November 2003 Message Board Archive


Trauma skull - CM November 27, 2003, 12:05 pm Posted by CM on November 27, 2003, 12:05 pm
193.1.147.239

hi nick,
i was just wondering if you could give me some information on image acceptance criteria for skull radiographs taken following head trauma,
thanks a mil
Cm
  • Re: Trauma skull - Nick Oldnall November 27, 2003, 1:28 pm Posted by Nick Oldnall on November 27, 2003, 1:28 pm, in reply to "Trauma skull"
    195.107.47.4

    Another no name no uni - well hello UCD....
    HAve a look in the technique section and at the ewnd of each examination protocol are the imaging criteria

    Nick

Sinusitis - BS November 27, 2003, 12:04 pm Posted by BS on November 27, 2003, 12:04 pm
193.1.147.240

Hey Nick
Can you please tell me what the current opinion on imaging sinusitis is?
Please reply asap
Thanks BS

  • njo/Re: Sinusitis - Nick Oldnall November 27, 2003, 1:26 pm Posted by Nick Oldnall on November 27, 2003, 1:26 pm, in reply to "Sinusitis"
    195.107.47.4

    Who are you and where are you from?
    Have a look at the RCR guidelines on referal along with your placement hospitals protocol.
    Nick

    PS Another UCD student not proud of their uni!
     

Mobile Radiography technique etc - kate November 26, 2003, 5:28 am Posted by kate on November 26, 2003, 5:28 am
62.254.0.16

I am trying to find some good information on mobile radiography on the internet. All i can really find is info on the equipment but want more technique related stuff etc. Does anybody know of any good sites?
 

  • njo/Re: Mobile Radiography technique etc - Nick Oldnall November 26, 2003, 8:29 am Posted by Nick Oldnall on November 26, 2003, 8:29 am, in reply to "Mobile Radiography technique etc"
    195.107.47.4

    I dont know of any good web based info but the Latest Edition of Merrill has a good chapter
    What sort of information do you want?
    Technique is just the same but may need to be modified / adapted, for obstructions etc.
    Protocols for radiation protection / safty?
    Protocols for liasing with ward staff?
    Theatre techniques using mobile II?

    Cheers
Re: njo/Re: Mobile Radiography technique etc - kate smart November 27, 2003, 6:19 am Posted by kate smart on November 27, 2003, 6:19 am, in reply to "njo/Re: Mobile Radiography technique etc"
62.254.0.16

Sorry i wasn't very specific was i!? I was thinking of technique related stuff like when to use a straight tube and when to use an angled tube. Also similarly with the supine chest, have read some texts that say to angle the tube 10-15 degrees caudally but in practice i have only seen a straight tube used. Also thinking about radiation protection issues. I suppose, like you suggest i should just look at general chest radiography techniques and apply to mobile radiography. The reason for looking for specific info is that i am doing mobiles on my clinical placement and am seeing variations of technique being used, this can be quite confusing when trying to learn and just wanted to find some good text on the subject. I will find the book you suggest. Thanks
 
  • Re: njo/Re: Mobile Radiography technique etc - Nick Oldnall November 27, 2003, 8:04 am Hi Kate
    Regarding techniue for mobiles
    Chest radiography - pA if possible stil ie sitting on the edge of the bed - the point about angling the tube - we need to maintainthe same realtionship between the patients body planes and the central ray as for normal work - however when in bed (AP) most patients tend to be leaning back - so for the central ray to patient angle to be maintained you will need to angle caudaly... However you need to note the effects on the image of non erect PA technique..
    A. Semi-upright position (neither standing nor supine)
    1. May enlarge normal structures
    2. Changes air-fluid levels
    B. Lordosis or vertical axis rotation
    1. Widens heart and mediastinum
    C. Inadequate sustained inspiration
    1. Breathing film
    a. Lung structures and diaphragm blurred
    2. Expiration film
    a. Basilar infiltrates accentuated
    b. Interstitial structures accentuated
    i. Vessels
    ii. Pleural fluid
    c. Increased heart size
    D. Supine Film
    1. Decreases Lung Volume
    a. Highlights infiltrates and interstitium
    2. Increases venous return to heart
    a. Distends azygous vein and pulmonary vein
    3. Diaphragm rises and intracardiac pressure increases
    a. Heart and mediastinal structures enlarge
    4. Fluid and air migrate
    a. Pleural Effusions disappear
    b. Small Pneumothorax disappears
    c. Air-Fluid levels (e.g. Lung Abscess) disappear
    5. Pneumothorax signs on supine film
    a. Deep Sulcus sign

    Re radiation protection - you need to establish a temporary "controlled" area". be aware that where possible the primary beam should be directed at an outside wall, (turn the bed round) yoiu need to inform staff when exposing, in genaeral +2 metres away from the source (tube and patient) and not in primary beam is OK. remeber we need to eductae nurses etc not just slang them off if they dont know about protection etc.

    Direct lead rubber gonad prottection for the patient at all times when possible is a good idea , lead aprons for the operator or anyone in the controlled area - comforters and carers etc.

    hope this helps

    Nick

Permanent & locum radiography positions in Australia - Hiba November 25, 2003, 5:54 am Posted by Hiba on November 25, 2003, 5:54 am
203.118.186.20

Hi everyone,
Have you ever considered working in Australia on either a permanent or locum basis? Our company, Julie Warner Consulting specialises in the placement of radiographers and sonographers throughout Australia. We have a large number of vacancies for radiographers in various metropolitan and outback locations in Australia including Sydney, Melbourne, the Gold Coast and Kalgoorlie. If you are looking to develop your radiography skills whilst partaking in the adventure of your lifetime, please do not hesitate to email me today and I will advise you promptly of your options and the opportunities that are available. You can also visit our website www.jwconsulting.com.au and look under JobSearch.

