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Rawson JV, Rubin E, Smetherman D. Short-Term Strategies for Augmenting the National Radiologist Workforce. AJR Am J Roentgenol 2024. [PMID: 38568035 DOI: 10.2214/ajr.24.30920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/18/2024]
Abstract
The current radiology landscape has an imbalance between the rising demand for radiology services and the national radiologist workforce available. More vacant radiology positions exist than graduating radiology trainees. The origins of this problem are complex and require long-term solutions. Rather than working longer and/or faster, there are ways for radiologist to work smarter. In this article, we present multiple short-term strategies to increase the effective radiologist workforce and/or increase workforce efficiency, in order to alleviate the current workload challenges. These strategies are derived based on an analysis of possible practice-level changes in personnel, process, and physical plant. The impacts of the potential changes are estimated. No single change addresses the mismatch between supply and demand for radiology services. By creating an inventory of potential solutions, practices can choose the potential mechanism(s) to address the workforce shortage that best fit their needs and local environment.
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Affiliation(s)
- James V Rawson
- Vice Chair of Operations & Special Projects, Department of Radiology, Beth Israel Medical Center, Harvard Medical School, One Deconess Road, Boston, MA 02215
| | - Eric Rubin
- Medical Director, CT Division, Crozer Health, 1 Medical Center Blvd, Upland, PA 19013
| | - Dana Smetherman
- Chair, Department of Radiology, Ochsner Medical Center - New Orleans, 1516 Jefferson Hwy., New Orleans, LA 70121
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Ho E, Tran J, Fateri C, Sahagian C, Sarton K, Glavis-Bloom J, Houshyar R. Work-related musculoskeletal disorders affecting diagnostic radiologists and prophylactic physical therapy regimen. Curr Probl Diagn Radiol 2024:S0363-0188(24)00053-7. [PMID: 38514284 DOI: 10.1067/j.cpradiol.2024.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 03/07/2024] [Indexed: 03/23/2024]
Abstract
The shift from film to PACS in reading rooms, coupled with escalating case volumes, exposes radiologists to the issues of the modern computer workstation including computer work posture and work-related musculoskeletal disorders (WMSD). Common WMSDs affecting the neck and upper extremities include cervical myofascial pain, shoulder tendonitis, lateral epicondylitis, carpal tunnel syndrome, and cubital tunnel syndrome. This review examines each pathology along with its pathogenesis, clinical features, physical exam findings, and potential risk factors. Furthermore, a comprehensive 11-part physical therapy regimen that is both prophylactic and therapeutic is illustrated and described in detail. One of the objectives of this review is to advocate for the inclusion of a physical therapy regimen in the working routine of diagnostic radiologists to prevent WMSDs. A brief daily commitment to this regimen can help radiologists remain healthy and productive in order to deliver optimal patient care throughout their careers.
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Affiliation(s)
- Erwin Ho
- University of California, Irvine School of Medicine, Irvine, CA, USA.
| | - Julia Tran
- University of California, Irvine School of Medicine, Irvine, CA, USA
| | - Cameron Fateri
- Department of Radiological Sciences, University of California, Irvine Medical Center, Orange, CA, USA; University of California, Irvine School of Medicine, Irvine, CA, USA
| | | | - Kyle Sarton
- Department of Physical Therapy, University of California, Irvine Medical Center, Orange, CA, USA
| | | | - Roozbeh Houshyar
- University of California, Irvine School of Medicine, Irvine, CA, USA
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Azour L, Goldin JG, Kruskal JB. Radiologist and Radiology Practice Wellbeing: A Report of the 2023 ARRS Wellness Summit. Acad Radiol 2024; 31:250-260. [PMID: 37718125 DOI: 10.1016/j.acra.2023.08.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 08/14/2023] [Accepted: 08/19/2023] [Indexed: 09/19/2023]
Abstract
In April 2023, the first American Roentgen Ray Society (ARRS) Wellness Summit was held in Honolulu, Hawaii. The Summit was a communal call to action bringing together professionals from the field of radiology to critically review our current state of wellness and reimagine the role of radiology and radiologists to further wellbeing. The in-person and virtual Summit was available free-of-cost to all meeting registrants and included 12 sessions with 44 invited moderators and panelists. The Summit aimed to move beyond simply rehashing the repeated issues and offering theoretical solutions, and instead focus on intentional practice evolution, identifying implementable strategies so that we as a field can start to walk our wellness talk. Here, we first summarize the thematic discussions from the 2023 ARRS Wellness Summit, and second, share several strategic action items that emerged.
