbidity, even after decades of follow up, including cardiovascular mortality and secondary lung cancer [2]. As a radiation oncologist it is sometimes difficult to balance individual oncological gains versus potential long-term iatrogenic side effects. Click Here:

Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology 2020 June 26

Augmenting the therapeutic window of radiotherapy: A perspective on molecularly targeted therapies and nanomaterials

Radiation therapy is a cornerstone of modern cancer therapy alongside surgery, chemotherapy, and immunotherapy, with over half of all cancer patients receiving radiation therapy as part of their treatment regimen. Development of novel radiation sensitizers that can improve the therapeutic ratio of radiation are sought after, particularly for tumors at an elevated risk of local and regional recurrence such as locally advanced lung, head, and neck, and gastrointestinal tumors. This review discusses clinical strategies to enhance radiotherapy efficacy and decrease toxicity, hence, increasing the overall therapeutic window. A focus is given to the molecular targets that have been identified and their associated mechanisms of action in enhancing radiotherapy. Examples include cell survival and proliferation signalling such as the EGFR and PI3K/AKT/mTOR pathways, DNA repair genes including PARP and ATM/ATR, angiogenic growth factors, epigenetic regulators, and immune checkpoint proteins. Click Here:

Journal of Rehabilitation Medicbe

MEDICAL REHABILITATION IN PANDEMICS: TOWARDS A NEW PERSPECTIVE

Depending on the severity of COVID-19 impact, patients may suffer a range of functional and psychological impairments during both acute and sub-acute stages, specifically respiratory insufficiency, dyskinesia, neuromuscular and cognitive impairments, and stress etc. Emerging reports from most effected countries like China, South Korea, Italy, Spain, suggest that in addition to more commonly recognized respiratory symptoms, other clinical presentation/complications also relevant to rehabilitation include: posterior reversible encephalopathy syndrome, critical illness myopathy/neuropathy following acute respiratory distress syndrome and extracorporeal membrane oxygenation; neuromuscular illness along with plantar flexion contractures and wounds, mental health problems (3, 7–10). Recent data suggests that COVID-19 virus also effects the central nervous system (CNS). COVID-19 related neurological symptoms can be categorized into 3 groups: neurological expressions of the symptoms of the underlying disease (headache, dizziness, disturbances of state of consciousness, ataxia, epileptic manifestations and stroke); symptoms of neuro-peripheral origin (hypo-ageusia, hyposmia, neuralgia); and symptoms of skeletal muscle damage, often associated with liver and kidney damage (9). One recent study in Wuhan, China, reported neurologic manifestations in over one-third of patients (36.4%), with more severe cases likely to have neurologic symptoms such as acute cerebrovascular diseases, impaired consciousness and skeletal muscle injury (8). Similar pattern of neurological syndromes are reported from University of Brescia, Italy (9). The hospital opened an 18-bed neuro-COVID-19 unit (to separate COVID-19 patients from other patients) to treat COVID-19 patients for stroke, delirium, epileptic seizures, and non-specific neurologic syndromes like encephalitis (9). Likewise, other hospitals in Northern Italy are also experiencing dramatic increase in COVID-19-related number of vascular events, ischemic strokes, and thrombosis, likely due to the virus affecting coagulating mechanisms. It is still unclear whether these neurologic syndromes are a direct cause of the virus entering the CNS, or an indirect response to the viral storm in their bodies (9). Further, a wide range of cognitive and psychological disorders have been reported in this patient population. These include mood alterations (depression), anxiety disorder and suicidal ideas, organic hallucinosis (visual and auditory hallucinations), behavioural disturbances, delusions of persecution, temporal-spatial disorientation, hypomanic disorder, etc. (9, 10). These alarming figures signify the upcoming challenges for the healthcare sectors, specifically rehabilitation both in the short and over the longer term. Click Here:

 British Medical Journal The Stanford Hall consensus statement for post-COVID-19 rehabilitation

The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress. Many COVID-19 survivors who require critical care may develop psychological, physical and cognitive impairments. There is a clear need for guidance on the rehabilitation of COVID-19 survivors. This consensus statement was developed by an expert panel in the fields of rehabilitation, sport and exercise medicine (SEM), rheumatology, psychiatry, general practice, psychology and specialist pain, working at the Defence Medical Rehabilitation Centre, Stanford Hall, UK. Seven teams appraised evidence for the following domains relating to COVID-19 rehabilitation requirements: pulmonary, cardiac, SEM, psychological, musculoskeletal, neurorehabilitation and general medical. A chair combined recommendation generated within teams. A writing committee prepared the consensus statement in accordance with the appraisal of guidelines research and evaluation criteria, grading all recommendations with levels of evidence. Authors scored their level of agreement with each recommendation on a scale of 0–10. Substantial agreement (range 7.5–10) was reached for 36 recommendations following a chaired agreement meeting that was attended by all authors. This consensus statement provides an overarching framework assimilating evidence and likely requirements of multidisciplinary rehabilitation post COVID-19 illness, for a target population of active individuals, including military personnel and athletes. Click Here:

MDCT

MDCT are preparing our next series of free webinars – register free on the link below to a host of webinars. Click Here:

Consultant Radiographers in the United Kingdom – The Society and College of Radiographers (SCoR) Consultant Radiographers Advisory Group (CRAG) Position Paper

The non-medical consultant post was pioneered to the allied health professions (AHP) in the United Kingdom (UK) in 20003. Diagnostic imaging and radiotherapy are a vital part of the cancer patient pathway and there is a healthcare priority to improve access to rapid diagnosis and treatment. Consultant radiographers are also found in other areas of clinical practice, bridging modality use and frequently replacing medically led services4,5. The first consultant radiographer (CR) role was appointed more than a decade ago and the number of CRs has steadily grown over that period in both diagnostic and therapeutic radiography settings4. The objective of the CR role is to improve patient outcomes by developing alternative care models, whilst leading and redesigning evidence-based clinical services. Click Here:

SOR Significant reduction in nuclear medicine workload during pandemic

The results of the British Nuclear Medicine Society (BNMS) survey part one have been published, with a reduction in total workload amounting to 65% during the Covid-19 pandemic

Click Here:

SOR Radiotherapy errors and near misses biennial report now live

The sixth radiotherapy errors and near misses: biennial report is now available to view.

Sixth in a series by Public Health England (PHE), the report provides an overview of Radiotherapy Error (RTE) data reported voluntarily to the National Reporting and Learning System and directly to PHE from January 2018 until December 2019. Click Here:

BIR Is radiology ready for a reboot?

22 June 2020

“In March 2020, the stop button was pressed and we were faced with a firefighting scenario.

“We learned fast and used this opportunity to shine, and we have definitely shown the wider world what we can do. Now, by hitting the reset button, we can capitalise on our achievements for the benefit of imaging and the NHS as a whole,” consultant radiographer Val Middleton, told attendees at the InHealth study evening, The Radiology Reset Button Has Been Pressed!

More than 400 delegates attended the virtual event on 17 June, sponsored by the SCoR, the  InHealth Group and the BIR, which provided radiology managers, clinical directors, radiologists and radiographers from the UK and internationally, with the opportunity to share thoughts and experiences on how they can approach imaging and oncology services differently following the Covid-19 crisis, using what has been implemented successfully and bringing with them the lessons learned during the pandemic.

Dr Nick Woznitza, reporting radiographer and clinical academic, introduced the event, alongside Fodi Kyriakos, head of reporting at the InHealth Group.

An impressive line-up of speakers, included Charlotte Beardmore, SCoR director of professional policy; Sue Johnson, SCoR professional officer; consultant radiographer Val Middleton; Andy Howlett, director of diagnostics, Medicines and Pharmacy Improvement, NHS England and Improvement; and other leaders in the field of radiology and diagnostic imaging, gave their perspectives on how the service may look in the future .

Presentations focused on modelling a workforce for the future that is fit for purpose both now and in years to come; an update on the national guidance and planning strategy for imaging; how the SCoR is supporting members both pre and post registration, and its plans for future strategies; how radiology will look going forward; how Covid-19 frontline strategies will inform future planning nationally; restoring patient confidence in the NHS; and how digital solutions may hold the key to successful management of imaging in the 21st century and beyond.

