32 Medical Imaging and Radiotherapy Journal (MIRTJ) 41 (Suppl. 1) Medical Imaging and Radiotherapy Journal (MIRTJ) 41 (Suppl. 1) VLOGA RADIOLOŠKEGA INŽENIRJA V PRESEJALNEM PROGRAMU DORA IN PRI DIAGNOSTIČNI MAMOGRAFIJI ROLE OF THE RADIOGRAPHER IN THE DORA SCREENING PROGRAM AND IN THE DIAGNOSTIC MAMMOGRAPHY SETTING Lea Petejan, Barbara Šaver Krkoč Splošna bolnišnica »dr. Franca Derganca« Nova Gorica / General hospital »dr. Franca Derganca« Nova Gorica Korespondenca / Corresponding author: saver.barbara@gmail.com Prejeto/Recived: 14. 1. 2024 Sprejeto/Accepted: 19. 3. 2024 IZVLEČEK Uvod in namen: Na radiološkem oddelku izvajamo dve vrsti mamografi j, presejalne in diagnostične, ki se med seboj razlikujejo. Namen prispevka je predstaviti delo radiološkega inženirja pri izvajanju presejalnih mamografi j v okviru programa DORA in diagnostičnih mamografi j v okviru ambulante za bolezni dojk. Metode: Primerjali smo način dela radiološkega inženirja v programu DORA in pri diagnostični mamografi ji. Primerjavo smo naredili glede na zahtevano izobraževanje za inženirje, delovni čas, sestavo kolektiva, standarde pozicioniranja, anamnezo z žensko, shranjevanje slik, način vabljenja, slikanje prsnih vsadkov ter nadzor kakovosti dela inženirja in mamografa. Rezultati in razprava: V programu DORA obravnavamo na videz zdrave ženske brez znakov bolezni dojk, na diagnostično mamografi jo pa pridejo ženske z znaki in simptomi. Kakovost dela radiološkega inženirja v programu DORA se ocenjuje redno na letni ravni, v diagnostiki pa se kakovost dela ne ocenjuje. Zahteva se najmanj 75 % odličnih mamografskih slik. Izobraževanje za delo v programu DORA poteka tri dni za teoretični del in dva tedna za praktični del – pozicioniranje. Dodatnega izobraževanja v diagnostični mamografi ji ni. Ženska je v program DORA aktivno vabljena z osebnim vabilom tri tedne pred datumom mamografi je vsake dve leti od 50. do 69. leta. Pri diagnostični mamografi ji pa ženska najprej pridobi napotnico iz ambulante za bolezni dojk ali od splošnega zdravnika in se potem sama naroči. Prihajajo ženske vseh starosti in tudi moški. Zaključek: Pogoj za delo v programu DORA je opravljeno dodatno izobraževanje inženirja, medtem ko v diagnostični mamografi ji inženir lahko začne delati po opravljenem pripravništvu. V programu DORA poteka redno letno ocenjevanje kakovosti dela inženirjev. Potek dela v programu DORA je nadzorovan na vsakem koraku presejanja, saj je za uspeh programa ključna udeležba žensk, ki pričakujejo kakovostno obravnavo. Ključne besede: Presejalna mamografi ja, DORA, ocenjevanje, izobraževanje, diagnostična mamografi ja, radiološki inženir ABSTRACT Introduction and purpose: The radiology department performs two types of mammograms: screening and diagnostic. The purpose of this paper is to present the work of a radiographer in performing screening (in the DORA programme) and diagnostic mammography (in the centre for breast diseases). Methods: We compared a radiographer's work in the DORA program and in diagnostic mammography, in terms of the required education for radiographers, working hours, the composition of the team, positioning standards, women’s medical history, the archiving of images, inviting, the imaging of breast implants and control over the quality of a radiographer's work and mammographs. Results: In the screening, asymptomatic women were assessed, while women with breast disease symptoms were assessed using diagnostics. The quality of the radiographer's work in the DORA programme is assessed annually, while the quality of work is not assessed in diagnostics. At least 75% of excellent mammograms are required. Training in DORA takes three days for theory and two weeks for practice– positioning. Additional training for performing diagnostic mammography is not required. Woman are invited to the screening programme via a personal invitation letter, three weeks before the term, every two years from 50 – 69 years of age. For diagnostic mammography, however, a woman fi rst obtains a referral from a breast clinic or a general practitioner, and then makes an appointment herself. Patients are women of all ages, as well as men. Discussion and conclusion: Additional training is required to work in the DORA programme, but not in diagnostic mammography. DORA assesses the work of radiographers annually. The DORA programme is monitored at every step of screening, as the participation of women who expect high quality treatment is key to the success of the programme. Keywords: Screening mammography, DORA, assessment, education, diagnostic mammography, radiographer Medical Imaging and Radiotherapy Journal (MIRTJ) 41 (Suppl. 1) 33 Medical Imaging and Radiotherapy Journal (MIRTJ) 41 (Suppl. 1) LITERATURA / REFERENCES Splošna bolnišnica »Dr. Franca Derganca« Nova Gorica – radiološki oddelek Onkološki Inštitut Ljubljana - Državni presejalni program za raka dojk DORA, https://dora.onko-i.si/