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Affiliation(s)
- Lea Azour
- Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.
| | - Jonathan G Goldin
- Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA
| | - Jonathan B Kruskal
- Department of Radiology, Harvard-Beth Israel Deaconess Medical Center, Boston, MA
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Bentley H, Wu T, Russell M, Fitzgerald S, Chapman N, Kolof H, Yong-Hing CJ. Assessment of Musculoskeletal Discomfort and Evaluation of Radiology Workstation Ergonomics in a National Radiology Workforce. Acad Radiol 2023; 30:2101-2107. [PMID: 36586761 DOI: 10.1016/j.acra.2022.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 11/27/2022] [Accepted: 12/03/2022] [Indexed: 12/30/2022]
Abstract
RATIONALE AND OBJECTIVES We assessed the presence of musculoskeletal discomfort and evaluated the ergonomics parameters of radiology workstations and the impact of poor radiology workstation ergonomics on musculoskeletal discomfort in a national radiology workforce. METHODS This was a cross-sectional, questionnaire-based study. All radiologist and radiology trainee members of the Canadian Association of Radiologists were eligible to participate. Radiology workstation ergonomics parameters and self-reported data on musculoskeletal discomfort were recorded. A binary logistic regression model was fitted to the data to ascertain the impact of participants' radiology workstation ergonomics parameters on the likelihood of experience of musculoskeletal discomfort while adjusting for demographic variables. RESULTS A total of 191 questionnaires were completed. The median (interquartile range) age of participants was 42.0 years (17.0 years) and 56.8% of participants were female. One hundred fifty participants (78.5%) self-reported the presence of musculoskeletal discomfort. Ergonomics parameters most commonly implemented included having monitors an arm's length away (82.6%) and hands being shoulder-width apart (77.1%). Binary logistic regression revealed participants either not having the top of the monitor screen at eye level when in a seated position or not having the wrists straight and relatively flat when using the mouse was associated with an increased likelihood of experience of musculoskeletal discomfort. The majority of participants (92.7%) self-reported their musculoskeletal discomfort to affect work productivity. CONCLUSION A high proportion of musculoskeletal discomfort, limited implementation of ergonomics parameters of radiology workstations, and an association of two of these ergonomics parameters with an increased likelihood of experience of musculoskeletal discomfort were observed in a national radiology workforce.
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Affiliation(s)
- Helena Bentley
- Department of Radiology, University of British Columbia, Vancouver, BC, Canada.
| | - Tong Wu
- Department of Radiology, University of British Columbia, Vancouver, BC, Canada
| | - Mckenzie Russell
- Department of Pathology, University of Manitoba, Winnipeg, MB, Canada
| | | | - Nick Chapman
- Tall Tree Integrated Health, Victoria, BC, Canada
| | - Hanna Kolof
- Simon Fraser University, Vancouver, BC, Canada
| | - Charlotte J Yong-Hing
- Department of Radiology, University of British Columbia, Vancouver, BC, Canada; Diagnostic Imaging, BC Cancer, Vancouver, BC, Canada
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Alelyani M, Gameraddin M, Khushayl AMA, Altowaijri AM, Qashqari MI, Alzahrani FAA, Gareeballah A. Work-related musculoskeletal symptoms among Saudi radiologists: a cross-sectional multi-centre study. BMC Musculoskelet Disord 2023; 24:468. [PMID: 37286979 DOI: 10.1186/s12891-023-06596-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Accepted: 06/01/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Musculoskeletal disorders are common health problems worldwide. Several factors cause these symptoms, including ergonomics and other individual considerations. Computer users are prone to repetitive strain injuries that increase the risk of developing musculoskeletal symptoms (MSS). Radiologists are susceptible to developing MSS because they work long hours analysing medical images on computers in an increasingly digitalised field. This study aimed to identify the prevalence of MSS among Saudi radiologists and the associated risk factors. METHODS This study was a cross-sectional, non-interventional, self-administered online survey. The study was conducted on 814 Saudi radiologists from various regions in Saudi Arabia. The study's outcome was the presence of MSS in any body region that limited participation in routine activities over the previous 12 months. The results were descriptively examined using binary logistic regression analysis to estimate the odds ratio (OR) of participants who had disabling MSS in the previous 12 months. All university, public, and private radiologists received an online survey containing questions about work surroundings, workload (e.g., spent at a computer workstation), and demographic characteristics. RESULTS The prevalence of MSS among the radiologists was 87.7%. Most of the participants (82%) were younger than 40 years of age. Radiography and computed tomography were the most common imaging modalities that caused MSS (53.4% and 26.8%, respectively). The most common symptoms were neck pain (59.3%) and lower back pain (57.1%). After adjustment, age, years of experience, and part-time employment were significantly associated with increased MSS (OR = .219, 95% CI = .057-.836; OR = .235, 95% CI = 087-.634; and OR = 2.673, 95% CI = 1.434-4.981, respectively). Women were more likely to report MSS than males (OR = 2.12, 95% CI = 1.327-3.377). CONCLUSIONS MSS are common among Saudi radiologists, with neck pain and lower back pain being the most frequently reported symptoms. Gender, age, years of experience, type of imaging modality, and employment status were the most common associated risk factors for developing MSS. These findings are vital for the development of interventional plans to reduce the prevalence of musculoskeletal complaints in clinical radiologists.
