Cardiac CTA Toshiba AquilionONE
|
|
- Katherine Hart
- 7 years ago
- Views:
Transcription
1 Cardiac CTA Toshiba AquilionONE Gated Volume Scan Mode IMG Cardiac Prospective IMG Cardiac Retrospective IMG Cardiac ED Chest Pain A B Patient Position Supine Feet First into Gantry Heart Isocenter Scanogram AP and Lateral A Non-Contrast Calcium Score Scan ECG Gated Scan For calcium scores > 600 Contact the cardiac team resident or the radiology resident on call to determine need for contrast scan. HU Monitor position in center of volume scan ROI on descending aorta SS trigger HU 200 B Contrast Scan ECG Gated Scan Injection Rate 5 ml / sec preferred IV Size and Location 18g, 20g min RT AC preferred Contrast Omnipaque 350 Saline Amount equal to contrast amount Respiration Breath Hold Acquisition Specs 0.5 mm Thickness sec rotation / 0.35 sec rotation Place and size scan over chest to include carina through bottom of heart. Scan max length- 16 cm--may be reduced by increments of 2 cm. B For prospectively triggered scan, set exposure range To Next R to ensure proper diastole exposure during scan. A Non-Contrast Calcium Score Calcium Score Exposure and Reconstruction: For heart rate < 75 bpm, images will be reconstructed 75% For heart rate > 76 bpm, images will be reconstructed 40% Post processing done at workstation. See instructions below. B Contrast Scan for Coronary Arteries Scan Options: Prospectively Triggered Scan Image reconstruction is limited to the exposed range of the beat. Set scan exposure range To Next R to insure proper diastole exposure during scan. Use this exposure for: Patients with heart rates in range for a 1 beat scan Retrospectively Gated Scan Image reconstruction is available for the total beat. Functional analysis (CFA) data is available with this scan and is programmed in the scan protocol. Use this exposure for: Post Heart Transplant Patients with heart rates that are too high for a 1 beat scan
2 Reconstruction -Volumes and Images Images from Non-Contrast Volume 1 Calcium Score These are programed in the protocol. A Algorithm R1 Thickness Spacing Transfer Cardiac Ca Score 3 mm 3 mm 220 mm ON- PACS and PCS_TS 220 mm dfov Images from Contrasted Volume 1 75% and Best Phase are programed in the protocol and will reconstruct automatically. B Algorithm R1 Thickness Spacing Phase Transfer Cardiac CTA 0.5 mm 0.25 mm 220 mm Best Phase + Window ImageXact if needed ON- PCS_TS only B For Functional Analysis if available R2 Algorithm Cardiac CTA Thickness 1.0 mm Spacing 1.0 mm 220 mm Phase CFA 0% - 90% Every 10% Transfer ON- PCS_TS only 220 mm dfov Contrasted Volume 2 for Large dfov B Algorithm Cardiac CTA V2 Thickness may use default Spacing may use default 320 mm Transfer OFF Images from Contrasted Volume 2 for Large dfov B Algorithm Cardiac CTA R3 Thickness 3 mm Spacing 3 mm 320 mm Series Description Large dfov Transfer ON- PACS and PCS_TS Phase 80% Large dfov
3 Reconstruction CTA --Vessel Analysis In Raw Data, select contrast volume series, click Load Click ECG, check ECG for accurate R wave indicators. To modify red markers: left click on red dot, then left click on proper placement. To discard a beat: Left click below ECG wave. A blue line will appear indicating that this beat is not going to be used in the reconstruction process. If changes are made, click Save, Close, and then Close again. If no changes are needed, click Close. ECG screen shot will automatically transfer to PACS. Settings in Volume Tab Slice thickness 0.5 mm Interval 0.25 mm Reconstruction phases Best Phase + Window Transfer PCS_TS only Click Recon For Functional Analysis, if data available, Click CFA. Reconstruct 0% - 90% every 10%, 1 mm x 1 mm. Volume and Image Reconstruction for Extra-Cardiac Structures-Large D Settings in Volume Tab Turn Transfer OFF Slice thickness 1.0 mm Interval 1.0 mm Size 320 mm Click Cardiac Phase CTA Recon Phase 80% Settings in Multi View Tab Axial Slice thickness 3.0 mm Interval 3.0 mm Series description Large D select in drop down box Transfer PACS and PCS_TS Click Recon Vessel Analysis with ImageXact --This is OPTIONAL and only used if requested. In Raw Data, select contrast volume series, click OK Click ECG, check ECG for accurate R wave indicators, Click Save, Close, and then Close again. Click on Cardiac ImageXact. Main Tab Yellow bar on ECG must be located within the beat being used for reconstruction. To move yellow bar, type correct seconds in Recon Position Sec box Detail Tab Cardiac CTA Phase Interval 2% Select one slice location that best demonstrates the three main coronary arteries, Click Next. This slice will be reconstructed for one cardiac cycle at 2% intervals. Review these images to find the % (s) that have the least motion. Click Select Phase to enter these in the reconstruction list. Reconstruct a minimum of 3 phases- One for each major coronary artery: LAD, RCA, and Cx. Click Next Thickness: 0.5 mm Interval: 0.25 mm Transfer PCS_TS only Click Recon
4 Generating the Calcium Score on the fx Workstation For calcium scores > 600 Contact the cardiac team resident or the radiology resident on call to determine need for contrast scan. Open the patient folder in the directory. Load the calcium score series with 54 images and 3mm x 3mm thick/spacing. This series may be named CALCIUM SCORE Cardiac Ca Score or simply 75%. Click Load Volume. In the Gallery tab click Pick button on 2D Vscore with Color. Click on the appropriate vessel name in the left column. Use the cursor to circle calcium for each coronary vessel. Repeat this process for each axial slice of the scan. When all calcium is identified, click on Snap. Left click to create snapshot. If patient has no calcium, use cursor to create circle in lung tissue area. This will create the score chart as if the patient had calcium. Proceed to Report tab. Send all graphs and snapshots to PACS by clicking Export and Archive / PACS.