 


iontomats - katie November 24, 2003, 7:45 pm Posted by katie on November 24, 2003, 7:45 pm
195.93.33.10

university of ulster
can you please explain to me what are iontomats and how do they work?
Thanks.

  • njo/Re: iontomats - Nick Oldnall November 24, 2003, 9:24 pm Posted by Nick Oldnall on November 24, 2003, 9:24 pm, in reply to "iontomats"
    81.174.204.164
    One thing to note is that not all manufacturers use the same settings with AEC the symbols used by Phillips Siemens and X-Ograph do slightly different things!
    Its mainly to do with the implementation of the films screen / CR/DR Speed combination settings and the settings for large medium and small persons.

    Nick

     
  • njo/Re: iontomats - Nick Oldnall November 24, 2003, 9:02 pm Posted by Nick Oldnall on November 24, 2003, 9:02 pm, in reply to "iontomats"
    81.174.204.164
    Iontomat is the Siemens Trade name for their version of the AEC
    See AEC in the Rad Tech section
    Cheers

    nick

Exposure Details - Vicky Jacobsen November 24, 2003, 1:39 pm Posted by Vicky Jacobsen on November 24, 2003, 1:39 pm
138.253.175.144

Please could you confirm what information you need to record for exposure details.
1st Year Radiography Student at Liverpool University

  • njo/Re: Exposure Details - Nick Oldnall November 24, 2003, 6:50 pm Posted by Nick Oldnall on November 24, 2003, 6:50 pm, in reply to "Exposure Details"
    81.174.201.179

    Hi there
    IRMER I think requires you to record dose for each examination of total throughout a series.
    Under IRMER radiographers should use standard protocols for exposures and only adjust them when required, with the common use of AECs this means a standardised KV, Focus, FFD, F/S (F/I plate) combination, routine.
    We record dose with a DAP meter in cg x cm^2 for the total dose for an examination - some people record for each examination.
    Hope this helps
    Nick
     
Re: njo/Re: Exposure Details - Vicky November 24, 2003, 7:23 pm

Posted by Vicky on November 24, 2003, 7:23 pm, in reply to "njo/Re: Exposure Details"
195.188.116.143

Thank you very much !


Looking for tips for a true lateral chest & an AP olbique lumbar - John November 22, 2003, 5:31 pm Posted by John on November 22, 2003, 5:31 pm
166.90.233.219

I presently attend a community college in Michigan (USA) & looking to prevent repeat exposures. With larger individuals , I still have a problem of missing the spine when doing AP lumbar obliques. I have used different measurement techniques & different parts of the anatomy. I have been doing manual techniques as well as AEC, using the center cell. Also any tips on preventing rotation on a lateral chest? I really want to learn this & feel guilty if I don't try my best. I appreciate any feedback. Thank you.
Sincerely,
John

  • njo/Re: Looking for tips for a true lateral chest & an AP olbique lumbar - Nick Oldnall November 22, 2003, 6:04 pmPosted by Nick Oldnall on November 22, 2003, 6:04 pm, in reply to "Looking for tips for a true lateral chest & an AP olbique lumbar"
    81.174.202.206

    Hi John
    I guess the easiest way for oblique lumbar views is to do them PA and you can then palpate the spinous process and move medially.... I know you can more magnification but that is hardly likely to compromise image quality to a great degree.
    Re lateral chests check the position of the feet make sure they are separated and in line, sometimes standing to near the chest stand causes the patient to be rotated by forcing the shoulder that is in contact with the film into an un natuarl postion.
    Cheers
    Nick

Graphic Images - Alex November 20, 2003, 1:36 pmPosted by Alex on November 20, 2003, 1:36 pm
143.52.2.80

I'm a third year student studying at Sheffield Hallam and I am wanting to find a graphic image of leg amputation surgery. I have tried, google image search and a few others but I can't find anything. Can anyone tell me of some good medical image databases?
Thanks
 

  • njo2/Re: Graphic Images - Nick Oldnall November 20, 2003, 4:36 pm Posted by Nick Oldnall on November 20, 2003, 4:36 pm, in reply to "Graphic Images"
    81.174.205.70

    I found
    http://www.iv-stock.com/ivstock/search.asp?Range=Auto&Terms=Knee+Amputation
    http://www.netterimages.com/index/df.htm

    http://www.doereport.com/generateexhibit.php?ID=1989&A=

Re|: KC Clark 1941 - Tracey Scrivens November 20, 2003, 9:39 amPosted by Tracey Scrivens on November 20, 2003, 9:39 am
195.92.67.71

Many thanks for your email but unfortunately my computer would not accept the pictures as they said they were unsafe!! (I love technology!!!) Please therefore could you email it to the address I have given on this message.
Many many thanks

  • Re: Re|: KC Clark 1941 - Nick Oldnall November 20, 2003, 4:30 pm Posted by Nick Oldnall on November 20, 2003, 4:30 pm, in reply to "Re|: KC Clark 1941"
    81.174.205.70
    Sorry
    Resent
    Nick

mental blank re collimation! - Angie November 20, 2003, 9:09 amPosted by Angie on November 20, 2003, 9:09 am
144.134.17.70

Hi Nick (from Sydney, Australia)
Hope you're well...just a quickie because the old grey matter is on strike. A physics scenario...you take a skull x-ray and its great...now if, you open the collimators as wide as they can go, what will the resultant image look like, if nothing else is changed? It will have lower contrast won't it because of all the scatter, but will it have more density? Now the opposite, if you increase collimation ie. make the field size smaller, what will happen? The image will be more black and white won't it because you have reduced the scatter, but will it penetrate the image more because of the smaller field size? that is, will you use the same exposure factors on a smaller field size...hope this makes sense.