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Affiliation(s)
- Magbool Alelyani
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 62529, Saudi Arabia.
| | - Moawia Gameraddin
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah, Saudi Arabia
- Department of Diagnostic Radiology, Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum, Sudan
| | | | | | | | | | - Awadia Gareeballah
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah, Saudi Arabia
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Glover AM, Whitman GJ, Shin K. Ergonomics in Radiology: Improving the Work Environment for Radiologists. Curr Probl Diagn Radiol 2022; 51:680-685. [DOI: 10.1067/j.cpradiol.2022.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 03/01/2022] [Accepted: 03/02/2022] [Indexed: 11/22/2022]
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Horowitz JM, Choe MJ, Kelahan LC, Deshmukh S, Agarwal G, Yaghmai V, Carr JC. Role of Ergonomic Improvements in Decreasing Repetitive Stress Injuries and Promoting Well-Being in a Radiology Department. Acad Radiol 2021; 29:1387-1393. [PMID: 34953728 DOI: 10.1016/j.acra.2021.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 11/08/2021] [Accepted: 11/10/2021] [Indexed: 11/01/2022]
Abstract
RATIONALE AND OBJECTIVES To determine if ergonomic improvements in a radiology department can decrease repetitive stress injuries (RSIs), advance ergonomics knowledge, and improve well-being. MATERIALS AND METHODS Radiologists in an academic institution were surveyed regarding physician wellness, workstations, RSIs, and ergonomics knowledge before and after interventions over 1 year. Interventions included committee formation, education, wrist pads and wireless mice, broken table and chair replacement, and cord organization. Mann-Whitney U test was used for analysis. RESULTS Survey response was 40% preinterventions (59/147), and 42% (66/157) postinterventions. Preinterventions, of radiologists with RSI history, 17/40 (42%) reported the RSI caused symptoms which can lead to burnout, and 15/40 (37%) responded their RSI made them think about leaving their job. Twenty-three of 59 (39%) radiologists had an active RSI preinterventions. Postinterventions, 9/25 (36%) RSI resolved, 13/25 (52%) RSI improved, and 3/25 (12%) RSI did not improve. RSI improvements were attributed to ergonomic interventions in 19/25 (76%) and therapy in 2/25 (8%). Radiologists who thought their workstation was designed with well-being in mind increased from 9/59 (15%) to 52/64 (81%). The percentage of radiologists knowing little or nothing about ergonomics decreased from 15/59 (25%) to 5/64 (8%). After ergonomics interventions, more radiologists thought the administration cared about safety and ergonomics, equipment was distributed fairly, and radiologists had the ability to ask for equipment (p < .01). Fifty-three of 64 (83%) of radiologists after interventions said improving workstation ergonomic design contributed to well-being. CONCLUSION Ergonomic improvements in radiology can decrease RSIs, advance ergonomics knowledge, and improve well-being.