  • Maximise the talent and skillset within radiography
  • Attract, recruit, retain
  • Investment in workforce and equipment is crucial
  • Better utilisation of skills and resources
  • A boom-bust approach to workforce modelling has to change
  • Capitalise on digital and AI capabilities
  • Use the lessons learned during the pandemic
  • Listen to the patient voice

Click Here:

Care During a Pandemic: Managing Radiation Treatment Amid

The impact of COVID-19 around the world has left a catastrophic and unimaginable toll on global economies, health care systems and, most regrettably, lives. Many in the health care field have witnessed this devastation first-hand, with a tremendous strain on resources compounding the problem. The effect on cancer care has been particularly dire especially when factoring in potential consequences of delaying medical treatments. In this month’s issue, which focuses on COVID-19, authors from Wuhan, New York and other areas discuss their experiences and strategies of providing radiation treatments during an uncertain time, which has brought much emotional distress and fear. The review article, Leading a Radiation Medicine Department from the Epicenter of the COVID-19 Pandemic in the United States, describes techniques for resource allocation, including ways to prioritize patients for treatment initiation, maximize telemedicine, and design hospital avoidance strategies at Northwell Health. The authors also describe implementation of evidence-based hypofractionation guidelines and strict personal protective equipment regulations. Click Here:

Management of Head and Neck Cancer Patients During the Epidemic of #COVID19 in Wuhan

Under such circumstances, cancer patients face significant difficulties in disease diagnosis and treatment. First, cancer patients are often immunosuppressed due to the effects of cancer and anti-cancer treatment, and thus are prone to infection with the novel coronavirus. As a result, the prognosis after infection for cancer patients is worse than that of the general population.6 Second, under the rigid epidemic prevention measures, all cancer patients were also subject to strict restrictions similar to other local residents and were unable to start or continue their prescribed cancer treatment, or enter treatment facilities. Third, during isolation, the psychological pressure of patients increases sharply,7 along with nutrition and sleep disorders, all of which adversely impact treatment and recovery. Fourth, in order to stop the nosocomial spread of the epidemic, most of the cancer centers and oncology departments in Hubei Province, especially in Wuhan, ceased normal operation. Last but not least, many oncology medical staff were deployed to frontline anti-epidemic work, making it particularly difficult for cancer patients to obtain adequate cancer diagnosis and treatment. Click Here:

Astro Clinical Guidelines Rdaiation Therapy for Cervical Cancer

ASTRO releases its first clinical guideline on radiation therapy for cervical cancer. The guideline summarizes indications and best practices for EBRT and brachytherapy in the postoperative and definitive settings. Click Here:

22 June 2020

UCD Virtual Open Evening Wed 24th June 6-7pm

Learn more about the extensive Radiographer &Di Graduate Taught offerings for Sept 2020. All Imaging Modalities. Meet the lecturers and recent grads

Register by clicking here:

ESR Cancer care. Additional challenges during and after the pandemic. June 17, 2020

In this episode of ESR Connect, experts from The Netherlands and Switzerland will report on how cancer care is normally organised, which changes occurred during the acute phase of the coronavirus pandemic, and what mental challenges patients and staff faced.

Hosted by Regina Beets-Tan from The Netherlands Cancer Institute, a leading oncologic imager in Europe, the experience of a clinician and a radiologist will be shared, as well as an update on the EU Cancer Mission board, of which Beets-Tan is a member

ECR Online Quiz July 16th 7.30am

Join us for this year’s unique Image Interpretation Quiz, live from Australia and hosted by Professor Paul Parizel. Test your knowledge with tricky abdominal, musculoskeletal, neuro, breast and other cases in an interactive and entertaining way!

Applied Radiology Tuesday, June 23, 2020 Webinar

Time: 6pm -7pm

Considerations for Re-opening our Radiology Department

Following the surge of the COVID-19 pandemic, as radiology departments move back to their daily business of rescheduling cancelled or postponed procedures; it is important to focus on rebuilding patient confidence. Safely caring for patients and staff, while managing the re-opening of your radiology department is the focus of this special webinar. Registration Link Here:

Therapy Live

Therapy Live is the ultimate online learning experience! A fully virtual conference with 10 education streams filled with the biggest names in the MSK industry, first looks at innovative products and services in a digital exhibition hall and a fully interactive networking experience.10 education streams filled with the biggest names in the MSK industry. First looks at innovative products and services in a digital exhibition hall. A fully interactive networking experience

To register for this event : Click Here:

Free chest reporting event 8pm on Monday, 6 July via Microsoft Teams.

Hosted by Nick Barlow, consultant radiographer at Rotherham NHS Foundation Trust,

A consultant radiographer is holding a free-to-register online lecture on chest reporting, covering the background and radiological appearances of a variety of pulmonary infections, including bacterial pneumonias, TB, fungal infections, viruses and parasites, as well as Covid-19.

Learning outcomes are:

  1. The basic pathophysiology of:
    -Bacterial pneumonias
    -Pulmonary tuberculosis
    -Fungal infections
    -Viral infections
    -Parasitic infection

-Clinical presentations of these disorders.

  1. To familiarise yourself with the key radiographic manifestations of specific pulmonary infections.
  2. To build a solid foundation knowledge to help with differential diagnosis.

 More Information: Click Here:

Technical Innovations and Patient Support in Radiation Oncology

Prevalence of software alerts in radiotherapy

Radiotherapy software messages (sometimes called alerts, pop-up windows, alarms, or error messages) to the user appear continuously on computer screens. These software messages sometimes require decisions to be made as to the next appropriate action. However, mainly these messages are for information only. Dealing with software messages is a well-recognized problem in healthcare and has contributed to catastrophic events both outside and within radiotherapy. The purpose of this work is to highlight the prevalence and raise awareness within the radiotherapy community of such software messages related to external beam radiation therapy procedures at the linear accelerator

Article Link Click Here:

NCRI What’s New in Prostate Cancer Research  Webinar  Click Here:

Preliminary Data Suggests Low-Dose Radiation May Be Successful Treatment for Severe Covid-19

Human medical trials have begun on severely ill COVID-19 patients using low-doses of radiation. The first results on a very small group were published this week in a non-peer-reviewed journal that exists to get critical results out quickly to the scientific and medical community. Researchers at Emory University Hospital, led by Dr. Mohammad Khan, Associate Professor of Radiation Oncology, treated five COVID-19 patients with severe pneumonia who were requiring supplemental oxygen and whose health was visibly deteriorating. Their mean age was 90 with a range from 64 to 94, four were female, four were African American, and one was Caucasian.

These patients were given a single low-dose of radiation (1.5 Gy) to both lungs, delivered by a front and back beam configuration. Patients were in an out of the Radiotherapy Department in 10 to 15 minutes.

Within 24 hours, four of the patients showed rapid improvement in oxygenation and mental status (more awake, alert and talkative) and were being discharged from the hospital 12 days later. Blood tests and repeated imaging of the lungs confirmed that the radiation was safe and effective and did not cause adverse effects – no acute skin pulmonary, gastrointestinal or genitourinary toxicities. Click Here:

International Journal of Infectious Diseases

Insight into 2019 novel coronavirus  — An updated interim review and lessons from SARS-CoV and MERS-CoV

 This article compare the virology and origin , epidemiology clinical manifestations pathology and treatment  of 2019 nCoV infection in comparison with severe acute respiratory syndrome coronavirus SARS CoV and Middle East respiratory syndrome coronavirus

Insight into Novel Corona Virus

 Journal of Clinical Virology

Coagulation disorders in coronavirus infected patients: COVID-19, SARSCoV-1, MERS-CoV and lessons from the past

 This article highlights the importance of coagulation disorders in Covid-19 infections and reviews relevant data of previous coronavirus epidemics caused by severe SRAS CoV-1 and MERS CoV . vacinnation strategies

Journal of Microbiology Immunology and Infection

Asymptomatic  carrier state  acute respiratory disease and pneumonia due to severe  acute respiratory syndrome coronavirus 2 (SARS- CoV-2)  Facts and myths Ays Carrier case Click Here:

Life Sciences

 Vaccination strategies to combat novel corona virus  SARS- CoV-2

The 2019-novel coronavirus disease(COVID-19)is caused by SARS-CoV-2 is transmitted from human to human has recently reported in China. Now COVID-19 has been spread all over the world and declared epidemics by WHO. It has caused a Public Health Emergency of International Concern. The elderly and people with underlying diseases are susceptible to infection and prone to serious outcomes, which may be associated with acute respiratory distress syndrome(ARDS)and cytokine storm. Due to the rapid increase of SARS-CoV-2 infections and unavailability of antiviral therapeutic agents ,developing an effective SAR-CoV-2 vaccine is urgently required. SARS-CoV-2which is genetically similar to SARS-CoV and Middle East respiratory syndrome corona virus(MERSCoV) is an enveloped, single and positive-stranded RNA virus with a genome comprising 29,891 nucleotides, which encode the 12 putative open reading frames responsible for the synthesis of viral structural and non-structural proteins which are very similar to SARS-CoV and MERS-CoV proteins. In this review we have summarized various vaccine candidates i.e., nucleotide, subunit and vector based as well as attenuated and inactivated forms, which have already been demonstrated their prophylactic efficacy against MERS-CoV and SARS-CoV, so these candidates could be used as a potential tool for the development of a safe and effective vaccine againstSARS-CoV-2.