Just having one of those mental blank moments...hope you can help!

thanking you in advance

  • njo/Re: mental blank re collimation! - Nick Oldnall November 20, 2003, 4:28 pm Posted by Nick Oldnall on November 20, 2003, 4:28 pm, in reply to "mental blank re collimation!"
    81.174.205.70

    Hi Angie...
    Well we are going to have to presume a few things here... So we will say a fixed exposure and no AEC.
    Open the collimators and you will increase the scatter from equipment around the head, ie skull table bucky tray etc, if this scatter hits the film it will produce density but not subject density so contrast will fall - overall film.
    density will be more.

    If you collimate more (still retaining full skull) the contrast will increase with less scatter reaching the film.
    Penetration is controlled by Kv not size of collimation.


    No we come to the intersting bits!
    If the density is only just high enough to visualise the skull the extra density from scatter may make the film acceptable! so removing the scatter may make the image density too low to visualise fully -!

    So collimating more to remove the scatter will result in a lower film density so increasing collimation will require more mAS as a rough guide if you have the correct exposure for a OM skull the put a small cone or plate to see just the siuses you will need about 15% more mAS

    Hope this helps if not contact me again!

Ankle view - megan myers November 19, 2003, 8:40 pmPosted by megan myers on November 19, 2003, 8:40 pm
212.140.159.171

Hi,
I'm not a student but hope someone out there can help me. Today I recieved a request card from an ortho SPR asking for "Canale" view of the talar bone. After 20 years as a radiographer and working in 2 countries I have to confess that I don't know what it was. I don't feel so bad because neither did any of the other radiographers or the 2 radiologist and 1 radiology reg whom I asked. When I went to ask the Dr who had requested it he didn't really know what it was either except that it showed the neck of the talar bone. I have found, from research on the net that the veiw does exist but have not found a site which tells me how it is done.
On an average request rate of once every 20 years I am unlikely to need to know how to do it again in the near future but I'm interested to know anyway.
Any of you up to date students got any info for me?
 

  • njo/Re: Ankle view - Nick Oldnall November 19, 2003, 10:02 pm Posted by Nick Oldnall on November 19, 2003, 10:02 pm, in reply to "Ankle view"
    81.174.200.218

    Hi there
    xray2000 is not just for students!

    Canale view is an oblique projection of the ankle based on what you were probably taught as subtalar views, 45 degree internal rotation from AP CR directed cranially 20 degrees
    Centre approx 2cm medial to distal end of fibula.

     
Re: njo/Re: Ankle view - megan myers November 19, 2003, 10:15 pmPosted by megan myers on November 19, 2003, 10:15 pm, in reply to "njo/Re: Ankle view"
62.7.165.16

Thanks,
That is exactly the view I eventually gave him but I have never heard it called this.
Megan

 

Re: KC Clark (1941) - Tracey Scrivens November 19, 2003, 5:50 pm Posted by Tracey Scrivens on November 19, 2003, 5:50 pm
195.92.67.70

I am a 3rd year student in Ipswich. Can anyone help with furnishing me with a good photocopy of page 124 of KC Clark (1941)with the view called cervico-dorsal region. This also has a photograph, radiograph and a line diagram.
It would be even better if someone had the First edition with the view that is now known as a "swimmer's view". Any help would be greatly appreciated

  • Re: Re: KC Clark (1941) - Nick Oldnall November 19, 2003, 7:52 pmPosted by Nick Oldnall on November 19, 2003, 7:52 pm, in reply to "Re: KC Clark (1941)"
    81.174.202.244

    I have an eighth edition but not the one you quote so have emailed you what I beleive are the pages you want..
    Nick

    If anyone has a first edition for sale I will offer a good price!

Medical Imaging Technology Assignment - Adam November 19, 2003, 4:45 pm Posted by Adam on November 19, 2003, 4:45 pm
195.93.33.10

hi
Im currently in my 2nd yr at UCE and i have to do an assignemt for medical imaging technology where i have to focus on a single modality and then discuss and evaluate the image requirements (hardware and software) of it. I have chosen MRI and was wondering if anyone could point me in the right direction for useful information.
Thanks in advance
 

  • Re: Medical Imaging Technology Assignment - Nick Oldnall November 19, 2003, 7:50 pm Posted by Nick Oldnall on November 19, 2003, 7:50 pm, in reply to "Medical Imaging Technology Assignment"
    81.174.202.244
    A good powerpoint on mRI image quality is at
    http://rad.usuhs.mil/rad/handouts/hood/mr_options/sld001.htm

     
  • njo/Re: Medical Imaging Technology Assignment - Nick Oldnall November 19, 2003, 4:58 pm Posted by Nick Oldnall on November 19, 2003, 4:58 pm, in reply to "Medical Imaging Technology Assignment"
    81.174.203.214
    Hi Adam
    This is a very big subject!
    You may be better off to state the imaging requirements of a particular field in MRI as various fields have different requirements, some may need fast aquisition to demonstrate functionality (ie vascular work) whilst other may require detial/resolution to demonstrate form ie orthopaedic work.
    Try picking a topic and them searching for articles etc related to the topic and discuss and evaluate the image requirements from there..
    Good luck

    Nick
     

    Re: njo/Re: Medical Imaging Technology Assignment - Adam November 19, 2003, 5:27 pm Posted by Adam on November 19, 2003, 5:27 pm, in reply to "njo/Re: Medical Imaging Technology Assignment"
    195.93.33.7
    Cheers nick,
    Im not really sure if i have to focus on a specific procedure. THe question asks us to discuss and evaluate:
    The imaging chain
    Quality issues
    safety issues
    Avantages and disadvantages of digitalistion
    And then give appropriate technical examples of clinical use.
    I have alreafy signed up with an MRI safety website which is brilliant and i have info on its clinical ise but im stuck really for a source of info on quality issues, Av & dis of digitalistion and the overall imaging chain (explained)