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Chan J, Kim DJ, Kassira-Carley S, Rotunda AM, Lee PK. Ergonomics in Dermatologic Surgery: Lessons Learned Across Related Specialties and Opportunities for Improvement. Dermatol Surg 2020; 46:763-72. [PMID: 31876576 DOI: 10.1097/DSS.0000000000002295] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
BACKGROUND As the practice of dermatology becomes increasingly procedurally based, there is a concordant rise in musculoskeletal injury (MSI) risk. Dermatologic surgeons are most susceptible and, although the majority suffer from MSI, few have received any formal ergonomics training. This stems from a lack of awareness of this troubling trend and a paucity of research and education on the ergonomics of dermatologic surgery. OBJECTIVE To highlight pertinent ergonomics principles and strategies from other specialties that could be translated into dermatology, and to synthesize general recommendations aimed at reducing MSI among dermatologic surgeons. MATERIALS AND METHODS A comprehensive search of the PubMed and Cochrane Reviews databases from 1975 to 2019 was conducted, using a combination of ergonomics-related search terms, generating 6 publications from the dermatology literature and 58 from the fields of dentistry, medicine, and select surgical subspecialties. RESULTS This multidisciplinary approach yielded multiple interventions that could be applied directly (i.e., adequate lighting, adjustable operating tables, and surgical seat heights) or indirectly pending further investigation into their feasibility (i.e., video displays of the surgical field to allow neutral head and neck postures). CONCLUSION Although much can be learned from decades of prior ergonomics research from other specialties, considerations that are unique to dermatology remain and must be addressed with specialty-specific research.
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Al Shammari M, Hassan A, Al Dandan O, Al Gadeeb M, Bubshait D. Musculoskeletal symptoms among radiologists in Saudi Arabia: a multi-center cross-sectional study. BMC Musculoskelet Disord 2019; 20:541. [PMID: 31727049 PMCID: PMC6857232 DOI: 10.1186/s12891-019-2933-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 11/01/2019] [Indexed: 02/08/2023] Open
Abstract
Background Musculoskeletal symptoms account for the majority of work-related illnesses resulting in a significant economic burden on society. Computer users are subject to unique repetitive strains that predispose them to musculoskeletal symptoms. In the digitalized field of radiology, radiologists spend long hours interpreting medical images on computers. This study aimed to determine the prevalence of musculoskeletal symptoms among radiologists in Saudi Arabia and their contributing factors. Methods An online survey was sent to radiologists in all hospitals (academic, public and private) in the major cities of the Eastern Province of Saudi Arabia covering demographic characteristics, workload (e.g. the time spent at a computer workstation), and workstation environments including the number of monitors as well as the adjustability of the height of the workstation and the viewing distance. This survey of 263 radiologists was conducted in April 2019. It included an evaluation of musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. The study outcome was the presence of disabling musculoskeletal symptoms in any body region, which restricted the performance of normal activities in the last 12 months. Results were analyzed descriptively using a Chi-square test and logistic regression analysis to estimate the odd ratio of experiencing disabling musculoskeletal symptoms in the last 12 months. Results The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were aged below 40 years. A multivariate logistic regression analysis revealed being a female radiologist (OR = 2.7; 95% CI: 1.2–6.5), aged 30–39 years (OR = 4.1; 95% CI: 1.1–15.3), and predominantly reviewing computed tomography (CT) images (OR = 4.1; 95% CI: 1.4–12.3) or ultrasound scans (OR = 5.9; 95% CI: 1.4–25.3) were associated with higher prevalence of disabling musculoskeletal symptoms, compared to those aged below 30 years and those who reviewed various imaging modalities, respectively. Conclusions Musculoskeletal symptoms are common among radiologists with lower back and neck pain being the most frequent complaints. Being a female radiologist, aged 30–39 years, and reviewing CT or ultrasound scans were associated with higher rates of disabling musculoskeletal symptoms.
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Affiliation(s)
- Malak Al Shammari
- Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ali Hassan
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Omran Al Dandan
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.
| | - Mohammed Al Gadeeb
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Dalal Bubshait
- Department of Orthopedic Surgery, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
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Abstract
Breast imaging radiologists spend many hours seated at workstations and are therefore at high risk for repetitive strain injuries and computer vision syndrome. In addition, many perform hand-held sonography and image-guided procedures, which may present additional ergonomic challenges. In this article, we describe optimal ergonomics for breast imaging radiologists and discuss additional strategies to mitigate risks from work-related injury and improve overall physical well-being.
