Doc menu

Appendix

Table 12: All topics reaching consensus (in order of priority)

Rank

Priority topic

Mean

% agreement

CV (%)

1

Proton beam radiotherapy, including outcomes, patient experience, techniques, cost effectiveness, delivery, training and late effects

4.68

100.0

10

2

Audit of survivorship and late effects after radiotherapy

4.65

98.1

11

3

Dose optimisation, in relation to image quality and methods for reduction for all modalities using ionising radiation

4.64

97.7

12

4

Adaptive radiotherapy, in relation to developing guidelines, improving treatment outcomes and reducing side effects

4.64

97.7

11

5

How to implement individualised patient-specific radiotherapy

4.60

92.0

14

6

Ensuring standard procedures are evidence-based

4.60

88.8

16

7

Management of acute and late side effects of radiotherapy

4.59

97.8

12

8

IGRT - development of gold standard imaging regimes and image matching techniques, and consideration of dose

4.59

97.7

12

9

Outcome measures for radiographer led procedures previously radiologist led

4.56

91.8

14

10

Impact of 24-7, extended day and 7 day week working

4.53

92.0

14

11

Can the routine screening of vasa praevia at the anomaly ultrasound scan improve pregnancy outcomes?

4.52

100.0

11

12

Data collection of patient outcomes for as wide an amount of treatment fractionation, doses and treatment sites as possible

4.48

89.6

15

13

Why are we still failing our babies? Persistent poor antenatal US detection rates of serious congenital heart anomalies

4.46

92.3

14

14

Identification of patients’ priorities from a radiotherapy service - what is important for them

4.46

92.1

14

15

Impact of advanced & consultant practitioners on patient care and service delivery

4.46

91.7

15

16

Impact of NHS spending restrictions on radiotherapy service delivery

4.46

89.5

15

17

Targeted radiotherapy based on functional imaging

4.44

95.3

13

18

Advanced practitioner roles and consultant radiographer roles - making a difference to the service provided to patients

4.43

92.7

15

19

Survivorship - radiographer led self-referral late effects clinics

4.43

90.7

15

20

Motion management - to improve treatment outcomes and minimise normal tissue toxicity

4.42

95.3

13

21

Future of the profession - is the current model fit for purpose?

4.42

86.6

18

22

Radiobiology, including effects of fractionation regimes and implications of low dose bath

4.41

95.5

13

23

Impact of co-morbidities on late effects of radiotherapy

4.40

95.7

13

24

Evaluating the education and workforce requirements to meet future service needs

4.39

87.1

18

25

The use of multi-modality imaging with radiotherapy planning and treatment

4.38

95.6

15

26

Patient partnerships in radiotherapy, in relation to improvement of physical, social, psychological and spiritual support

4.38

91.4

15

27

Develop the role of advanced and consultant practitioners into new areas

4.38

89.4

16

28

Addressing poor recruitment and retention of sonographers

4.36

90.2

16

29

Development of image interpretation competencies for therapeutic radiographers

4.35

93.8

14

30

Patient experience, in relation to improving quality of life, comfort, anxiety and quality of care

4.35

90.7

15

31

Technology advances, in relation to patient safety, value for money and accuracy

4.35

86.3

16

32

Raising awareness and up to date knowledge and understanding of radiotherapy among primary care and other health professionals - particularly GPs

4.34

90.6

16

33

Radiotherapy research - how can we promote a culture of research into an often fragmented infrastructure?

4.34

90.0

17

34

How can we reduce the number of imaging errors?

4.34

89.6

15

35

SABR, including benefits, imaging protocols, toxicity, accuracy and potential for use in further sites

4.33

95.2

13

36

How to improve the research culture in our profession

4.33

89.7

17

37

Breast cancer diagnosis and treatment

4.33

86.7

16

38

Breast tomosynthesis, use in the evaluation of difficult to visualise breast lesions in the symptomatic breast clinic

4.32

92.0

15

39

What will the imaging service demands be by 2020 and how will we meet them?