Journal of Microbiology Immune vacinnation strategies employee-assistance-programme-contact-details-for-counsellors

Reflective Learning Toolkit

Please see link below to the reflective learning toolkit. The toolkit has a video and a suite of linked resources. The video has been developed as a resource by the HSCP Professional Development network to help and support HSCPs to engage in reflective learning .The video discusses the models and theories  of reflection to help guide HSCPs in their reflective learning .It is important to take time out to reflect and apply these reflective theories to your clinical experiences.  There are short snippets from front line HSCPs discussing the multiple  CPD opportunities they have encountered during  the Covid-19 pandemic . The front-line snippets also discuss how these HSCPs use different reflective models to engage in reflective  writing .

Special  thanks to Caoimhe Henry and Eamon Yeung for creating the Radiation Therapy front -line video  and to Katie Flynn for creating the Diagnostic Imaging  front-line video .Click Here:

BIR Covid Imaging Part 3 Now available on demand

In this third instalment, we will be taking you into the eye of the COVID storm and exploring lessons learnt, both from a radiologist’s and a radiographer’s perspective. We will present the CT appearances of severe respiratory failure in COVID and look into how the virus has impacted on oncology outcomes and pathways.

Having looked back, we take a look forward to how we might adapt pathways and training in what could be an uncertain future.

Questions moderated by Dr Nicholas Screaton, Consultant Cardiothoracic Radiologist, Papworth Hospital NHS Foundation Trust.

Click Here:

The Journal of Geriatric Oncology

Non-pharmacological interventions for cognitive impairment in women with breast cancer post chemotherapy :A systematic review

Click Here:

HSE Reflect Recover Renew

This is excellent resource as part of the HSE change guide which I would encourage you to print these two posters to encourage health acre professionals to look at the changes as a result pf Covid-19 and how to move forward . Is your team reflecting on the “new normal “ of delivering healthcare during and post #Covid-19?

Team Reflection: The experience of Covid-19 has had a profound impact on people personally, their families, work colleagues and communities. There is a natural mix of experiences and reactions

Click Here:

Frontline Radiographer in MRH Portlaoise Hospital Michelle Roberts

Chest X rays and CT scans are essential in identifying the severity of COVID and the response to treatment. Radiographers as frontline staff, with every other healthcare worker, was in war with COVID in the past few months. The following article depicts the life of a Clinical Specialist Radiographer (CT) in an Irish hospital during the pandemic.

Article Link Click Here:
Published in Leinster Express

EFRS Simulation-Based Education in Radiography: A Response to COVID-19

The EFRS are pleased to partner in this free international online conference on June 24th

Clinical skills training for students in diagnostic imaging, radiotherapy and nuclear medicine has been severely impacted during the global pandemic, with the cessation of many clinical placement opportunities. Future disruption seems likely with social distancing and severely limited access to clinical departments. This virtual conference will discuss the potential role of simulation resources, techniques and placements as temporary solutions to this problem. Global simulation experts and researchers will discuss how simulation could provide capacity for the duration of the pandemic restrictions.

Book your place now at: Click Here:

ESR in collaboration with ECCO 10th June 17.00 CEST

Re-starting and retaining Screening Programmes ESR

In this episode of ESR Connect, a world-class multidisciplinary panel of experts will discuss the status quo of lung, breast and colorectal cancer screening programmes in Europe, how patients were affected by the COVID-19 pandemic, and how can programmes be restarted now.

The episode will be hosted by one of the leading oncologic imagers in Europe, Regina Beets-Tan from The Netherlands Cancer Institute, currently 1st Vice-President of ESR and a board member of ECCO (European Cancer Organisation) as well as member of the EU Cancer mission board Click Here:

 School of Radiation Therapy Trinity College Dublin Update

Travel for educational purposes is uncertain at the moment. With Trinity College Dublin’s online programmes, travel is not required. We offer Postgraduate Cert/Dip/MSc in Advanced Radiation Therapy Practice. Closing date for applications is July 2020.

Find out more about our Clinical Practice or Treatment Planning Strands here: Click Here:

Conversations that matters series Leadership Learning Reflection on a career 4th June

The CEO of St James hospital Lorcan  Birthistle started is first job as a porter and worked up to CEO positions. Lorcan refers to servant leadership style . Robert K. Greenleaf (1970)  first coined the phrase “servant leadership” in his 1970 servant leader, you’re a “servant first” – you focus on the needs of others, especially team members, before you consider your own. You acknowledge other people’s perspectives, give them the support they need to meet their work and personal goals, involve them in decisions where appropriate, and build a sense of community within your team. This leads to higher engagement, more trust, and stronger relationships with team members and other stakeholders. It can also lead to increased innovation. From this perspective you are judging what are the needs of the people in your organisation. As a leader you have a huge authority to change things but at times there is a need to step back and let other people take the lead and not get in the way and clear pathways and facilitate  professionals to do their job . Health care teams  have shown great leadership from the cleaners to all healthcare staff . The webinar discussed the importance of re-inventing health care post Covid-19 . We need to keep the  morale and creativity going and allow time to process the darker side of Covid-19  . The change of roles , new committees and new interfaces established with in the room decision makers and choices became much more intermediate during Covid-19 . This immediacy in decision making lead to greater productivity in teams and this should be now built on and developed going forward. In terms of mental health, the webinar discussed online consultant consultations. Virtual consultations will not replace face to face consultations but can be used to compliment consulting in the future. In the production of healthcare, there is now numerous new possibilities.

Click Here:

Coronavirus May Be a Blood Vessel Disease, Which Explains Everything

In April, blood clots emerged as one of the many mysterious symptoms attributed to Covid-19, a disease that had initially been thought to largely affect the lungs in the form of pneumonia. Quickly after came reports of young people dying due to coronavirus-related strokes.

Click Here:

 EFRS Simulation-Based Education in Radiography: A Response to COVID-19

The EFRS are pleased to partner in this free international online conference on June 24th

Clinical skills training for students in diagnostic imaging, radiotherapy and nuclear medicine has been severely impacted during the global pandemic, with the cessation of many clinical placement opportunities. Future disruption seems likely with social distancing and severely limited access to clinical departments. This virtual conference will discuss the potential role of simulation resources, techniques and placements as temporary solutions to this problem. Global simulation experts and researchers will discuss how simulation could provide capacity for the duration of the pandemic restrictions.

Book your place now by: Clicking Here:

Stereotactic Ablative Radiotherapy for the Comprehensive Treatment of Oligometastatic Cancers: Long-Term Results of the SABR-COMET Phase II Randomized Trial

The oligometastatic paradigm hypothesizes that patients with a limited number of metastases may achieve long-term disease control, or even cure, if all sites of disease can be ablated. However, long-term randomized data that test this paradigm are lacking. Click Here:

ECR Education on Demand

Learners can choose to access free content or pay for access to premium content

ECR Education on demand Link

E-learning session – Image Evaluation for the Diagnostic Quality of Chest Radiographs including COVID-19 cases Authors  Ken Holmes &Nick Woznitza

This session will describe how to effectively apply the 10 point plan to ensure the image is diagnostic for a mobile chest radiograph on a COVID-19 patient. It will also provide information on how to identify common pathological appearances on the radiograph of COVID-19 and the importance of communicating findings to the referrer. Click Here:

EFRS Episode 5 2nd June (7pm)  : The importance of audit (and DRLs) in CT

Learning Objectives:

  1. To understand the concept of clinical audit under the scope of the EU BSS
  2. To consider appropriate QA program for CT
  3. To become familiar with the appropriate use of diagnostic reference levels and their role in dose optimisation.
  4. To be able to initiate an investigation into errant radiation doses and consider how corrective actions can be taken

Speakers:

  • Francis Zarb,PhD, Senior Lecturer, University of Malta (MT)
  • Lee O’Hora, MSc, HIQA Medical Radiation Regulator (IE)

BIR : 5th  June 2020, 13:30-17:00 BST VIRTUAL EVENT!

There is only ONE WEEK LEFT for you to secure your place for part 3 of our virtual event series ‘COVID-19 imaging’. With restrictions being lifted and cases declining, we take a look at where we’ve been, what we are doing, and where we are headed.

Following on from part 2, we bring you ‘COVID-19 imaging: Part 3’. We will be taking you into the eye of the COVID storm and exploring lessons learnt, both from a radiologist’s and a radiographer’s perspective. We will present the CT appearances of severe respiratory failure in COVID and look into how the virus has impacted on oncology outcomes and pathways.

