This brief overview of the current state of clinician performed focused ultrasound (Emergency PoCUS) by emergency practitioners in Australia/New Zealand (ANZ) has touched on its history, scope of practice both mandated and context-dependent, complex embedding in clinical diagnostic reasoning and range of governance issues. It is the author's hope that an ongoing understanding and interplay between the three professional groups most closely involved in the use of ultrasound to improve patient care and health-care flow can continue to work closely together for the ultimate benefit of patients in multiple contexts in ANZ and beyond.

Renal sonography screening aids in clinical decision-making for patients with suspected renal colic. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with that of radiologists at Referral Hospital (RH) in Portugal. Renal sonography screening was able to detect abnormalities in urinary system in patients with suspected renal colic. Sonographic findings evidenced correlation between sonographer at the BES and radiologists at the RH in Portugal. These results suggest that renal sonography screening can be a valuable tool for clinicians to scrutinise renal colic suspicion and to identify appropriate treatment and referral options.

This analysis included quantification of intrafraction motion in pancreas stereotactic ablative radiotherapy treated on the MR-Linac, leading to the development of adjusted (PTV) margins. Intrafraction motion indicated an average target displacement of 1–3 mm, resulting in an adjusted PTV margin of 2 mm in the right–left and superior–inferior directions, and 3 mm in the anterior–posterior direction.

Occupational burnout is associated with negative feelings about the workplace and is often caused by a high workload and a non-supportive workplace. It is associated with absenteeism, high turnover of staff and decreased patient care. More than half of the New Zealand participants and three quarters of the Australian participants had moderate levels of burnout.

This study evaluates the effects of pre-examination video education on patient anxiety, satisfaction and image quality in Gd-EOB-DTPA-enhanced liver MRI. We found that video education significantly reduced anxiety, increased patient satisfaction and improved image quality compared to standard pre-MRI guidance, highlighting the potential of video interventions to optimise the MRI experience.

The aim of this study was to explore radiography students' knowledge, attitudes, and practice (KAP) relating to infection prevention and control (IPC) in the use of contrast media injectors in the computed tomography (CT) setting. Radiography students demonstrate varied comprehension of IPC regarding contrast media equipment within CT environment, and there is notable divergence between knowledge and actual practice. Collaborative efforts between academic institutions and clinical training sites are needed to integrate IPC protocols into the curriculum and on-site training.

The study explores the efficacy of Professional Supervision (PS) as an intervention for mitigating burnout among radiation therapists (RTs). Twelve participants engaged in monthly face-to-face sessions. Conducted at the Christchurch Radiation Oncology Centre, the pilot study utilised a QUALTRICS questionnaire assessing the Supervisor Working Alliance Inventory (SWAI) and qualitative data analysis. Findings indicate a positive alliance between supervisor and supervisee, with RTs expressing appreciation for the reflective space and support provided by PS, suggesting its potential to address workplace stressors and promote professional growth.

Introduction of an incident learning incident (ILS) was shown to have had a positive impact on reporting and safety culture within a local health district (LHD). Survey findings correlate with existing literature that ILSs are effective tools for improving patient safety and departmental safety facilitating quality improvement.

Patients with head and neck cancer received radiotherapy alternately with an open and a closed mask. The closed mask was perceived as more confining and restrictive, but it was also considered to make it easier to quickly achieve the correct position, while the open mask was perceived as less stable, although it reduced the feeling of claustrophobia for some participants. Most participants did not have a strong preference, and no difference between the masks could be detected using the HADS.

This study established that patient's lateral width measurements made from scanned projection radiograph (SPR) is an overestimate compared to those measured from tomographic slices by about 10%. Size-specific dose estimates (SSDE) calculated using lateral width measured from SPR correlates well with SSDE calculated using water equivalent diameter of the patient measured from tomographic slice. The 75th percentile of the volume CT Dose index, dose-length product and SSDE have been established as 12.9 mGy, 453 mGy.cm and 14.4 mGy, respectively, for high-resolution CT scan of the adult chest.

This study developed a two-stage model using radiomics-based multiparametric MRI and clinical indicators to help identify and grade clinically significant prostate cancer. The model showed promising levels of diagnostic accuracy and predictive performance. Importantly, the results were cautiously confirmed through both internal and external validation processes.

This review article reports that quantification of hypoxic volumes using PET in the pre-radiation therapy setting is of prognostic value and indicative of treatment response in non-small cell lung cancer.

Sonographic imaging is used to identify the presence, number and location of malignant lymph nodes. Axillary lymph nodes suspicious of harbouring breast cancer metastasis can be localised to three surgical axillary levels. This paper will unpack the axillary anatomy, muscular sonographic landmarks, surgical axillary lymph node levels and the sonographic technique to image and distinguish between benign and suspicious lymph nodes.

Improvements in computed tomography (CT) technology have increased its applications in medical imaging. Variations in the paediatric DRLs indicate that harmonisation and standardisation of paediatric CT protocols are essential for the optimisation of paediatric doses.

This paper has proposed a comprehensive curriculum framework that integrates computing technologies, digital image processing and artificial intelligence into medical imaging education, aiming to prepare future professionals to navigate and innovate within this dynamic landscape.

Molecular theranostics offers a powerful tool to drive precision medicine in nuclear oncology. While theranostics is not a new principle in nuclear medicine, recent advances in instrumentation and radiopharmacy have driven a reinvigoration and a broader suite of applications.

In 2020, our institution transitioned to the Eclipse™ treatment planning system and to Truebeam® linear accelerators with 6 MV and 10 MV energies. The linear accelerators were installed in smaller bunkers that could not accommodate 400 cm FAD. A multidisciplinary team within the institution was created to evaluate existing total body irradiation literature and ultimately decide on a modern technique for implementation given our departmental considerations.