Feasibility of Upskilling Non-Radiology Personnel in X-ray

NCT07713563 | Completed

• 1 other identifier: 2026P000184
• Study Type: interventional
• Target: 7
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this feasibility study is to learn if individuals without formal radiology training can safely acquire adequate x-ray images following a structured training and real-time remote guidance from a licensed radiologic technologist (RT). The main question it aims to answer is:

1. 1.Can trained non-radiology staff, with real-time remote supervision, obtain x-ray images that meet preset technical quality standards for each required view?
2. 2.Can these staff perform x-ray exams safely, as shown by low operator exposure, few image re-takes, and good adherence to radiation safety protocols?
3. 3.What is the mental and physical workload for the non-radiology staff and the remote RT during the imaging process, as measured by the NASA Raw Task Load Survey (RTLX) after each session?

Conditions

Healthy Volunteers

Keywords

X-ray imaging; Remote supervision; Non-radiology personnel; Image adequacy; Radiation safety; Operator workload; Upskiling; Training

Outcome Measures

Primary Outcomes (1)

• Proportion of x-ray images rated as "diagnostically accurate"

  Remote RT rates diagnostic adequacy of each image using a structured evaluation form

  Immediately following each x-ray image acquisition

Secondary Outcomes (3)

• Operator radiation exposure

  60 minutes from start of each imaging session

• X-ray operator reported workload

  Within 24 hours from imaging session

• X-ray operator qualitative interview

  Within one week of imaging session

Other Outcomes (4)

• Total number of retakes per imaging session

  Immediately following each imaging session

• Time to complete an imaging session

  60 minutes from start of each imaging session

• Compliance with imaging and safety procedures

  60 minutes from start of first image acquisition

Study Arms (1)

X-ray Operator

EXPERIMENTAL

Participants will complete a structured training, covering imaging technique, radiation safety procedures, and operation of the portable x-ray system. Following training, participants will perform a series of x-ray image acquisitions under real-time remote supervision by a licensed RT and complete a qualitative interview and workload assessment.

Other: X-ray Operator Training

Interventions

X-ray Operator Training OTHER

The structured training will cover core principles of radiography, positioning techniques, and how to use the ENDURO DR ES90 portable x-ray system. Additionally, participants will complete a self-paced radiation safety training course consisting of radiation safety protocols and operator safety principles.

X-ray Operator

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 18 or older
• Able to read, speak, and understand English sufficient to follow study instructions and complete evaluation
• Able to provide verbal consent
• Currently employed as a medical assistant in a clinical or outpatient setting or actively enrolled in an accredited medical assistant training program
• Willing to wear a personal dosimeter and comply with all radiation safety procedures
• Willing to participate in all trainings

You may not qualify if:

• Prior or current professional training, certification, or education in radiography (formal or informal)
• Prior experience performing x-rays
• a) including any prior hands-on testing experience with the ENDURO DR ES90 portable x-ray (prior observation or exposure to ENDURO DR is permitted)
• Pregnancy or possible pregnancy (self-report)
• Any condition or circumstance that would make participation unsafe

Sponsors & Collaborators

• Brigham and Women's Hospital: lead

Study Sites (1)

Mass General Brigham

Somerville, Massachusetts, 02145, United States

Location

Study Officials

• David Levine, MD, MPH, MA

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Director of Research & Development at Healthcare at Home at Mass General Brigham

Model Details: This is a prospective, single-arm, simulation-based study.

Study Record Dates

• First Submitted: July 6, 2026
• First Posted: July 20, 2026
• Study Start: May 17, 2026
• Primary Completion: June 4, 2026
• Study Completion: June 25, 2026
• Last Updated: July 20, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)