Having looked back, we take a look forward to how we might adapt pathways and training in what could be an uncertain future. There will also be a special featured session brought to you by Aidence discussing how AI can help to support your radiology teams during COVID and beyond.

Registration Link Click Here:

UKIO 1st -4th June

The programme for week one of UKIO Online 2020 has now been published, with an array of free sessions. Starting on 1st  June, the programme includes talks on the Nightingale Hospital and a number of clinical MSK sessions including shoulder imaging, sports imaging, and MSK intervention. The Paralympian, Dame Tanni Grey-Thompson, will be opening the digital event with a talk on communication, overcoming adversity, and the ‘new normal’.

Link to full UKIO  programme 

Reminder 1st June An Introduction to Radiation Oncology: From Diagnosis to Survivorship

Learn about how radiation therapy is used to treat cancer including current treatments and exciting innovations on the horizon.

elink 

 ECR Registration Link July 15th-19th

If you have already registered for March ECR you are automatically registered for the ECR Online Congress

RSNA Update

Because of the pandemic, RSNA 2020, the world’s largest radiology meeting, will now be an exclusively virtual event.

The statement from RSNA said, “With a mission that focuses on health and patient care, the primary consideration for RSNA is the health and safety of attendees, presenters, exhibitors, staff, and by extension, the global community.

“Therefore, we concluded it would be impossible to safely conduct RSNA 2020 in person and have decided to hold RSNA 2020: Human Insight/Visionary Medicine as an exclusively virtual event.”

“While we are disappointed we could not safely meet in Chicago this year, we continue to stand proudly in partnership with the many physicians, health care professionals, researchers, and companies doing their part to stop the pandemic and preserve public health, and we look forward to a successful, virtual program.”

Registration opens 22 July.

Sign up to receive future annual meeting updates.

You can access free content from RSNA 2019.

National Trends in the Use of Stereotactic Radiosurgery for Glioblastoma

Background: Glioblastoma (GBM) is a high-grade intracranial malignancy with a propensity to progress. We analyzed the National Cancer Database (NCDB) to examine trends in the use of stereotactic radiosurgery (SRS).Methods: We queried the NCDB for patients with GBM receiving intracranial radiation. Odds ratios were used to determine SRS predictors. Cox regression was used to determine predictors of overall survival (OS) Click Here:

Patient Perspective in Covid-19 RSCI Conversations that Matter

This webinar has a panel including a patient describing patient care during Covid-19 . The patient discussed how the delivery of care has changed as a result of Covid-19. For example, partners pf oncology patients cannot attend with the patients for appointments . This is increasing anxiety and pressure amongst patients . Patients are left with of a lot of uncertainty in these times wondering when their routine appointments will be and therefore need a lot of reassurance .

UKIO 1st -4th June

The programme for week one of UKIO Online 2020 has now been published, with an array of free sessions. Starting on 1st  June, the programme includes talks on the Nightingale Hospital and a number of clinical MSK sessions including shoulder imaging, sports imaging, and MSK intervention. The Paralympian, Dame Tanni Grey-Thompson, will be opening the digital event with a talk on communication, overcoming adversity, and the ‘new normal’.

Link to full UKIO  programme 

Applied Radiology the Revival of Lymphangiography Wednesday 27th May

The Revival of Lymphangiography is an exploration of lymphatic diseases and treatments including algorithm for lymphatic injuries and treatments, discussion of lymphatic variants, outline of lymphatic imaging, and presentation of lymphatic interventions including antegrade lymphangiography, retrograde lymphangiography, endolymphatic reconstruction, intranodal lymphangiography, complications, and future directions

Following Dr. Chick’s formal presentation, we’ll have an opportunity to take questions from the live audience during a moderated Q&A. We look forward to having you join us. Register Here

Society of Radiographers

Advice for cancer patients receiving radiotherapy during the Covid-19 pandemic has been jointly published by the SCoR and several other bodies.

The information is to reassure patients that everything is being done to ensure that visiting a treatment centre is safe. Measures and precautions continue to be in place to protect them and staff during their visit, including asking about symptoms, minimising contact, PPE use, and handwashing.

The one-page leaflet is published by the Royal College of Radiologists, the Institute of Physics and Engineering in Medicine, Macmillan Cancer Support, Cancer Research UK, and the SCoR

One-page leaflet link Protecting people  from coronavirus when going for Radiotherapy Click here:

IAPM/EFOMP   5th Lockdown Lecture

Implementing  a system for automated  remote quality assurance in CT , Radiography and Mammography Erik Tesselaar, Linköping University Hospital, Sweden – Liz Keavey, Irish Breast Screening Service, Ireland Click Here:

 CTRad UK Podcast and presentation slides

CTRad is one of NCRI’s flagship initiatives, providing leadership in the national effort to enhance radiotherapy research and making the UK a leader in the global effort to improve outcomes for cancer patients through radiotherapy. NCRI’s CTRad to lead COVID RT: a UK-wide initiative to study the impact of COVID-19 on radiotherapy services and patient outcomes. COVID RT is a national initiative that aims to study the impact of the COVID-19 pandemic on UK radiotherapy services and patient outcomes.

The acute phase of the coronavirus pandemic has resulted in major changes in the patient pathway including:

  • A substantial reduction in new cancer referrals
  • The pausing or cancelling of screening programmes
  • The rapid publication of local and national guidance on changing radiotherapy schedules, with differing levels of evidence to support the recommendations
  • The omission, delay and/or instances of patient refusal of radiotherapy
  • A reduction in surgical capacity leading to an increase in the use of radiotherapy as first definitive treatment or as a bridge to surgery.

Further challenges are anticipated during the recovery phase of the pandemic. The aim of COVID RT is to capture these changes and understand their impact on radiotherapy services and patient outcomes across the UK. The initiative will not only focus on patients with COVID-19, but all radiotherapy patients, and will be complementary to the ongoing work of CTRad.

CTRad held a webinar about the CTRad COVIDRT initiative on 4 May 2020 to communicate details to the community. The webinar was introduced by CTRad’s Deputy Chair, Prof Mererid Evans, and the presentation was delivered by CTRad’s Chair, Prof David Sebag-Montefiore

Podcast Click Here:

Presentation Slides to go with Podcast Click here:

 JAMA

Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV)An Unprecedented Partnership for Unprecedented Times

Clinical trials of investigational vaccines began as early as January, but with the earliest possible distribution predicted to be 12 to 18 months away. Clinical trials of experimental therapies had also been initiated, but most, except for a trial testing the antiviral drug remdesivir,2 were small and not randomized. In the US, there was no true overarching national process in either the public or private sector to prioritize candidate therapeutic agents or vaccines, and no efforts were underway to develop a clear inventory of clinical trial capacity that could be brought to bear on this public health emergency

Click Here:

Free Artificial Intelligence in Medical Imaging Book

It gives me great pleasure to announce that, during Covid epidemic, Springer provides the book

Artificial Imaging (AI) in Medical Imaging for free.AI algorithms can be helpful in the battle against this virus.

Furthermore, AI will have significant effects on the organization of radiological departments.

It is anticipated that radiographers will have an important role in implementation of AI; see statement attached.

Book can be found at: Click here:

Artificial Intelligence and the Radiographer/Radiological Technologist Profession: A joint statement of the International Society of Radiographers and Radiological Technologists and the European Federation of Radiographer Societies

Radiographers and radiological technologists are the interface between imaging technology and patients. As medical imaging and radiotherapy experts, radiographers and radiological technologists are professionally accountable for patients’ physical and psychological wellbeing, immediately prior to, during and following imaging investigations or therapy procedures Click here:

 The British Institute of Radiology Covid-19 Imaging part 3

 5 June 2020, 1330 – 1645hrs BST (GMT +1)

  • Take a look at the past experience and the future of COVID-19
  • Look into the eye of the COVID storm and explore lessons learnt, both from a radiologist’s and a radiographer’s perspective.
  • We will present the CT appearances of severe respiratory failure in COVID and look into how the virus has impacted on oncology outcomes and pathways.
  • Having looked back, we take a look forward to how we might adapt pathways and training in what could be an uncertain future.