    Adam
     

    • Re: njo/Re: Medical Imaging Technology Assignment - Nick Oldnall November 19, 2003, 7:47 pm Posted by Nick Oldnall on November 19, 2003, 7:47 pm, in reply to "Re: njo/Re: Medical Imaging Technology Assignment"
      81.174.202.244

      I guess your best bet is company websites - GE has some good info aalong with Phillips and Siemens, some of the PACS sites are useful as they point out some of the disadvantages of digital images..
      The KCAre and Leeds "Blue Reports" are also a good source of information
      I like
      http://www.leedscmr.org/education/mriphysics/

      http://www.ismrm.org/mr_sites.htm

      Is a good list of sites

      Nick

Manual Handling- the effects on patients. - Louise November 18, 2003, 12:51 pmPosted by Louise on November 18, 2003, 12:51 pm
62.6.139.12

UCE-
I'm looking for any research or literature done on the views and experiences of patients when invloved in a manual handling manouver. I currently had no luck finding the efects on the patient, plenty on the staff injuries etc. If anyone knows of any publish works i would be most greatful to hear of them.
louise
 

  • njo/Re: Manual Handling- the effects on patients. - Nick Oldnall November 18, 2003, 3:20 pm Posted by Nick Oldnall on November 18, 2003, 3:20 pm, in reply to "Manual Handling- the effects on patients. "
    195.107.47.4

    Hi Louise
    I guess the RIDDOR reporting centre would record any lifting experiences which had gone wrong and the effect on the patient!
    If you want subjective ideas you could do a quick servey on types you use in you placement - you could do a relatively unscientifc personal opinion score out of ten for comfort / saftey / etc from patients

red dot - dimple November 18, 2003, 10:33 amPosted by dimple on November 18, 2003, 10:33 am
138.253.175.12
liverpool university.what is the history of red dot on x rays and its implications
 

  • njo/Re: red dot - Nick Oldnall November 18, 2003, 12:48 pm Posted by Nick Oldnall on November 18, 2003, 12:48 pm, in reply to "red dot"
    195.107.47.4

    For the history you will have to look back through Radiography/Synery/Radiography News journals as there ahve been articles about it for as long as I have been around,, (1979)!
    The history of it was - that someone realised that radiographers were often very experienced and "experts" in looking at radiographs, escpecially when compared to a junior house officer on there first "job" who had little of no formal training in reading radiographs, and therefore it was sensible for the radiographer who produces and inspects / evaluates 1000s of films a year to help out - however there were rules in place sfrom SOR and HPC saying specifying that responses from radiographers could not be written down etc (See current policy for wording) so the red dot system was born to help out and reduce errors and help junior medical staff - quite contrary to what seems to be many radiographers favourite sport of moaning about the Cas. officer...
    I think but cannot be sure that Bart & Guys were one of the early implementers

Facial Bones Assignment - Marion November 14, 2003, 12:09 pm Posted by Marion on November 14, 2003, 12:09 pm
62.6.139.12

Hi, Im from the university of Teesside and have to write a critical evaluation of the evidence base for radiographic technique. I need to compare routine projections in my base hospital (and referral criteria) and they have to be compared to other techniques with relation to dose reduction, ease of position and quality of films.
I have an idea of things I want to include in this assignment but would be grateful if anyone could give me any info (hopefully articles) to point me in the right direction.

Any replies would be much appreciated.

  • njo/Re: Facial Bones Assignment - Nick Oldnall November 14, 2003, 9:23 pmPosted by Nick Oldnall on November 14, 2003, 9:23 pm, in reply to "Facial Bones Assignment"
    81.174.202.126

    Woops I forgot reference to RCR or european guidelines and possibly the NICE skull report may gain you extra marks!

     
    • Re: njo/Re: Facial Bones Assignment - Marion November 14, 2003, 10:15 pmPosted by Marion on November 14, 2003, 10:15 pm, in reply to "njo/Re: Facial Bones Assignment"
      62.254.64.9
      thanks, wouldnt even have thought about using a phantom, have to ask about that one. Thanks for your help.

       
  • njo/Re: Facial Bones Assignment - Nick Oldnall November 14, 2003, 9:22 pmPosted by Nick Oldnall on November 14, 2003, 9:22 pm, in reply to "Facial Bones Assignment"
    81.174.202.126

    Hi Marion
    What you could do is use a phantom skull and look at image quality and dose (DAP) using the protocols from your placement hospital, then compare them with image quality and dose with techniques from standard texts ie Clarke, Bontrager, Merrill.

    You would haver to design a "gold standard" for image quality and mark the films produced against it.
    As for ease of positioning thats very subjective and will depend on equipment and experience etc

    A good reference you may like to look at is
    Skull modified-mental-occipito Patient Position
    Ponsford & Clements Radiography Today Vol 57 No 646*
    The technique appears in my technique notes section

  • animal radiography - lucy greenways November 14, 2003, 11:23 am Posted by lucy greenways on November 14, 2003, 11:23 am
    62.6.139.12

    UCE b'ham 2nd year
    Just wanting information on the use of radiography in animal treatment/ care. who does this is it the vets nurses or radiographers? if its the radiographers how do they qualify to do this? is there any out there that could talk to me?
    thanks in advance

     
    • Re: animal radiography - sophie broadhurst November 21, 2003, 10:23 pmPosted by sophie broadhurst on November 21, 2003, 10:23 pm, in reply to "animal radiography"
      195.93.33.7

      i used to be a veterinary nurse. In most vererinary practices it is the vets or nurses who will take the radiographs. Some vets can take an extra qualification so that they specilise in radiololgy. in the veterinary universities they have human qualified radiographers to do most of the radiography and to assist in teaching the students.