5 RCA LAD CX LAD RCA CX
6 Guidelines for Medication Administration for Cardiac CTA The target heart rate for cardiac CTA is 66 bpm or less. Communication with the Cardiac Team is required for any deviation of these guidelines. Please call ext Monday through Friday, 8AM-4PM, and ext evening and night hours. See Practice Guidelines, under the Patient Care tab at for more information. Out-patient Cardiac CTA Monday through Friday, scheduled in AM appointment slots. The out-patient scheduled for cardiac CTA is managed by our Radiology Department nursing staff. The patient is taken to the Radiology Care Unit for preparation after check-in at the Radiology CT desk. The cardiac team resident/attending will provide orders in EPIC for the following: Beta blocker: IV Metoprolol Dose: 4 doses, 5mg each Administered by RN just prior to scan Sublingual Nitroglycerine Dose: 0.4mg Administered 3-6 minutes prior to contrasted scan In-patient Cardiac CTA Weekdays Monday through Friday, 8AM 4PM The in-patient scheduled for cardiac CTA is managed by our Radiology Department nursing staff. The charge technologist should contact the Radiology Care Unit to discuss availability of nursing staff. The cardiac team resident/attending will provide orders in EPIC for the following:. Beta blocker: IV Metoprolol Dose: 4 doses, 5mg each Administered by RN just prior to scan Sublingual Nitroglycerine Dose: 0.4mg Administered 3-6 minutes prior to contrasted scan In-patient Cardiac CTA Weekends Saturday and Sunday, 8AM 4PM The in-patient scheduled for cardiac CTA on the weekend is managed by the hospital floor/unit nursing staff. The ordering physician will provide orders for oral metoprolol. Dose: 100mg Beta blocker: Oral metoprolol given 1 hour prior to scan or until target heart rate of 66 bpm is reached. ED Patient with Chest Pain The Emergency Department patient scheduled for cardiac CTA is managed by the ED nursing staff. The ordering physician will provide orders for oral metoprolol. Dose: 100mg Beta blocker: Oral metoprolol given 1 hour prior to scan or until target heart rate of 66 bpm is reached.
7 Guidelines for In-Patient Cardiac CTA See Practice Guidelines, under the Patient Care tab at for more information. Or call Cardiac Reading Room: ext , Body Reading Room ext with questions. Criteria for Cardiac CTA Patient felt to be low to intermediate pretest likelihood of having coronary ischemia as a cause of chest pain. Appropriate Indications for Cardiac CTA Chest pain in low to intermediate risk patient Chest pain in low to intermediate risk patient with borderline or mildly abnormal ETT Patient with possible coronary anomaly Ordering Cardiac CTA and Beta Blocker Administration Cardiac CTA order may be placed at any time. The exam will be performed 8AM 4PM on weekdays and weekend days. Weekdays Monday through Friday Physician will place order for Cardiac CTA in EPIC Correct orderable: CT Angio Cardiac Coronary Arteries The in-patient scheduled for cardiac CTA is managed by our Radiology Department nursing staff. The charge technologist should contact the Radiology Care Unit to discuss availability of nursing staff. Beta Blocker Administration Weekdays Beta blocker: IV Metoprolol 4 doses, 5mg each Administered by radiology staff RN just prior to scan. Sublingual Nitroglycerine 0.4mg Administered by radiology staff RN 3-6 minutes prior to contrasted scan. The cardiac team resident/attending will place order in EPIC for IV metoprolol and sublingual nitroglycerine. The exam will be coordinated by the CT charge tech and the floor or unit nursing staff. Weekends Saturday and Sunday Physician will place order for Cardiac CTA in EPIC Correct orderable: CT Angio Cardiac Coronary Arteries The ordering physician will place order in EPIC for oral metoprolol. 100mg The ordering physician will contact the radiology resident. Cardiac Reading Room: ext Body Reading Room: ext Beta Blocker Administration Weekends Beta blocker: 100mg oral metoprolol Until target rate of 66 bpm is met. The patient s nurse will report to CT the time that the beta blocker was given. The Cardiac CTA should be done when the target heart rate of 66 bpm is met. The exam will be coordinated by the CT charge tech and the floor or unit nursing staff.