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Affiliation(s)
- Rebecca L Seidel
- Emory University School of Medicine, Department of Radiology and Imaging Sciences, Atlanta, GA
| | - Elizabeth A Krupinski
- Emory University School of Medicine, Department of Radiology and Imaging Sciences, Atlanta, GA
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Degnan AJ, Ghobadi EH, Hardy P, Krupinski E, Scali EP, Stratchko L, Ulano A, Walker E, Wasnik AP, Auffermann WF. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol 2019; 26:833-845. [PMID: 30559033 DOI: 10.1016/j.acra.2018.11.006] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2018] [Revised: 11/19/2018] [Accepted: 11/21/2018] [Indexed: 12/13/2022]
Abstract
Interpretation of increasingly complex imaging studies involves multiple intricate tasks requiring visual evaluation, cognitive processing, and decision-making. At each stage of this process, there are opportunities for error due to human factors including perceptual and ergonomic conditions. Investigation into the root causes of interpretive error in radiology first began over a century ago. In more recent work, there has been increasing recognition of the limits of human image perception and other human factors and greater acknowledgement of the role of the radiologist's environment in increasing the risk of error. This article reviews the state of research on perceptual and interpretive error in radiology. This article focuses on avenues for further error examination, and strategies for mitigating these errors are discussed. The relationship between artificial intelligence and interpretive error is also considered.
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Affiliation(s)
- Andrew J Degnan
- Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Emily H Ghobadi
- Department of Radiology, Northwestern Memorial Hospital, Chicago, Illinois
| | - Peter Hardy
- Department of Radiology, University of Kentucky Medical Center, Lexington, Kentucky
| | - Elizabeth Krupinski
- Department of Radiology & Imaging Sciences, Emory University Hospital, Atlanta, Georgia
| | - Elena P Scali
- Department of Radiology, University of British Columbia, Vancouver, BC Canada
| | - Lindsay Stratchko
- Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI
| | - Adam Ulano
- Department of Radiology, University of Vermont Medical Center, The Robert Larner, M.D. College of Medicine at the University of Vermont, Burlington, Vermont
| | - Eric Walker
- Department of Radiology, Penn State Health, Milton S. Hershey Medical Center & Penn State College of Medicine, H066, Hershey, Pennsylvania; Department of Radiology and Nuclear Medicine, Uniformed University of the Health Sciences, Bethesda, Maryland
| | - Ashish P Wasnik
- Department of Radiology, University of Michigan Health System-Michigan Medicine, University Hospital B1D502D, Ann Arbor, Michigan
| | - William F Auffermann
- Department of Radiology and Imaging Sciences, University of Utah School of Medicine, 30 North 1900 East, Rm # 1A71, Salt Lake City, UT 84132, USA.
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Govil N, Demayo WM, Hirsch BE, Mccall AA. Patient Positioning During In-Office Otologic Procedures Impacts Physician Ergonomics. Otol Neurotol 2018; 39:e883-8. [DOI: 10.1097/mao.0000000000001961] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Parikh JR, Bender C, Bluth E. Musculoskeletal Injuries Affecting Radiologists According to the 2017 ACR Human Resources Commission Workforce Survey. J Am Coll Radiol 2018; 15:803-808. [DOI: 10.1016/j.jacr.2018.01.033] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Revised: 01/20/2018] [Accepted: 01/23/2018] [Indexed: 12/12/2022]
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Seidel RL, Krupinski EA. The Agony of It All: Musculoskeletal Discomfort in the Reading Room. J Am Coll Radiol 2017; 14:1620-5. [DOI: 10.1016/j.jacr.2017.07.024] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Revised: 07/18/2017] [Accepted: 07/25/2017] [Indexed: 11/24/2022]
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Sze G, Bluth EI, Bender CE, Parikh JR. Work-Related Injuries of Radiologists and Possible Ergonomic Solutions: Recommendations From the ACR Commission on Human Resources. J Am Coll Radiol 2017; 14:1353-8. [PMID: 28826961 DOI: 10.1016/j.jacr.2017.06.021] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 06/11/2017] [Accepted: 06/19/2017] [Indexed: 11/23/2022]
Abstract
Increasingly, radiologists' workplaces revolve around PACS and digital imaging. Use of these technologies can lead to repetitive strain injuries, many of which can be exacerbated by specific features of a radiology practice environment. Ergonomic approaches, such as proper reading room structure, lighting, temperature, noise, and equipment setup, can help decrease the frequency and severity of repetitive strain injuries and improve radiologist productivity. However, ergonomic approaches are complex, include all aspects of the radiology practice environment, and are best implemented along with proper training of the practicing radiologists. The ergonomic approaches considered most important by members of the ACR Commission on Human Resources are presented in this report, and this information may serve as an aid in departmental planning.
