Contribution of Simulation in the Development of the Competences of Future Radiology Technicians in the Framework of the Management of the Risks Associated with the Medical Radiology Techniques

Objectives: The objectives of this study are to raise awareness among future radiology technicians regarding risk management in medical imaging and to measure their satisfaction with their participation in simulation sessions focused on the management of emergencies in radiology. Method: A prospective research-action study was conducted at the simulation center of the Institut Supérieur des Professions Infirmières et Techniques de Santé of Agadir, with radiology technician students enrolled in the 5th semester.A simulation workshop applied to the theme "Risk management in radiology related to an immediate hypersensitivity reaction to iodinated contrast products (ICP) used in CT" was organized over three days.Results: Sixteen radiology students participated in the three simulation scenarios. The evaluation of the technical skills of the participants in this simulation workshop revealed an insufficient mastery of these emergencies. Indeed, during the first simulation session concerning the management of an immediate hypersensitivity reaction to iodinated contrast products in second-grade CT, the average score for the session was 06.39/20 (3.25-9). In addition, the mean score for the second simulation session applied to cardiac arrest management was 06.03/20 (2.25- 8.75).Regarding the error room scenario, (50%) of the participants were satisfied with the relevance of the errors implemented in this simulation session, (37.5%) very satisfied, and (75%) judged the simulation as an effective approach to risk management.Conclusion: Teaching by simulation applied to the management of medical imaging emergencies proves to be a relevant pedagogical method for building a base of skills for future radiology professionals.

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Repeat Contrast Medium Administration for Patients with Mild Immediate Hypersensitivity Reaction to Iodinated Contrast Media

Radiology ◽

10.1148/radiol.2018182146 ◽

2019 ◽

Vol 290 (1) ◽

pp. 270-271

Author(s):

Shoko Abe

Keyword(s):

Hypersensitivity Reaction ◽

Contrast Media ◽

Contrast Medium ◽

Iodinated Contrast Media ◽

Immediate Hypersensitivity ◽

Contrast Medium Administration ◽

Iodinated Contrast

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Skin Testing for the Diagnosis of Immediate Hypersensitivity Reaction to Iodinated Contrast Media

Journal of Allergy and Clinical Immunology ◽

10.1016/j.jaci.2008.12.923 ◽

2009 ◽

Vol 123 (2) ◽

pp. S240-S240

Author(s):

T. Kampitak ◽

H. Chantaphakul ◽

J. Klaewsongkram ◽

K. Ruxrungtham

Keyword(s):

Hypersensitivity Reaction ◽

Contrast Media ◽

Skin Testing ◽

Iodinated Contrast Media ◽

Immediate Hypersensitivity ◽

Iodinated Contrast

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Immediate hypersensitivity reaction followed by successful oral desensitization to ursodiol

Allergy Asthma & Clinical Immunology ◽

10.1186/s13223-021-00578-7 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Erika Yue Lee ◽

Christine Song

Keyword(s):

Hypersensitivity Reaction ◽

Primary Biliary Cholangitis ◽

Line Treatment ◽

Second Line ◽

Immediate Hypersensitivity ◽

First Line ◽

Case Presentation ◽

Desensitization Protocol ◽

First Line Treatment ◽

Oral Desensitization

Abstract Background Immediate hypersensitivity reaction to ursodiol is rare and there is no previously published protocol on ursodiol desensitization. Case presentation A 59-year-old woman with primary biliary cholangitis (PBC) developed an immediate hypersensitivity reaction to ursodiol—the first-line treatment for PBC. When she switched to a second-line treatment, her PBC continued to progress. As such, she completed a novel 12-step desensitization protocol to oral ursodiol. She experienced recurrent pruritus after each dose following desensitization, which subsided after a month of being on daily ursodiol. Conclusion Immediate hypersensitivity reaction to ursodiol is uncommon. Our case demonstrated that this novel desensitization protocol to ursodiol could be safely implemented when alternative options are not available or have proven inferior in efficacy.

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Lessons from the COVID-19 Pandemic on the Use of Artificial Intelligence in Digital Radiology: The Submission of a Survey to Investigate the Opinion of Insiders

Healthcare ◽

10.3390/healthcare9030331 ◽

2021 ◽

Vol 9 (3) ◽

pp. 331

Author(s):

Daniele Giansanti ◽

Ivano Rossi ◽

Lisa Monoscalco

Keyword(s):

Artificial Intelligence ◽

General Purpose ◽

Point Of View ◽

General Point ◽

Thoracic Radiography ◽

Digital Radiology ◽

Electronic Survey ◽

Radiology Technicians ◽

Medical Radiology ◽

Great Development

The development of artificial intelligence (AI) during the COVID-19 pandemic is there for all to see, and has undoubtedly mainly concerned the activities of digital radiology. Nevertheless, the strong perception in the research and clinical application environment is that AI in radiology is like a hammer in search of a nail. Notable developments and opportunities do not seem to be combined, now, in the time of the COVID-19 pandemic, with a stable, effective, and concrete use in clinical routine; the use of AI often seems limited to use in research applications. This study considers the future perceived integration of AI with digital radiology after the COVID-19 pandemic and proposes a methodology that, by means of a wide interaction of the involved actors, allows a positioning exercise for acceptance evaluation using a general purpose electronic survey. The methodology was tested on a first category of professionals, the medical radiology technicians (MRT), and allowed to (i) collect their impressions on the issue in a structured way, and (ii) collect their suggestions and their comments in order to create a specific tool for this professional figure to be used in scientific societies. This study is useful for the stakeholders in the field, and yielded several noteworthy observations, among them (iii) the perception of great development in thoracic radiography and CT, but a loss of opportunity in integration with non-radiological technologies; (iv) the belief that it is appropriate to invest in training and infrastructure dedicated to AI; and (v) the widespread idea that AI can become a strong complementary tool to human activity. From a general point of view, the study is a clear invitation to face the last yard of AI in digital radiology, a last yard that depends a lot on the opinion and the ability to accept these technologies by the operators of digital radiology.

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