Register here:

British Society of Gastrointestinal and Abdominal Radiology BSGAR &SoR

Joint guidance on performing CT colonography in the early recovery phase of the Covid-19 pandemic

In the early and acceleration phases of Covid-19, standard CT of the abdomen and pelvis without gas insufflation or bowel preparation was prioritised over CT colonography (CTC) for the investigation of patients with symptoms suggestive of colorectal cancer (CRC). The rationale for this is detailed in our previous guidance. https://www.bsgar.org/society/covid-19-and-bsgar-updates-1/covid-19-and-bsgar-updatearchive/ Subsequently, updated BSGAR guidance was published, encouraging radiology departments to evaluate services at a local level, aiming to restart CTC services given the superiority of CTC over standard CT for CRC diagnosis, albeit at reduced capacity given the increased requirements for infection control and appropriate personal protection equipment (PPE) Click here:

EFRS Episode 2: Errors/accidents in Radiotherapy: learning from a clinical case

Wednesday, May 20th, @ 20:00 CET

Learning Objectives:
1. To understand how to analyse in practice a radiotherapy error
2. Be aware that several contributing factors and the failure of several barriers in the organisation could lead to an accident.
3. To understand how to draw up an action plan to share the learning and reduce the risk error

Certificate of participation issues to live attendees.

Speaker:
– Gianfranco Brusadin, Quality & Risk Manager, Roussy Cancer Campus, Grand Paris (FR)

Register here: https://register.gotowebinar.com/regist…/6967662765600183563

 Med Rad J Club May 20th: Understanding student attrition

Interested in discussing topical issues with other Medical Radiation Science Professionals?
Try #MedRadJClub
This month’s paper focuses on student attrition, the authors state that diagnostic student radiographer attrition is 14%, that is 6% higher than the average for higher education.

How can we support our students and new grads? What contributes to a positive student experience? What are the factors affecting the high drop out rate?

https://medradjclub.wordpress.com/2020/04/25/may-20th-retaining-students/?fbclid=IwAR2NeahDU8zMAavlwbc-aP9DLQNs2ItqqCohGAGCr0rtW41oER8fx3pO2Bw

 

BI-RADS 3 Mammography Findings Call for Six-month Follow-up

Women with mammographically detected breast lesions that are probably benign should have follow-up surveillance imaging at six months due to the small but not insignificant risk that the lesions are malignant, according to a new study published in the journal Radiology.

https://appliedradiology.com/communities/Breast-Imaging/bi-rads-3-mammography-findings-call-for-six-month-follow-up?fbclid=IwAR3CfhVUNEaRqNbpJtwbpC3uqcn7JC1R0ZGX3J9bMz8La5je0Hv7dt4Grq4

 

Immunotherapy before surgery may help treat high-risk breast cancer

A new study led by Yale Cancer Center (YCC) researchers shows women with high-risk HER2-negative breast cancer treated before surgery with immunotherapy, plus a PARP inhibitor with chemotherapy, have a higher rate of complete eradication of cancer from the breast and lymph nodes compared to chemotherapy alone. The findings, part of the I-SPY clinical trial, were presented April 27 at the American Association for Cancer Research (AACR) virtual annual meeting

https://appliedradiationoncology.com/articles/immunotherapy-before-surgery-may-help-treat-high-risk-breast-cancer?fbclid=IwAR3JQfOj_ziE44mBX61Nj-9XJQyzkWbBU_bb4UTWnwsXVJ_bt8bVL8R_G0c

 

EFRS/ COR /University of Liverpool CAMRT/ ACTRM  / June 24th “Simulation-based Education in MRS/Radiography: a response to #Covid19

Free Online International Conference

With many clinical placements for students been affected by Covid-19 this conference will discuss the potential role of simulation resources to help alleviate this problem ,

Call for papers – great opportunity to share your ideas & experience: contact @drpbridge by *May 25th

 Study: Children with Cancer Not at Higher Risk for COVID-19 Infection, Morbidity

Researchers from MSK Kids at Memorial Sloan Kettering Cancer Center (MSK) found that children with cancer are not at a higher risk of being affected by COVID-19. This new research led by Andrew Kung, MD, PhD, (pictured right) Chair of MSK Kids and his colleagues was published today in JAMA Oncology.

https://appliedradiationoncology.com/articles/study-children-with-cancer-not-at-higher-risk-for-covid-19-infection-morbidity?fbclid=IwAR0mbM5EpCZtGCMwXwMm_WQX0ori6RNhZdsD8M0B7kpcRewXFSyuO-OwGPE

 A Rare Case of Recurrent Paget’s Disease of the Vulva and Gluteal Region Treated with Radiation Therapy

https://bit.ly/2y85p3g

Drug prevents cognitive decline in mice after radiation treatment for brain tumors

A study by researchers at the UCLA Jonsson Comprehensive Cancer Center has identified a possible new drug that could help prevent cognitive decline in people who undergo radiation therapy for brain tumors. The researchers found when the drug was given to mice 24 hours after the animals were exposed to a dose of radiation, it completely prevented cognitive decline from occurring, and it did not reduce the efficacy of the radiation treatment.

https://appliedradiationoncology.com/articles/drug-prevents-cognitive-decline-in-mice-after-radiation-treatment-for-brain-tumors?fbclid=IwAR2aZ755WgMLXz5LsXdnMI-1vouD8h_lc15foFl76dbZ3GWWnffpYVfRZzk

ESR Imaging

May 13, 2020 | 17:00 CEST

The 7th episode of ESR Connect dedicated to radiology’s fight against COVID-19 will focus on the complications the new disease can bring to patients, as they potentially cause massive challenges in diagnosis and treatment to health care providers.

In an expert discussion with 3 radiologists from hospitals treating many COVID-19 patients over the last weeks, moderated by Helmut Prosch, Professor of Radiology at the Medical University Vienna, they will speak about imaging aspects of acute respiratory distress syndrome (ARDS), pulmonary embolism, and neurological complications in COVID-19 patients. Click here:

EFRS

Register now for the next episode in the EFRS CT Radiation Protection Webinar Series!

Click Here:

Next Tuesday, May 12th, at 20:00 CET

CT Episode 4: Explaining radiation benefits and risk to patients in CT

Learning Objectives:

  1. To review new statutory responsibilities regarding benefit risk communication
  2. To appreciate the different radiation dose metrics in CT
  3. To consider standardised and evidence-based approaches to benefit/risk communication

Speakers:

Jonathan Portelli, PhD, Lecturer, Department of Radiography – University of Malta (MT)

Joana Santos, PhD, Adjunct Professor IPC, Escola Superior de Tecnologia da Saúde de Coimbra (PT)

moderator for the CT RP Series:

Shane Foley, PhD, Associate Professor, Radiography & Diagnostic Imaging, UCD School of Medicine (IE)

Register Here:

Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

Facing this critical situation, health care workers on the front line who are directly involved in the diagnosis, treatment, and care of patients with COVID-19 are at risk of developing psychological distress and other mental health symptoms. The ever-increasing number of confirmed and suspected cases, overwhelming workload, depletion of personal protection equipment, widespread media coverage, lack of specific drugs, and feelings of being inadequately supported may all contribute to the mental burden of these health care workers

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229

BIR Webinar COVID-19, La Grippe and learning from the epidemic Influenza Pneumonia of 1918-1920

100 years ago, the world faced a flu epidemic of immense proportions which infected almost a third of the world’s population and around 50 million people died. In this live webinar, eminent medical historian, Dr Adrian Thomas asks, “What can we learn from the experience of the radiologists and clinicians of 1918 and how can it help our experience of COVID-19?”

Click Here:

 SoR Covid-19 nuclear medicine recovery guidance

4 May 2020

With the country preparing to reduce some of the restrictions associated with lockdown, the British Nuclear Medicine Society (BNMS) have released guidance to assist with the reintroduction of services.

The BNMS guidance covers:

  • Waiting room capacity and social distancing
  • Rationale for booking appointments
  • Appointments for radioiodine therapy
  • Patient booking process
  • Radiopharmaceutical supply
  • Cameras
  • IT
  • PPE and patient contact
  • Cleaning

Click Here:

 Royal college of Radiologists

Covid-19 Interim guidance on restarting elective work Click Here:

IAPM/EFOMP 4th Lockdown Lecture

Radiotherapy Physics during the pandemic :Short term changes long term possibilities with Prof.Brendan McClean .Excellent webinar discussing Radiotherapy departments response to Covid-19

Register Here:

Radiation Oncology Article

First statement on preparation for the COVID-19 pandemic in large German Speaking University-based radiation oncology departments

Click here:

School of Radiation Therapy Trinity June 1st

An Introduction to Radiation Oncology: From Diagnosis to Survivorship

Learn about how radiation therapy is used to treat cancer including current treatments and exciting innovations on the horizon.

https://www.futurelearn.com/courses/radiation-therapy/1

EFRS

Practical steps in dose optimisation in CT

Register Here:

EFRS Radiotherapy Radiation Protection Series – Episode 1: Radiotherapy Risk management and incident learning systems

Learning objectives

  • To understand how to set up a reporting system at local level 2. T
  • To appreciate the main international systems
  • To be aware of the importance of dissemination of own experience

Recording will be available post event on EFRS website

 Interventional Radiology

Interventional Radiology Procedures for Covid -19 patients . How do we do it ?