8 IV Access for Cardiac CTA 18g PIV preferred, 20g PIV min Order of location preference: Right AC Right mid forearm Left AC Left mid forearm All other locations are unacceptable for contrast bolus delivery for cardiac CTA. Other lines or catheters must be approved by the Cardiac Imaging Team or the radiologist/resident on call. Please see IV Access Guidelines under the Patient Care tab at for more information. Contraindications for Cardiac CTA Inability to hold breath or cooperate Cardiac CTA performed within the last year Increased cardiac enzymes Creatinine level > 1.8. Acute EKG changes Pregnancy History of severe contrast reaction Arrhythmia Renal insufficiency Multiple myeloma Sickle cell anemia Pheochromocytoma Calcium Score For calcium score values below 600, the contrast scan will be completed and the patient returned to the floor For calcium score values above 600, the contrast scan may be cancelled by radiology The cardiac team or the radiology resident on call will notify ordering physician of this change Reporting of Results Weekdays Monday Friday, hrs 1 hour: full report available Monday Friday, hrs After 0800: full report available Weekends Friday 1600 hrs Monday 0800 hrs..full report available after daily read-out
9 CTA Pediatric Chest Gated with IV Contrast IMG For patients over 50 lb, see CTA Peds Chest Gated Child, page 2 For patients with history of Fontan procedure, see page 3. CTA Peds Chest Gated Infant Pediatric Patients up to 50 lb AqONE Protocol Location: Pediatric, Group A, Left Side Column See page 3 for heart rate conversion information and indications for this exam. Patient Position Supine Contrast Visipaque 320 See contrast chart below Scan Mode Target Volume Gated CTA Beats 1 Scan Slice Thickness 0.5 mm Scan Slice Spacing 0.25 mm kvp 80 ma SUREExposure Exposure Window *Use heart rate chart below to set factor Target % **Use heart rate chart below to set factor Scan Coverage Place volume over chest to include 2cm above apices and 2cm below heart. Volume sizes available 8cm, 10cm, 12cm, 14cm, 16,cm Use shortest scan range possible while covering required anatomy. Heart Rate Chart * ** Heart rate bpm Ex Window Target % ms 50% ms 60% 120 and lower 500 ms 70% Contrast Chart Weight Contrast Use 10 ml syringes for contrast 0 10 lb 1 ml per lb Rapid hand inject lb.75 ml per lb Rapid hand inject Reconstructions are programmed in the protocol and will reconstruct automatically. Algorithm FC12 Soft Tissue Thickness 0.5 mm Spacing 0.25 mm Include ribs Phase 70% Transfer PACS and PCS_TS Algorithm FC12 Soft Tissue and Lung Thickness 2 mm Spacing 2 mm Include ribs Phase 70% Transfer PACS and PCS_TS
10 CTA Peds Chest Gated Child Pediatric Patients 50 to 75 lb AqONE Protocol Location: Pediatric, Group A, Right Side Column Use Adult Cardiac CTA protocol and adjust exposure factors accordingly for: Patients over 75 lb Patients with exam indication for coronary artery evaluation See next page for heart rate conversion information and indications for this exam. Patient Position Supine Contrast Visipaque 320 See contrast chart below Scan Mode Target Volume Gated CTA Beats lb lb Scan Slice Thickness Scan Slice Spacing 0.5 mm 0.25 mm kvp 80 ma SUREExposure Exposure Window *Use heart rate chart below Target % **Use heart rate chart below BT HU ROI placed on descending aorta 180 Scan Coverage Place volume over chest to include 2cm above apices and 2cm below heart. Volume sizes available 8cm, 10cm, 12cm, 14cm, 16,cm Use shortest scan range possible while covering required anatomy. Heart Rate Chart * ** Heart Rate bpm Ex Window Target % ms 50% ms 60% 120 and lower 500 ms 70% Contrast Chart Weight Contrast and Saline > 50 lb 0.5 ml per lb Power inject 2 ml/sec Reconstructions are programmed in the protocol and will reconstruct automatically. Algorithm FC03 Soft Tissue Thickness 0.5 mm Spacing 0.25 mm Include ribs Phase 70% Transfer PACS and PCS_TS Algorithm FC03 Soft Tissue and Lung Thickness 2 mm Spacing 2 mm Include ribs Phase 70% Transfer PACS and PCS_TS
11 Heart Rate Conversion Information Heart Rate to Millisecond Conversion: Heart Rate 60 = 1000ms (R to R segment) HR = 60 R to R (sec) = 60 R to R(msec) = 60,000 R to R (in sec) HR HR Heart Rate ms INDICATIONS Aortic anomaly Coarctation Pulmonary artery anomaly Pulmonary venous anomaly Systemic venous anomaly CTA Pediatric Chest Gated for patient with history of Fontan procedure For infant or child under 75 lb, use above pediatric chest gated protocol and repeat the volume scan at 70 seconds post contrast injection. For patients over 75 lb, use the adult CTA Chest PE protocol for Fontan procedure. Fontan conduit should look similar to this. Other Options for Fontan Visualization listed below.
12 **Use only when instructed by radiologist** Instruction for Dual Injection Upper PIV and Lower PIV For pediatric patients below 50lb. Upper PIV should be right sided antecubital preferred Lower PIV may be located on either side Inject lower extremity with 2/3 of total contrast amount, hand inject rapid When lower injection is 2/3 complete, start upper extremity injection with remaining contrast, hand inject rapid Start scan immediately at end of injection Instruction for Contrast / Saline Mix - Upper PIV ONLY PIV should be right antecubital Inject 100% contrast at 3ml/sec for 125 ml Immediately follow at 2ml/sec with 50% contrast, 50% saline mix for 25 ml Bolus track: manual/visual on Fontan conduit Scan A: Start scan upon visual conformation of contrast in PA Second Scan B: Repeat first scan 70 sec from start of contrast injection
13 Pediatric NPO and IV Guideline for Cardiac CT NPO Requirement Pediatric patients are to be NPO for 4 hours prior to contrast injection. A pediatric patient may be told to arrive after being NPO for two hours. Do not delay getting the patient worked up and getting IV access as it may take a considerable amount of time to get these tasks done. It is most favorable that the patient wait after IV access is obtained to meet policy guidelines for NPO status. This reduces the overall delay if there are problems with IV access. IV Access PIV Placement PIV Size Never use scalp IV access for this exam Optimal: 22 g Optimal: Upper extremity Acceptable: 24 g Acceptable: Lower extremity PICC Lines Umbilical access is not permitted for this exam Minimum 3 Fr. single lumen The CT technologist/lpn will attempt no more than 2 times to gain IV access. If unsuccessful, the following staff should be contacted in the order listed. 1. Flight Team If the flight team is unsuccessful, call Pediatric Cardiology , to inform that the patient has been delayed due to IV access difficulties. 2. Charge RN NICU Charge RN Charge RN PICU STAT RN beeper If you have exhausted all possibilities, call the ordering physician. In the event that the physician is unavailable, call Dr. Chandran
State-of-the-Art Technology in Cardiac CT
1 2 Next Step Evolution or Revolution? State-of-the-Art Technology in Cardiac CT Stefan Ulzheimer, PhD Global Director of Collaborations CT Siemens Medical Solutions Major Innovations in CT Head The 80
More informationClinical Training for Visage 7 Cardiac. Visage 7
Clinical Training for Visage 7 Cardiac Visage 7 Overview Example Usage 3 Cardiac Workflow Examples 4 Remove Chest Wall 5 Edit Chest Wall Removal 6 Object Display Popup 7 Selecting Optimal Phase 8 Thick
More informationImaging of Thoracic Endovascular Stent-Grafts
Imaging of Thoracic Endovascular Stent-Grafts Tariq Hameed, M.D. Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana Disclosures: No relevant financial
More informationChest 1: Pulmonary Nodule Follow-up: Low-Dose Helical CT (Unenhanced) (Non-metastatic) Gantry Rotation Time. mas (Reg-Lg) 40-80
Revisions Effective January 2012 Chest 1: Pulmonary Nodule Follow-up: Low-Dose Helical CT (Unenhanced) (Non-metastatic) Technologist Instructions Patient must cough several times prior to scan to clear
More informationRADIOLOGY HOUSE STAFF MANUAL
RADIOLOGY HOUSE STAFF MANUAL The Department of Radiology offers a wide range of services/procedures and operates 12 divisions/sections, which are listed separately below. The procedures offered are listed
More informationMaster s Program in Medical Physics. Physics of Imaging Systems Basic Principles of Computer Tomography (CT) III. Prof. Dr. Lothar Schad.