       
    • NJO/Re: animal radiography - Nick Oldnall November 14, 2003, 9:28 pm Posted by Nick Oldnall on November 14, 2003, 9:28 pm, in reply to "animal radiography"
      81.174.202.126
      a LONG TIME AGO THERE WAS AN ARTICLE ABOUT VETINARY RADIOGRAPHY IN sYNERGY OR RADIOGRAPHY AS IT WAS THEN.... Woops CAPS lock got stuck!
      Some vetinary work is done by cross trained radiographers - there used to be occasional adverts in Radiography for equine radiographers...
      There are lots of web articles on animal studies and many include radiography - many on dogs hips!
      Most animal radiography I think is done in Vetinary Universities so try contacting them.
      Most vets have x-ray machines and imaging horses legs is fairly frequent!
      So I think you should start with back issues of radiography - contact the Unis who do vetinary courses and see your local vet!

      Good luck
      Perhaps you would lie to write up a page for xray2000 on vetinary work! let me know

Qualified from U of Derby, Working in OZ, do you know anyone? - Kate November 14, 2003, 6:36 am Posted by Kate on November 14, 2003, 6:36 am
62.254.0.16

Does anybody know of anyone who qualified at the University of Derby and was able to get their qualification accepted by the Australian Institute of Radiography? I have recently discovered that the derby qulaification is not automatically accepted by the AIR but you can apply for the qualification to be assessed at a cost of $700 aus dollars. Just want to know if anyone is aware of any Derby qualified radiographer who has been successful in this process? Please help if you can, any info will be appreciated. Thanks.
 

  • njo/Re: Qualified from U of Derby, Working in OZ, do you know anyone? - Nick Oldnall November 20, 2003, 7:27 pm Posted by Nick Oldnall on November 20, 2003, 7:27 pm, in reply to "Qualified from U of Derby, Working in OZ, do you know anyone?"
    81.174.203.179

    You could join the Australian radiographers news email system and ask there its called AIRNEWS.
    Australian Institute of Radiography list Server
    http://www.a-i-r.com.au/communications/airnews.html

    Has all the details you need

     
  • Re: Qualified from U of Derby, Working in OZ, do you know anyone? - paul November 20, 2003, 6:53 pm Posted by paul on November 20, 2003, 6:53 pm, in reply to "Qualified from U of Derby, Working in OZ, do you know anyone?"
    195.92.168.172

    Hi Kate,
    I thought i would say hello....so hello....!
    No reply yet!!!!!! we will have to keep checking.......
    See you soon....Paul

Information on MRI in Sports Medicine - Terry Watkins November 13, 2003, 1:59 pm Posted by Terry Watkins on November 13, 2003, 1:59 pm
195.107.47.4

Anyone out there who has any suggestions of books and/or journal articles that they feel may contribute to my literature review on The impact of MRI in Sports Medicine would be greatly received.

  • njo/Re: Information on MRI in Sports Medicine - Nick Oldnall November 14, 2003, 9:30 pm Posted by Nick Oldnall on November 14, 2003, 9:30 pm, in reply to "Information on MRI in Sports Medicine "
    81.174.202.126

    Your best bet is to contact National Sports Centres and speak to the physios - in my experience they are a really good source of MRI info on sports, or look at the many sports injury / physio websites

Licensing UK rads in the US - Mark Nolan November 12, 2003, 11:46 am Posted by Mark Nolan on November 12, 2003, 11:46 am
62.6.139.12

Previously at Saford University, UK.
Just to update some misinformation in the Careers section regarding gaining a licence in the USA. The best option for a UK trained radiographer is definitely not to transfer into an American accredited radiography program and acquire their graduation diploma, thereby qualifying to take the ARRT examination. Firstly, this method has many barriers to entry and many schools are reluctant to take on this type of student. When I tried some time ago, although there was a list of programmes offering this route, none actually seemed to know how to go about it. Secondly, it is rather expensive to do (fees in the US are outrageous) and it would be necessary to gain some type of work visa (not the easiest thing to get in today’s climate of ‘terrorism’) as it requires you to be in the US for an extended period. The best option (cheapest, easiest, quickest) for a UK trained radiographer is to gain individual state licences. It is correct that some hospitals are reluctant to offer contracts to people who do not have full ARRT accreditation but I emphasise the ‘some’. I know through experience that there are enough that will offer contracts and the accompanying visa sponsorship to UK radiographers with state licences. Lastly, I also know that the state exams to gain licensing in both New Jersey and Florida (which are run by ARRT) are not limited versions of the ARRT examination in radiology. They also qualify you for a full licence in the respective states. Being someone who has tried to go through both the American accredited radiography program route and the individual state licensing route, I think I qualify to offer an opinion on this. Has anyone else UK or other tried to gain licensing in the US?? I'd be interested to hear the experiences others.

  • njo/Re: Licensing UK rads in the US - Nick Oldnall November 12, 2003, 12:56 pm Posted by Nick Oldnall on November 12, 2003, 12:56 pm, in reply to "Licensing UK rads in the US"
    195.107.47.4

    Hi Mark...
    Good to see (hear) you again I will post this on the USA page - thanks for the update...
    Berni - from Tameside - do you remember her did ASRT OK....
    What are you up to these days?

