Automated EMR Dose History Extraction and Monitoring
|
|
- Wilfred Snow
- 8 years ago
- Views:
Transcription
1 Automated EMR Dose History Extraction and Monitoring Aaron Sodickson MD, PhD Section Chief, Emergency Radiology Medical Director of CT, Brigham Radiology Network Brigham and Women s Hospital Harvard Medical School
2 Disclosures Consultant, Siemens Consultant, Medrad
3 Objectives Highlight the need for radiation dose history extraction, and desired functionality Demonstrate tools for automated EMR extraction of radiation exposure data Outline quality / patient safety use-case examples Describe use of this data for longitudinal patient-centric dose monitoring
4 A Drop in the Bucket
5 Incremental risk argument Exam indications - shades of gray Episodic care decisions cumulative risk vs cumulative benefit
6 Cumulative Exposure (msv) Patient FP - Cumulative Exposure and LA at 1 X, 1/2 X, 1/4 X Projected CT Rates Age % Lifetime Attributable Risk (LAR) above baseline
7 What Can We Do?
8 Dose Reduction Opportunities 1. Before Scan - Reduce Drip Rate Imaging algorithms, evidence based imaging Decision support: appropriateness, radiation risk Non-ionizing alternatives? Ultrasound, MRI 2. During Scan - Reduce Drop Size Dose-optimized protocols - find the sweet spot Lowest exposure appropriate for the clinical scenario Robust, diagnostic quality exams 3. After Scan Capture patient / exam specific exposure information Convert to patient dose using anatomy, size 4. Continuous Longitudinal dose & risk monitoring in EMR
9 EMR Dose Extraction: Why Do It? Scientific Test / refine models of biological effects at low dose Regulatory oversight Equipment & practice performance Organization / Institution Benchmarking, quality improvement, patient safety Equipment / Scanner Quality assurance, technique optimization Patient Longitudinal dose monitoring, risk assessment Better informed decision making
10 EMR Dose Extraction: Desired Features All sites of care All modalities / sources of exposure Modality-specific exposure / technique metrics Accurate patient-centric dosimetry Standardized database format All systems connected!
11 EMR Dose Extraction: Current Reality Fragmented EMRs, not connected Hospital-centric, not patient-centric Independent modality-specific efforts Different exposure metrics, platforms CT, fluoroscopy Missing important data elements Exposure metrics dose Data access is limited Inaccessible format (screen captures, text reports) Buried in disconnected systems
12 NEED: Validated Risk Models Reproduced from: Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci USA 2003;100:
13 NEED: Validated Risk Models Need better data in the low dose regime to DIRECTLY test the dose-response curve Need ACCURATE dosimetry in large number of patients to detect increased cancer incidence above 42% baseline Informatics methods for large-scale dose capture testing of underlying risk models
14 NEED: Better Patient- and Exam- Specific Dosimetry Capture of modality specific exposure metrics CTDI vol, DLP Conversion to patient dose estimates Link to exposed anatomy Correct for patient size 1. McCollough, Leng, Yu, Cody, Boone, McNitt-Gray. CT Dose Index and Patient Dose: They are NOT the Same Thing. Radiology (2011) 259; Boone, Strauss, Cody, McCollough, McNitt-Gray, Toth. AAPM Task Group 204. Size-Specific Dose Estimates in pediatric & adult body CT exams Huda, Scalzetti, Roskopf. Effective doses to patients undergoing thoracic computed tomography examinations. Med Phys 2000; 27(5):
15 GE Dose Screen Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
16 Siemens Dose Screen Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
17 Toshiba Dose Screens Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
18 Philips Dose Screen/Sequence Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
19 There are many years of exposure data in existing image archives Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
20 Exposing Exposure: Automated Anatomy and Dose Extraction from PACS Cancer Center Community Hospital Main Hospital Outside Total Abdomen/Pelvis Head Chest Neck Jul-09 Oct-09 Jan-10 Apr-10 Jul-10 Oct-10 Jan-11
21 GROK Generalized Radiation Observation Kit Name from RA Heinlein, Stranger in a Strange Land Code extended from David Clunie s open source PixelMed DICOM Toolkit Optical Character Recognition (OCR) of dose report screens, combined with image DICOM attributes Extracts CT exposure metrics CTDI vol and DLP Automatically assigns the exposed anatomy
22 GROK Validation Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
23 GROK Validation Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
24 Institutional Benchmarking Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