1 12/9/2008 Page 1 Master s Program in Medical Physics Physics of Imaging Systems Basic Principles of Computer Tomography (CT) III Chair in Faculty of Medicine Mannheim University of Heidelberg Theodor-Kutzer-Ufer
More informationPurchasing a cardiac CT scanner: What the radiologist needs to know
Purchasing a cardiac CT scanner: What the radiologist needs to know Maria Lewis ImPACT St George s Hospital, London maria.lewis@stgeorges.nhs.uk CT scanner development Slice wars 1998 Increased z-coverage
More informationCopyright March 1, 2016 by AAPM. All rights reserved.
DISCLAIMER: TO THE EXTENT ALLOWED BY LOCAL LAW, THIS INFORMATION IS PROVIDED TO YOU BY THE AMERICAN ASSOCIATION OF PHYSICISTS IN MEDICINE, A NON-PROFIT ORGANIZATION ORGANIZED TO PROMOTE THE APPLICATION
More informationCTA OF THE EXTRACORONARY HEART
CTA OF THE EXTRACORONARY HEART Charles White MD Director of Thoracic Imaging Department of Radiology University of Maryland NO DISCLOSURES CWHITE@UMM.EDU CARDIAC CASE DISTRIBUTION Coronary CTA 30% ED chest
More informationProject 4.2.1: Heart Rate
Project 4.2.1: Heart Rate Introduction Even before you were born, one of the first things your doctor did when you went for an office visit was listen to your heart. Your heart rate, the number of times
More informationCT scans and IV contrast (radiographic iodinated contrast) utilization in adults
CT scans and IV contrast (radiographic iodinated contrast) utilization in adults At United Radiology Group, a majority of CT exams are performed either with IV contrast or without while just a few exams
More informationMDCT Technology. Kalpana M. Kanal, Ph.D., DABR Assistant Professor Department of Radiology University of Washington Seattle, Washington
MDCT Technology Kalpana M. Kanal, Ph.D., DABR Assistant Professor Department of Radiology University of Washington Seattle, Washington ACMP Annual Meeting 2008 - Seattle, WA Educational Objectives Historical
More informationEfficient Evaluation of Chest Pain
Efficient Evaluation of Chest Pain Vikranth Gongidi, DO FACC FACOI Indian River Medical Center Vero Beach, FL No Disclosures Outline Background Chest pain pathway Indications for stress test Stress test
More informationPediatric Hospitals Bring Low-dose CT to the Middle East
Pediatric Hospitals ring Low-dose CT to the Middle East For years, radiologists have been cognizant of the importance of limiting pediatric patients exposure to radiation dose. uilding on the LR principle,
More informationFirst floor, Main Hospital North Services provided 24/7 365 days per year
First floor, Main Hospital North Services provided 24/7 365 days per year General Radiology (X-ray) Fluoroscopy Ultrasound (Sonography) Nuclear Medicine P.E.T. imaging Computed Tomography (CT scan) Magnetic
More informationPatient Prep Information
Stereotactic Breast Biopsy Patient Prep Information Imaging Services Cannon Memorial Hospital Watauga Medical Center Table Weight Limits for each facility Cannon Memorial Hospital Watauga Medical Center
More informationMYOCARDIAL PERFUSION COMPUTED TOMOGRAPHY PhD course in Medical Imaging. Anne Günther Department of Radiology OUS Rikshospitalet
MYOCARDIAL PERFUSION COMPUTED TOMOGRAPHY PhD course in Medical Imaging Anne Günther Department of Radiology OUS Rikshospitalet CORONARY CT ANGIOGRAPHY (CTA) Accurate method in the assessment of possible
More informationMeditech EMR Introduction and Physician Training Tool James W Langley MD MS Director of MHS Medical Informatics October 2006
Meditech EMR Introduction and Physician Training Tool James W Langley MD MS Director of MHS Medical Informatics October 2006 October 2006 1 Methodist Dallas Medical Center Methodist Charlton Medical Center
More informationInstitution-wide Training & Educational Program for CT Technologists
RSNA 2014 Quality Story Boards QSE 110 Institution-wide Training & Educational Program for CT Technologists Christoph Zorich RT, CT; Daisha Marsh, RT CT; Lior Molvin, RT, CT; Jia Wang PhD; Joni Schott,
More informationCOMPARISON OF A FEW LICENSED BODY SCAN PROVIDERS
Advanced Body Scan of Medical Imaging Medical Heart Check America, Los Newport Group Angeles 20311 Acacia Street, 11859 Wilshire Boulevard, 1001 Newbury Road Suite #140 Suite 110 Newport Beach, CA 92660
More informationU.S. Bureau of Labor Statistics. Radiology Tech
From the: U.S. Bureau of Labor Statistics Radiology Tech What They Do Radiologic technologists (RTs) perform diagnostic imaging examinations, such as x rays, on patients. Duties RTs typically do the following:
