Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]

Objectives Abbreviated breast MRI (abMRI) is being introduced into breast screening practice worldwide. Increased provision of abMRI will require mammogram readers to learn abMRI-interpretation and the implementation of abMRI-reading into clinical practice. The present study explores the acceptabili...

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Main Authors: Rebecca Geach, Sam Harding, Lyn Jones
Format: Article
Language:English
Published: F1000 Research Ltd 2025-04-01
Series:NIHR Open Research
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Online Access:https://openresearch.nihr.ac.uk/articles/5-26/v2
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author Rebecca Geach
Sam Harding
Lyn Jones
author_facet Rebecca Geach
Sam Harding
Lyn Jones
author_sort Rebecca Geach
collection DOAJ
description Objectives Abbreviated breast MRI (abMRI) is being introduced into breast screening practice worldwide. Increased provision of abMRI will require mammogram readers to learn abMRI-interpretation and the implementation of abMRI-reading into clinical practice. The present study explores the acceptability of the implementation of developed reader training, and the barriers and facilitators to training programme participation and subsequently to reading the training programme assessment task of abMRI images in a work/NHS context familiar to the individual participants. Methods Fourteen NHS Breast Screening Programme mammogram readers, who were undertaking abMRI interpretation training, participated in semi-structured interviews. Template analysis using the a priori implementation framework, COM-B (Capability, Opportunity, Motivation, Behaviour) was undertaken. Results The training day was well received. Participants identified that their varying ranges of knowledge and experience (capability) was accounted for. Participation in the research was appreciated by all, but especially those new to reading MRI. Radiographers commented that learning to read and understand the abMRI images was motivational, and this helped drive implementation. It was noted that organisational leadership is needed to fully enable change in practice. COVID-19 was commented on in relation to its impact on image reading. Conclusions The project demonstrates that production of training for reading abMRI images and subsequent implementation of changes to practice needs to be carefully planned. Changes must be led by the needs of staff undertaking the tasks. When this is achieved the engagement in training is positive and the barriers are more readily removed or mitigated for both individuals and organisations. Critical relevance statement AbMRI is part of the solution to reducing waiting times for MRI within the NHS, however, training for reading abMRI images and implementation to practice needs to be carefully planned.
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spelling doaj-art-3aecff2a3f7b468dab79ea7cfed2ee1e2025-08-20T03:24:48ZengF1000 Research LtdNIHR Open Research2633-44022025-04-01510.3310/nihropenres.13817.215175Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]Rebecca Geach0Sam Harding1Lyn Jones2https://orcid.org/0000-0001-7439-7037North Bristol NHS Trust, Westbury on Trym, England, UKNorth Bristol NHS Trust, Westbury on Trym, England, UKNorth Bristol NHS Trust, Westbury on Trym, England, UKObjectives Abbreviated breast MRI (abMRI) is being introduced into breast screening practice worldwide. Increased provision of abMRI will require mammogram readers to learn abMRI-interpretation and the implementation of abMRI-reading into clinical practice. The present study explores the acceptability of the implementation of developed reader training, and the barriers and facilitators to training programme participation and subsequently to reading the training programme assessment task of abMRI images in a work/NHS context familiar to the individual participants. Methods Fourteen NHS Breast Screening Programme mammogram readers, who were undertaking abMRI interpretation training, participated in semi-structured interviews. Template analysis using the a priori implementation framework, COM-B (Capability, Opportunity, Motivation, Behaviour) was undertaken. Results The training day was well received. Participants identified that their varying ranges of knowledge and experience (capability) was accounted for. Participation in the research was appreciated by all, but especially those new to reading MRI. Radiographers commented that learning to read and understand the abMRI images was motivational, and this helped drive implementation. It was noted that organisational leadership is needed to fully enable change in practice. COVID-19 was commented on in relation to its impact on image reading. Conclusions The project demonstrates that production of training for reading abMRI images and subsequent implementation of changes to practice needs to be carefully planned. Changes must be led by the needs of staff undertaking the tasks. When this is achieved the engagement in training is positive and the barriers are more readily removed or mitigated for both individuals and organisations. Critical relevance statement AbMRI is part of the solution to reducing waiting times for MRI within the NHS, however, training for reading abMRI images and implementation to practice needs to be carefully planned.https://openresearch.nihr.ac.uk/articles/5-26/v2Breast screening FAST MRI Abbreviated breast MRI Qualitative COM-B Implementation.eng
spellingShingle Rebecca Geach
Sam Harding
Lyn Jones
Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]
NIHR Open Research
Breast screening
FAST MRI
Abbreviated breast MRI
Qualitative
COM-B
Implementation.
eng
title Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]
title_full Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]
title_fullStr Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]
title_full_unstemmed Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]
title_short Learning to read FAST MRI: Qualitative interviews with groups experienced reading mammograms [version 2; peer review: 2 approved]
title_sort learning to read fast mri qualitative interviews with groups experienced reading mammograms version 2 peer review 2 approved
topic Breast screening
FAST MRI
Abbreviated breast MRI
Qualitative
COM-B
Implementation.
eng
url https://openresearch.nihr.ac.uk/articles/5-26/v2
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AT samharding learningtoreadfastmriqualitativeinterviewswithgroupsexperiencedreadingmammogramsversion2peerreview2approved
AT lynjones learningtoreadfastmriqualitativeinterviewswithgroupsexperiencedreadingmammogramsversion2peerreview2approved