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More than a comment: Radiographers' perspectives on image interpretation and image quality.

A Tonks1, J Hewis2, Y Jimenez1

  • 1Medical Image Optimisation and Perception Group, Discipline of Medical Imaging Science, Susan Wakil Health Building, Western Ave, Camperdown, NSW, 2050, Australia.

Radiography (London, England : 1995)
|February 6, 2026
PubMed
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Radiographer commenting on X-ray images enhances their understanding and delivery of radiographic quality. This practice improves technical decision-making and collaboration, ultimately benefiting patient care.

Area of Science:

  • Medical Imaging
  • Radiography
  • Healthcare Quality Improvement

Background:

  • Radiographic quality is crucial for accurate diagnosis, encompassing technical adequacy and diagnostic utility.
  • The link between radiographer involvement in image interpretation and improved X-ray quality has not been extensively studied.
  • This study explores radiographers' views on X-ray image quality after implementing radiographer commenting.

Purpose of the Study:

  • To investigate radiographers' perspectives on X-ray image quality.
  • To assess the impact of radiographer commenting on the understanding and delivery of radiographic quality.

Main Methods:

  • Qualitative study involving 13 radiographers with 2-18 years of experience.
  • Four online focus groups conducted via Zoom.
Keywords:
Diagnostic imagingImage interpretationRadiographyRadiology

Related Experiment Videos

  • Data analyzed using Braun & Clarke's Reflexive Thematic Analysis.

    • Main Results:

    • Image interpretation by radiographers improved their understanding and delivery of X-ray quality.
    • Key themes included increased reflection, enhanced performance expectations, deeper learning, improved technical decisions, and better collaboration.
    • Radiographer commenting was identified as a mechanism for improving radiographic quality.

    Conclusions:

    • Formal image interpretation practices, such as radiographer commenting, enhance radiographers' understanding and production of high-quality X-rays.
    • This leads to clinical and economic healthcare benefits.
    • Radiographer commenting is within scope for practitioners and can be widely used to improve clinical image quality.