Publications by authors named "Kelly Spuur"

Purpose: This study evaluates the use of ChatGPT-4o in creating tailored continuing professional development (CPD) plans for radiography students, addressing the challenge of aligning CPD with Medical Radiation Practice Board of Australia (MRPBA) requirements. We hypothesized that ChatGPT-4o could support students in CPD planning while meeting regulatory standards.

Methods: A descriptive, experimental design was used to generate 3 unique CPD plans using ChatGPT-4o, each tailored to hypothetical graduate radiographers in varied clinical settings.

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Article Synopsis
  • ChatGPT3.5 and ChatGPT4, released in late 2022 and early 2023 respectively, have been explored as tools for providing patient education on health topics like breast screening, but their effectiveness varies.
  • A study comparing the two versions found that while GPT4 had better understandability and actionability ratings than GPT3.5, both struggled with clarity and omitted critical information.
  • Overall, the findings indicate that both versions of ChatGPT are unreliable for breast screening information, potentially leading to misinformation and increased demand for correction by health educators.
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Introduction: The aim of this research was to explore factors influencing students at the University of Papua New Guinea (UPNG) Bachelor of Medical Imaging Science (BMIS) choice to pursue rural radiography careers.

Methods: A survey and focus groups of BMIS students at the UPNG were undertaken. The survey included questions related to sociodemographic variables including gender, age, education, rural background and previous employment; and Likert-type scale questions exploring motivation for rural practice, the promotion of radiography through rural practice and the influence of birthplace and incentives to practice.

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Introduction: The need to balance pain management and radiographic image quality is at the forefront of patient care in diagnostic radiography. This study aimed to identify the decision-making that radiographers employ when undertaking planar diagnostic imaging for pain-afflicted adult trauma patients and the factors that influence these decisions.

Methods: A virtual focus group interview was undertaken with six experienced Australian radiographers using a realistic scenario and questions based on it.

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Background And Purpose: Although it is fundamental for optimal scanner operation, it is generally accepted that accurate patient centring cannot always be achieved. This review aimed to examine the reported knowledge of the negative impact of patient positioning on radiation dose and image quality during CT imaging. Furthermore, the study evaluated the current optimisation tools and techniques used to improve patient positioning relative to the gantry iso-center.

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Introduction: Concurrent X-ray imaging of the wrist, forearm and elbow in paediatric patients following a fall on the outstretched hand (FOOSH) is intended to minimise the risk of an undetected co-occurring injury and is typically performed on patients aged 0-10 years. The purpose of this study was to explore the benefit of this strategy and to identify if age could provide evidence for imaging.

Methods: A 12-month retrospective review of all X-ray examinations of the wrist, forearm and distal humerus of patients aged 0-10 years referred from the Emergency Department of Logan Hospital, Queensland was undertaken.

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Background: This study investigates the effects of vertical off-centring, localiser direction, tube voltage, and phantom positioning (supine and prone) on computed tomography (CT) numbers and radiation dose. Methods: An anthropomorphic phantom was scanned using a Discovery CT750 HD—128 slice (GE Healthcare) scanner at different tube voltages (80, 120, and 140 kVp). Images employing 0° and 180° localisers were acquired in supine and prone positions for each vertical off-centring (±100, ±60, and ±30 mm from the iso-centre).

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Article Synopsis
  • A survey was conducted among nuclear medicine and radiography professionals in Australia to explore their attitudes and concerns about the impact of AI on their work.
  • Results showed a strong acceptance of AI for low-level tasks like patient registration but hesitance towards automating complex tasks like diagnosis and surgery.
  • Concerns were raised about ethical issues, transparency, and potential job redundancy, while there was a general agreement on AI's potential to improve efficiency and image quality.
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This study uses a general formulation of integrated visual grading regression (IVGR) and applies it to cone beam computed tomography (CBCT) scan data related to anatomical landmarks for dental implantology. The aim was to assess and predict a minimum acceptable dose for diagnostic imaging and reporting. A skull phantom was imaged with a CBCT unit at various diagnostic exposures.

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Background And Purpose: The purpose of this review was to examine the reported factors that affect the reliability of Computed Tomography (CT) numbers and their impact on clinical applications in diagnostic scanning, dental imaging, and radiation therapy dose calculation.

Methods: A comprehensive search of the literature was conducted using Medline (PubMed), Google Scholar, and Ovid databases which were searched using the keywords CT number variability, CT number accuracy and uniformity, tube voltage, patient positioning, patient off-centring, and size dependence. A narrative summary was used to compile the findings under the overarching theme.

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Introduction: To report for the first time the image quality of mammograms performed in Papua New Guinea (PNG) using the Perfect, Good, Moderate, Inadequate (PGMI) image evaluation system (IES); and to benchmark the image quality against BreastScreen Australia (BSA) National Accreditation Standards (NAS).

Methods: A retrospective image quality analysis of the de-identified mammograms of 102 women imaged at the Port Moresby General Hospital (PMGH) was undertaken using the PGMI IES. Each craniocaudal (CC) and mediolateral oblique (MLO) image was assigned a grade and the reasons for the grade recorded.

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Introduction: Patient positioning is an essential consideration for the optimisation of radiation dose during CT examinations. The study objectives seek to explore the effects of vertical off-centring, localiser direction (0° and 180°), and phantom positioning (supine and prone) on radiation dose, using three different tube voltages in multidetector computed tomography (MDCT) imaging.