25 CT Protocol Quality Control Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
26 CT Protocol Quality Control
27 CT Protocol Quality Control
28 Patient-Centric Longitudinal Dose Monitoring Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
29 Patient-Centric Longitudinal Dose Monitoring Sodickson, Warden, Farkas et al. Exposing Exposure: Enhancing Patient Safety Initiatives through Automated Anatomy-Specific CT Radiation Exposure Extraction. Radiology 2012 (in press)
30 Mettler, Bhargavan, et al. Radiologic & Nuclear Medicine Studies in the US & Worldwide. Radiology 2009; 253;520 PARSE GROK GROK PARSE GROK = General Radiation Observation Kit PARSE = Perl Automation for Radiopharmaceutical Selection & Extraction
31 PARSE Perl Automation for Radiopharmaceutical Selection & Extraction Ikuta, Sodickson, Wasser et al. Exposing Exposure: Enhancing Patient Safety through Automated Data Mining of Nuclear Medicine Reports for Quality Assurance and Organ Dose Monitoring. Radiology 2012 (in press)
32 PARSE Validation # tracers: 1 1 >1 Combined # injections: 1 >1 >1 Bone Scan Tc-99m MDP Rest / Stress cardiac Tc-99m sestamibi V/Q scan Xe-133 / Tc-99m MAA Ikuta, Sodickson, Wasser et al. Exposing Exposure: Enhancing Patient Safety through Automated Data Mining of Nuclear Medicine Reports for Quality Assurance and Organ Dose Monitoring. Radiology 2012 (in press)
33 Distribution of Administered Activity for I-131 Sodium Iodide Frequency Administered Activity (mci) Ikuta, Sodickson, Wasser et al. Exposing Exposure: Enhancing Patient Safety through Automated Data Mining of Nuclear Medicine Reports for Quality Assurance and Organ Dose Monitoring. Radiology 2012 (in press)
34 Quality Assurance Ikuta, Sodickson, Wasser et al. Exposing Exposure: Enhancing Patient Safety through Automated Data Mining of Nuclear Medicine Reports for Quality Assurance and Organ Dose Monitoring. Radiology 2012 (in press)
35 Dose Calculations PARSE Organ Dose = (mci) * (37) * (conversion factor) Effective Dose = Σ T [ (Organ Dose) * (W T ) ] 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann ICRP. 2007;37: Stabin, Stubbs, Toohey. Radiation Dose Estimates for Radiopharmaceuticals. Washington, DC: U.S. Nuclear Regulatory Commission, U.S. Department of Energy, U.S. Department of Health and Human Services; 1996.
36 Cumulative Doses, Breast Cancer Patient Ikuta, Sodickson, Wasser et al. Exposing Exposure: Enhancing Patient Safety through Automated Data Mining of Nuclear Medicine Reports for Quality Assurance and Organ Dose Monitoring. Radiology 2012 (in press)
37 Acknowledgements NIH - National Library of Medicine: R01LM : Automated Radiation Monitoring and Decision Support to Reduce Cumulative Exposure BWH - Center for Evidence Based Imaging Ramin Khorasani Graham Warden Ichiro Ikuta Luciano Prevedello Eliott Wasser Kathy Andriole Ali Raja Cami Farkas Bobby Bransfield Dick Hanson NAS/IOM 12/08/2011
38 Automated EMR Dose History Extraction and Monitoring Aaron Sodickson MD, PhD Section Chief, Emergency Radiology Medical Director of CT, Brigham Radiology Network Brigham and Women s Hospital Harvard Medical School
Diagnostic Exposure Tracking in the Medical Record
Diagnostic Exposure Tracking in the Medical Record J.A. Seibert, Ph.D. Department of Radiology Sacramento, California USA Vancouver. British Columbia Relevant disclosures None Learning objectives Understand
More informationGestión global de la dosis en TC. Sistema de registro y gestión
Gestión global de la dosis en TC. Sistema de registro y gestión IV Jornada de Protección Radiológica Hospitalaria SARH FEA Radiofísica Hospital Virgen de las Nieves. Granada jalmansa.lopez@gmail.com 22
More informationMonitoring Patient Radiation Dose in VA. Charles M. Anderson MD, PhD Chief Consultant for Diagnostic Services Veterans Health Administration
Monitoring Patient Radiation Dose in VA Charles M. Anderson MD, PhD Chief Consultant for Diagnostic Services Veterans Health Administration TWENTY ONE/NOVEMBER 2011 Computed Tomography (CT), Magnetic Resonance
More informationThe Challenge of CT Dose Records
The Challenge of CT Dose Records Kimberly Applegate, MD, MS, FACR Professor of Radiology and Pediatrics Emory University *financial disclosures: -Springer Textbook contracts -AIM advisory board for patient
More informationPatient Dose Tracking for Imaging Studies. David E. Hintenlang, Ph.D., DABR University of Florida
Patient Dose Tracking for Imaging Studies David E. Hintenlang, Ph.D., DABR University of Florida Conflict of Interest Statement No affiliation or financial interests in any of the commercial products or
More informationMoving Forward What does this mean for the Medical Physicist and the Imaging Community?
