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An exploration of factors involved in the roll out of a digital application in breast services: A case study approach. (2024)
Journal Article
Mercer, C., Hargreaves, S., Hill, C., Szczepura, K., & Turnbull, R. (2024). An exploration of factors involved in the roll out of a digital application in breast services: A case study approach. Radiography, 30(2), 666-672. https://doi.org/10.1016/j.radi.2024.02.002

Acceptance of new technologies in health care, by those who use them as part of their role, is challenging with confounding contextual factors surrounding the acceptance of technology. As healthcare is rapidly digitising, stakeholder groups should be... Read More about An exploration of factors involved in the roll out of a digital application in breast services: A case study approach..

Skin tears in mammography: A narrative review (2023)
Journal Article
Khan, A., Pradeep, S., Wynn, M., Szczepura, K., Mercer, C., & Stephens, M. (2023). Skin tears in mammography: A narrative review. Journal of Tissue Viability, 32(4), 577-584. https://doi.org/10.1016/j.jtv.2023.09.003

Skin tears are classed as traumatic wounds mainly caused by shearing and frictional forces. Incidences of skin tears are noted to be significant mostly in the elderly population and those with fragile and vulnerable skin. Individuals undergoing mammo... Read More about Skin tears in mammography: A narrative review.

The role of the advanced clinical practitioner in breast diagnosis: a systematic review of the literature (2021)
Journal Article
Spacey, A., Hipperson, V., Gloster, A., & Mercer, C. (2021). The role of the advanced clinical practitioner in breast diagnosis: a systematic review of the literature. Radiography, 27(2), 654-662. https://doi.org/10.1016/j.radi.2020.08.005

Introduction Increasing prevalence in breast cancers, workforce shortages and technological advancements have increased the need to further develop advanced practice in breast diagnosis. The Advanced Clinical Practitioner training programme has been... Read More about The role of the advanced clinical practitioner in breast diagnosis: a systematic review of the literature.

The role of the advanced clinical practitioner in breast diagnosis : a systematic review of the literature (2020)
Journal Article
Spacey, A., Hipperson, V., Gloster, A., & Mercer, C. (2021). The role of the advanced clinical practitioner in breast diagnosis : a systematic review of the literature. Radiography, 27(2), 654-662. https://doi.org/10.1016/j.radi.2020.08.005

Increasing prevalence in breast cancers, workforce shortages and technological advancements have increased the need to further develop advanced practice in breast diagnosis. The Advanced Clinical Practitioner training programme has been introduced to... Read More about The role of the advanced clinical practitioner in breast diagnosis : a systematic review of the literature.

A comparative study of pain experienced during successive mammography examinations in patients with a family history of breast cancer and those who have had breast cancer surgery (2020)
Journal Article
Nelson, D., England, A., Cheptoo, M., & Mercer, C. (2020). A comparative study of pain experienced during successive mammography examinations in patients with a family history of breast cancer and those who have had breast cancer surgery. Radiography, 26(1), 76-81. https://doi.org/10.1016/j.radi.2019.08.007

Introduction To measure mammography-related pain in two groups of women undergoing regular surveillance as a baseline for future care. Methods Following ethical approval, two hundred and forty two women aged 32–84 years (mean 54), were invited b... Read More about A comparative study of pain experienced during successive mammography examinations in patients with a family history of breast cancer and those who have had breast cancer surgery.

A comparative study of pain experienced during successive mammography examinations in patients with a family history of breast cancer and those who have had breast cancer surgery (2019)
Journal Article
cancer and those who have had breast cancer surgery. Radiography, 26(1), 76-81. https://doi.org/10.1016/j.radi.2019.08.007

INTRODUCTION: To measure mammography-related pain in two groups of women undergoing regular surveillance as a baseline for future care. METHODS: Following ethical approval, two hundred women aged 32 to 84 years (mean 54), were invited by written inv... Read More about A comparative study of pain experienced during successive mammography examinations in patients with a family history of breast cancer and those who have had breast cancer surgery.