More informationProcedures/risks: Radiology (CT, DXA, MRI, ultrasound, X-ray)
Procedures/risks: Radiology (CT, DXA, MRI, ultrasound, X-ray) Computerized Axial Tomography (CT): Procedure: A Computerized Axial Tomography (CT) scan [of your heart] involves holding your breath for a
More informationPharmacologic Stress Agents: Protocol and Safety
Pharmacologic Stress Agents: Protocol and Safety Donna Lesniak, RN, CCRC Mallinckrodt Institute of Radiology Washington University School of Medicine Saint Louis, Missouri Disclosure Neither I nor my immediate
More informationLow-dose CT for Pulmonary Embolism
Low-dose CT for Pulmonary Embolism Gautham Gautham P. P. Reddy, Reddy, MD, MD, MPH MPH University University of of Washington Washington Introduction Introduction CT CT accounts accounts for for > 50%
More informationNow bring the advantages of digital workflow to cardiology
CARESTREAM Cardiology PACS Now bring the advantages of digital workflow to cardiology The single system advantage Now there s ONE Solution. 2 A large and growing number of health care facilities are benefiting
More informationBODY CT PROTOCOLS. Body CT Protocols Body CT Protocols Chest CT Protocols. RENAL-3 phases ENTEROGRAPHY CHEST I- Limited/low dose
BODY CT PROTOCOLS Body CT Protocols Body CT Protocols Chest CT Protocols MESENTERIC ISCHEMIA-2 phases ABDOMEN/PELVIS I+ CHEST I RENAL-3 phases ENTEROGRAPHY CHEST I- Limited/low dose CT UROGRAM 3 PHASE
More informationAmerican College of Radiology CT Accreditation Program. Testing Instructions
American College of Radiology CT Accreditation Program Testing Instructions (Revised July 24, 2015) This guide provides all of the instructions necessary for clinical tests, phantom tests and general submission
More informationThe disclaimer on page 1 is an integral part of this document. Copyright February 23, 2016 by AAPM. All rights reserved.
DISCLAIMER: TO THE EXTENT ALLOWED BY LOCAL LAW, THIS INFORMATION IS PROVIDED TO YOU BY THE AMERICAN ASSOCIATION OF PHYSICISTS IN MEDICINE, A NON-PROFIT ORGANIZATION ORGANIZED TO PROMOTE THE APPLICATION
More informationHow To Improve Wait Time For A Ct
Improving Inpatient and Outpatient access to CT services at The Royal Melbourne Hospital. Peter Nuttman, Operations Manager Imaging Peter.Nuttman@mh.org.au Background Improvement project commenced in 2007.
More informationQuiz 5 Heart Failure scores (n=163)
Quiz 5 Heart Failure summary statistics The correct answers to questions are indicated by *. Students were awarded 2 points for question #3 for either selecting spironolactone or eplerenone. However, the
More informationThe IAC Standards and Guidelines for CT Accreditation
The IAC Standards and Guidelines for CT Accreditation Table of Contents All entries in Table of Contents are linked to the corresponding sections. Introduction... 4 Part A: Organization... 5 Section 1A:
More informationStress Echocardiogram
Purpose: Heart First Guidelines Stress Echocardiogram To outline the guidelines and protocols for performing Stress Echocardiograms as established by the American College of Cardiology References: 1. Stress
More informationHealthInfoNet CLINICAL PORTAL USER REFERENCE GUIDE. Revised: 2.12.2015 Page 1 of 32
HealthInfoNet CLINICAL PORTAL USER REFERENCE GUIDE Revised: 2.12.2015 Page 1 of 32 HealthInfoNet User Reference Guide INSIDE: Clinical Portal 3-12 Notifications and Worklists 13-21 Prescription Monitoring
More informationElectronic Medication Administration Record (emar) (For Cerner Sites Only)
POLICY NO. 1009 Approved: 12/05 Effective: 12/05 Reviewed: 9/10; 5/12 1. Purpose: Electronic Medication Administration Record (emar) (For Cerner Sites Only) To provide direction for the transcription and
More informationGE Healthcare. Revolution EVO. More than just high tech. Higher purpose.
GE Healthcare Revolution EVO More than just high tech. Higher purpose. Revolution EVO. Designed with purpose. Today s healthcare environment is about creating new solutions to pressing needs. It s about
More informationActivity 4.2.3: EKG. Introduction. Equipment. Procedure
Activity 4.2.3: EKG The following is used with permission of Vernier Software and Technology. This activity is based on the experiment Analyzing the Heart with EKG from the book Human Physiology with Vernier,
More informationEMR Tutorial Acute Coronary Syndrome
EMR Tutorial Acute Coronary Syndrome How to find the Acute Coronary Syndrome AAA Home Page 1 of 26 Master Tool Bar Icon When the Template button is clicked you will be presented with the preference list.