Moving Forward What does this mean for the Medical Physicist and the Imaging Community? John M. Boone, Ph.D., FAAPM, FACR Professor and Vice Chairman of Radiology University of California Davis Medical
More informationGE Healthcare. DoseWatch. Gathering Radiation Dose Data
GE Healthcare DoseWatch Gathering Radiation Dose Data Gathering Radiation Dose Data After your organization crosses the bridge of Why? for patient radiation dose management either due to regulation, risk
More informationCT RADIATION DOSE REPORT FROM DICOM. Frank Dong, PhD, DABR Diagnostic Physicist Imaging Institute Cleveland Clinic Foundation Cleveland, OH
CT RADIATION DOSE REPORT FROM DICOM Frank Dong, PhD, DABR Diagnostic Physicist Imaging Institute Cleveland Clinic Foundation Cleveland, OH CT Patient comes out... Patient goes in... Big Black Box Radiology
More informationTracking Radiation Exposure From Medical Diagnostic Procedures: Siemens Perspectives
Tracking Radiation Exposure From Medical Diagnostic Procedures: Siemens Perspectives Gilbert W. Beebe Symposium The National Academies Katharine Grant, PhD Staff Scientist 8 December 2011 For internal
More informationESTIMATING POPULATION DOSES FROM MEDICAL RADIOLOGY
ESTIMATING POPULATION DOSES FROM MEDICAL RADIOLOGY B. Wall, (Co-ordinator) 1, D. Hart 1, H. Mol 2, A. Lecluyse 2, A. Aroua 3, P. Trueb 3, J. Griebel 4, E. Nekolla 4, P. Gron 5, H. Waltenburg 5, H. Beauvais-March
More informationUniversity of Colorado Radiology Dose-Risk Smartcard
University of Colorado Radiology Dose-Risk Smartcard Estimates of cancer risk from the low-dose radiation exposures in this card come from ICRP-103 and BEIR-VII (see references). These studies assume a
More informationWHERE IN THE WORLD JILL LIPOTI?
WHERE IN THE WORLD IS JILL LIPOTI? HELLO FROM NEW JERSEY CRCPD - National Symposium on Fusion Imaging and Multimodalities February 18-20, 2004 Kansas City, Missouri New Jersey s Requirements As They Pertain
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 informationPatient sample criteria for the OPEIR Measures Group are all patients regardless of age, that have a specific CT procedure performed:
OPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES GROUP OVERVIEW 2016 PQRS OPTIONS F MEASURES GROUPS: 2016 PQRS MEASURES IN OPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES
More informationOPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES GROUP OVERVIEW 2015 PQRS OPTIONS FOR MEASURES GROUPS:
OPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES GROUP OVERVIEW 2015 PQRS OPTIONS F MEASURES GROUPS: 2015 PQRS MEASURES IN OPTIMIZING PATIENT EXPOSURE TO IONIZING RADIATION (OPEIR) MEASURES
More informationTest Request Tip Sheet
With/Without Contrast CT, MRI Studies should NOT be ordered simultaneously as dual studies (i.e., with and without contrast). Radiation exposure is doubled and both views are rarely necessary. The study
More informationAssessing Radiation Dose: How to Do It Right
Assessing Radiation Dose: How to Do It Right Michael McNitt-Gray, PhD, DABR, FAAPM Professor, Department of Radiology Director, UCLA Biomedical Physics Graduate Program David Geffen School of Medicine
More informationCT: Size Specific Dose Estimate (SSDE): Why We Need Another CT Dose Index. Acknowledgements
CT: Size Specific Dose Estimate (SSDE): Why We Need Another CT Dose Index Keith J. Strauss, MSc, FAAPM, FACR Clinical Imaging Physicist Cincinnati Children s Hospital University of Cincinnati College of
More informationPrepublication Requirements
Issued Prepublication Requirements The Joint Commission has approved the following revisions for prepublication. While revised requirements are published in the semiannual updates to the print manuals
More informationRevised Radiation Protection Guidance for Diagnostic and Interventional X-ray Procedures
Revised Radiation Protection Guidance for Diagnostic and Interventional X-ray Procedures Mike Boyd US EPA Office of Radiation and Indoor Air NRSB Meeting July 20, 2010 What is Federal Guidance? 2 What
More informationEuropean Academy of DentoMaxilloFacial Radiology
European Academy of DentoMaxilloFacial Radiology Framework for Specialist Training in Dental and Maxillofacial Radiology Background The scope of DentoMaxilloFacial Radiology DMFR (Dental and Maxillofacial
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 informationPresentation Objective: Benefits to New Employee. Goal for Participants. Benefits to the Administration
Imaging Department Quick Step How to Create and Implement a Rapid Integration Orientation New Employee Orientation builds a bridge between the old job and the new job for better quality in health care
More informationThe Field. Radiologic technologists take x-rays and administer nonradioactive materials into patients' bloodstreams for diagnostic purposes.
