{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T21:59:49Z","timestamp":1794002389358,"version":"4.8.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmirs.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Imaging and Radiation Sciences"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.jmir.2026.102608","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:04:07Z","timestamp":1790121847000},"page":"102608","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Radiographer-led vetting and protocolling of medical imaging referrals: A systematic literature review of contributions to value-based imaging care"],"prefix":"10.1016","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8682-6019","authenticated-orcid":false,"given":"Justin A.","family":"Clarke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Docherty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2423-6897","authenticated-orcid":false,"given":"Theophilus N.","family":"Akudjedu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0001","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.radi.2022.10.011","article-title":"Service evaluation of radiographer-led vetting and protocoling of computed tomography (CT) scan requests in a Singapore public healthcare institution","volume":"29","author":"Ooi","year":"2023","journal-title":"Radiography"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0003","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1186\/s12913-022-08291-w","article-title":"The value of referral information and assessment\u2013a cross sectional study of radiographers\u2019 perceptions","volume":"22","author":"Chilanga","year":"2022","journal-title":"BMC Health v Res"},{"issue":"3","key":"10.1016\/j.jmir.2026.102608_bib0004","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1002\/jmrs.211","article-title":"Justification of radiographic examinations: what are the key issues?","volume":"64","author":"Vom","year":"2017","journal-title":"J Med Radiat Sci"},{"key":"10.1016\/j.jmir.2026.102608_bib0005","first-page":"14","article-title":"European perspective on the role of radiographers in imaging departments","volume":"11","author":"Challen","year":"2011","journal-title":"Imaging Manag"},{"key":"10.1016\/j.jmir.2026.102608_bib0006","unstructured":"International Atomic Energy Agency (IAEA)., 2018. IAEA Safety Standards for protecting people and the environment: radiation Protection and Safety in medical uses of ionizing radiation. IAEA Safety Standards Series No SSG-46."},{"issue":"5","key":"10.1016\/j.jmir.2026.102608_bib0007","article-title":"Council directive 2013\/59\/Euratom of 5 december 2013 laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation: medico-legal and legal-comparative study","volume":"175","author":"Karaboue","year":"2024","journal-title":"Clin Ter"},{"issue":"3","key":"10.1016\/j.jmir.2026.102608_bib0008","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1002\/jmrs.287","article-title":"Prevalence of unjustified emergency department x-ray examination referrals performed in a regional Queensland hospital: a pilot study","volume":"65","author":"Rawle","year":"2018","journal-title":"J Med Radiat Sci"},{"issue":"12","key":"10.1016\/j.jmir.2026.102608_bib0009","doi-asserted-by":"crossref","first-page":"7944","DOI":"10.1007\/s00330-024-10851-z","article-title":"Machine learning and deep learning for classifying the justification of brain CT referrals","volume":"34","author":"Poto\u010dnik","year":"2024","journal-title":"Eur Radiol"},{"issue":"5","key":"10.1016\/j.jmir.2026.102608_bib0010","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1016\/j.radi.2024.07.002","article-title":"Assessing MRI referrals\u2019 appropriateness for low back pain post a radiology-initiated intervention","volume":"30","author":"Chilanga","year":"2024","journal-title":"Radiography"},{"key":"10.1016\/j.jmir.2026.102608_bib0011","unstructured":"The Ionising Radiation (Medical Exposure) Regulations 2017 (SI 2017\/1322). Available at: https:\/\/www.legislation.gov.uk\/uksi\/2017\/1322 (Accessed: 25 January 2026)"},{"key":"10.1016\/j.jmir.2026.102608_bib0012","doi-asserted-by":"crossref","DOI":"10.1007\/s00330-021-08470-z","article-title":"Radiographers\u2019 actions and challenges when confronted with inappropriate radiology referrals","author":"Chilanga","year":"2022","journal-title":"Eur Radiol"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0013","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.radi.2021.07.013","article-title":"Workplace factors facilitating the radiographers\u2019 assessment of referrals for diagnostic imaging-A qualitative study","volume":"28","author":"Mork-Knudsen","year":"2022","journal-title":"Radiography"},{"key":"10.1016\/j.jmir.2026.102608_bib0014","article-title":"Value-based radiology: a new focus to optimise impact","author":"Brady","year":"2022","journal-title":"Radiology"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0015","first-page":"1","article-title":"Value-based imaging: past impacts and