Learning to look: evaluating the student experience of an interactive image appraisal activity (2019)
Journal Article
Ashworth, J., Thompson, J., & Mercer, C. (2019). Learning to look: evaluating the student experience of an interactive image appraisal activity. Radiography, 25(4), 314-319. https://doi.org/10.1016/j.radi.2019.02.011

Introduction Student radiographers have expressed difficulty in performing image appraisal tasks. The purpose of this study was to investigate the value of a workshop delivered to level 4 undergraduate students. All students completed an image appra... Read More about Learning to look: evaluating the student experience of an interactive image appraisal activity.

Impact of contralateral breast shielding on the risk of developing radiation-induced cancer from full-field digital mammography screening (2019)
Journal Article
Ali, R., England, A., Mercer, C., Tootell, A., & Hogg, P. (2019). Impact of contralateral breast shielding on the risk of developing radiation-induced cancer from full-field digital mammography screening. Journal of Medical Imaging and Radiation Sciences, 50(2), 331-336. https://doi.org/10.1016/j.jmir.2019.02.005

Objective The objective of this study was to investigate the impact of contralateral breast shielding on the risk of developing radiation-induced cancer from four-view full-field digital mammography (FFDM) screening. Methods A poly methyl meth... Read More about Impact of contralateral breast shielding on the risk of developing radiation-induced cancer from full-field digital mammography screening.

Learning to look : evaluating the student experience of an interactive image appraisal activity (2019)
Journal Article
Ashworth, J., Thompson, J., & Mercer, C. (2019). Learning to look : evaluating the student experience of an interactive image appraisal activity. Radiography, 25(4), 314-319. https://doi.org/10.1016/j.radi.2019.02.011

Introduction: Student radiographers have expressed difficulty in performing image appraisal tasks. The purpose of this study was to investigate the value of a workshop delivered to level 4 undergraduate students. All students completed an image appra... Read More about Learning to look : evaluating the student experience of an interactive image appraisal activity.

Calculating individual lifetime effective risk from initial mean glandular dose arising from the first screening mammogram (2018)
Journal Article
Ali, R., England, A., Mercer, C., & Hogg, P. (2018). Calculating individual lifetime effective risk from initial mean glandular dose arising from the first screening mammogram. Journal of Medical Imaging and Radiation Sciences, 49(4), 406-413. https://doi.org/10.1016/j.jmir.2018.06.005

Objectives: To use the initial mean glandular dose (MGD) arising from the first screening mammogram to estimate the individual total screening lifetime effective risk. Methods: Organ doses from FFDM screening exposures (craniocaudal and mediolatera... Read More about Calculating individual lifetime effective risk from initial mean glandular dose arising from the first screening mammogram.

Mathematical modelling of radiation-induced cancer risk from breast screening by mammography (2017)
Journal Article
Ali, R., England, A., Mercer, C., Tootell, A., Walton, L., Schaake, W., & Hogg, P. (2017). Mathematical modelling of radiation-induced cancer risk from breast screening by mammography. European Journal of Radiology, 96, 98-103. https://doi.org/10.1016/j.ejrad.2017.10.003

Objectives: Establish a method to determine and convey lifetime radiation risk from FFDM screening. Methods: Radiation risk from screening mammography was quantified using effective risk (number of radiation-induced cancer cases/million). For effec... Read More about Mathematical modelling of radiation-induced cancer risk from breast screening by mammography.

The impact of simulated motion blur on lesion detection performance in full field digital mammography (2017)
Journal Article
Abdullah, A., Thompson, J., Kelly, J., Mercer, C., Aspin, R., & Hogg, P. (2017). The impact of simulated motion blur on lesion detection performance in full field digital mammography. British Journal of Radiology, 90(1075), https://doi.org/10.1259/bjr.20160871

Objective: Motion blur is a known phenomenon in full-field digital mammography, but the impact on lesion detection is unknown. This is the first study to investigate detection performance with varying magnitudes of simulated motion blur. Method: S... Read More about The impact of simulated motion blur on lesion detection performance in full field digital mammography.

