{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:55:39Z","timestamp":1789754139795,"version":"4.0.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Jpn J Radiol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>As one of the key pillars of work style reform for physicians, task shifting and sharing from radiologists to radiological technologists has been considered. In May 2021, the Radiological Technologists Act was amended, allowing for the expansion of several duties. Alongside these legal and regulatory changes, a notice from Ministry of Health, Labour and Welfare was issued, highlighting tasks to be particularly promoted under the current system prior to the amendment of the Radiological Technologists Act. These amendments authorize radiological technologists to perform advanced and specialized tasks, such as securing venous access for contrast agent administration, which require significantly higher skill levels than their traditional roles. However, the amended legislation did not include specific guidelines, rules, or considerations for the practical implementation of these new duties in daily medical practice, especially from the perspectives of patient safety and quality of care. To address this, the Japan Radiological Society, the Japanese College of Radiology, and the Japan Association of Radiological Technologists collaborated with other related societies to develop guidelines on five key topics:-Guidelines for Safe Conduct of CT\/MRI Contrast-Enhanced Examinations: Considering the expanded scope of practice for radiological technologists. -Guidelines for Safe Conduct of Nuclear Medicine Examinations: Aligned with the expanded responsibilities of radiological technologists. -Guidelines for Clinical application of Image-Guided Radiation Therapy (IGRT). -Guidelines for Safe Conduct of Angiography and Interventional Radiology (IR): Adapted for the expanded roles of radiological technologists. -Guidelines for Reporting Findings of STAT Imaging: Addressing urgent conditions with potential impact on life prognosis.<\/jats:p>","DOI":"10.1007\/s11604-025-01774-w","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T06:12:36Z","timestamp":1746425556000},"page":"1261-1268","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Overview of task shifting guidelines in Japan: from radiologists to radiological technologists"],"prefix":"10.1007","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5131-2870","authenticated-orcid":false,"given":"Aki","family":"Kido","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuko","family":"Ohno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichiro","family":"Yamakado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Hiraki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Mizowaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Aida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Oyama-Manabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Kodama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuhiko","family":"Ueda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Aoki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Tomiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"issue":"5","key":"1774_CR1","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1007\/s11604-015-0413-6","volume":"33","author":"A Nishie","year":"2015","unstructured":"Nishie A, Kakihara D, Nojo T, Nakamura K, Kuribayashi S, Kadoya M, Ohtomo K, Sugimura K, Honda H. Current radiologist workload and the shortages in Japan: how many full-time radiologists are required? Jpn J Radiol. 2015;33(5):266\u201372.","journal-title":"Jpn J Radiol"},{"issue":"4","key":"1774_CR2","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s11604-018-0724-5","volume":"36","author":"KK Kumamaru","year":"2018","unstructured":"Kumamaru KK, Machitori A, Koba R, Ijichi S, Nakajima Y, Aoki S. Global and Japanese regional variations in radiologist potential workload for computed tomography and magnetic resonance imaging examinations. Jpn J Radiol. 2018;36(4):273\u201381.","journal-title":"Jpn J Radiol"},{"key":"1774_CR3","unstructured":"Medical Affairs No. 0528\u20131, Director-General of the Health Policy Bureau, Ministry of Health, Labour and Welfare, Regarding the promulgation of the \"Act to Partially Amend the Medical Care Act and Other Related Laws to Promote the Establishment of Systems for the Efficient Provision of High-Quality and Appropriate Medical Care, https:\/\/www.mhlw.go.jp\/content\/10800000\/001256560.pdf"},{"key":"1774_CR4","unstructured":"Medical Affairs No. 0930\u201316, Director-General of the Health Policy Bureau, Ministry of Health, Labour and Welfare,Regarding the Promotion of Task Shifting and Task Sharing Within the Scope Feasible Under the Current System, https:\/\/www.hospital.or.jp\/pdf\/15_20210930_01.pdf"},{"key":"1774_CR5","unstructured":"Medical Affairs No. 0430\u20131, Director-General of the Health Policy Bureau, Ministry of Health, Labour and Welfare, Regarding the Promotion of Team-Based Medical Care Through Collaboration and Coordination Among Healthcare Staff, https:\/\/www.mhlw.go.jp\/shingi\/2010\/05\/dl\/s0512-6h.pdf"},{"key":"1774_CR6","unstructured":"Discussion Summary, Council on Promoting Task Shifting and Task Sharing to Advance Work Style Reform for Physicians, December 23, 2020, https:\/\/www.mhlw.go.jp\/stf\/newpage_15678.html"},{"key":"1774_CR7","unstructured":"Medical Affairs No. 0709\u20137, Director-General of the Health Policy Bureau, Ministry of Health, Labour and Welfare, Regarding the Promulgation of the Cabinet Order for Partial Amendment of the Enforcement Order of the Act on Clinical Laboratory Technologists, etc. https:\/\/iryou-kinmukankyou.mhlw.go.jp\/files\/Attachment\/222\/\u81e8\u5e8a\u691c\u67fb\u6280\u5e2b\u7b49\u306b\u95a2\u3059\u308b\u6cd5\u5f8b\u65bd\u884c\u4ee4\u306e\u4e00\u90e8\u3092\u6539\u6b63\u3059\u308b\u653f\u4ee4\u7b49\u306e\u516c\u5e03\u306b\u3064\u3044\u3066 (\u533b\u653f\u767a0709\u7b2c7\u53f7) .pdf"},{"issue":"7","key":"1774_CR8","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1007\/s11604-020-00941-5","volume":"38","author":"T Yamashiro","year":"2020","unstructured":"Yamashiro T, Kumamaru KK, Kido A, Namoto Matsubayashi R, Ota H, Ida M, Aoki S. Joint Committee for Diversity P, Work-Style Reform of the Japan Radiological S, the Japanese College of R: Work-style reform and use of information and communication technology among diagnostic radiologists in Japan: results of the 2018 JRS\/JCR joint survey. Jpn J Radiol. 2020;38(7):636\u201342.","journal-title":"Jpn J Radiol"},{"key":"1774_CR9","unstructured":"Guidelines for Clinical application of Image-Guided Radiation Therapy (IGRT) 2019. https:\/\/www.jastro.or.jp\/medicalpersonnel\/guideline\/igrt2019.pdf"}],"container-title":["Japanese Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11604-025-01774-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11604-025-01774-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11604-025-01774-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T13:16:55Z","timestamp":1757164615000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11604-025-01774-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,5]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["1774"],"URL":"https:\/\/doi.org\/10.1007\/s11604-025-01774-w","relation":{},"ISSN":["1867-1071","1867-108X"],"issn-type":[{"value":"1867-1071","type":"print"},{"value":"1867-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,5]]},"assertion":[{"value":"14 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"There is nothing to disclose in this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}