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https://www.readbyqxmd.com/read/28402126/implementation-of-a-point-of-care-radiologist-technologist-communication-tool-in-a-quality-assurance-program
#1
Leonard Ong, Pierre Elnajjar, C Gregory Nyman, Thomas Mair, Krishna Juluru
OBJECTIVE: We implemented an Image Quality Reporting and Tracking Solution (IQuaRTS), directly linked from the PACS, to improve communication between radiologists and technologists. MATERIALS AND METHODS: IQuaRTS launched in May 2015. We compared MRI issues filed in the period before IQuaRTS implementation (May-September 2014) using a manual system with MRI issues filed in the IQuaRTS period (May-September 2015). The unpaired t test was used for analysis. For assessment of overall results in the IQuaRTS period alone, all issues filed across all modalities were included...
April 12, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28104315/implementing-a-structured-reporting-initiative-using-a-collaborative-multistep-approach
#2
Shlomit Goldberg-Stein, William R Walter, E Stephen Amis, Meir H Scheinfeld
PURPOSE: To describe the successful implementation of a structured reporting initiative in a large urban academic radiology department. METHODS: We describe our process, compromises, and top 10 lessons learned in overhauling traditional reporting practices and comprehensively implementing structured reporting at our institution. To achieve our goals, we took deliberate steps toward consensus building, undertook multistep template refinement, and achieved close collaboration with the technical staff, department coders, and hospital information technologists...
December 15, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28050717/improving-patient-safety-avoiding-unread-imaging-exams-in-the-national-va-enterprise-electronic-health-record
#3
Sarah Bastawrous, Benjamin Carney
In the current digital and filmless age of radiology, rates of unread radiology exams remain low, however, may still exist in unique environments. Veterans Affairs (VA) health care systems may experience higher rates of unread exams due to coexistence of Veterans Health Information Systems and Technology Architecture (VistA) imaging and commercial picture archiving and communication systems (PACS). The purpose of this patient safety initiative was to identify any unread exams and causes leading to unread exams...
January 3, 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/28048866/su-f-i-47-optimizing-protocols-for-image-quality-and-dose-in-abdominal-ct-of-large-patients
#4
L Johnson, M Yester
PURPOSE: Newer CT scanners are able to use scout views to adjust mA throughout the scan in order to achieve a given noise level. However, given constraints of radiologist preferences for kVp and rotation time, it may not be possible to achieve an acceptable noise level for large patients. A study was initiated to determine for which patients kVp and/or rotation time should be changed in order to achieve acceptable image quality. METHODS: Patient scans were reviewed on two new Emergency Department scanners (Philips iCT) to identify patients over a large range of sizes...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047711/su-f-r-06-traumatic-brachial-plexus-injury-imaging-developing-a-coherent-clinical-protocol-from-literature-review-through-practice
#5
D Wu, E France, J Lambert, J Hinkle
PURPOSE: Medical Physics teams can now play a critical role to help plan and provide studied approaches for traumatic brachial plexus MR imaging (tbpMRI). This is especially important for coordination with uncommon applications, since it is challenging to select the right modality, parameters, and train technologists on the essential components. For this work, we started with a review of the medical literature, performed crossover/volunteer studies to bring tbpMRI to practice with greater image QC and protocol management...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047022/su-g-iep2-10-lens-dose-reduction-by-patient-position-modification-during-neck-ct-exams
#6
E Mosher, J Butman, N Biassou, L Folio, C Lee
PURPOSE: Irradiation of the lens during a neck CT may increase a patient's risk of developing cataracts later in life. Radiologists and technologists at the National Institutes of Health Clinical Center (NIHCC) have developed new CT imaging protocols that include a reduction in scan range and modifying neck positioning using a head tilt. This study will evaluate the efficacy of this protocol in the reduction of lens dose. METHODS: We retrieved CT images of five male patients who had two sets of CT images: before and after the implementation of the new protocol...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047006/mo-c-brb-04-observations-of-a-nuclear-radiologist-on-the-value-of-the-medical-physicist
#7
B Greenspan
With the profound changes currently occurring in medicine, the role of the medical physicist cannot stagnate, but must evolve to meet the challenges and opportunities that are presented. Medical physicists must understand these changes and establish themselves not only as relevant but as leaders in this new environment. We must increase our presence in clinical settings such as tumor boards, patient rounds, and the development of new diagnosis, imaging, and treatment techniques. By establishing ourselves as competent scientists, we can and must participate in the development of technologies through research, teaching, and clinical implementation...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046867/su-f-p-06-moving-from-computed-radiography-to-digital-radiography-a-collaborative-approach-to-improve-image-quality
#8
D Sandoval, D Valenti, T Bateman, V Norris, G Mlady, R Selwyn
PURPOSE: To bring together radiologists, technologists, and physicists to utilize post-processing techniques in digital radiography (DR) in order to optimize image acquisition and improve image quality. METHODS: Sub-optimal images acquired on a new General Electric (GE) DR system were flagged for follow-up by radiologists and reviewed by technologists and medical physicists. Various exam types from adult musculoskeletal (n=35), adult chest (n=4), and pediatric (n=7) were chosen for review...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28027166/ncrp-vision-for-the-future-and-program-area-committee-activities
#9
John D Boice
The National Council on Radiation Protection and Measurements (NCRP) believes that the most critical need for the nation in radiation protection is to train, engage, and retain radiation professionals for the future. Not only is the pipeline shrinking, but for some areas there is no longer a pipe! When the call comes to respond, there may be no one to answer the phone! The NCRP "Where are the Radiation Professionals?" initiative, Council Committee (CC) 2, and this year's annual meeting are to focus our efforts to find solutions and not just reiterate the problems...