Radiologic Technologist Overview The Field - Specialty Areas - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field Radiologic technologists
More informationComparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program
Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program Poster No.: C-0591 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific
More informationDesign and Implementation of an Institution-Wide Patient-Specific Radiation Dose
Design and Implementation of an Institution-Wide Patient-Specific Radiation Dose Monitoring Program for Computed Tomography, Digital Radiography, and Nuclear Medicine by Olav Christianson Medical Physics
More informationWhat Parents Should Know about the Safety of Dental Radiology.
What Parents Should Know about the Safety of Dental Radiology. There are many different types of x-ray images (pictures) that can be taken of children in the dental office to assist in diagnosis. These
More informationCURRICULUM VITAE. Kalpana M. Kanal, Ph.D., DABR
May 31, 2005 ADDRESS: PERSONAL: CURRICULUM VITAE Kalpana M. Kanal, Ph.D., DABR Department of Radiology University of Washington Medical Center 1959 NE Pacific Avenue Seattle, WA 98195-7115 (206) 616-1966
More informationRadiation and Pregnancy
Radiation and Pregnancy General Special attention must be paid to the pregnant, potentially pregnant, or breast feeding patient. The developing embryo or fetus is particularly sensitive to radiation. If
More informationSociety of Nuclear Medicine 1850 Samuel Morse Drive Reston, VA 20190-5316 www.snm.org
What is nuclear medicine? Nuclear medicine is a medical specialty that is used to diagnose and treat diseases in a safe and painless way. Nuclear medicine procedures permit the determination of medical
More informationDecision Support: Improving Quality, Safety and Efficiency through Innovative Use of Information Technologies
Decision Support: Improving Quality, Safety and Efficiency through Innovative Use of Information Technologies Katherine P. Andriole Brigham & Women s Hospital Department of Radiology Center for Evidence-Based
More informationChest CT protocols. Mannudeep K. Kalra, MD, DNB. Dianna D. Cody, PhD. Massachusetts General Hospital Harvard Medical School
Chest CT protocols Mannudeep K. Kalra, MD, DNB Dianna D. Cody, PhD Massachusetts General Hospital Harvard Medical School M.D. Anderson Cancer Center Specific principles Routine chest CT Lung nodule follow
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 informationUtilizing Information Technology to Manage Radiation Exposure: Emphasis on Decision Support Systems
Utilizing Information Technology to Manage Radiation Exposure: Emphasis on Decision Support Systems Steven E. Seltzer, MD FACR Chair, Department of Radiology, Brigham and Women s Hospital Cook Professor
More informationHow To Improve Your Ct Image Quality
Translating Protocols Between Scanner Manufacturer and Model Cynthia H. McCollough, PhD, FACR, FAAPM Professor of Radiologic Physics Director, CT Clinical Innovation Center Department of Radiology Mayo
More informationHealth Care Careers in the Field of Imaging. Shari Workman, MSM,PHR,CIR MultiCare Health System Senior Recruiter/Employment Specialist
Health Care Careers in the Field of Imaging Shari Workman, MSM,PHR,CIR MultiCare Health System Senior Recruiter/Employment Specialist What is Health Care Imaging? Technologists working with patients, using
More informationRSNA 2015 RCA22 A Practical Introduction to Structured Reporting Tools and Resources. DICOM Structured Reports (SR)