Intervetional Radiology Article

School of Radiation Therapy Trinity June 1st

An Introduction to Radiation Oncology: From Diagnosis to Survivorship

Learn about how radiation therapy is used to treat cancer including current treatments and exciting innovations on the horizon.

Click Here:

EFRS

Practical steps in dose optimisation in CT

Click Here:

EFRS Radiotherapy Radiation Protection Series – Episode 1: Radiotherapy Risk management and incident learning systems

Learning objectives

  • To understand how to set up a reporting system at local level 2. T
  • To appreciate the main international systems
  • To be aware of the importance of dissemination of own experience

Recording will be available post event on EFRS website

BIR Covid-19 Resources COVID-19 imaging: Part 2

Following on from part 1, ‘COVID-19 imaging: Part 2’  will cover extra thoracic manifestations and also explore some interesting COVID-19 cases from a leading London Hospital. It will look at the impact of the virus on non-COVID imaging pathways such as chest and acute care. There will also be input from an immunologist expert in viral lung disease. There will be plenty of opportunities to ask questions of the various speakers.

Questions moderated by Dr Nicholas Screaton, Consultant Cardiothoracic Radiologist, Papworth Hospital NHS Foundation Trust

The recording will be available on the BIR website Click Here:

ISRRT

Radiography Department and Mobile Radiography on at risk COVID-19 patients

ISRRT e-learning book

Radiation Protection during mobile chest radiography COVID-19

Click here:

Image evaluation for the diagnostic quality of a mobile chest radiographs including COVID 19 patients

The purpose of using a standardised process for image review is to provide diagnostic quality images ready for image interpretation. It is the primary role of the Radiographer / Radiological Technologist to ensure the images they produce are the best quality they can achieve. The 10-point plan provides a logical process to identify good technique/ errors. The image can be then be downloaded onto the PACS for image reading or repeated if it does not answer the clinical question

Click Here:

Aunt Minnie

Clinical features of COVID-19

New details have emerged from the Middle East about the clinical features of COVID-19 that manifest on chest CT in patients who are severely ill.

Click Here:

Aunt Minnie

How to protect Radiographers from Covid-19

Chest CT can be an important tool in the management of COVID-19, but its use puts radiographers at risk, making it crucial to develop protocols to protect them from infection, according to research published on 20 April in the European Journal of Radiology.

Aunt Minnie

Radiographers have found themselves on the front lines during the COVID-19 pandemic, and there’s a growing awareness that radiology departments must develop and implement a strategy to keep radiographers and patients safe. But how can this be done

Click Here:

CT Protocol Optimization Webinar Series: For Oncology Image Optimization – Part 2: Neck CT

It is our utmost pleasure to host you to webinar series with Dr. Charbel Saade on CT protocol optimization.

This series consists of total 4 topics and one topic will be presented per month.

Thank you very much for all participants who joined March webinar series.

For April , we are focusing on oncology image optimization and each week we are going to focus on different indications including head, neck, chest and gastrointestinal CT

To view on demand register here :

NAI Article

This is written by an Irish Radiographer Edal Doyle .

A literature review of ‘best practice’ for radiographers when imaging suspected non-accidental injury or physical abuse of children in Australia and New Zealand

Click Here:

Prone Breast Treatment

FREE ASRT CE Credit Webinar! Join Clinical Applications Specialist Amanda Jasek and Dawn DeBartolo B.S., RT(T) for an exclusive webinar course on Prone Breast setup and treatment. What’s All the Hype About Prone Breast Treatment? REGISTER TODAY! Thursday, May 7, 11:00am – 12:30pm CDT Thursday, May 7, 3:00pm – 4:30pm CDT Tuesday, May 12, 8:00am – 9:30am CDT You will learn: • Benefits and goals of treating patients in prone position • Range of positioning devices and setup challenges • Reproducibility and visualization of the field light • Dosimetric approaches Click Here:

 

IAPM/EFOMP Lockdown lecture 3: SAR vs SARS, MRI and PPE in the time of Covid, Dr. Nigel Davies,

Lead MRI Physicist at University Hospitals Birmingham NHS , UK,
Dr. Niall Colgan, NUI Galway Ireland
After registering, you will receive a confirmation email containing information about joining the webinar Join us for a webinar on Apr 28, 2020 at 11:00 AM IST Click Here to register available on demand

HSE COVID-19 Venous thromboembolism (VTE) protocol and patient information

  • Venous thromboembolism (VTE) or blood clots led to or occurred during hospitalisation of 6,650 people in acute public hospitals in 2018, 455 of whom died. Up to 70% of blood clots associated with hospitalisation are considered potentially preventable, with appropriate prophylaxis depending on patient and disease factors.
  • Risk assessment, provision of appropriate prophylaxis and patient information is recommended for all patients admitted to hospital, on admission and/or on discharge.
  • Being hospitalised with COVID-19 is associated with a high risk of VTE. Provision of appropriate prophylaxis and patient information is recommended for all people with COVID-19 admitted to hospital.
  • The HSE VTE protocol template has been updated to include recommendations for adult patients admitted to acute hospitals with COVID-19, together with all adult medical patients.
  • All acute hospitals have recently received VTE patient alert cards. Hospitals are asked to ensure patients in all high-risk groups receive the information in these cards. General information :

Trinity School of Radiation Therapy  Online Information Evening

In the current crises distant learning options are invaluable. Trinity College Dublin are hosting an online information evening on May 6 that 7.30pm (CET-1) for Radiation Therapists interested in pursuing online postgraduate education: register for the event here: 

EFRS/ISRRT E-Learning Platform on COVID-19 training for Radiographers

The International Society of Radiographers and Radiological Technologists (ISRRT) in partnership with the European Federation of Radiographer Societies (EFRS) are developing e-learning resources on COVID-19 for medical imaging radiographers across the world that are caring for our patients as frontline staff. This material will be free of charge and can be access starting on Wednesday 22nd April at https://www.elearning.isrrt.org.

Just click on the on the COVID e-learning button found on the front homepage of the ISRRT website. Here you will eLearning materials with emphasis on mobile chest radiography. We appreciate that many hospitals, regions within countries and countries are spending time to create teaching and support materials and the work being done here should save people a lot of time by providing a single international resource. In the first instance, the following will be covered:

  • Introduction to viruses for radiographers; introduction to Covid-19 for radiographers
    • Measures radiographers can take to minimise risk to themselves during professional working and their families
    • Effective communication
    • Mobile X-ray equipment
    • Radiographic Procedure
    • Radiation Protection
    • Image review and reporting
    • Patient informatics
    • Audit and learning

https://www.elearning.isrrt.org .

Please see attached PDF for more detail on the E-learning Platform 

ESR Connect Webinar 29th April 16.30  AI and Radiology fighting COVID-19

In our next episode of “ESR Connect – Radiology fighting COVID-19”, European experts will discuss how artificial intelligence can be used to support radiologists in coping with the challenges of this pandemic. Moderated by Helmut Prosch, Professor of Radiology specialised in chest imaging from the Medical University Vienna, Angel Alberich-Bayarri (Valencia, Spain) and Georg Langs (Vienna, Austria) will give an up-to-date educational overview of the challenges, benefits and pitfalls in the development of AI algorithms in general, and will present their personal experience in this field. Click Here:

British Institute of Radiology BIR

BIR have created two handy covid-19 advice sheets with specific cases and examples from the presentation below.

Advice Sheets Links

1.COVID-19: CXR examples.:

2. Examples using gradings according to The British Society of Thoracic Imaging (BSTI) reporting templates for use in COVID-19: CXR reporting.

Dr Mary Roddie’s webinar, Epidemiology of COVID-19 and grading of CXR changes,

How to Implement Artificial Intelligence in Imaging Workflows: A PlatformApproach to Seamless Integration 29th April Artificial Intelligence (AI) has the potential to help manage the dramatic rise in volumes and complexity of exams when deployed into imaging workflows. But AI applications can’t help if they are difficult to implement, maintain, and use. The solution: workflow orchestration that can help reduce both the user’s and Its efforts. Click Here

BIR COVID-19 imaging: part 2
1 May 14:00-17:00 BST

Following on from part 1, the next part of COVID-19 imaging will cover extra thoracic manifestations. It will look at the impact of the virus on non-COVID imaging pathways such as chest and acute care. There will also be input from an immunologist expert in viral lung disease and more radiology cases will be shared.