More informationImaging of Acute Stroke. Noam Eshkar, M.D New Jersey Neuroscience Institute JFK Medical Center Edison Radiology Group
Imaging of Acute Stroke Noam Eshkar, M.D New Jersey Neuroscience Institute JFK Medical Center Edison Radiology Group Modalities Non Contrast CT (NCCT) Contrast CT Angiography MRI MR Angiography Perfusion
More information8. Strategies in Patients at Risk for Allergic Reactions to IV Contrast for CT
Updated 7/14/09 UAB Department of Radiology Guidelines for Administering Gadolinium-based and Iodine-based Intravenous Contrast Agents in Patients with Renal Dysfunction or at Risk for Adverse Reactions
More information123 Main St NY, New York 12345 ph: (202) 555 5555 fax: (202) 555 5555
Patient Name: DOE, JOHN D. Gender: M Date of Study: 4/2/2013 Date of birth: 6/28/1962 Age: 50 Medical Record #: 45869725 Ordering Physician: JANE INTERNIST, MD History: Atypical Angina, Abn ECG, High Cholesterol,
More informationSECTION 5 1 REFERRAL AND AUTHORIZATION PROCESS
SECTION 5 1 REFERRAL AND AUTHORIZATION PROCESS Primary Care Physician Referral Process 1 Referral from PCP to Participating Specialists 1 Referral from Participating Specialist to Participating Specialists
More informationEnhanced Reporting Software Monitor USER MANUAL
Enhanced Reporting Software Monitor USER MANUAL What does the ERS Monitor Do? The Enhanced Reporting Software Monitor (ERS Monitor) is designed to monitor measurements from one or more CMMs remotely from
More informationRelease Notes Easy III Version 3.15 November, 2014
Release Notes Easy III Version 3.15 November, 2014 PN# 369031-810 Rev 17 Please contact the Cadwell Application Support department if you have any questions about the new features available in this upgrade.
More informationSUPERCHARGED. CUSTOM-DESIGNED FOR CARDIOLOGY. Cardiology PACS. Cardiology
Cardiology PACS CUSTOM-DESIGNED FOR CARDIOLOGY. Now, you can count on powerful PACS performance in your cardiology department. CARESTREAM Vue for Cardiology can consolidate your disparate cardio lab systems
More informationHEART MONITOR TREADMILL 12 LEAD EKG
2 HEART MONITOR TREADMILL 12 LEAD EKG Portable ambulatory monitoring system Continuously records electrical activity of the heart for 24 hours or more Also known as ambulatory electrocardiographic monitor
More informationProcedure for Inotrope Administration in the home
Procedure for Inotrope Administration in the home Purpose This purpose of this procedure is to define the care used when administering inotropic agents intravenously in the home This includes: A. Practice
More informationCT Protocol Optimization over the Range of CT Scanner Types: Recommendations & Misconceptions
CT Protocol Optimization over the Range of CT Scanner Types: Recommendations & Misconceptions Frank N. Ranallo, Ph.D. Associate Professor of Medical Physics & Radiology University of Wisconsin School of
More informationA d v a n c e d 1 2 8
Advanced 128 SCENARIA Advanced 128 Hitachi Innovation at Work for You. Continuing its commitment to the SCENARIA scalable CT platform, Hitachi introduces cutting-edge 128-slice technology with the SCENARIA
More informationCardiac CT for Calcium Scoring
Scan for mobile link. Cardiac CT for Calcium Scoring Cardiac computed tomography (CT) for Calcium Scoring uses special x-ray equipment to produce pictures of the coronary arteries to determine if they
More informationPositron Emission Tomography - For Patients
Positron Emission Tomography - For Patients A physician s written order is required for any PET-CT tests. How should I prepare for my PET-CT? PET-CT is more complicated than most other tests you may be
More informationCHEST PAIN EVALUATION TOOL
CHEST PAIN EVALUATION TOOL Chest pain or discomfort is one of the commonest causes for presentation to the Emergency Room (ER) or physicians office. There are many causes for chest discomfort. The serious
More informationClinic Event Management System v5.1 Instruction Manual. 2014 Nursing Module
Clinic Event Management System v5.1 Instruction Manual 2014 Nursing Module The Regional Municipality of Niagara, 2014 Table of Contents LOGIN... 1 MAIN MENU... 1 CLIENT QUEUE... 6 CLIENT QUESTIONNAIRE...
More informationClinical Nurse Specialist (CNS) & Nurse Practitioner (NP) Advanced Practice Nurse Survey
1 Clinical Nurse Specialist (CNS) & Nurse Practitioner (NP) Advanced Practice Nurse Survey 1. Name 2. Preferred Mailing Address 3. Phone Number: Office Fax Unit Home 4. Email Address 5. Your Current Job
More informationEducational Goals & Objectives
Educational Goals & Objectives The Cardiology rotation will provide the resident with an understanding of cardiovascular physiology and its broad systemic manifestations. The resident will have the opportunity
More informationMulti-slice Helical CT Scanning of the Chest
Multi-slice Helical CT Scanning of the Chest Comparison of different low-dose acquisitions Lung cancer is the main cause of deaths due to cancer in human males and the incidence is constantly increasing.
More informationPatient Information Guide Morpheus CT Peripherally Inserted Central Catheter
Patient Information Guide Morpheus CT Peripherally Inserted Central Catheter IC 192 Rev C A measure of flexibility and strength. Table of Contents 1. Introduction 2. What is the Morpheus CT PICC? 3. What
More informationUW MEDICINE PATIENT EDUCATION. Aortic Stenosis. What is heart valve disease? What is aortic stenosis?
UW MEDICINE PATIENT EDUCATION Aortic Stenosis Causes, symptoms, diagnosis, and treatment This handout describes aortic stenosis, a narrowing of the aortic valve in your heart. It also explains how this
More informationACLS PHARMACOLOGY 2011 Guidelines
ACLS PHARMACOLOGY 2011 Guidelines ADENOSINE Narrow complex tachycardias or wide complex tachycardias that may be supraventricular in nature. It is effective in treating 90% of the reentry arrhythmias.
More informationSite Maintenance. Table of Contents
Site Maintenance Table of Contents Adobe Contribute How to Install... 1 Publisher and Editor Roles... 1 Editing a Page in Contribute... 2 Designing a Page... 4 Publishing a Draft... 7 Common Problems...