RSNA 2015 RCA22 A Practical Introduction to Structured Reporting Tools and Resources DICOM Structured Reports (SR) David Clunie (dclunie@dclunie.com) PixelMed Publishing Background & Disclosures Owner,
More informationImaging Technology. Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist
Imaging Technology Diagnostic Medical Sonographer, Dosimetrist, Nuclear Medicine Technologist, Radiation Therapist, Radiologic Technologist Diagnostic Medical Sonographer, Dosimetrist Diagnostic Medical
More informationMeasuring Patient Exposure in Interventional Radiology
Measuring Patient Exposure in Interventional Radiology GAFCHROMIC XR-R, a Wide-Area Dosimetry Film to Assess Peak Skin Dose (PSD) Xiang Yu, Ph.D. Director, Advanced Materials International Specialty Products
More informationBreaking the trend of increased radiation exposure to patients through dose monitoring
Breaking the trend of increased radiation exposure to patients through dose monitoring White paper This white paper raises the issue of the increase in patient exposure to radiation doses in diagnostic
More informationSTUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology)
STUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology) plan number :15/11/97/NT I-GENERAL RULES AND CONDITIONS: 1- This plan conforms to the regulations of granting the
More informationSOURCES AND EFFECTS OF IONIZING RADIATION
SOURCES AND EFFECTS OF IONIZING RADIATION United Nations Scientific Committee on the Effects of Atomic Radiation UNSCEAR 2008 Report to the General Assembly with Scientific Annexes VOLUME I UNITED NATIONS
More informationEmbedded Systems in Healthcare. Pierre America Healthcare Systems Architecture Philips Research, Eindhoven, the Netherlands November 12, 2008
Embedded Systems in Healthcare Pierre America Healthcare Systems Architecture Philips Research, Eindhoven, the Netherlands November 12, 2008 About the Speaker Working for Philips Research since 1982 Projects
More informationPatient Radiation Overdose
Patient Radiation Overdose Do You Know Your True Risk? Christopher T. Baird, MS, DABMP, LMP 2 August 2012 Evolving Technology, Regulatory and Safety Needs Technology Regulatory Safety Rapid evolution of
More informationNHS Imaging and Radiodiagnostic activity in England. 2012/13 Release. August 2013
NHS Imaging and Radiodiagnostic activity in England 2012/13 Release August 2013 Commentary This National Statistics release covers Imaging and Radiodiagnostic examinations or tests carried out in the NHS
More informationThe consistent quality of connected radiology
The consistent quality of connected radiology Radimetrics Enterprise Platform the seamlessly smart solution across contrast dose* and radiation dose Advanced informatics for patient-centered care, compliance,
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 informationSOP #: Revision #: Current Version Implementation Date: Page #: Page 1 of 10 Last Reviewed/Update Date: Expiration
Implementation Page #: Page 1 of 10 Last Reviewed/Update 1. Purpose and Scope The purpose of this document is to describe the Medical Physics and Radiation Safety program at Boston University (BU) and
More informationOnline checking of radiation dose for Computed Tomography imaging investigations performed on the human patients. Alin CORDOS 1
Advanced Engineering Forum Online: 2013-06-27 ISSN: 2234-991X, Vols. 8-9, pp 21-28 doi:10.4028/www.scientific.net/aef.8-9.21 2013 Trans Tech Publications, Switzerland Online checking of radiation dose
More informationControlling Advanced Diagnostic Imaging With Specialty Benefits Management: Two Case Studies. Mark D. Hiatt, MD, MBA, MS & Timothy R.