IMPORTANT INFORMATION: Registration will close at midday on Friday 1 May 2020. If you were unable to register or are unable to attend the live event, the recording will be available on the BIR website Monday 4 May in the afternoon. Please follow us on social media and sign up for our emails to receive the link and further information regarding our educational programmes. The meeting room will open at 11:30am on 1 May. Please login after 11:30. If you registered on the day, you will be able to access the room after 12:30 Click Here

Special COVID-19 Webinar | Maintaining Staff Safety & Morale 30th April

As a result of the COVID-19 pandemic, radiology departments around the globe are working diligently to prepare and find solutions to safely image their patients while protecting their staff.

For those in charge of these radiology departments, an even more complex matter exists.  Keeping staff morale high while ensuring their protection against the virus with an ample supply of Personal Protection Equipment Click here

MDCT

This is a new on-line , 6-hour lecture series on CT Pulmonary Angiography

Everything you Ever Needed to Know!

Welcome to the computed tomography pulmonary angiography course by MDCT Academy! You’re joining hundreds of learners currently enrolled in the course. I’m excited to have you in the class and look forward to your contributions to the learning community.

To begin, I recommend taking a few minutes to explore the course site. Review the material in a slow and concise approach and taking notes. Click  Discussions to see forums where you can discuss the course material with fellow students taking the class.

Please note this is a fee to do this course Click Here

Aunt Minnie 30th April 1st May April 30th & May 1, 2020

Virtual Auditorium with six live keynote speakers and webinars covering:

  • CT’s role in the coronavirus pandemic
  • Radiology preparedness in the age of coronavirus
  • AI applications for COVID-19 and more
  • Ultrasound for diagnosing and tracking COVID-19
  • Women’s imaging in the 21st century

Register Here

ESTRO

ESTRO has devised recommendations for RTTs during the Covid-19 pandemic.  This is in response to radiation therapists from different jurisdictions across Europe raising concerns about work practices during the pandemic with members of the ESTRO RTT Committee.  The recommendations can be found at: They were published as an infographic to make them more user-friendly in radiation therapy departments. Click Here

Lancet

Balancing the risk of coronavirus disease 2019 (COVID-19) for patients with cancer and health-care workers with the need to continue to provide effective treatment and care is changing how oncology teams work worldwide. “The pandemic has meant a transformation of every aspect of cancer care, irrespective of treatment, inpatient or outpatient, and radical or palliative intent,” said James Spicer (Guy’s and St Thomas’ Hospital NHS Foundation Trust, London, UK). Click Here

Radiography

Some departments are introducing these lower eGFR guidelines , please have a read of this article .

Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation

Intravenous iodinated contrast media are commonly used with CT to evaluate disease and to determine treatment response. The risk of acute kidney injury (AKI) developing in patients with reduced kidney function following exposure to intravenous iodinated contrast media has been overstated. Click here

E-Learning Platform on COVID-19 training for Radiographers

The International Society of Radiographers and Radiological Technologists (ISRRT) in partnership with the European Federation of Radiographer Societies (EFRS) are developing e-learning resources on COVID-19  for medical imaging  radiographers across the world that are caring for our patients as frontline staff. This material will be free of charge and can be  access starting on  Wednesday 22st April at www.isrrt.org.

Just click on the on the COVID e-learning button found on the front homepage of the ISRRT website. Here you will eLearning materials with emphasis on mobile chest radiography. We appreciate that many hospitals, regions within countries and countries are spending time to create teaching and support materials and the work being done here should save people a lot of time by providing a single international resource. In the first instance, the following will be covered:

  • Introduction to viruses for radiographers; introduction to Covid-19 for radiographers
  • Measures radiographers can take to minimise risk to themselves during professional working and their families
  • Effective communication
  • Mobile X-ray equipment
  • Radiographic Procedure
  • Radiation Protection
  • Image review and reporting
  • Patient informatics
  • Audit and learning

ECR Update ECR Online  15th -19th July

ECR 2020 book of abstracts will be included in the insights into imaging journal. Registration fees paid in 2020 will be valid for 2021.

ESR Connect

Collaboration is key: how to establish safe workflows

This 4th episode of ESR Connect Special Reports will focus on how collaboration across professions and specialties the key factor in is managing the challenges posed at healthcare systems during the coronavirus pandemic. Two main topics will be covered: structured reporting, in times of crisis an even more important tool to enhance collaboration with other departments, as well as how to ensure safe workflows for patients and staff alike, based on the experience in a metropolis’ radiology department Click Here:

Universal Class of Libraries

For anyone that is a member of a local library, these are free courses that you can do, all you need is your library account number which is on the back of your library card. The link below will bring you to a host of free on-line coursed you can do. I have chosen the following to highlight some of the course available Once you complete the course you will receive a certificate of completion .

  • Resolving Workplace conflict
  • Stress Management
  • Listening skills
  • Effective communication
  • Delegation skills
  • Dealing with difficult people
  • Life coaching
  • Lie time wellness
  • Assertiveness training
  • Team Building
  • Depression Management Problem solving skills
  • End of life care
  • Excel 2019

Read More:

The HSE website has advice for the following groups of people

https://www.hse.ie/eng/services/list/5/cancer/news/covid-19.html

BIR Webinars

Date: Friday 1 May 2020
Topics include:

·        Impact of COVID on acute care

·        Epidemiology and current update

·        Extra thoracic manifestations

·        Radiology/case studies

·        International perspectives

For Access to all BIR webinars please use this link  Click Here:

Radiography

COVID-19: A case series to support radiographer preliminary clinical evaluation

The case series provides radiographers with essential information to preliminarily evaluate chest imaging and prompt the rapid diagnosis of COVID-19 N. Woznitza Read More:

Lancet

Taking care of older patients with cancer in the context of COVID-19 pandemic

The Lancet Oncology, Benoit You and colleagues recommend prevention of coronavirus disease 2019 (COVID-19) in patients with cancer through barrier measures and limitation of hospital admissions by all means, and caution before initiating or continuing treatment because of excess risk of COVID-19-related death in patients with cancer Read More:

The UK Coronavirus Cancer Monitoring Project (UKCCMP)

UKCCMP aims to collect, analyse, and disseminate in real time data from the UK cancer centres about severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates in patients with cancer, and their outcomes in terms of coronavirus disease 2019 (COVID-19). This approach will enable oncologists to gain crucial insights to inform decision making. Read More:

American Society of Radiologic Technologists ASRT

Medical Emergencies in the Imaging Department

The American Society of Radiologic Technologists is the premier professional association of people working in medical imaging and radiation therapy Click Here:

ASRT Infection Control in Radiology

ASRT is providing resources to help radiologic technologists and students during the COVID-19 health crisis. The ASRT Live recording “Infection Control in Radiology” by Kori Stewart, MHS, R.T.(R)(CT), CIIP, Click Here:

Radiography and Medical Radiation Science

Free webinar’s  – Early detection and clear diagnosis play an important role to improve survival and prevent premature #cancer deaths.

Dr Charbel Saade, PhD, Assistant Professor of the Faculty of Health Sciences – Medical Imaging Sciences Program, American University of Beirut, Lebanon, covers a series of topics about CT optimization techniques in the field of Oncology.

LIVE Webinars*
15 April – Neck CT
22 April – Chest CT
29 April – Gastrointestinal CT

*Webinars are for healthcare professionals only Click Here:

Applied Radiation Oncology

Oncologists highlight key cancer patient, COVID-19 concerns

The number of COVID-19 cases are expected to continue to grow across the globe in the upcoming months and that means more people will have to take extra measures to help protect themselves and reduce the transmission of the disease.  This is particularly important for people with cancer, whose immune systems have often been weakened by their cancer treatments. Click Here:

Multidisciplinary Recommendations Released for Breast Cancer Patient Care During COVID-19

The American Society of Breast Surgeons (ASBrS), the National Accreditation Program for Breast Centres (NAPBC), the National Comprehensive Cancer Network (NCCN), the Commission on Cancer (CoC) of the American College of Surgeons, and the American College of Radiology® (ACR®) have released new joint recommendations for prioritization, treatment and triage of breast cancer patients during the coronavirus (COVID-19) pandemic. Click Here:

Elsevier

Elsevier has enabled open access to all health care staff in Ireland to 37 clinical skills via their e-Learning platform. This is particularly useful for health care professionals returning to work or for those taking up different roles during COVID-19.
They are available from  Click Here   No login is required.

Royal College of Surgeons in  Ireland RCSI
As part of their suite of resources, the RCSI Institute of Leadership, in partnership with the HSE, is hosting a 30-minute webinar series twice a week, entitled Conversations that matter.