February 2017: Health Physics
https://www.readbyqxmd.com/read/27988200/dissecting-costs-of-ct-study-application-of-tdabc-time-driven-activity-based-costing-in-a-tertiary-academic-center
#10
Yoshimi Anzai, Marta E Heilbrun, Derek Haas, Luca Boi, Kirk Moshre, Satoshi Minoshima, Robert Kaplan, Vivian S Lee
RATIONALE AND OBJECTIVES: The lack of understanding of the real costs (not charge) of delivering healthcare services poses tremendous challenges in the containment of healthcare costs. In this study, we applied an established cost accounting method, the time-driven activity-based costing (TDABC), to assess the costs of performing an abdomen and pelvis computed tomography (AP CT) in an academic radiology department and identified opportunities for improved efficiency in the delivery of this service...
February 2017: Academic Radiology
https://www.readbyqxmd.com/read/27933409/imaging-trends-in-suspected-appendicitis-a-canadian-perspective
#11
Victoria F Tan, Michael N Patlas, Douglas S Katz
PURPOSE: The purpose of our study was to assess trends in the imaging of suspected appendicitis in adult patients in emergency departments of academic centers in Canada. METHODS: A questionnaire was sent to all 17 academic centers in Canada to be completed by a radiologist who works in emergency radiology. The questionnaires were sent and collected over a period of 4 months from October 2015 to February 2016. RESULTS: Sixteen centers (94%) responded to the questionnaire...
December 8, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27927592/tracking-patterns-of-nonadherence-to-prescribed-ct-protocol-parameters
#12
Timothy P Szczykutowicz, Annelise Malkus, Amanda Ciano, Myron Pozniak
PURPOSE: Quantification of the frequency, understanding the motivation, and documentation of the changes made by CT technologists at scan time are important components of monitoring a quality CT workflow. METHODS: CT scan acquisition data were collected from one CT scanner for a period of 1 year. The data included all relevant acquisition parameters needed to define the technical side of a CT protocol. An algorithm was created to sort these data in groups of irradiation events with the same combinations of scan acquisition parameters...
February 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27896451/transfer-learning-with-convolutional-neural-networks-for-classification-of-abdominal-ultrasound-images
#13
Phillip M Cheng, Harshawn S Malhi
The purpose of this study is to evaluate transfer learning with deep convolutional neural networks for the classification of abdominal ultrasound images. Grayscale images from 185 consecutive clinical abdominal ultrasound studies were categorized into 11 categories based on the text annotation specified by the technologist for the image. Cropped images were rescaled to 256 × 256 resolution and randomized, with 4094 images from 136 studies constituting the training set, and 1423 images from 49 studies constituting the test set...
April 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/27815055/strengths-and-deficiencies-in-the-content%C3%A2-of-us-radiology-private-practices-%C3%A2-websites
#14
Evan J Johnson, Ankur M Doshi, Andrew B Rosenkrantz
PURPOSE: The Internet provides a potentially valuable mechanism for radiology practices to communicate with patients and enhance the patient experience. The aim of this study was to assess the websites of US radiology private practices, with attention to the frequency of content of potential patient interest. METHODS: The 50 largest private practice radiology facilities in the United States were identified from RadiologyBusiness.com. Websites were reviewed for information content and functionality...