Controlling Advanced Diagnostic Imaging With Specialty Benefits Management: Two Case Studies Mark D. Hiatt, MD, MBA, MS & Timothy R. Johnstad, MBA 1 Agenda Introduction to Speaker & HealthHelp Objectives
More informationBonn Call-for-Action Joint Position Statement by the IAEA and WHO
Bonn Call-for-Action Joint Position Statement by the IAEA and WHO The International Atomic Energy Agency (IAEA) held the International Conference on Radiation Protection in Medicine: Setting the Scene
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 informationSodium Fluoride PET/CT Bone Imaging: Theory and Practice
Sodium Fluoride PET/CT Bone Imaging: Theory and Practice George Segall, M.D. Stanford University Why F-18 Fluoride? Faster Higher Resolution Anatomic Correlation Chemiadsorption Hydroxyapatite Ca10(PO4)6(OH)2
More informationRadiologic Technology Degree
Radiologic Technology Degree This associate degree brings the student into the area of high technology in the field of medicine. You will experience all the applications of diagnostic imaging, including
More informationIBA Proton Therapy. Biomed days 2015. Vincent Bossier. System Architect Vincent.bossier@iba-group.com. Protect, Enhance and Save Lives
Vincent Bossier System Architect Vincent.bossier@iba-group.com IBA Proton Therapy Biomed days 2015 Protect, Enhance and Save Lives 1 Agenda AN INTRODUCTION TO IBA WHY PROTON THERAPY CLINICAL WORKFLOW TREATMENT
More informationTraining needs for professionals in conventional radiology (radiology technicians, physicists, radiologists) joining digital radiology
Training needs for professionals in conventional radiology (radiology technicians, physicists, radiologists) joining digital radiology S Peer 1, R Peer 1, P Torbica 1, W Jaschke 1, E Vaño 2 Innsbruck University
More informationIntelligent Tools For A Productive Radiologist Workflow: How Machine Learning Enriches Hanging Protocols
GE Healthcare Intelligent Tools For A Productive Radiologist Workflow: How Machine Learning Enriches Hanging Protocols Authors: Tianyi Wang Information Scientist Machine Learning Lab Software Science &
More informationDOSES TO EYES AND EXTREMITIES OF MEDICAL STAFF DURING INTERVENTIONAL RADIOLOGY PROCEDURES
DOSES TO EYES AND EXTREMITIES OF MEDICAL STAFF DURING INTERVENTIONAL RADIOLOGY PROCEDURES Ausra Urboniene, Birute Griciene Lithuania Introduction Medical staff during interventional radiology procedures
More informationUnderstanding Digital Modalities: System Integration and Use
Understanding Digital Modalities: System Integration and Use Donald J. Peck, PhD Henry Ford Health System Detroit, MI donaldp@rad.hfh.edu Dicom Digital Imaging and Communications in Medicine Part 3: Information
More informationAppropriateness in cardiology
Bruxelles, September 3rd, 2009 Appropriateness in cardiology Eugenio Picano Istituto di Fisiologia Clinica, CNR, Pisa US Health Care Plan 1964 Don t ever argue with me. I ll go a hundred Million or a billion
More informationProfessional Doctorate Program in Medical Physics (DMP) University of Cincinnati. Program Assessment. August 2014
Professional Doctorate Program in Medical Physics (DMP) University of Cincinnati Program Assessment August 2014 Program Director Howard R. Elson, Ph.D. Barrett Cancer Center 513-584-9092 howard.elson@uc.edu
More informationParkway College of Nursing and Allied Health School of Nursing and Allied Health. BSc (Hons) Diagnostic Radiography and Imaging Module Synopses
Parkway College of Nursing and Allied Health School of Nursing and Allied Health 4FHH1157 Anatomy, Physiology and Pathology for Imaging 1 Develop a broad understanding of anatomy, physiology, pathology
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 informationDepartment of Veterans Affairs VHA DIRECTIVE 2011-005 Veterans Health Administration Washington, DC 20420 February 8, 2011
Department of Veterans Affairs VHA DIRECTIVE 2011-005 Veterans Health Administration Washington, DC 20420 RADIOLOGY PICTURE ARCHIVING AND COMMUNICATION SYSTEMS (PACS) 1. PURPOSE: This Veterans Health Administration
More informationImage Area. View Point. Medical Imaging. Advanced Imaging Solutions for Diagnosis, Localization, Treatment Planning and Monitoring. www.infosys.
Image Area View Point Medical Imaging Advanced Imaging Solutions for Diagnosis, Localization, Treatment Planning and Monitoring www.infosys.com Over the years, medical imaging has become vital in the early
More informationAdvanced Imaging Services
Advanced Imaging Services July 17, 2013 Joan Cleary Miron, MPH Director Division of Primary Care Development MIPPA Definition: Advanced Diagnostic Imaging Services * Section 135 (B) ADVANCED DIAGNOSTIC
More informationCoordinating Patient Care Within Radiology and Across the Enterprise Kevin W. McEnery, MD
Coordinating Patient Care Within Radiology and Across the Enterprise Kevin W. McEnery, MD For the practice of radiology, the transition to filmless imaging operations has resulted in a fundamental transition
More informationRESPONSE BY THE CEO OF ARPANSA TO THE ADVICE ON MEDICAL RADIATION ISSUES from the RADIATION HEALTH AND SAFETY ADVISORY COUNCIL
RESPONSE BY THE CEO OF ARPANSA TO THE ADVICE ON MEDICAL RADIATION ISSUES from the RADIATION HEALTH AND SAFETY ADVISORY COUNCIL INTRODUCTION The practice of radiology, nuclear medicine and radiotherapy
More informationThere must be an appropriate administrative structure for each residency program.