These conversational webinars aim to create dialogue and honest exchange on the current issues faced by the system and those working in it. Healthcare professionals dealing with the challenges presented by COVID-19 will share their insights and learnings during this rapidly evolving crisis situation. These webinars are free to attend and take place every Tuesday and Thursday at 6:30pm.

RSCI Ethics in Covid-19 Webinar

This webinar looks at the ethical considerations of caring for Covid-19 patients . The panel discussed the impact on you as a person and taking into consideration the risk for healthcare staff families, impact on your professional role and then the duty to provide the best possible care to your patients. The panel recognised the accelerated learning environment and the need to adapt to this environment .

Other webinar’s available on demand are “PPE impacting how we communicate “ and “, ICU, ethical decision making and COVID-19”

RSCI Leading with EQ: Optimism – Dr Mary Collins

Dr Mary Collins deliver this short almost 4-minute video on the importance of Optimism . Optimism as Dr Collins explains is essential in adverse situations . People high in optimism can look at positive aspects at life , seek opportunities and bounce back after defeat . One important take home note from this video was  this message . Take key learning from each day and engage in reflective learning in a reflective journal to help  gain insight and de-construct difficult experiences you may have encountered during that day .  Before bed each day for 14 days focus on three things you can be grateful for in that day , focus on your strengths and value’s.  Conversation that matter’s link

Heads of European Radiological Protection Competent Authorities

Building our relationship with HERCA

The EFRS are pleased to confirm that we are progressing our relationship at the European level with HERCA.

Jonathan McNulty, President EFRS would like to bring to your attention three HERCA publications below:

  1. The process of CT dose optimisation through education and training and role of CT Manufacturers (2014) Read More:
  2. Addendum to HERCA CT Position paper The process of CT dose optimisation through education and training and the role of the manufacturers (2015). This addendum includes input from the EFRS Read More:
  3. HERCA Position Paper: Clinical Audit in medical Radiological practices (2019) Read More:

GE Health Care

New online tool to help better recognise early signs of COVID-19 available via GE link . Read full article

GE Clinical case on the use of contrast injection in CT scan in COVID  Read full article

Applied Radiology Webinar COVID-19 Radiology Response: A View from the Trenches

Thursday, April 16, 2020 7pm

This is available live or on demand Click on the link

Edward Steiner, MD, FACR Chairman of Imaging & Radiation Oncology WellSpan York Hospital and Gopal Punjabi, MD Chief of Radiology ,Hennepin County Medical Centre

COVID-19 is affecting every aspect of healthcare today; from those on the frontlines in the ER to every specialist, who must still see and treat their patients. This is no different for radiology and radiation oncology. In this special webinar dedicated to best practices in an age of COVID-19, two well respected physicians from busy community hospitals in the heart of America will share their insights and lessons learned over the last few weeks, as they’ve worked tirelessly with their colleagues to prepare their departments for this very real pandemic.

JAMA

Article on the baseline Characteristics and Outcomes of 1591 Patients Infected With SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy Read More

University of Sydney

Publication on behalf of Prof. Brennan, University of Sydney, CEO, DetectED-X and Prof. Stuart Grieve, University of Sydney. In this webinar, Prof. Brennan & Prof. Grieve presented CovED (from University of Sydney start-up DetectED-X) a world-first virtual clinical environment that provides intelligent education on COVID-19 appearances to radiologists across all developing and developed countries

https://www.sydney.edu.au/news-opinion/news/2020/03/30/world-first-tool-to-improve-covid-19-diagnosis-free-and-online.html

Cochrane

How effective is quarantine alone or in combination with other public health measures to control coronavirus (COVID-19)?

The review summarises evidence available from modelling studies that show how quarantining affects the spread of COVID-19. The studies included in the review consistantly conclude that quarantine can play a role in controlling the spread of coronavirus SARS-CoV-2 Read More:

World Health Organisation www.who.int 

Interim guidance: Global surveillance for human infection with novel coronavirus (COVID-19) Read More

Interim guidance: Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected Read More

Mental Health Considerations during COVID-19 Outbreak Read More

Radiography  and Medical Radiation Science

4 new lectures updated on Emergency Radiology Imaging Click Here:

British Institute of Radiology BIR

COVID-19 Webinar

Did you miss out on BIR  ‘COVID-19 imaging’ virtual event last week? Do you want to watch it again and share with any colleagues? The event is now freely available on our website!

This event offers the latest information and reflections on COVID-19, presented by Consultant Radiologists Dr Sri Redla, Dr Mary Roddie, Dr Nick Screaton and Dr Nick Woznitza, Consultant Radiographer. The use of X-ray compared to CT for patients with suspected or confirmed COVID-19 is examined. The event also explores grading of chest X-rays and the impact of the virus on radiology departments, including radiographic practice. Information on the role of imaging, pathways and guidance is shared and Consultant Chest Physician Dr Muhammed Anwar gives a medical perspective on the epidemiology of the pandemic

Topics and speakers include:

  • Epidemiology and CXR grading – Dr Mary Roddie, Consultant Radiologist, Imperial College Healthcare NHS Trust
  • Impact on radiology including radiographic practice – Dr Sridhar Redla, Honorary Secretary, President Elect, British Institute of Radiology and Dr Nick Woznitza, Consultant Radiographer, Homerton University Hospital, Canterbury Christ Church University
  • Role of imaging- pathways and guidance – Dr Nick Screaton, Consultant Cardiothoracic Radiologist, Papworth Hospital NHS Foundation Trust
  • Clinical aspects of COVID-19 – Dr Muhammad Anwar, Consultant Respiratory Physician, Princess Alexandra Hospital, Harlow

Click Here:

 European Society of Radiology ESR

Please Click here to access all ESR on demand webinars

1.World leading geneticist and immunologist Josef Pennniger  on potential  treatment of covid-19

2.Radiology Fighting Covid-19 update from Parma Italy

3.Radiology fighting covid-19 Italian experts share their experiences

4.Radiology fighting Covis-19 Spanish/French experts share their experiences

 EFRS Radiation Protection Webinar Series

(in collaboration with the International Atomic Energy Agency (IAEA) and Euro Safe Imaging).

The EFRS, in collaboration with the Radiation Protection of Patients Unit of the IAEA and EuroSafe Imaging, are pleased to present our 2020 Webinar Series on Radiation Protection.

The aim of the EFRS Radiation Protection Webinar Series is to act as an additional tool to improve the knowledge, skills, and competences of radiographers in this field. The Webinar Series will also serve as a continuing professional development (CPD) for radiographers. As well as engaging with these webinars ‘live’, there will also be the possibility of engaging with them at a later stage through recordings which will be available for many colleagues, who may have clinical and other commitments at the time of the live broadcasts

The first two topics in the EFRS Radiation Protection Webinar Series will be on:

  • Radiation Protection in Computed Tomography (5 episodes)
  • Radiation Protection in Radiotherapy (5 episodes)

All Webinars will be delivered at 20:00 CET (check your time zone) and certificates of participation will be issued for each webinar. Attached you find the full schedule for the five Computed Tomography and five Radiotherapy webinars.

EFRS Radiation Protection Webinar Series 

Lancet

POCUS  in Covid-19 pearls and pitfalls . This article discussed lung ultrasound could replace stethoscopes in the ongoing coronavirus disease 2019 (COVID-19) pandemic, which could possibly reduce the risk of exposure Read More:

Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection Read More:

Recommendations from National regulatory agencies for ongoing cancer trails during the COVID-19 pandemic Read More:

British Medical Journal BMJ

First shift on the covid-19 ward

A trainee ophthalmologist shares his experience of being redeployed to the frontline of covid-19 preparation and hopes that it will allay fears

Read More:

BMJ

Covid-19: how a virus is turning the world upside down

The covid-19 pandemic is the biggest threat in living memory to health and wellbeing, social welfare, and the global economy.

BMJ 2020; 369 doi (Published 03 April 2020)

COVID-19 Clinical Update Webinar

Questions about testing, chloroquine toxicity, duration of immunity and reinfection, and what to expect next are gripping the US as the novel coronavirus spreads. JAMA Associate Editor Preeti Malani, MD, professor of medicine and Chief Health Officer at the University of Michigan, discusses recent developments in a live conversation with JAMA Editor in Chief Howard Bauchner. Originally streamed on April 6, 2020 Read More:

International Long-Term Care Policy Network ILTC

This site contains articles, guidance and resources to support those involved in Long-Term care during the COVID-19 outbreak, from any countries. Posts are added as materials are received and categorised by topic and country. A summary of the measures identified, internationally, to reduce the impact of COVID19 on people with care and support needs is available Click Here:

Centre for Evidence Based Medicine CEBM

Supporting people with long term conditions (LTCs) during national emergencies Click Here: