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https://www.readbyqxmd.com/read/28104724/predicting-survival-of-patients-with-small-bowel-neuroendocrine-tumours-comparison-of-3-systems
#1
Ashley Kieran Clift, Omar Faiz, Rob Goldin, John Martin, Harpreet Wasan, Marc-Olaf Liedke, Erik Schloericke, Anna Malczewska, Guido Rindi, Mark Kidd, Irvin Modlin, Andrea Frilling
Neuroendocrine tumours (NET) are clinically challenging due to their unpredictable behaviour. Nomograms, grading and staging systems are predictive tools with multiple roles in clinical practice, including patient prognostication. The NET nomogram allocates scores for various clinicopathological parameters, calculating percentage estimates for 5- and 10-year disease-specific survival of patients with small bowel (SB) NET. We evaluated the clinical utility of three prognostic systems in 70 SB NET patients: the NET nomogram, the World Health Organisation (WHO)/European Neuroendocrine Tumour Society (ENETS) grading system and the American Joint Commission on Cancer (AJCC)/Union Internationale Contre le Cancer (UICC) TNM staging method...
January 19, 2017: Endocrine Connections
https://www.readbyqxmd.com/read/28087401/how-the-eucerd-joint-action-supported-initiatives-on-rare-diseases
#2
REVIEW
Stephen Lynn, Victoria Hedley, Antonio Atalaia, Teresinha Evangelista, Kate Bushby
Joint Actions are successful initiatives from the European Commission (EC) that have helped to raise awareness and to bring significant benefit to those suffering from a rare disease (RD). In this paper, we will focus on the activities developed by the EUCERD Joint Action (EJA) and by the Orphanet Joint Action ("Orphanet Europe"). EUCERD Joint Action was co-funded by the EC and the Member States between 2012 and 2015 to help to define the activities and policies in the field of Rare Diseases and foster exchange of experiences amongst Member States...
January 10, 2017: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/28063728/no-bacterial-growth-found-in-spiked-intravenous-fluids-over-an-8-hour-period
#3
Richard E Haas, Edwin Beitz, Amy Reed, Howard Burtnett, Jason Lowe, Arthur E Crist, Kevin A Stierer, Allan M Birenberg
Protocol changes prompted by the Joint Commission mandating intravenous (IV) fluid bags to be used within 1 hour of spiking because of possible bacterial contamination have sparked clinical and economic concerns. This study investigated the degree of bacterial growth in which samples were obtained from spiked IV fluid bags at the time of spiking and 1, 2, 4, and 8 hours after spiking. No bacterial growth occurred in any of the 80 bags of Lactated Ringer's (LR) IV solutions sampled. This study demonstrated that LR IV bags do not support any bacterial growth for up to 8 hours after spiking...
January 4, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28056248/-evaluation-of-american-joint-commission-on-cancer-8-th-edition-and-japanese-pancreas-society-7-th-edition-changes-for-t-and-n-staging-in-patients-with-pancreatic-adenocarcinoma
#4
Y M Yang
Accurate staging for cancer is the basis for clinical practice, individualized treatment strategy, and prognosis determination.Recently, the T and N staging systems for pancreatic adenocarcinoma were updated by both American Joint Commission on Cancer(AJCC)8(th) edition and Japanese Pancreas Society 7(th) edition, in which more objective parameters were applied.When a large number of patients within the test set were staged, AJCC 8(th) edition has showed more reproducible and helped to predict the patient prognosis more accurately...