Specific Standards of Accreditation for Residency Programs in Radiation Oncology 2015 VERSION 3.0 INTRODUCTION The purpose of this document is to provide program directors and surveyors with an interpretation
More informationInnovation for Safety: Achievements and Challenges
Innovation for Safety: Achievements and Challenges Nicole Denjoy DITTA Chair COCIR Secretary General IMDRF Open Stakeholders Forum Brussels, Belgium November 13, 2013 DITTA - the Global Diagnostic Imaging,
More informationAAPM Medical Physics Practice Guideline 1.a: CT Protocol Management and Review Practice Guideline
JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 14, NUMBER 5, 2013 AAPM Medical Physics Practice Guideline 1.a: CT Protocol Management and Review Practice Guideline The American Association of Physicists
More informationQualifications for Healthcare Facility Radiation Safety Officer
Standards of Qualification and Practice (SQ/P) Qualifications for Healthcare Facility Radiation Safety Officer Medical Health Physics Section American Academy of Health Physics and Medical Health Physics
More informationTreating Thyroid Cancer using I-131 Maximum Tolerable Dose Method
Treating Thyroid Cancer using I-131 Maximum Tolerable Dose Method Christopher Martel, M.Sc., CHP Lisa Thornhill,, NRRPT, RT(NM) Boston University Medical Center Thyroid Carcinoma New cases and deaths in
More informationRadiology Information Systems and Electronic Medical Records
Information s and Electronic Medical s Corresponding Author: Kevin W. McEnery, MD Professor, Director, Innovation in Imaging Informatics, UT M.D. Anderson Cancer Center Key words: Workflow Electronic Medical
More informationDICOM Grid, Inc. January 25, 2016. Senior Consultant Biologics Consulting Group, Inc. 400 N. Washington Street, Suite 100 ALEXANDRIA VA 22314
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Center WO66-G609 Silver Spring, MD 20993-0002 DICOM Grid, Inc. Senior
More informationThe AAPM does not endorse any products, manufacturers, or suppliers. Nothing in this publication should be interpreted as implying such endorsement.
DISCLAIMER: This publication is based on sources and information believed to be reliable, but the AAPM, the editors, and the publisher disclaim any warranty or liability based on or relating to the contents
More informationDIAGNOSTIC REFERENCE LEVELS IN MEDICAL IMAGING: REVIEW AND ADDITIONAL ADVICE
DIAGNOSTIC REFERENCE LEVELS IN MEDICAL IMAGING: REVIEW AND ADDITIONAL ADVICE A web module produced by Committee 3 of the International Commission on Radiological Protection (ICRP Key Points Diagnostic
More informationSpiral CT: Single and Multiple Detector Systems. AAPM Refresher Course Nashville, TN July 28,1999
Spiral CT: Single and Multiple Detector Systems AAPM Refresher Course Nashville, TN July 28,1999 Mike McNitt-Gray, PhD, DABR Assistant Professor UCLA Radiological Sciences mmcnittgray@mednet.ucla.edu X-Ray
More informationPicture Archiving. and Communication Systems: A 2000-2008 Study
Picture Archiving and Communication Systems: A 2000-2008 Study Research provided by The Dorenfest Institute for Health Information, through the HIMSS Foundation Chicago, Illinois 1 Contents Introduction
More informationHealth Management Information Systems: Medical Imaging Systems. Slide 1 Welcome to Health Management Information Systems, Medical Imaging Systems.