Methods: The trunk of a PBU-60 anthropomorphic phantom was imaged using a Discovery CT750 HD - 128 slice (GE Healthcare).

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Introduction: A high demand has been placed on radiologists to perform screen reads due to higher number of women undergoing mammography. This study aims to examine radiographer performance in reporting low compared with high-mammographic density (MD) images; and to assess the influence of key demographics of Jordanian radiographers on their performance.

Methods: Thirty mammograms with varied MD were reported by 12 radiographers using the Breast Imaging-Reporting and Data System (BI-RADS).

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The first wave of the COVID-19 pandemic in Australia forced a temporary closure of BreastScreen Australia services. Now reopened, the BreastScreen experience has been redefined for both staff and clients and the journey to the 'new BreastScreen normal' is continually evolving in response to the ongoing threat of COVID-19 and government directives on health policy. Many changes mirror those undertaken in the wider community and emphasise wellness to attend, hygiene and social distancing.

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The COVID-19 crisis has caused a number of significant challenges to the higher education sector. Universities worldwide have been forced to rapidly transition to online delivery, working at home, and disruption to research while concurrently facing the longer-term impacts in institution financial reform. Here, the impact of COVID-19 on academic staff in the medical radiation science (MRS) teaching team at Charles Sturt University are explored.

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Introduction: Women with increased breast density are at increased risk of breast cancer. The aim of this research is to evidence for the first time the mammographic breast findings of Papua New Guinean (PNG) women and the relationship between Breast Imaging-Reporting and Data System (BI-RADS) assessment, mammographic parenchymal patterns (MPPs) and age.

Methods: A retrospective analysis of 1357 mammograms of women imaged at the Pacific International Hospital (PIH) from August 2006 to July 2010 was undertaken.

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Background: The low subject contrast between cancerous and fibroglandular tissue could obscure breast abnormalities.

Purpose: To investigate radiologists' performance for detection of breast cancer in low and high mammographic density (MD) when cases are digitally acquired.

Material And Methods: A test set of 60 digital mammography cases, of which 20 were cancerous, were examined by 17 radiologists.

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Introduction: Mammographic breast density is associated with a four to six times increased risk for breast cancer. Mammographic breast density varies by ethnicity, geographical region and age. The aim of this study was to document for the first time the mammographic breast density of Jordanian women and to explore its relationship with age.

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Introduction: To investigate compliance to the '30% rule' and key factors which may influence visualisation of the pectoralis major muscle (PMM) on the craniocaudal (CC) view of the breast.

Methods: A retrospective review of 2688 paired full-field digital mammography (FFDM) CC view mammograms of women attending BreastScreen NSW between August and October 2015 was undertaken. PMM visualisation and measurements of PMM width and length, compressed breast thickness, the posterior nipple line (PNL) and age were recorded.

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Purpose: To document the mammographic breast density (MBD) distribution of Jordanian women and the relationship with MBD with age. Correlation between breast cancer diagnosis and density was also explored.

Methods: A retrospective review of 660 screening mammograms from King Abdullah University Hospital was conducted.

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Aim: This study seeks to document the imaging series used in contemporary Australian practice for imaging the augmented breast, with a secondary focus on differences in practice and opinion between BreastScreen Australia and diagnostic imaging services.

Methods: A SurveyMonkey link was distributed through the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and was assessable during December 2017 and January 2018. The questionnaire investigated: years of experience, facility type and location, image acquisition systems, appointment times, patients imaged per week, technique and imaging series used, use of limited compression views, rationale for variation in imaging series and the use of ultrasound.

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Aim: The aim of this study is to determine the clinical rates of the demonstration of the inframammary angle (IMA) on the mediolateral oblique (MLO) view of the breast on digital mammograms and to compare the outcomes with current accreditation standards for compliance. Relationships between the IMA, age, the posterior nipple line (PNL) and compressed breast thickness will be identified and the study outcomes validated using appropriate analyses of inter-reader and inter-rater reliability and variability. Differences in left versus right data were also investigated.

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Introduction: The objective of the study was to document the distribution of mammographic parenchymal patterns (MPP) of Indigenous Australian women attending BreastScreen New South Wales (NSW) North Coast, to profile breast cancer risk as it relates to breast density and to explore the correlation between MPP, breast size as described by the posterior nipple line (PNL) and age.

Methods: Ethics was granted from CQUniversity Human Research Ethics Committee, NSW Population Health Services Research Ethics Committee and the Aboriginal Health and Medical Research Council Ethics Committee. A quantitative retrospective analysis reviewed 502 screening mammograms against the Tabár I-V MPP classification system.

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Introduction: Clinical learning experiences for sonography and medical imaging students can sometimes involve the practice of technical procedures with less of a focus on developing communication skills with patients. Whilst patient-based simulation scenarios have been widely reported in other health education programmes, there is a paucity of research in sonography and medical imaging. The aim of this study was to explore the effectiveness of Mask-Ed™ (KRS Simulation) in the learning and teaching of clinical communication skills to undergraduate medical sonography and medical imaging students.

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Purpose: To develop a model using measurements of pectoral muscle width and length together with the acceptability of the posterior nipple line criteria (PNL) to predict the acceptability of the presentation of the pectoral muscle in the mediolateral oblique view of the breast.

Method: A total of 400 mediolateral oblique mammogram images were randomly selected from BreastScreen NSW South West, Australia. Measurements of length and width of the pectoral muscle and the acceptability of the pectoral muscle position relative to the PNL were recorded.

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