WRD 2020 ISRRT SPECIAL EDITION CONTENTS Message from the ISRRT President 3 Thematic approach – practicing radiographer’s view: Claus Brix, Denmark 4 Ramona Chanderballi, Guyana 6 Edward Chen, Hong Kong 8 Håkon Hjemly, Norway 10 Naoki Kodama, Japan 12 Angela Meadows, United Kingdom 14 Yudthaphon Vichianin, Thailand 17 Denise Choong, Singapore 20 Jo Page, Australia 22 Alexander Peck, United Kingdom 24 Noeska Smit, Netherlands 26 Jill Schultz, USA 28 Christopher Steelman, USA 30 ISRRT Societies – member views and initiatives on Artificial Intelligence: ASRT 34 Cambodia 35 Ireland 36 Japan 38 Nigeria 39 South Africa 41 Singapore 42 Trinidad & Tobago 43 Tunisia 48 United Kingdom 51 Contributing stakeholders views: Adrian Brady, ESR 54 Nick Woznitza, Spencer Goodman, Jonathan McNulty, EFRS 56 In this Special Edition, articles and reports by authors/societies do not necessarily reflect or represent the opinion and thesis of the ISRRT. 2 Message from the ISRRT President By Donna Newman Dear ISRRT Members and Radiography image quality contributing to the efficiency radiological technologist elevating patient Professional Stakeholders, and increase in patient safety. care with Artificial Intelligence. WORLD Radiography Day will be celebrated AI technology is also allowing for dual energy Additional with our members and health on November 8,2020 around the world by detectors to image both soft tissue and bone professionals around the world we hope that our profession. density in one imaging procedure which also by reading this edition and incorporating allows improvement in image quality while what you learn from our authors you will As we celebrate it is good to know that we reducing patient dose. help drive the ISRRT key messages of all have played a vital role in the delivery of creating, influencing and impacting change medical imaging and radiation therapy for AI tools in sonography and echocardiography within your country and daily practice. As patients all over the world. I’m thrilled to are aiding in mapping patient anatomy, AI technology advances radiographers will share this second special addition of World improving reproducibility which will focus on what they do best, to act as an Radiography Day “Elevating Patient Care improve image quality. AI systems have interface between the patient and imaging with Artificial Intelligence: Radiographers helped achieve accurate measurement of and radiation therapy procedures and use are essential in elevating patient care with Left Ventricular Ejection Fraction (LVEF), their compassionate human touch to care artificial Intelligence”. The theme which was which has contributed to consistent and for the patient during those difficult times chosen to raise awareness, help educate accurate results. for patients which is essential for the and shape the perception of the vital role delivery of an efficient, effective and caring radiographers/ radiologic technologists play AI tools in radiation therapy have brought health care system. as part of the health care team in elevating about improved access to the patient’s patient care while using artificial Intelligence diagnostic imaging, creation of AI contours, during our work day. dose calculation for the scheduled plan as well as AI driven adapted treatment plan, Today, we see Artificial Intelligence (AI) evaluate, check plan and deliver. providing useful tools for the radiographer’s ISRRT has collaborated with ISRRT member daily practice to enhance workflow, including experts, ISRRT member societies and worklist designations, workflow distributions regional stakeholders to highlight some of and scheduling assistance relating to these AI technological advancements used reducing no shows, appointments and repeat when performing medical imaging and examination. Radiation Therapy procedures. Also available today is AI software that can ISRRT hopes that this educational material help to automate Quality control, lower will demonstrate and highlight how radiation dose, improve positioning and radiographers, as experts, use their critical improve sequencing in imaging. thinking and judgement when evaluating positioning and determining if adjustments AI is being used in specialties such as MRI, are needed for software settings when CT, Nuclear Medicine, Hybrid Imaging and incorporating these AI tools. Molecular Imaging such as PET CT and PET MRI to improve image acquisition and Additionally, ISRRT hopes this addition sequencing as well as enabling radiation captures the essential aspects dose reduction, reduction in imaging time that radiographers play in patient and enhancing postprocessing. communication, patient assessment, patient monitoring and most importantly Machine learning software has been the human touch during patient care