January 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28048693/tu-fg-204-01-an-overview-of-acr-joint-commission-and-the-aapm-practice-guidelines-on-ct-protocol-optimization
#5
T Szczykutowicz
: The role of a medical physicist involved with clinical CT activities is changing rapidly. No longer is the physicist responsible for simply ensuring scanner QA. This shift is evident by looking at the trend to regulate more and more aspects of what activities must be performed to keep a CT practice within compliance. In this symposium, new guidelines from the ACR, Joint Commission, and several states will be addressed. An overview of these regulations will be provided. Then, three speakers will provide an in-depth account of how their CT protocol Optimization team functions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048685/tu-d-201-08-experience-complying-with-the-joint-commission-element-of-performance-on-radiation-dose-index-monitoring
#6
M P Supanich
PURPOSE: A new Joint Commission element of performance effective July 2015 requires incidents where the radiation dose index exceeds a defined level be reviewed, analyzed and compared to external benchmarks. This work offers a comprehensive review of the CT exams in which the notification level was exceeded and the reason at one academic medical center. This review may help other institutions set reference levels at clinically relevant values. METHODS: Radiation Dose Structured Reports from each of the 5 diagnostic CT scanners at our institution are automatically sent to our radiation dose index monitoring software platform, Radimetrics from Bayer Healthcare...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048613/tu-fg-204-04-an-overview-of-the-ct-protocol-optimization-team-at-md-anderson-cancer-center
#7
D Cody
: The role of a medical physicist involved with clinical CT activities is changing rapidly. No longer is the physicist responsible for simply ensuring scanner QA. This shift is evident by looking at the trend to regulate more and more aspects of what activities must be performed to keep a CT practice within compliance. In this symposium, new guidelines from the ACR, Joint Commission, and several states will be addressed. An overview of these regulations will be provided. Then, three speakers will provide an in-depth account of how their CT protocol Optimization team functions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048215/mo-ab-206-00-nuclear-medicine-physics-and-testing
#8
Sharon White
: This education session will cover the physics and operation principles of gamma cameras and PET scanners. The first talk will focus on PET imaging. An overview of the principles of PET imaging will be provided, including positron decay physics, and the transition from 2D to 3D imaging. More recent advances in hardware and software will be discussed, such as time-of-flight imaging, and improvements in reconstruction algorithms that provide for options such as depth-of-interaction corrections...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047945/tu-fg-204-05-diagnostic-imaging-surveyor-education-survey-experience-and-trends
#9
A Browne
: The role of a medical physicist involved with clinical CT activities is changing rapidly. No longer is the physicist responsible for simply ensuring scanner QA. This shift is evident by looking at the trend to regulate more and more aspects of what activities must be performed to keep a CT practice within compliance. In this symposium, new guidelines from the ACR, Joint Commission, and several states will be addressed. An overview of these regulations will be provided. Then, three speakers will provide an in-depth account of how their CT protocol Optimization team functions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047765/th-cd-202-01-best-in-physics-joint-imaging-therapy-evaluation-of-the-use-of-direct-electron-density-ct-images-in-radiation-therapy
#10
T Zhao, N Mistry, R Raupach, N Huenemohr, Ritter, B Sun, H Li, S Mutic
PURPOSE: The current standard for calculation of photon and electron dose requires conversion of Hounsfield Units (HU) to Electron Density (ED) by applying a calibration curve specifically constructed for the corresponding CT tube voltage. This practice limits the use of the CT scanner to a single tube voltage and hinders the freedom in the selection of optimal tube voltage for better image quality. The objective of this study is to report a prototype CT reconstruction algorithm that provides direct ED images from the raw CT data independently of tube voltages used during acquisition...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047614/su-f-p-38-professional-practice-evaluation-and-quality-improvement
#11
J Rong
PURPOSE: In 2008, The Joint Commission (JC) implemented a standard mandating clearly defined quality improvement metrics to be factored into the evaluation of medical practitioners' professional performance as part of the process of granting and maintaining medical staff privileges in a hospital. Specifically, there are two processes for a credentialed medical staff member to go through: Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047563/mo-ab-206-01-pet-physics
#12
T Turkington
: This education session will cover the physics and operation principles of gamma cameras and PET scanners. The first talk will focus on PET imaging. An overview of the principles of PET imaging will be provided, including positron decay physics, and the transition from 2D to 3D imaging. More recent advances in hardware and software will be discussed, such as time-of-flight imaging, and improvements in reconstruction algorithms that provide for options such as depth-of-interaction corrections...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047230/tu-fg-204-02-an-overview-of-the-ct-protocol-optimization-team-at-johns-hopkins
#13
M Mahesh