More informationThe disclaimer on page 1 is an integral part of this document. Copyright March 1, 2016 by AAPM. All rights reserved.
DISCLAIMER: TO THE EXTENT ALLOWED BY LOCAL LAW, THIS INFORMATION IS PROVIDED TO YOU BY THE AMERICAN ASSOCIATION OF PHYSICISTS IN MEDICINE, A NON-PROFIT ORGANIZATION ORGANIZED TO PROMOTE THE APPLICATION
More informationFFR CT : Clinical studies
FFR CT : Clinical studies Bjarne Nørgaard Department Cardiology B Aarhus University Hospital Skejby, Denmark Disclosures: Research grants: Edwards and Siemens Coronary CTA: High diagnostic sensitivity
More informationInpatient Cerner Navigation and Documentation For Nursing Students
Inpatient Cerner Navigation and Documentation For Nursing Students Audience Note: Purpose: Objectives: Cerner PowerChart training is for all students in the following inpatient areas Med/Surg, OSNO, Oncology,
More informationToshiba Excelart Vantage 1.5T MRI Tech Specs (Technical Specifications)
Toshiba Excelart Vantage 1.5T MRI Tech Specs (Technical Specifications) Excelart Vantage Magnet Configuration: Ultra-short-bore Strength (or W x H): 1.5 T Homogeneity, ppm V-RMS: Dimensions of maximum
More informationCoding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement
Coding Companion for Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement 2013 Contents Getting Started with Coding Companion...i Integumentary...1 Arteries and Veins...15 Lymph
More informationRb 82 Cardiac PET Scanning Protocols and Dosimetry. Deborah Tout Nuclear Medicine Department Central Manchester University Hospitals
Rb 82 Cardiac PET Scanning Protocols and Dosimetry Deborah Tout Nuclear Medicine Department Central Manchester University Hospitals Overview Rb 82 myocardial perfusion imaging protocols Acquisition Reconstruction
More informationCT Angiography (CTA) What is CT Angiography?
Scan for mobile link. CT Angiography (CTA) Computed tomography angiography (CTA) uses an injection of iodine-rich contrast material and CT scanning to help diagnose and evaluate blood vessel disease or
More informationX-ray (Radiography) - Chest
Scan for mobile link. X-ray (Radiography) - Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray produces images of
More informationWelcome to the tutorial which will guide you step-by-step through some basic features of the Bridge-IT dental practice management system.
Bridge-IT Tutorial Welcome to the tutorial which will guide you step-by-step through some basic features of the Bridge-IT dental practice management system. This tutorial will take you through:- Booking,
More informationGE Centricity Practice Solution Screen Shots. Calendar Appointments View (Multiple Providers/Resources)
GE Centricity Practice Solution Screen Shots Calendar Appointments View (Multiple Providers/Resources) This view shows 3 providers and the in-house lab. It shows examples of double/triple booking. Red
More informationUsing BlueHornet Statistics Sent Message Reporting Message Summary Section Advanced Reporting Basics Delivery Tab
Using BlueHornet Statistics BlueHornet provides a feature that allows message senders to gage the effectiveness of their messages by reporting message statistics that are tracked by the system. For quick
More informationCPT Radiology Codes Requiring Review by AIM Effective 01/01/2016
CPT Radiology Codes Requiring Review by AIM Effective 01/01/2016 When a service is authorized only one test per group is payable. *Secondary codes or add-on codes do not require preauthorization or separate
More informationCARDIOLOGY PROCEDURES REQUIRING PRECERTIFICATION
CLINICAL POLICY CARDIOLOGY PROCEDURES REQUIRING PRECERTIFICATION Policy Number: CARDIOLOGY 026.6 T2 Effective Date: May 1, 2015 Table of Contents CONDITIONS OF COVERAGE... COVERAGE RATIONALE... BENEFIT
More informationPARAMEDIC TRAINING CLINICAL OBJECTIVES
Page 1 of 21 GENERAL PATIENT UNIT When assigned to the General Patient unit paramedic student should gain knowledge and experience in the following: 1. Appropriate communication with patients and members
More informationEDM Training Manual. EDM Tracker/Worklist/Documentation 2. Temporary Status 14. Reception/Triage 15. Departing/Discharging 24.
EDM Training Manual EDM Tracker/Worklist/Documentation 2 Temporary Status 14 Reception/Triage 15 Ordering Medications 18 Medication Reconciliation 22 Departing/Discharging 24 Admit Request 27 On Call List
More informationINTERDISCIPLINARY CLINICAL MANUAL Policy and Procedure
INTERDISCIPLINARY CLINICAL MANUAL Policy and Procedure TITLE: Management of Angina in NUMBER: Effective Date: January 2014 Page 1 of 6 Applies To: Interdisciplinary Clinical Manual Cardiac Rehabilitation
More informationHeart Center Packages
Heart Center Packages For more information and appointments, Please contact The Heart Center of Excellence at the American Hospital Dubai Tel: +971-4-377-6571 Email: heartcenter@ahdubai.com www.ahdubai.com
More information2/28/2011. MIPPA overview and CMS requirements. CT accreditation. Today s agenda. About MIPPA. Computed Tomography
Today s agenda Computed Tomography Presented by: Dina Hernandez, BSRT, RT (R), CT, QM Krista Bush, RT, MBA Leonard Lucey, JD ACR Quality & Safety MIPPA overview and CMS requirements CT accreditation How
More informationQuiz 4 Arrhythmias summary statistics and question answers
1 Quiz 4 Arrhythmias summary statistics and question answers The correct answers to questions are indicated by *. All students were awarded 2 points for question #2 due to no appropriate responses for
More informationEnd User Manual for Service Provider Clinicians Clinical Assessment Services (CAS) for Choose and Book R2.2 Issue 1.0 October 2005
End User Manual for Service Provider Clinicians Clinical Assessment Services (CAS) for Choose and Book R2.2 Issue 1.0 October 2005 Choose and Book Programme End User Manual for Service Provider Clinicians
More information2/20/2015. Cardiac Evaluation of Potential Solid Organ Transplant Recipients. Issues Specific to Transplantation. Kidney Transplantation.
