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A Review of the Issues Associated with Imaging and Treating Patients with a Larger Body Habitus
Journal of Medical Imaging and Radiation Sciences ; 53(2 Supplement 1):S15-S16, 2022.
Article in English | EMBASE | ID: covidwho-2180793
ABSTRACT

Purpose:

Obesity is generally reported as having a significant impact on healthcare practice and systems, although there is also growing recognition that pervasive weight stigma can affect access to healthcare and/or cause negative health effects. Imaging and treating patients with a larger body habitus is one of the many practice considerations for medical radiation science professionals (MRSPs). There are known technical and patient care considerations including size and weight equipment limitations in medical imaging and radiation therapy departments as well as considerations of imaging dose and treatment reproducibility for patients of a larger size. Communication and patient care also needs to be tailored to this patient population. This scoping review sought to answer the question How has imaging and treating patients with a larger body habitus been defined, classified, and understood in the Medical Radiation Sciences literature? Methods A scoping study is typically carried out to examine the extent, range, and nature of research activity for a specific topic or question. For this study, a scoping review of English language peer-reviewed papers published from 2011 to 2021 was performed using the PRISMA framework. Four independent reviewers with content and methodological expertise selected papers with the initial inclusion criteria english language, human subjects, obese, bariatric, fat, medical imaging, medical radiation technology, radiation therapy and radiography. An iterative process was utilized that included searching the literature, refining the search strategy, and reviewing articles for study inclusion. Result(s) The initial search identified 8809 articles. The review was carried out with the literature review and screening software 'Covidience'. Of the articles included, preliminary qualitative content analysis revealed three major themes. The majority of papers looked at imaging and/or dose (e.g. radiation exposure, image quality, artifacts and treatment position considerations) as well as equipment and environment (e.g. table load limits, aperture sizes, immobilization devices and positioning). Fewer papers discussed patient care (e.g. communication, perception and attitudes, practitioner bias and the need for appropriate education). Many of the radiography and radiation therapy specific papers were reviews and commentaries rather than research studies and lacked robust evidence. Data analysis is ongoing with a projected completion time of April 2022. Result(s) A growing number of studies about patients with a larger body habitus have been published in the last few years with both practical and patient care implications. Preliminary qualitative content analysis revealed the major themes in the MRSP literature consist of equipment and technical considerations. In addition, it seems likely that further investigation from the patient care perspective would reveal practice insights to inform future research, practice and policy and improve care for this patient population. Copyright © 2022
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Medical Imaging and Radiation Sciences Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Medical Imaging and Radiation Sciences Year: 2022 Document Type: Article