: The role of a medical physicist involved with clinical CT activities is changing rapidly. No longer is the physicist responsible for simply ensuring scanner QA. This shift is evident by looking at the trend to regulate more and more aspects of what activities must be performed to keep a CT practice within compliance. In this symposium, new guidelines from the ACR, Joint Commission, and several states will be addressed. An overview of these regulations will be provided. Then, three speakers will provide an in-depth account of how their CT protocol Optimization team functions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046914/mo-ab-206-02-testing-gamma-cameras-based-on-tg177-wg-report
#14
J Halama
: This education session will cover the physics and operation principles of gamma cameras and PET scanners. The first talk will focus on PET imaging. An overview of the principles of PET imaging will be provided, including positron decay physics, and the transition from 2D to 3D imaging. More recent advances in hardware and software will be discussed, such as time-of-flight imaging, and improvements in reconstruction algorithms that provide for options such as depth-of-interaction corrections...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046638/tu-fg-204-00-compliance-with-the-aapm-ct-clinical-practice-and-joint-commission-guidelines
#15
Timothy Szczykutowicz
: The role of a medical physicist involved with clinical CT activities is changing rapidly. No longer is the physicist responsible for simply ensuring scanner QA. This shift is evident by looking at the trend to regulate more and more aspects of what activities must be performed to keep a CT practice within compliance. In this symposium, new guidelines from the ACR, Joint Commission, and several states will be addressed. An overview of these regulations will be provided. Then, three speakers will provide an in-depth account of how their CT protocol Optimization team functions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046560/tu-fg-204-03-an-overview-of-the-ct-protocol-optimization-team-at-the-university-of-washington
#16
K Kanal
: The role of a medical physicist involved with clinical CT activities is changing rapidly. No longer is the physicist responsible for simply ensuring scanner QA. This shift is evident by looking at the trend to regulate more and more aspects of what activities must be performed to keep a CT practice within compliance. In this symposium, new guidelines from the ACR, Joint Commission, and several states will be addressed. An overview of these regulations will be provided. Then, three speakers will provide an in-depth account of how their CT protocol Optimization team functions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046338/th-ab-207a-04-assessment-of-patients-cumulative-effective-dose-from-ct-examinations
#17
M Bostani, C Cagnon, A Sepahdari, K Beckett, T Oshiro, M McNitt-Gray
PURPOSE: The Joint Commission requires institutions to consider patient's age and recent imaging exams when deciding on the most appropriate type of imaging exam. Additionally, knowing patient's imaging history can help prevent duplicate scans. Radiation dose management software affords new opportunities to identify and utilize patients with high cumulative doses as one proxy for subsequent review of imaging history and opportunities in avoiding redundant exams. METHODS: Using dose management software (Radimetrics, Bayer Healthcare) a total of 72073 CT examinations performed from Jan 2015 to Jan 2016 were examined to categorize patients with a cumulative effective dose of 100 mSv and above...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28044280/the-use-of-gamma-radiation-for-the-treatment-of-cultural-heritage-in-the-argentine-national-atomic-energy-commission-past-present-and-future
#18
REVIEW
Ana Maria Del Carmen Calvo, Andrea Docters, María Virginia Miranda, Mario Carlos Nazareno Saparrat
The use of gamma radiation for treating biodeteriorated cultural heritage on paper has been studied at the Comisión Nacional de Energía Atómica-CNEA (Argentina) since 2001. In order to preserve books, publications, and documents that have been attacked by insects or fungi, gamma radiation techniques have been used at CNEA. The activities include basic research as well as their applications in infected documents and papers currently used in libraries and archives. New papers were subjected to accelerated ageing in order to evaluate the effects of gamma radiation on their physical and mechanical properties...
February 2017: Topics in Current Chemistry (Journal)
https://www.readbyqxmd.com/read/28027164/meeting-the-needs-for-radiation-protection-diagnostic-imaging
#19
Donald P Frush
Radiation and potential risk during medical imaging is one of the foremost issues for the imaging community. Because of this, there are growing demands for accountability, including appropriate use of ionizing radiation in diagnostic and image-guided procedures. Factors contributing to this include increasing use of medical imaging; increased scrutiny (from awareness to alarm) by patients/caregivers and the public over radiation risk; and mounting calls for accountability from regulatory, accrediting, healthcare coverage (e...
February 2017: Health Physics
https://www.readbyqxmd.com/read/28012656/combined-ecotoxicological-risk-assessment-in-the-frame-of-european-authorization-of-pesticides
#20
Silvia Panizzi, Nicoleta Alina Suciu, Marco Trevisan
Organisms are frequently exposed to mixtures of chemical contaminants in the environment, causing a potential "cocktail effect", or combined effect. The joint action of different molecules with similar or different modes of action could result in a potentially unlimited number of additives, synergistic or antagonistic combinations. Since the large number of contaminants makes it impossible to perform ecotoxicity tests for each potential mixture, a robust approach for prospective environmental risk assessment of chemical mixtures is needed...
December 21, 2016: Science of the Total Environment
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