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EM 4 - EFRS meets Denmark
Professional Issues Radiographers Evidence-Based Imaging Education
Friday, March 1, 14:00 - 15:30
Room: C
Type of session: EFRS meets Denmark
Topic: Professional Issues, Radiographers, Evidence-Based Imaging, Education
Moderators: J. McNulty (Dublin/IE), H. Precht (Odense/DK)

Session introduction
J. McNulty; Dublin/IE

Introduced for the first time for ECR 2013, the ‘EFRS meets’ sessions follow the tradition of the ‘ESR meets’ sessions and give the European Federation of Radiographer Societies (EFRS) the opportunity to highlight the contribution of one of their member societies to the profession of radiography each year. Having met with Spain in the first of these sessions in 2013, the EFRS has gone on to meet with societies and radiographers from Russia, Germany, Sweden, Belgium, Portugal, and Switzerland. The Danish Society of Radiographers, Radiograf Rådet, is a founding member of the EFRS and have been an active member of the EFRS throughout our ten-year history. University College Lillebelt is currently the only Danish educational institution within the Educational Wing of the EFRS and joined in 2009. The Danish Society of Radiographers is extremely active in promoting our profession, advancing education and training opportunities, encouraging radiographers to undertake research at the highest level, and in lobbying for their radiographers. Danish radiographers are currently involved in the EFRS leadership and across a number of our active working groups.

Introduction: Across Denmark
C. Graungaard Falkvard; Copenhagen/DK
Learning Objectives

1. To introduce the EFRS meets session and the involvement of Denmark in the EFRS.
2. To introduce the country of Denmark, Danish life and culture and the Danish radiography profession.


You will be presented to Denmark as a country with a focus on the good Danish life, Danish culture and the Danish radiography profession. The presentation will also have a focus on the possibilities and struggles in the profession and how to work politically for the profession in Denmark.

Machine learning: a new aspect of radiography
L. M. Pehrson; Copenhagen/DK
Learning Objectives

1. To recognise Machine learning as a tool for medical image analysis.
2. To learn about the opportunities within machine learning, the challenges and new directions in clinical practice.
3. To acknowledge the potential impact for the patient, radiographer and radiologist.


Machine learning (ML) and deep learning (DL) are becoming established disciplines in the broad field of applying artificial intelligence in analysing and utilising patterns in data sets. As the complexity - as well as the sheer amount of - data increases, applying these patterns to the benefit of, e.g. clinical decision making, becomes increasingly nontrivial. Extraordinary advancements in areas of technology such as high-performance computing have made it possible to attempt solving these problems algorithmically. The purpose of various ML and DL algorithms may be to improve quality, consistency and/or capacity of data interpretation in diagnostics, thus improving diagnostics and treatment decisions to the benefit of clinical outcomes. Considering the implications this may have for the practice of medicine / healthcare. It is important to engage in this area of research from many perspectives. ML is already being applied to the practice of radiology, and the systems being developed today are showing to be robust to real-world conditions. In this discussion, the general concept of AI methods, together with an overview of early results in the field of medical imaging will be introduced. Furthermore, aspects of implementation and its impact will be discussed.

Improvements in healthcare
P. Blackburn Andersen; Kolding/DK
Learning Objectives

1. To understand the need for improvement in Danish healthcare (and perhaps European healthcare).
2. To appreciate how radiographers can contribute beyond the radiology department.
3. To acknowledge the need for patient and staff involvement to create improvements.


The number of patients in Danish hospitals increased by 50.000 during the years 2015-2017 while the number of hospital staff increased by 4 in the same period. Furthermore, today´s patients expect a higher level of individualised treatment and care whilst most hospitals struggle with hospital infections, stressed staff and medical mistakes. As we see how time-consuming and expensive medical mistakes are we also recognise improvements that need to happen to increase patient safety, satisfaction and quality of hospital care. Patient involvement and shared decision making have been shown to increase patient satisfaction and safety whilst decreasing medical mistakes. Consequently, patient involvement is fundamental to a continuous and successful improvement process. As radiographers, we encounter a large number of hospitalised patients every day. Naturally, we also see inefficiencies of the hospitalised patients journey to the radiology department. At times we even recognise actual errors made prior to the patient’s arrival at Department of Radiology, and this is where radiographers have two choices - do we ignore these errors and inefficiencies because they do not occur in our department, or do we think “patient first” and address the problem to the involved departments? Could we perhaps take it a step further and think “how can we contribute”? By presenting some improvement cases from Kolding hospital, we will see how resourceful and valuable radiographers are to patient safety and satisfaction when improvements are created systematically, vertically and in collaboration with other staff and patients.

Technologically mediated patient and radiographer experience
S. Holm; Faaborg/DK
Learning Objectives

1. To understand what is meant by technological mediation.
2. To learn about embodied perception.
3. To explore how technologies mediate experience in radiographic practice.


The Danish healthcare system has a great focus on patient-centred care in all elements of a patient trajectory. In diagnostic imaging settings, previous qualitative research into patient’s experienced care generally investigates verbal and non-verbal communication in the relation between the patients and professionals. The effects that imaging technologies have on these experiences and relations are nonetheless seldom investigated. Yet technological devices and systems play a significant role in shaping human experience, communication and relations in these settings and needs to be addressed. To explore how technologies mediate experience in diagnostic imaging practice, I turn to a particular philosophy of technology, as a theoretical and analytical framework, for studying human and technology relations. Applying concepts developed within this position provides theoretical and methodological means to explore embodied and perceptual lived experience. In particular, postphenomenology reflects on how technological mediation transforms our perceptual experience of our world. This talk suggests that by applying this approach in the unfolding of the specific human dimension of Radiography, we are able to identify important issues that can help professionals to perform improved patient-centred care.

MR safety
A. D. Blankholm; Aarhus/DK
Learning Objectives

1. To understand the challenges of MR safety.
2. To appreciate MR safety from the Danish radiographer's perspective.
3. To become familiar with recommendations for MR safety education.


MR safety is a hot topic amongst MR professionals. Incidents related to MR are rare but can be dangerous. MR safety is related to the three types of fields: main magnetic field, gradient field and the radio frequency (RF) field. The main magnetic field accounts for the projectile effect, torque/rotation and translational forces. The gradient field accounts for the noise and peripheral nerve stimulation. The RF-field accounts for heating. Most MR incidents can be avoided. The key to avoiding MR related incidents is correct planning of the site, awareness about MR safety and MR safety education of internal and external staff. The fact that no databases containing information about the type of implants patients have exists. Often such information in the patient record is inadequate, and the information from the manufacturer is not standardised and can be inadequate. Furthermore, control forms with missing or wrong information is a challenge. A search in a national database reflected few reported incidents but that incidents and near-incidents are happening. A national questionnaire amongst MR operators reflected that more than half of the respondents had been involved in an MR related incident, that was reported to the national database, but one forth had been involved an MR related incident that was not reported. Sixty-one per cent of the respondents indicated that guests in the MR environment are a safety risk. Recommendations for MR safety education of MR safety -officers, -experts and -directors have been published and supported by several organisations and authorities.

Panel discussion
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