     
    • Re: njo/Re: Licensing UK rads in the US - Mark Nolan November 12, 2003, 2:43 pm Posted by Mark Nolan on November 12, 2003, 2:43 pm, in reply to "njo/Re: Licensing UK rads in the US"
      62.6.139.12

      Well Nick, in September I completed my Masters in International Management at Kings College, University of London. I know I passed but I'm waiting on my final grade. Currently interviewing for trainee Chartered Accountant jobs but no joy yet. Appart from that I'm still in radiography (Guildford right now). I wouldn't have been able to fund my masters without it. I was offered 2 jobs in the US but turned them down to go back to uni here. Glad to see the website is still up and running. I hear good things about it from all the students I meet.

New Jimmyclip marker sale price - James November 8, 2003, 10:57 pm Posted by James on November 8, 2003, 10:57 pm
67.122.12.11

Thank you all for your great responses to the Jimmyclip x-ray marker.As a thank you, we are having a holiday sale and all Jimmyclips are now 11.95 USD.Thats 7.48 GBP. each. A special thanks to Nick and his great site.
www.Jimmyclip.com

 


  • Participants for dissertation research required - Nicola Winstanley November 7, 2003, 12:51 pm Posted by Nicola Winstanley on November 7, 2003, 12:51 pm
    194.81.189.239

    I am a radiography student studying at St. Martins College, Lancs, UK and am looking for participants to take part in my research project. I am researching the transition from student to qualified radiographer and want to identify issues that enhance/inhibit this process.
    If you are a radiographer who has qualified within the last two years and are interested in being involved in my research or would like more information please email me at nicwins@hotmail.com. The research will involve completing a short questionnaire.
    Nicola Winstanley

     

Voting for xray2000 - Penny November 6, 2003, 2:28 pm Posted by Penny on November 6, 2003, 2:28 pm
81.174.204.247

In the magazine I see we can vote for good radiographers can staudents vote and can we vote for xray200 as it seems lots of us use it to help us at uni
 

  • Re: Voting for xray2000 - Sue Western November 14, 2003, 9:31 pmPosted by Sue Western on November 14, 2003, 9:31 pm, in reply to "Voting for xray2000"
    81.174.202.126

    Sue - Wigan
    I bet Catman would not vote for xray2000! but I will..
     

Isocentric skull unit - nathank7 November 5, 2003, 8:58 pmPosted by nathank7 on November 5, 2003, 8:58 pm
193.1.172.149

Please could you inform me of any digital isocentric skull units (Models and Manufacturers) available on the market today (CR and DR)
UCC Ireland
 

  • Re: Isocentric skull unit - Nick Oldnall November 5, 2003, 9:58 pmPosted by Nick Oldnall on November 5, 2003, 9:58 pm, in reply to "Isocentric skull unit"
    81.174.204.253

    There are non that I know of - developemnt of skull units has practically stopped with the advent of CT.
    What do you mean by digital?
    Are you looking for an isocentric unit which has no cassettee slot but uses a flat plate detector?

    Most isocentric units Satella X (Nordisk), Orbix (Siemens), Pendo Diasgtat (Phillips) Arco Universal (CGR) take standard 24 x 30 and 18 x 24 cassettes so could be used with CR cassettes.
    If you look on the above company sites you may find some help but I have never heard of or seen one! Let me know if you find one

    Good luck
     

phosphor screen - JP November 5, 2003, 8:39 pm Posted by JP on November 5, 2003, 8:39 pm
195.92.168.166

1st year liverpool
could anyone please explain how x-rays hitting the phosphor screen produces light?

  • njo/Re: phosphor screen - Nick Oldnall November 5, 2003, 9:51 pmPosted by Nick Oldnall on November 5, 2003, 9:51 pm, in reply to "phosphor screen "
    81.174.204.253

    Luminescence
    The emission of light by a substance when excited by any form of energy
    When certain materials absorb various kinds of energy, some of the energy may be emittedas light. This process involves two steps: (1) the initial energy causes the electrons of theatoms of the absorbing material to become excited and jump from the inner orbits of theatoms to the outer orbits; (2) when the electrons fall back to their original state, a photonof light is emitted. The interval between the two steps may be short (less than 1/100,000 ofa sec) or long (many hours). If the interval is short, the process is called fluorescence; if theinterval is long, the process is called phosphorescence. In either case the light produced isalmost always of lesser energy, that is, of longer wavelength, than the exciting light.
    See the intesifying screens notes in the tuorial notes section
     
  • Re: njo/Re: njo/Re: phosphor screen - JP November 5, 2003, 10:19 pmPosted by JP on November 5, 2003, 10:19 pm, in reply to "njo/Re: njo/Re: phosphor screen "
    195.92.168.163

    Thank you very much! I was just wondering, do you teach?

 

  • Hi JP
    I,m a Clinical Practice Developer! that means I provide tutor support for our APs who have "on line" educational material , am involved in ,NVQ in Care, multidisciplinary teaching for nurses, physios, and help with any staff development needs, though I have no experience of MRI or US.




     

film badge - steve November 4, 2003, 9:19 pm Posted by steve on November 4, 2003, 9:19 pm
81.108.214.221

Hi just a really simple question. our departments dose monitoring is done via film badges. can you tell me how it is known if the film has been warn back to front in the holder. if the patterns due to the filters are in different positions, then this is worrying implying that the film must be receiving a radiation dose, however small. thanks for your patience with some revision in basic principles

  • njo2/Re: film badge - Nick Oldnall November 5, 2003, 10:05 pm Posted by Nick Oldnall on November 5, 2003, 10:05 pm, in reply to "film badge"
    81.174.204.253

    Sorry I think I misread your post-
    Most films when processed have no image ie no dose
    However if you receive any appreciable dose an image is formed and the position of the filters and film notch will indicate if the badge is incorrectly positioned in the holder
     
Re: njo2/Re: film badge - steve November 6, 2003, 2:26 pm Posted by steve on November 6, 2003, 2:26 pm, in reply to "njo2/Re: film badge"
195.107.47.195

This was the point i was trying to get at, iwas told than i had not been assigned a reading but my film badge had been worn incorrectly or something like this. without any dose there should be no image hence no indication that i had placed the film back to front which i had. there fore to say my film was back to front implies that i have had a dose but it was below a readable level. surely any dose even below a readable level is not good and is it normal for radiographers to get these small doses.
 