March 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27815053/comparative-effectiveness-of-hands-on-versus-computer-simulation-based-training-for-contrast-media-reactions-and-teamwork-skills
#15
Carolyn L Wang, Sankar Chinnugounder, Daniel S Hippe, Sadaf Zaidi, Ryan B O'Malley, Puneet Bhargava, William H Bush
PURPOSE: To assess the performance of interprofessional teams of radiologists, technologists, and nurses trained with high-fidelity hands-on (HO) simulation and computer-based (CB) simulation training for contrast reaction management (CR) and teamwork skills (TS). METHODS: Nurses, technologists, and radiology residents were randomized into 11 teams of three (one of each). Six teams underwent HO training and five underwent CB training for CR and TS. Participants took written tests before and after training and were further tested using a high-fidelity simulation scenario...
January 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27751973/occupational-radiation-exposure-to-the-extremities-of-medical-staff-during-hysterosalpingography-and-radionuclide-bone-scan-procedures-in-several-nigerian-hospitals
#16
Nnamdi Norbert Jibiri, Tawakalitu Oluwatoyin Akintunde, Musa Yusuf Dambele, Christopher Jimoh Olowookere
OBJECTIVE: The practice of regular dose measurement helps to ascertain the level of occupational dose delivered to the staff involved in diagnostic procedures. This study was carried out to evaluate the dose exposed to the hands of radiologists and a radiologic technologist carrying out HSG and radionuclide bone scan examinations in several hospitals in Nigeria. METHODS: Radiation doses exposed to the hands of radiologists and a technician carrying out hysterosalpingography (HSG) and bone scan procedures were measured using calibrated thermo-luminescent dosimeters...
October 5, 2016: Molecular Imaging and Radionuclide Therapy
https://www.readbyqxmd.com/read/27749641/developing-and-testing-an-electronic-literacy-resource-for-arab-patients-before-experiencing-radiology-procedures
#17
Mohamed M Abuzaid, Aishah M Alnuaimi, Asma M Abdi, Elika A Mohajer, Ifrah A Mohamed, Rawan A Bilwani, Shaima B Alhammadi
BACKGROUND: Radiological examinations require prior preparation that patients should be informed about. Radiologists and radiologic technologists have limited time and resources to do so. Therefore, the internet is a valuable and accessible resource for patient education, but the information may not be reliable, especially that in Arabic language. This study aimed to develop online patient education resources about imaging procedures in Arabic. It also evaluated the understandability and actionability of the source materials...
September 2016: Journal of the Egyptian Public Health Association
https://www.readbyqxmd.com/read/27639514/voices-emerging-from-the-shadows-radiologic-practitioners-experiences-of-challenging-conversations
#18
Elaine C Meyer, Giulia Lamiani, Donna Luff, Stephen D Brown
OBJECTIVE: Traditionally, radiologists have practiced their profession behind the scenes. Today, radiologic practitioners face mounting expectations to communicate more directly with patients. However, their experiences with patient communication are not well understood. The aim of this study was to describe the challenges of radiologic practitioners when communicating with patients. METHODS: Twelve day-long interprofessional communication skills workshops for radiologic clinicians were held at Boston Children's Hospital...
January 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/27595706/problem-based-learning-for-radiological-technologists-a-comparison-of-student-attitudes-toward-plain-radiography
#19
Takayoshi Terashita, Naomi Tamura, Kengo Kisa, Hidenobu Kawabata, Katsuhiko Ogasawara
BACKGROUND: Knowledge and skill expected of healthcare providers continues to increase alongside developments in medicine and healthcare. Problem-based learning (PBL) is therefore increasingly necessary in training courses for radiological technologists. However, it is necessary to evaluate the effects of PBL to completely introduce it in our education programs. As a Hypothesis, it seems that a change occurs in the student's attitudes by participating in PBL practical training. There is the Semantic Differential (SeD) technique as a method to identify student's attitudes...
September 5, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27595620/cost-effectiveness-and-resource-use-of-implementing-mri-guided-nact-in-er-positive-her2-negative-breast-cancers-in-the-netherlands
#20
Anna Miquel-Cases, Lotte M G Steuten, Lisanne S Rigter, Wim H van Harten
BACKGROUND: Response-guided neoadjuvant chemotherapy (RG-NACT) with magnetic resonance imaging (MRI) is effective in treating oestrogen receptor positive/human epidermal growth factor receptor-2 negative (ER-positive/HER2-negative) breast cancer. We estimated the expected cost-effectiveness and resources required for its implementation compared to conventional-NACT. METHODS: A Markov model compared costs, quality-adjusted-life-years (QALYs) and costs/QALY of RG-NACT vs...
September 5, 2016: BMC Cancer
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