Abstract：
BACKGROUND: Policymakers wish to extend access to medical records, including medical imaging. Appreciating how patients might review radiographs could be key to establishing future training needs for healthcare professionals and how image sharing could be integrated into practice.
METHODS: A pilot study in the UK using a survey was distributed to adult participants via the online research platform Prolific. All subjects were without prior professional healthcare experience. Participants reviewed ten radiographs (single projection only) and were asked a two-stage question. Firstly, if the radiograph was \'normal\' or \'abnormal\' and secondly, if they had answered \'abnormal\', to identify the abnormality from a pre-determined list featuring generic terms for pathologies.
RESULTS: Fifty participants completed the survey. A mean of 65.8 % of participants were able to correctly identify if radiographs were normal or abnormal. Results in relation to the identification of a pathology were not as positive, but still notable with a mean of 46.4 % correctly identifying abnormalities. Qualitative data demonstrated that members of the public are enthralled with reviewing radiographs and intrigued to understand their performance in identifying abnormalities.
CONCLUSIONS: In the pilot, members of the public could identify if a radiograph is normal or abnormal to a reasonable standard. Further detailed interpretation of images requires supportive intervention. This pilot study suggests that patients can participate in image sharing as part of their care. Image sharing may be beneficial to the therapeutic relationship, aiding patient understanding and enhancing consultations between healthcare professional and patient. Further research is indicated.
METHODS: A pilot study in the UK using a survey was distributed to adult participants via the online research platform Prolific. All subjects were without prior professional healthcare experience. Participants reviewed ten radiographs (single projection only) and were asked a two-stage question. Firstly, if the radiograph was \'normal\' or \'abnormal\' and secondly, if they had answered \'abnormal\', to identify the abnormality from a pre-determined list featuring generic terms for pathologies.
RESULTS: Fifty participants completed the survey. A mean of 65.8 % of participants were able to correctly identify if radiographs were normal or abnormal. Results in relation to the identification of a pathology were not as positive, but still notable with a mean of 46.4 % correctly identifying abnormalities. Qualitative data demonstrated that members of the public are enthralled with reviewing radiographs and intrigued to understand their performance in identifying abnormalities.
CONCLUSIONS: In the pilot, members of the public could identify if a radiograph is normal or abnormal to a reasonable standard. Further detailed interpretation of images requires supportive intervention. This pilot study suggests that patients can participate in image sharing as part of their care. Image sharing may be beneficial to the therapeutic relationship, aiding patient understanding and enhancing consultations between healthcare professional and patient. Further research is indicated.
摘要：
背景：政策制定者希望扩大对医疗记录的访问范围，包括医学成像。了解患者如何查看X射线照片可能是确定医疗保健专业人员未来培训需求以及如何将图像共享融入实践的关键。
方法：在英国使用调查的一项初步研究通过在线研究平台Prolific分发给成年参与者。所有受试者都没有先前的专业医疗保健经验。参与者查看了十张射线照片（仅单个投影），并被问到两个阶段的问题。首先,如果射线照片是“正常”或“异常”，其次，如果他们回答“异常”，从具有病理学通用术语的预定列表中识别异常。
结果：50名参与者完成了调查。平均65.8％的参与者能够正确识别X射线照片是否正常或异常。与病理鉴定相关的结果并不积极，但仍然值得注意的是，平均有46.4%的人正确识别异常。定性数据表明，公众对查看X射线照片着迷，并对了解他们在识别异常方面的表现感兴趣。
结论：在试点中，公众可以确定X光片是否正常或异常，达到合理的标准。图像的进一步详细解释需要支持性干预。这项初步研究表明，患者可以参与图像共享作为他们护理的一部分。图像共享可能有利于治疗关系，帮助患者理解并加强医疗保健专业人员和患者之间的咨询。指出了进一步的研究。
方法：在英国使用调查的一项初步研究通过在线研究平台Prolific分发给成年参与者。所有受试者都没有先前的专业医疗保健经验。参与者查看了十张射线照片（仅单个投影），并被问到两个阶段的问题。首先,如果射线照片是“正常”或“异常”，其次，如果他们回答“异常”，从具有病理学通用术语的预定列表中识别异常。
结果：50名参与者完成了调查。平均65.8％的参与者能够正确识别X射线照片是否正常或异常。与病理鉴定相关的结果并不积极，但仍然值得注意的是，平均有46.4%的人正确识别异常。定性数据表明，公众对查看X射线照片着迷，并对了解他们在识别异常方面的表现感兴趣。
结论：在试点中，公众可以确定X光片是否正常或异常，达到合理的标准。图像的进一步详细解释需要支持性干预。这项初步研究表明，患者可以参与图像共享作为他们护理的一部分。图像共享可能有利于治疗关系，帮助患者理解并加强医疗保健专业人员和患者之间的咨询。指出了进一步的研究。