DISCLOSURES I have no relevant financial relationships to disclose. Cardiac Evaluation of Potential Solid Organ Transplant Recipients Michele Hamilton, MD Director, Heart Failure Program Cedars Sinai Heart
More informationTwelve. Figure 12.1: 3D Curved MPR Viewer Window
Twelve The 3D Curved MPR Viewer This Chapter describes how to visualize and reformat a 3D dataset in a Curved MPR plane: Curved Planar Reformation (CPR). The 3D Curved MPR Viewer is a window opened from
More informationHEART & VASCULAR SERVICES. Heart & Vascular Services www.mhsystem.org
HEART & VASCULAR SERVICES Heart & Vascular Services www.mhsystem.org Heart Services Testing Before Your Procedure If you are scheduled for a procedure in the catheterization lab, there will be blood work
More informationDouble-click the EncounterPRO-OS icon on the desktop. The EncounterPRO-OS login screen appears.
Test Drive This Test Drive is intended to help you document a simple sick visit. Step-by-step instructions and screen shots are provided so that you can be sure you are on the right track. More information
More informationHydroxyurea Treatment for Sickle Cell Disease
Hydroxyurea Treatment for Sickle Cell Disease Before hydroxyurea After hydroxyurea Hydroxyurea Treatment for Sickle Cell Disease 1 This document is not intended to take the place of the care and attention
More informationCBCT for Prone Breast. Todd Jenkins, MS, DABR Nash Cancer Treatment Center
CBCT for Prone Breast Todd Jenkins, MS, DABR Nash Cancer Treatment Center Disclosures No outside funding or support Disclosures Techniques likely apply across vendors Prone Breast Technique Rationale
More informationProtocol for the safe administration of iodinated contrast media in diagnostic radiology
Protocol for the safe administration of iodinated contrast media in diagnostic radiology Protocol statement: This protocol applies to all staff within Radiology Departments at Heart of England NHS Foundation
More informationIt is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive.
It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. This presentation will highlight the changes and any new
More informationVoxar 3D TM. A suite of advanced visualization and analysis software tools
Voxar 3D TM A suite of advanced visualization and analysis software tools The power to deliver advanced visualization throughout the enterprise To effectively manage the rapid growth of large volumetric
More informationX-ray (Radiography), Chest
X-ray (Radiography), Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray makes images of the heart, lungs, airways,
More informationDiagnostic Imaging Prior Review Code List 3 rd Quarter 2016
Computerized Tomography (CT) Abdomen 6 Abdomen/Pelvis Combination 101 Service 74150 CT abdomen; w/o 74160 CT abdomen; with 74170 CT abdomen; w/o followed by 74176 Computed tomography, abdomen and pelvis;
More informationHow to send meeting invitations using Office365 Calendar
How to send meeting invitations using Office365 Calendar This guide tells you how to send meeting requests using the Calendar in your Office365 webmail. There are separate sections for setting this up
More informationParamedic Pediatric Medical Math Test
Paramedic Pediatric Medical Math Test Name: Date: Problem 1 Your 4 year old pediatric patient weighs 40 pounds. She is febrile. You need to administer acetaminophen (Tylenol) 15mg/kg. How many mg will
More informationPHYSICIAN USER EMR QUICK REFERENCE MANUAL
PHYSICIAN USER EMR QUICK REFERENCE MANUAL Epower 4/30/2012 Table of Contents Accessing the system. 3 User Identification Area.. 3 Viewing ED Activity. 4 Accessing patient charts. 4 Documentation Processes.
More informationHow to Configure and Use MRP
SAP Business One How-To Guide PUBLIC How to Configure and Use MRP Applicable Release: SAP Business One 8.8 All Countries English October 2009 Table of Contents Purpose... 3 The MRP Process in SAP Business
More informationLimited Permit X-ray Technician Program
Limited Permit X-ray Technician Program Responsibilities of a Limited X-ray Technician Due to the strong pay and solid job prospects, more and more people are becoming X-ray technicians. Additionally,
More informationPerioperative Cardiac Evaluation
Perioperative Cardiac Evaluation Caroline McKillop Advisor: Dr. Tam Psenka 10-3-2007 Importance of Cardiac Guidelines -Used multiple times every day -Patient Safety -Part of Surgical Care Improvement Project
More informationThe patient s response to therapy within the first hour in the Emergency Room is one of the most reliable ways to predict need for hospitalization.
Emergency Room Asthma Management Algorithm The Emergency Room Asthma Management Algorithm is to be used for any patient seen in the Emergency Room with the diagnosis of asthma. (The initial history should
More informationTeleradiology Overview
Teleradiology Services Teleradiology Overview Why teleradiology services benefits the community, the clinician and the radiologist: Recent years have seen an increasing global shortage of radiologists
More informationMODERATE SEDATION RECORD (formerly termed Conscious Sedation)
(POLICY #DOC-051) Page 1 of 6 WELLSPAN HEALTH - YORK HOSPITAL NURSING POLICY AND PROCEDURE Dates: Original Issue: September 1998 Annual Review: March 2012 Revised: March 2010 Submitted by: Brenda Artz
More informationCoronary CTA in the Emergency Department A Hands-on Workshop
Coronary CTA in the Emergency Department A Hands-on Workshop November 7-8, 2009 Eden Roc Hotel Miami Beach, Florida Symposium Director Coronary CTA in the Emergency Department: A Hands-on Workshop Target
More information