Side marker creep: have radiographers changed their side marker habits?

Area of Science:

• Radiological Sciences
• Medical Imaging Technology

Background:

• The transition from film-screen radiography to digital radiography (DR) has revolutionized medical imaging.
• Side markers are crucial for indicating patient laterality (left or right) on radiographic images.

Discussion:

• This editorial investigates whether the implementation of digital radiography has altered the established practices and necessity of using side markers.
• It explores the potential impact of digital workflows, Picture Archiving and Communication Systems (PACS), and electronic health records (EHRs) on marker usage.
• The discussion considers the persistent challenges and benefits associated with side marker identification in the digital era.

Key Insights:

• Despite advancements in digital radiography, the fundamental role of side markers in ensuring accurate image orientation and preventing misdiagnosis remains critical.
• The introduction of digital radiography has not diminished the importance of correct side marker placement; rather, it highlights the need for continued vigilance and standardized protocols.
• Accurate lateral patient identification is essential for correct clinical assessment and treatment planning, regardless of the imaging modality.

Outlook:

• Future research should focus on developing automated or semi-automated methods for side marker verification within digital imaging systems.
• Continued education and training for radiographers and radiologists are essential to maintain high standards of practice regarding side marker use.
• Standardization of digital marker protocols across institutions will further enhance image integrity and patient safety in diagnostic imaging.