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Cernean N, Serranheira F, Gonçalves P, Sá Dos Reis C. Ergonomic strategies to improve radiographers' posture during mammography activities. Insights Imaging 2017; 8:429-438. [PMID: 28639113 PMCID: PMC5519499 DOI: 10.1007/s13244-017-0560-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Revised: 05/02/2017] [Accepted: 05/12/2017] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES To identify alternatives for radiographers' postures while performing mammography that can contribute to reduce the risk of work-related musculoskeletal disorders (WRMSDs). METHODS Radiographers' postures to positioning craniocaudal (CC) and mediolateral oblique (MLO) views were simulated without any intervention for three scenarios: radiographer/patient with similar statures, radiographer smaller than patient and radiographer taller than patient. Actions were taken to modify the postures: seated radiographer; patient on a step; seated patient; radiographer on a step. All the postures were analysed using kinovea 0.8.15 software and the angles were measured twice and classified according to European standard EN1005-4: 2005. RESULTS The non-acceptable angles were measured mainly during MLO positioning when radiographer was taller than the patient: 139° and 120° for arm-flexion and abduction, 72° for trunk and -24° for head/neck-flexion. The introduction of alternative postures (radiographer seated), allowed improvements in posture (60° and 99° for arm flexion and abduction, 14° for trunk and 0° for head/neck flexion), being classified as acceptable. CONCLUSIONS The alternative postures simulated have the potential to reduce the risk of developing WRMSDs when radiographers and patients have different statures. MAIN MESSAGES • Radiographers' postures in mammography can contribute to work-related musculoskeletal disorders • Non-acceptable posture was identified for MLO breast positioning (radiographer taller than patient) • Adapting posture to patient biotype reduces the WRMSD risk for radiographers.
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Affiliation(s)
- Nicolai Cernean
- Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa, Lisboa, Portugal
| | - Florentino Serranheira
- Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa, Lisboa, Portugal
- Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisboa, Portugal
- Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisboa, Portugal
| | - Pedro Gonçalves
- Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa, Lisboa, Portugal
| | - Cláudia Sá Dos Reis
- Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa, Lisboa, Portugal.
- Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisboa, Portugal.
- Department of Medical Radiation Sciences, Curtin University, Perth, Western Australia.
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Harvey SC, Di Carlo PA, Lee B, Obadina E, Sippo D, Mullen L. An Abbreviated Protocol for High-Risk Screening Breast MRI Saves Time and Resources. J Am Coll Radiol 2016; 13:R74-R80. [DOI: 10.1016/j.jacr.2016.09.031] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Abstract
This study compared a single 8 MP vs. dual 5 MP displays for diagnostic accuracy, reading time, number of times the readers zoomed/panned images, and visual search. Six radiologists viewed 60 mammographic cases, once on each display. A sub-set of 15 cases was viewed in a secondary study using eye-tracking. For viewing time, there was significant difference (F = 13.901, p = 0.0002), with 8 MP taking less time (62.04 vs. 68.99 s). There was no significant difference (F = 0.254, p = 0.6145) in zoom/pan use (1.94 vs. 1.89). Total number of fixations was significantly (F = 4.073, p = 0.0466) lower with 8 MP (134.47 vs. 154.29). Number of times readers scanned between images was significantly fewer (F = 10.305, p = 0.0018) with 8 MP (6.83 vs. 8.22). Time to first fixate lesion did not differ (F = 0.126, p = 0.7240). It did not take any longer to detect the lesion as a function of the display configuration. Total time spent on lesion did not differ (F = 0.097, p = 0.7567) (8.59 vs. 8.39). Overall, the single 8 MP display yielded the same diagnostic accuracy as the dual 5 MP displays. The lower resolution did not appear to influence the readers' ability to detect and view the lesion details, as the eye-position study showed no differences in time to first fixate or total time on the lesions. Nor did the lower resolution result in significant differences in the amount of zooming and panning that the readers did while viewing the cases.
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Harvey SC, Di Carlo PA, Lee B, Obadina E, Sippo D, Mullen L. An Abbreviated Protocol for High-Risk Screening Breast MRI Saves Time and Resources. J Am Coll Radiol 2016; 13:374-80. [DOI: 10.1016/j.jacr.2015.08.015] [Citation(s) in RCA: 70] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 08/16/2015] [Indexed: 11/23/2022]
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