An exploration of mammographers’ attitudes towards the use of social media for providing breast screening information to clients (2017)
Journal Article
Scragg, B., Shaikh, S., Shires, G., Stein Hodgins, J., Mercer, C., Robinson, L., & Wray, J. (2017). An exploration of mammographers’ attitudes towards the use of social media for providing breast screening information to clients. Radiography, 23(3), 249-255. https://doi.org/10.1016/j.radi.2017.04.004

Background: Increasingly patients and clients of health services are using social media to locate information about medical procedures and outcomes. There is increasing pressure for health professionals to engage in on-line spaces to provide clear a... Read More about An exploration of mammographers’ attitudes towards the use of social media for providing breast screening information to clients.

Mixed messages : an evaluation of NHS trust social media policies in the north west of England (2017)
Journal Article
Scragg, B., Shaikh, S., Robinson, L., & Mercer, C. (2017). Mixed messages : an evaluation of NHS trust social media policies in the north west of England. Radiography, 23(3), 235-241. https://doi.org/10.1016/j.radi.2017.03.018

Introduction: Despite National Health Service (NHS) information strategy promoting the use of Social Media (SoMe) to encourage greater engagement between service users and providers, a team investigating online SoMe interaction between breast screeni... Read More about Mixed messages : an evaluation of NHS trust social media policies in the north west of England.

Analysis of motion during the breast clamping phase of mammography (2016)
Journal Article
Ma, W., McEntee, M., Kelly, J., Millington, S., Mercer, C., & Hogg, P. (2016). Analysis of motion during the breast clamping phase of mammography. British Journal of Radiology, 89(1059), 20150715. https://doi.org/10.1259/bjr.20150715

Objectives: To measure paddle motion during the clamping phase of a breast phantom for a range of machine/paddle combinations. Methods: A deformable breast phantom was used to simulate a female breast. Twelve mammography machines from three manufa... Read More about Analysis of motion during the breast clamping phase of mammography.

Does elevating image receptor increase breast receptor footprint and improve pressure balance? (2015)
Journal Article
Smith, H., Szczepura, K., Mercer, C., Maxwell, A., & Hogg, P. (2015). Does elevating image receptor increase breast receptor footprint and improve pressure balance?. Radiography, 21(4), 359-363. https://doi.org/10.1016/j.radi.2015.02.001

There is no consensus in the literature regarding the image receptor (IR) position for the cradio-caudal projection in mammography. Some literature indicates the IR should be positioned to the infra mammary fold (IMF); other literature suggests the... Read More about Does elevating image receptor increase breast receptor footprint and improve pressure balance?.

A 6 year study of mammographic compression force : practitioner variability within and between screening sites (2014)
Journal Article
Mercer, C., Szczepura, K., Kelly, J., Millington, S., Denton, D., Borgen, R., …Hogg, P. (2015). A 6 year study of mammographic compression force : practitioner variability within and between screening sites. Radiography, 21(1), 68-73. https://doi.org/10.1016/j.radi.2014.07.004

Background The application of compression force in mammography is more heavily influenced by the practitioner rather than the client. This can affect client experience, radiation dose and image quality. This research investigates practitioner comp... Read More about A 6 year study of mammographic compression force : practitioner variability within and between screening sites.

A mammography image set for research purposes using BI-RADS density classification (2014)
Journal Article
Mercer, C., Hogg, P., Kelly, J., Borgan, R., Millington, S., Hilton, B., …Wheelan, P. (2014). A mammography image set for research purposes using BI-RADS density classification. Radiologic technology, 85(6), 609-613

Purpose Breast density categorization consistency is important when performing research, and minimization of interoperator and intraoperator variability is essential. This research aimed to validate a set of mammography images for visual breast den... Read More about A mammography image set for research purposes using BI-RADS density classification.