4.32

87.7

18

40

Impact of advanced & consultant level practice roles

4.32

87.5

17

41

Improving patient pathways

4.32

87.2

16

42

Exploiting the potential of tomosynthesis

4.32

85.7

17

43

Minimising rectal toxicity in pelvic radiotherapy

4.31

95.6

13

44

MDT care of patients during and after radiotherapy, to provide better outcomes

4.31

93.1

14

45

Radiographer target delineation

4.30

88.4

16

46

Decision making in radiography

4.30

86.7

18

47

Patient safety - increasing safety culture, reassuring patients, improve practice and patient outcomes

4.29

89.4

16

48

Efficacy of diagnostic pathways

4.28

86.8

17

49

Radiographer led assessment and discharge for minor injuries - evaluation of its effectiveness

4.28

84.6

17

50

Role development - scope of practice, clinical and cost effectiveness

4.27

90.4

15

51

The recruitment and retention of radiographers

4.27

88.2

17

52

Is tomosynthesis a viable alternative to CT - could we replace 4 or 5 projection scaphoid series with this, and so negate the need to treat patients who have negative imaging?

4.27

84.6

17

53

On-treatment imaging, which patients should we be imaging daily and when should we use cone beam CT and when MV

4.26

90.7

15

54

Effectiveness of radiographer communication skills in imaging and radiotherapy in the context of new roles and responsibilities

4.26

89.2

16

55

Patient involvement, to improve patient experience and guide practice

4.26

87.5

16

56

Work force/recruitment/attrition rates for radiotherapy students. How can we ensure more students are attracted to radiography (particularly therapy) and retained?

4.25

88.3

16

57

Cost and clinical effectiveness of radiographer led musculoskeletal services

4.25

87.5

16

58

Investigating the use of MR imaging for paediatric radiotherapy planning and treatment

4.24

92.7

14

59

How can radiographers maximise their potential as experts in imaging and become the experts with regards to adaptive radiotherapy techniques?

4.24

87.3

17

60

Comparison of breast MR and contrast enhanced tomosynthesis in the diagnosis of lobular carcinoma

4.24

84.0

17

61

Should there be a more standardised approach to both performing and reporting foetal doppler ultrasound?

4.24

84.0

17

62

Development of more individualised targeted radiotherapy in combination with other targeted therapies

4.24

83.3

17

63

Impact of independent prescribing by radiographers

4.24

82.6

17

64

Establishing the accuracy of radiographer reporting in clinical practice

4.23

87.7

19

65

Diagnostic reference levels need to be established for the full range of examinations for both paediatrics and adults

4.22

92.6

18

66

Patient bladder and bowel preparation for pelvic radiotherapy treatments

4.22

91.1

14

67

Extending the role of radiographers into triage and discharge in emergency departments

4.22

86.7

18

68

Service delivery models - optimum use of equipment and staff resources, and assessment of the patient experience

4.22

83.3

17

69

Implementation of hypofractionated radiotherapy regimens in some disease groups

4.21

90.5

14

70

Effective communication of radiography findings, e.g. MRI scans, ultrasound imaging and x-rays

4.21

87.3

19

71

Investigating the relationship between %tumour change as shown by Cone Beam CT Scans during radiotherapy with overall survival, recurrence rate

4.20

93.3

15

72

Breast tomosynthesis for screening moderate & high risk family history patients

4.20

88.0

15

73

Potential new diagnostic tests and diagnostic test accuracy

4.20

86.8

16

74

Health economics and radiographer reporting/advanced practice

4.20

85.9

18

75

Evaluation of the effectiveness of current and emerging imaging technologies

4.20

85.1

16

76

Radiographer reporting for breast MRI, both high risk screening and symptomatic cases - research to prove efficacy

4.20

81.7

17

77

Emerging technology and techniques, in relation to quality of life studies and long-term side effects

4.19

86.0

17

78

Dementia and the challenges within radiography

4.19

84.1

18

79

Radiographer (or practitioner)-led services/service transformation

4.19

83.0

17

80

Promoting patient and public involvement in radiotherapy services

4.18

92.2

16

81

Training and educational needs for advanced radiotherapy and imaging

4.18

86.4

16

82

Evaluating the impact of centralising paediatric radiotherapy into 2 centres (when proton centres open in 2018-19)

4.18

85.0

18

83

Identifying future skills set needs for radiographers, creating methods to obtain these and assessing effectiveness of education strategies

4.18

81.1

18

84

How do radiological procedures impact upon the management of the patient?