future directions","volume":"1","author":"Merhavy","year":"2022","journal-title":"Radiol Imaging J"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0016","doi-asserted-by":"crossref","DOI":"10.1186\/s12880-022-00798-2","article-title":"Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review","volume":"22","author":"Kjelle","year":"2022","journal-title":"BMC Med Imaging"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0017","doi-asserted-by":"crossref","DOI":"10.1186\/s13244-023-01375-z","article-title":"The use of low-value imaging: the role of referral practice and access to imaging services in a representative area of Norway","volume":"14","author":"Andersen","year":"2023","journal-title":"Insights Imaging"},{"issue":"4","key":"10.1016\/j.jmir.2026.102608_bib0018","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/j.radi.2023.05.008","article-title":"Vetting of medical imaging referrals: a scoping review of the radiographers\u2019 role","volume":"29","author":"Clarke","year":"2023","journal-title":"Radiography"},{"key":"10.1016\/j.jmir.2026.102608_bib0019","series-title":"Tackling Wasteful Spending On Health","year":"2017"},{"key":"10.1016\/j.jmir.2026.102608_bib0020","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s11547-016-0708-4","article-title":"Inappropriateness of diagnostic imaging examinations in the inpatient setting: a case study research","volume":"122","author":"Squillaci","year":"2017","journal-title":"Radiol Med"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0021","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1007\/s00330-024-10938-7","article-title":"Impact and effect of imaging referral guidelines on patients and radiology services: a systematic review","volume":"35","author":"Tay","year":"2025","journal-title":"Eur Radiol"},{"issue":"2","key":"10.1016\/j.jmir.2026.102608_bib0022","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.jmir.2023.02.011","article-title":"Justification of radiological procedures: radiographers\u2019 experiences at two public hospitals","volume":"54","author":"Sitareni","year":"2023","journal-title":"J Med Imaging Radiat Sci"},{"issue":"4","key":"10.1016\/j.jmir.2026.102608_bib0023","doi-asserted-by":"crossref","first-page":"e277","DOI":"10.1016\/j.radi.2020.04.001","article-title":"Radiographers' assessment of referrals for CT and MR imaging using a web-based data collection tool","volume":"26","author":"Chilanga","year":"2020","journal-title":"Radiography"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0024","article-title":"Radiographers\u2019 perception of suboptimal referrals for plain radiography\u2013a qualitative study","volume":"4","author":"Abohaikel","year":"2018","journal-title":"Radiogr Open"},{"key":"10.1016\/j.jmir.2026.102608_bib0025","series-title":"International Atomic Energy Agency Conference IAEA-CN-136\/65","article-title":"The role of radiographers as gatekeepers in the justification process. Project initiative and possible impact","author":"Olerud","year":"2017"},{"key":"10.1016\/j.jmir.2026.102608_bib0026","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s13244-014-0348-y","article-title":"Radiation knowledge and perception of referral practice among radiologists and radiographers compared with referring clinicians","volume":"5","author":"Borgen","year":"2014","journal-title":"Insights Imaging"},{"key":"10.1016\/j.jmir.2026.102608_bib0027","article-title":"Research in the schools: a nationally refereed journal sponsored by the Mid-South Educational","volume":"13","author":"Sandelowski","year":"2006","journal-title":"Educ Res Assoc Univ Ala"},{"key":"10.1016\/j.jmir.2026.102608_bib0028","volume":"4","author":"Heyvaert","year":"2016"},{"key":"10.1016\/j.jmir.2026.102608_bib0029","series-title":"JBI Manual for Evidence Synthesis","article-title":"Mixed methods systematic reviews","author":"Lizarondo","year":"2020"},{"key":"10.1016\/j.jmir.2026.102608_bib0030","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Bmj"},{"issue":"4","key":"10.1016\/j.jmir.2026.102608_bib0031","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1111\/j.1365-2753.2011.01662.x","article-title":"Reviewing studies with diverse designs: the development and evaluation of a new tool","volume":"18","author":"Sirriyeh","year":"2012","journal-title":"J Eval Clin Pr"},{"issue":"2","key":"10.1016\/j.jmir.2026.102608_bib0032","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.radi.2020.11.010","article-title":"Computer based simulation in CT and MRI radiography education: current role and future opportunities","volume":"27","author":"Chaka","year":"2021","journal-title":"Radiography"},{"issue":"10","key":"10.1016\/j.jmir.2026.102608_bib0033","doi-asserted-by":"crossref","first-page":"2108","DOI":"10.11124\/JBISRIR-D-19-00169","article-title":"Methodological guidance for the conduct of mixed methods systematic reviews","volume":"18","author":"Stern","year":"2020","journal-title":"JBI Evid Synth"},{"issue":"2","key":"10.1016\/j.jmir.2026.102608_bib0034","article-title":"Conceptual models to guide integration during analysis in convergent mixed methods studies","volume":"10","author":"Moseholm","year":"2017","journal-title":"Methodol Innov"},{"issue":"Suppl. 