  • Re: njo2/Re: film badge - Nick Oldnall November 6, 2003, 4:55 pm Posted by Nick Oldnall on November 6, 2003, 4:55 pm, in reply to "Re: njo2/Re: film badge"
    81.174.202.83

    Hi Steve
    I think the best bet is to have a word with your Radiation Protedtion Advisor, I,m sure they would run through the mechanisms and dose recording system with you - if not try having a word with one of the dosimetry service providers..

     
  • njo/Re: film badge - Nick Oldnall November 4, 2003, 9:35 pm Posted by Nick Oldnall on November 4, 2003, 9:35 pm, in reply to "film badge"
    81.174.207.218

    Hi there the film badge holder filter arrangement is not the same front and back and the film MUST be inserted with the ID code in the window which matches a notch on the film so they know if the film has been inserted incorrectly and from the readings if the badge has been worn back to front.
    Hope this helps Good luck



     

Re: Swimmer's view - Tracey November 4, 2003, 8:48 pm Posted by Tracey on November 4, 2003, 8:48 pm
195.92.67.208

Hi I am a 3rd year student in suffolk trying to find out where Miles (Woodford) I think is located. I thought he was based at Stoke Mandeville. I have spoken to their Personnel Dept and they have not heard of him. Apparently he has given some excellent lectures in the topic I am doing for my dissertation. Can anyone PLEASE help?

 

  • njo/Re: Re: Swimmer's view - Nick Oldnall November 4, 2003, 9:12 pm Posted by Nick Oldnall on November 4, 2003, 9:12 pm, in reply to "Re: Swimmer's view"
    81.174.207.218

    Hi there
    Miles is/was the superintendent at Odstock in Salisbury Wiltshire.. he did do some good talks and an article in radiography (Pre Synergy days)


Good Brain scan website - BJ Barker November 4, 2003, 1:38 pmPosted by BJ Barker on November 4, 2003, 1:38 pm
129.11.157.70
For my coursework i need to find a good informative site that is related to CT scans of the brain or any other general x-rays of the brain etc. It would be most appriciated if someone can help coz im stuck.
Leeds University, England
  • Re: Good Brain scan website - STEVEBARRY November 18, 2003, 6:16 pm Posted by STEVEBARRY on November 18, 2003, 6:16 pm, in reply to "Good Brain scan website"
    195.107.47.195
    CTISUS.COM HAS LOTS OF CT CASES IF THIS IS ANY HELP

     
  • Re: Good Brain scan website - Nick Oldnall November 4, 2003, 3:27 pm Posted by Nick Oldnall on November 4, 2003, 3:27 pm, in reply to "Good Brain scan website"
    195.107.47.4

    What do you need to know about- try and be more specific - brain is a big topic! Good luck!
    The Scottish radiology site is good
    http://www.radiology.co.uk/srs-x/tutorials.htm

    A good site with excellent link where you could refer to is
    http://www.geocities.com/ctdave95/
    tell Dave I sent you!

Medical Imaging - J.Heind November 4, 2003, 10:17 am Posted by J.Heind on November 4, 2003, 10:17 am
138.253.175.13

Liverpool University.U.K
Can anyone please tell me indetail or guide me to a web site which explains all about x ray processors.Thanks

 

  • njo/v2/Re: Medical Imaging - Nick Oldnall November 4, 2003, 12:39 pmPosted by Nick Oldnall on November 4, 2003, 12:39 pm, in reply to "Medical Imaging"
    195.107.47.4
    If yopu contact Agfa via their website they do a superb interactive CD called Image Care and Sensitometry, which you can request
    nick

 

  • njo/Re: Medical Imaging - Nick Oldnall November 4, 2003, 12:06 pm Posted by Nick Oldnall on November 4, 2003, 12:06 pm, in reply to "Medical Imaging"
    195.107.47.4
    The best website I know is the Kodak one with much information if you take time to look all around including the industrial section
    Cheers
    Nick

Re: njo/Re: 4 tier structure / APs - Is this all necessary? November 4, 2003, 3:10 pm Posted by Is this all necessary? on November 4, 2003, 3:10 pm, in reply to "Re: njo/Re: 4 tier structure / APs"
195.107.47.213

Peterborough District hospital.
Good afternoon all.

Another rather emotive posting Catmen. Getting to be a bit of a habit!

Anyway, to business. I would be interested to know how long this Assistant Practitioner had been learning for, and the distribution of their time (study days/department time etc). What you have to bare in mind is that Assistant Practitioners are coming in from all types of demographic backgrounds, and a lot will never have looked at an x-ray in detail before. The current academic course is barely eight weeks along. There is a lot of background physics, anatomy and physiology that needs to be covered before the fun actually starts. Just because they have little experience with actual films, it does not mean that they are not qualified to be in the Radiographic profession. That sort of thinking walks near the fine line of discrimination.

In AP's defence, "pressing the button" is not a term that they coined, rather it is one that has filtered down to them from module leaders/texts etc.

And I'm sure that the AP that you mentioned was only asking you that question because they genuinely wanted help. Is that really an excuse to ridicule them?