Health Management Information Systems: Medical Imaging Systems Lecture 8 Audio Transcript Slide 1 Welcome to Health Management Information Systems, Medical Imaging Systems. The component, Health Management
More informationCabrillo College Catalog 2015-2016
RADIOLOGIC TECHNOLOGY Health, Athletics, Wellness, and Kinesiology Division Ian Haslam, Division Dean Division Office, Room 1102 Ann Smeltzer, Department Chair, (831) 479-5056 Aptos Counselor: (831) 479-6274
More informationUniversity of Texas Medical School at Houston. April 14, 2015
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Center WO66-G609 Silver Spring, MD 20993-0002 University of Texas Medical
More informationBreast Density Legislation: Implications for primary care providers
Breast Density Legislation: Implications for primary care providers Deborah J. Rhodes MD Associate Professor of Medicine 2012 MFMER slide-1 Disclosure Relevant financial relationship(s) None Off-label
More informationFind your future in the history
Find your future in the history Is your radiology practice ready for the future? Demands are extremely high as radiology practices move from a fee-for-service model to an outcomes-based model centered
More informationProtocol Management and Review Strategies The MD Anderson Experience
Protocol Management and Review Strategies The MD Anderson Experience Dianna Cody, Ph.D. Professor Dept. of Imaging Physics Univ. of Texas M.D. Anderson Cancer Center Objectives Setting up a policy for
More informationKing Fahd University of Petroleum & Minerals. Graduate Bulletin
King Fahd University of Petroleum & Minerals Graduate Bulletin 2009-2011 King Fahd University of Petroleum & Minerals GRADUATE BULLETIN 2009-2011 Dhahran 31261, Saudi Arabia GRADUATE BULLETIN 2009-2011
More informationNext Generation PACS: Design & Architecture (Standards based VNA concepts) November 8, 2010
Next Generation PACS: Design & Architecture (Standards based VNA concepts) November 8, 2010 Choice Agenda! Current State! Market Research How customer view their next PACS Top Reasons for Considering a
More informationIn 2006, the average radiation dose from diagnostic. Radiation Dose at Cardiac Computed Tomography. Facts and Fiction SYMPOSIA
SYMPOSIA Radiation Dose at Cardiac Computed Tomography Facts and Fiction Walter Huda, PhD, W. Taylor Rowlett, MD, and U. Joseph Schoepf, MD Abstract: Cardiac computed tomography (CT) dosimetry makes use
More informationX-Rays Benefits and Risks. Techniques that use x-rays
X-Rays Benefits and Risks X-rays are a form of electromagnetic radiation, just like light waves and radiowaves. Because X-rays have higher energy than light waves, they can pass through the body. X-rays
More informationFuture Directions in Cancer Research What does is mean for medical physicists and AAPM?
Future Directions in Cancer Research What does is mean for medical physicists and AAPM? John D. Hazle, Ph.D., FAAPM, FACR President-elect American Association of Physicists in Medicine Professor and Chairman
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 informationClinical Rotation 3: PHYS 705 Fall 2015 (Aug. 25, 2015 to Feb. 25, 2016) COURSE INFORMATION
Clinical Rotation 3: PHYS 705 Fall 2015 (Aug. 25, 2015 to Feb. 25, 2016) COURSE INFORMATION Days: Monday-Friday Times: Full Time Location: One of the participating cancer clinics Program Director: George
More informationBon Secours St. Mary s Hospital School of Medical Imaging Course Descriptions by Semester 18 Month Program
Bon Secours St. Mary s Hospital School of Medical Imaging Course Descriptions by Semester 18 Month Program First Semester RAD 1101 Patient Care, Ethics, Law and Diversity Credits This 16 week course prepares
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 informationGolder Cat-Scan & MRI Center Automates Imaging Center Workflows
CASE STUDY Golder Cat-Scan & MRI Center Automates Imaging Center Workflows any health information system any application, for any specialty, anywhere endless possibilities TEXAS QUICK FACTS GOLDER CAT-SCAN
More informationStaff Doses & Practical Radiation Protection in DEXA
Patient Xray X Doses Staff Doses & Practical Radiation Protection in DEXA Una O ConnorO Dept. of Medical Physics & Bioengineering, St. James s s Hospital. Examination Types General XrayX Fluoroscopy /
More informationEMERGENCY ULTRASOUND: Workflow White Paper
EMERGENCY ULTRASOUND: Workflow White Paper Mark Byrne MD, Rajesh Geria MD, Tobias Kummer MD, Stephen Leech MD, Resa Lewiss MD, Vicki Noble MD, Christopher Raio MD, Michael Stone MD, Vivek Tayal MD, Robert
More informationClinic. ED Trauma Trauma Stroke. OR Neuro/Spine. Critical Care. Neuro ENT. Diagnostic. Pediatric. Radiology. Plastics Thoracic. Neuro.
www.neurologica.com Critical Care Clinic Operating Room Radiology ED Trauma OR Neuro/Spine Pediatric Plastics Thoracic General Interventional Radiology ENT ED Trauma Trauma Stroke Critical Care Neuro Pediatric
More informationRadiological protection education and training for healthcare staff and students
1 2 ICRP ref 4811-3039-3350 May 5, 2010 3 4 5 6 Radiological protection education and training for healthcare staff and students 7 8 9 10 11 Chairman: Eliseo Vano Full Members (ICRP Committee 3 members):
More informationProtection of Pregnant Patients during Diagnostic Medical Exposures to Ionising Radiation
Protection of Pregnant Patients during Diagnostic Medical Exposures to Ionising Radiation Advice from the Health Protection Agency, The Royal College of Radiologists and the College of Radiographers RCE-9
More information