1","key":"10.1016\/j.jmir.2026.102608_bib0035","article-title":"Synthe- sising quantitative and qualitative evidence to inform guidelines on complex interventions: clarifying the purposes, designs and outlining some methods","volume":"4","author":"Noyes","year":"2019","journal-title":"BMJ Glob Health"},{"issue":"2","key":"10.1016\/j.jmir.2026.102608_bib0036","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.radi.2021.12.011","article-title":"An investigation of lumbar spine magnetic resonance referrals in two Irish university teaching centres: radiology clinical judgement versus iRefer guideline compliance","volume":"28","author":"Alanazi","year":"2022","journal-title":"Radiography"},{"issue":"3","key":"10.1016\/j.jmir.2026.102608_bib0037","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.radi.2022.05.005","article-title":"Development of lumbar spine MRI referrals vetting models using machine learning and deep learning algorithms: comparison models vs healthcare professionals","volume":"28","author":"Alanazi","year":"2022","journal-title":"Radiography"},{"issue":"7","key":"10.1016\/j.jmir.2026.102608_bib0038","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1111\/jep.14058","article-title":"Reducing low-value imaging\u2014a qualitative evaluation of a pilot intervention in Norway","volume":"30","author":"Andersen","year":"2024","journal-title":"J Eval Clin Pr"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0039","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s41747-025-00569-y","article-title":"Can ChatGPT and Gemini justify brain CT referrals? A comparative study with human experts and a custom prediction model","volume":"9","author":"Poto\u010dnik","year":"2025","journal-title":"Eur Radiol Exp"},{"issue":"2","key":"10.1016\/j.jmir.2026.102608_bib0040","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.radi.2024.01.016","article-title":"The radiographers' opinion on assessing radiological referrals","volume":"30","author":"Chilanga","year":"2024","journal-title":"Radiography"},{"issue":"2","key":"10.1016\/j.jmir.2026.102608_bib0041","doi-asserted-by":"crossref","DOI":"10.1016\/j.radi.2025.103282","article-title":"Evaluation of a national intervention to reduce unnecessary brain magnetic resonance imaging in Norway\u2013Effect on referral quality and justification rate","volume":"32","author":"Kjelle","year":"2026","journal-title":"Radiography"},{"key":"10.1016\/j.jmir.2026.102608_bib0042","article-title":"Referral quality and justification rate in MRI for the lower back: evaluation of an intervention to reduce imaging og low value","author":"Kjelle","year":"2025","journal-title":"Acta radiol"},{"key":"10.1016\/j.jmir.2026.102608_bib0043","doi-asserted-by":"crossref","DOI":"10.1002\/jmrs.70069","article-title":"IMPACT requests: evaluating the effectiveness of IMPACT education for emergency department referrers to improve the quality of CT requests","author":"Castillo","year":"2026","journal-title":"J Med Radiat Sci"},{"issue":"9","key":"10.1016\/j.jmir.2026.102608_bib0044","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1016\/j.jacr.2016.04.016","article-title":"Reductions in high-end imaging utilization with radiology review and consultation","volume":"13","author":"Ingraham","year":"2016","journal-title":"J Am Coll Radiol"},{"issue":"1","key":"10.1016\/j.jmir.2026.102608_bib0045","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s43999-025-00077-x","article-title":"Temporal and geographical variations in musculoskeletal imaging: a register-based study in Norway with focus on potential low-value imaging","volume":"4","author":"Brands\u00e6ter","year":"2025","journal-title":"Res Health Serv Reg"}],"container-title":["Journal of Medical Imaging and Radiation Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1939865426004224?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1939865426004224?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:19:20Z","timestamp":1790781560000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1939865426004224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S1939865426004224"],"URL":"https:\/\/doi.org\/10.1016\/j.jmir.2026.102608","relation":{},"ISSN":["1939-8654"],"issn-type":[{"value":"1939-8654","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Radiographer-led vetting and protocolling of medical imaging referrals: A systematic literature review of contributions to value-based imaging care","name":"articletitle","label":"Article Title"},{"value":"Journal of Medical Imaging and Radiation Sciences","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmir.2026.102608","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc. on behalf of Canadian Association of Medical Radiation Technologists.","name":"copyright","label":"Copyright"}],"article-number":"102608"}}