This profession would run so much more smoothely and harmoniously if this issue could just be sorted out. The current radiographic students and the current AP students are the future of Radiography, and this is an excellent opportunity. Will the same antagonism exist in ten years? Or will everone have grown up, on both sides?

thank you - yvonne hunter November 3, 2003, 1:56 amPosted by yvonne hunter on November 3, 2003, 1:56 am
62.6.139.12

I would just like to thank Nick and all at xray2000 for all your help during my 3 years at university. You might remember I posted a message around March time this year stressing out because I was nervous about making a speech at the British Nuclear Medicine Society Conference. Your comments made me much more confident and I used one of your images (and gave you a mention!) which helped me out a lot. I have found your website very informative and helpful throughout the last few years!
On the rather 'touchy' subject of Assistant Practitioners, I work at the Royal Preston Hospital where we have 4 members of staff undertaking the new course at Bangor Uni. I support their work fully, and realise what a valuable contribution they will be making to the department as a whole. I hope that, as a newly qualified member of staff, I can help them out with such things as assessments and studying skills, which will also help to keep things fresh in my own mind. I must admit (hanging my head in shame) that I was a bit wary of the idea at first, but I wrote an essay about 'The Changing Face of Radiography' in my 3rd year and wrote largely about the 4 tier system and in particular, the role of the assistant practitioner. This research really made me sit up and take notice that assistant practitioners are not getting an easy ride, but will study just as hard as I did in my first year (no easy task)!

Anyway, just thought I'd add my thoughts on the subject.
Thanks again, Nick.
Yvonne.

 

  • Re: thank you - lisa cocker November 3, 2003, 7:57 am

    Posted by lisa cocker on November 3, 2003, 7:57 am, in reply to "thank you"
    62.6.139.12
    Thankyou Yvonne for your very mature and well thoughtout comments. I was part of your training at Preston and i know how hard you worked. Congratulations and thanks for all your support with the assistant practitioner role.


Assistant Practioners - Rosemarie November 1, 2003, 2:56 pmPosted by Rosemarie on November 1, 2003, 2:56 pm
195.92.194.12

If any one knows of any recent studies or dissertations on this subject I would be eternally grateful.

 

  • Re: Assistant Practioners - catman x November 3, 2003, 9:12 pm Posted by catman x on November 3, 2003, 9:12 pm, in reply to "Assistant Practioners"
    82.37.153.138
    it would be interesting to see what knowledge gap there is between newly qualified radiographers and AP's. get these results published and let us know.

  • njo/Re: Assistant Practioners - Nick Oldnall November 1, 2003, 6:28 pmPosted by Nick Oldnall on November 1, 2003, 6:28 pm, in reply to "Assistant Practioners"
    81.174.206.4
    This is so new you might have to start a trend and be the first! if I can be of any help or you want to do an exploratry poll or questionaire via xray2000 let me know

     

    • Re: njo/Re: Assistant Practioners - Rosemarie November 1, 2003, 6:42 pmPosted by Rosemarie on November 1, 2003, 6:42 pm, in reply to "njo/Re: Assistant Practioners"
      195.92.194.15

      Questionaire would be wonderful I am struggling
      Asking clinical managers their perception of the AP role to see if this differs
      Any help would be great

       
    •  
    njo/Re: njo/Re: Assistant Practioners - Nick Oldnall November 1, 2003, 7:08 pm Posted by Nick Oldnall on November 1, 2003, 7:08 pm, in reply to "Re: njo/Re: Assistant Practioners"
    81.174.206.4

    Hi Rosemarie...
    I can host a poll of up to ten questions on xray2000, please email me some ideas..
    You will need a hypothesis of what you want to know
    ie APs be taken up by Departments in the next 2 years.
    Then a set of questions to see if people will
    1) Superintendents - do you envisage APs in your dept in the next 2 years Y/N
    2) Unis do you ran an AP course?

     

  • Re: Assistant Practioners - Rosemarie November 1, 2003, 5:40 pmPosted by Rosemarie on November 1, 2003, 5:40 pm, in reply to "Assistant Practioners"
    195.92.194.15
    Sorry, I am a 3rd year Diagnostic Radiography student from Ipswich college in Suffolk

angiographic techniques
Posted by claire on November 1, 2003, 1:38 pm
193.1.172.149


Hello. I'm a third year radiography student doing a project on angiographic techniques of the abdominal aorta and it's branches. I was wondering if you could send me any relevant information you have on this subject. The techniques that I am looking for are MRI, CT, DSA
,US or just interventional angiography. Information coming from Europe, Australia or America will be more than welcome as I need to
include infromation from anywhere around the world.
I would be much obliged for any information that you could send onto
me.
Yours gratefully
 

  • njo/Re: angiographic techniques
    Posted by Nick Oldnall on November 1, 2003, 6:26 pm, in reply to "angiographic techniques"
    81.174.206.4

    Hi Claire
    With such rapid advancements you will need to look to journals and papers, along with manufacturers sites, a good place to start is BJR / AJR then some of the equipment manufacturers sites
     

Skeletal Survey Protocols in ?NAI - Gerard Nowak November 1, 2003, 10:31 am Skeletal Survey Protocols in ?NAI
Posted by Gerard Nowak on November 1, 2003, 10:31 am
62.6.139.12

I am interested in looking at what protocols individual departments have in place for this examination.

 

  • Re: Skeletal Survey Protocols in ?NAI - Helen Moss November 5, 2003, 12:10 pm
  • Posted by Helen Moss on November 5, 2003, 12:10 pm, in reply to "Skeletal Survey Protocols in ?NAI"
    195.107.47.227

    Gerard,
    I oversee the NAI skeletal surveys at Addenbrooke's, Cambridge.
    If you would like to send me your address I can send you our protocols.
    I can be contacted C/O Department of Radiology, Box 218, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 2QQ.
    Cheers,
    Helen Moss.