during developed to help position patients in the a procedure. iso center when performing scanning which help ensure faster speed and precision while We hope you enjoy this publication and that ensuring use of optimal exposure control. you will find relevant resources, educational These tools can help lower dose and improve tips and ideas that will help radiographers / ISRRT SPECIAL EDITION ON WORLD RADIOGRAPHY DAY 2020 3 THEMATIC APPROACH – PRACTICING RADIOGRAPHER’S VIEW An insight into Danish radiography and the work with Artificial Intelligence (AI) By Claus Brix, Director of Professional Policy, Danish Council of Radiographers THE Danish Healthcare System is one of the improve our organizations and start working most developed in the world and with free towards identifying areas where AI can help hospital service to all citizens, we welcome us create the necessary time and prevent AI as the technology which can make the radiographers and other professionals in best use of resources for the benefit of the radiology departments get ill from stress patient, the diagnostics and treatment. related symptoms. Pica Anderson Danish Council of Radiographers has asked Chief Radiographer, two radiology departments in different So where and how can we start? We can for Kolding Hospital, part of Denmark to give their vision about instance start by identifying which time- Sygehus Lillebaelt, Denmark AI in the future of radiology with focus on consuming tasks we perform today and challenges and benefits. continue by identifying which of these tasks new technologies/AI can manage. Here are a few examples of tasks we spend Aspects of Artificial Intelligence (AI) time doing and instead we can use this time in radiography to create excellent patient care: Pica Andersen, • We spend time positioning the patients Chief Radiographer, correctly in CT scanners. If the scanners Kolding Hospital, can be built to identify the correct Sygehus Lillebaelt, Denmark iso-center for the patient, the correct Helle Precht, start and finish for the scout image and PhD, University of Southern Denmark/ corrections for any abnormalities, the Kolding Hospital, radiographers can concentrate on the Sygehus Lillebaelt, Denmark patient. Helle Precht PhD, • We spend time finding blood test results University of Southern Denmark/ New technologies are moving forward prior to patient examinations. If an AI Kolding Hospital, and we, Radiographers need to keep our system can identify which blood tests Sygehus Lillebaelt, Denmark focus on how these inventions can we need for a given examination, send increase patient care or help us increase a notification to the patient and the patient care. laboratory and place the results in the RIS system, the radiographer and the As we speak, the population of citizens booking personal can save time. above the age of 80 is growing and by 2057, • We spend time creating reconstructions estimated one in ten citizens in Denmark of CT scans. This should be an easy task will be 80 years + compared to today where for AI. 4.4 % of the population are above 80 years The radiologists and radiographers old. Currently the 4.4 % of 80 + years old’s spend time measuring vessels prior to use 10 % of the local GP’s capacity so this interventional radiology. If AI can measure means we need to prepare our healthcare vessels from the CT/MRI scans and identify system to embrace the increased demands the equipment we need for the operation, Jakob W. Poulsen the future holds. In radiology, this will this can free a lot of time. Chief Radiographer, result in more scans and increased Bispebjerg and Frederiksberg demand for interventional radiology, more Quality assurance is another area where AI Hospital, requests for mobile radiology such as can help us create a safer environment for Copenhagen, Denmark bedside ultrasound, X-rays performed in our profession and our patients: nursing homes and other time-consuming • Help guide to correct positioning when patient related tasks. With no increase in taking X-ray images. government funding, we must find ways to • Help guide for the exact correct amount 4 ISRRT SPECIAL EDITION ON WORLD RADIOGRAPHY DAY 2020 of mA, time and kV for each patient needed. But it will also help radiographers examination according to the potential The development and use of Artificial to be able to concentrate more efficient on diagnosis asked for in the referral, Intelligence (AI) is growing rapidly these the patient care itself, and thereby to focus meaning another image quality is years and it is, without any doubt, here to even more on the humanity part of our job. required for scoliosis than for chest stay. In the following, I will try to describe, In my point of view, AI will have the following examination or between a