4.17

86.1

17

85

Radiographers attitude to research and perceptions of their role in contributing to the evidence base

4.17

84.4

18

86

Increase the radiotherapy clinical trials portfolio

4.17

79.6

22

87

Effectiveness of the extended role of the radiographer in diagnostic imaging and radiotherapy

4.16

86.2

16

88

Impact of in room MRI imaging on radiotherapy delivery

4.16

86.0

16

89

Improving the publicity around radiotherapy in an effective way

4.16

80.0

18

90

With the introduction of PET-CT, MR linacs and 4-dimensional computerised tomography do we need more diagnostic training in radiotherapy?

4.15

86.7

16

91

Long term review of impact of IMRT related to integral dose received during repeated cone beam CT imaging

4.14

86.0

21

92

Research radiographers - benefit to profession & NHS

4.14

84.0

19

93

Explore different schemes and initiatives to increase radiography research capacity in the UK

4.14

82.6

18

94

Technique improvements for verification using on-treatment imaging

4.12

90.5

13

95

MRI planning

4.12

88.4

14

96

Radiographer-led breast symptomatic clinics

4.12

82.5

17

97

Understanding patient perceptions of the clinical service provided by radiographers within the clinical imaging and radiotherapy services

4.12

81.6

19

98

Investigating extension of reporting roles to more areas of imaging and to more radiographers

4.11

84.6

17

99

Effectiveness of different techniques for example - very complicated breast treatments with cardiac shielding versus deep inspiration breath hold technique

4.11

84.4

20

100

The career of sonography - is a change in training required to address staff shortfall?

4.11

83.3

20

101

Advanced practice - to improve service and encourage leadership and decision making skills

4.11

82.3

18

102

Impact of digital radiography on radiographic technique and implications for patient dose

4.11

81.3

19

103

Effectiveness of imaging and radiotherapy techniques and procedures in patients with a range of diseases, e.g. cardiothoracic, neurological, gynaecological or urological disease

4.11

80.5

19

104

Imaging in the obese population

4.11

80.0

18

105

MR linacs - what is the training requirement for therapeutic radiographers?

4.11

77.8

19

106

Has there been a measurable benefit to patients from the increase in use of imaging (CT/PETCT/MRI/etc)?

4.10

82.2

20

107

Identify the need for more clinical research radiographer posts within the UK

4.10

82.0

17

108

Weight loss during RT for head and neck cancers - when to replan?

4.09

84.4

15

109

Barriers to chest x-ray reporting by radiographers

4.09

83.3

17

110

Managing physiological motion in patients

4.09

81.8

18

111

Education at all levels - how is it evolving to meet challenges of new technologies and techniques?

4.08

80.4

19

112

Image quality optimisation in CT

4.07

86.0

17

113

Deep inspiration breath hold reproducibility

4.07

84.4

15

114

Image quality optimisation in computed and digital radiography

4.07

83.1

18

115

Role extension in radiography - what are the key obstacles and solutions?

4.06

81.1

18

116

Referral patterns, unnecessary referrals and increases in referrals

4.06

75.0

22

117

Radiographer decision making - to ensure an autonomous workforce

4.05

83.1

21

118

Capturing and using patient experience across the age range and across all modalities

4.05

80.0

17

119

The patient voice and feedback - quality of care

4.05

76.0

19

120

Optimising breast radiotherapy imaging

4.04

80.9

18

121

Radiographer performed mammography image interpretation

4.04

80.0

21

122

Optimising diagnostics requesting and reducing the burden of waste

4.04

76.1

20

123

Radiographer research capability - why do we lag behind other professions?

4.03

78.9

20

124

Whole brain radiotherapy - quality of life v side effects relating to prognosis

4.02

86.4

16

125

What is the role of diet and exercise, and are survivorship courses effective?

4.02

83.0

17

126

Adapting radiotherapy based on transit dosimetry

4.02

81.0

22

127

Review of the 4-tier structure

4.02

77.3

23

128

Radiographer commenting system

4.02

76.7

22

129

Utilisation of technology available in practice, e.g. gating and cone beam CT

4.00

83.7

20

130

Molecular radiotherapy - to develop better patient-specific dosimetry and facilitate the patient pathway

4.00

80.0

16

131

Tomosynthesis in screening, particularly on mobiles

4.00

78.6

17

132

Evaluation of different staffing models and effective service delivery models

4.00

78.0

19

133

The move to 'commenting' (PCE) and the need to audit performance and set minimum standards

4.00

75.8

21

 

Content tools

Accessibility controls

Text size

AA A

Colour