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https://www.readbyqxmd.com/read/28104315/implementing-a-structured-reporting-initiative-using-a-collaborative-multistep-approach
#1
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/28081584/-mini-open-approach-shows-good-results-in-treatment-of-femoroacetabular-impingement
#2
Stephanie Maria Kirschbaum, Frank Sitterlee, Carsten Perka, Michael Müller
Background Femoroacetabular impingement (FAI) describes a painful, abnormal (bony) contact between the femoral neck and acetabulum, which, if left untreated, contributes to early osteoarthritis (OA) of the hip. Despite its flat learning curve and long operation times, hip arthroscopy has been used increasingly often in recent years in the surgery of femoroacetabular impingement. The mini-open technique (MOT) offers a possible alternative that addresses the abnormal morphological prominence and allows minimally invasive clearance of hip motion...
January 12, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28079731/midterm-radiographic-and-functional-outcomes-of-the-anterior-internal-pelvic-fixator-infix
#3
Rahul Vaidya, Adam Jonathan Martin, Matthew Roth, Frederick Tonnos, Bryant Oliphant, Jon Carlson
OBJECTIVE: To describe our experience using the anterior internal pelvic fixator (INIFX) for treating pelvic ring injuries. DESIGN: Case Series SETTING:: Level 1 Trauma Center PATIENTS:: Eighty-three patients with pelvic ring injuries treated with INFIX. Follow up avg. 35 months (range 12-80.33) INTERVENTION:: Surgical treatment of pelvic ring injuries included reduction, appropriate posterior fixation, and INFIX placement. OUTCOME MEASUREMENTS: Reduction using the pelvic deformity index (PDI) and pubic symphysis(PS) widening, Majeed functional scores, complications; infection, implant failure, heterotopic ossification (HO), nerve injury, and pain...
January 5, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28061486/superficial-temporal-artery-sparing-mini-pterional-approach-for-cerebral-aneurysm-surgery
#4
Jun-Young Ahn, Sung-Tae Kim, Ki-Chang Yi, Won-Hee Lee, Sung Hwa Paeng, Young-Gyun Jeong
OBJECTIVE: The purposes of this study were to introduce a superficial temporal artery (STA)-sparing mini-pterional approach for the treatment of cerebral aneurysms and review the surgical results of this approach. METHODS: Between June 2010 and December 2015, we performed the STA-sparing mini-pterional approach for 117 patients with 141 unruptured intracranial aneurysms. We analyzed demographic, radiologic, and clinical variables including age, sex, craniotomy size, aneurysm location, height of STA bifurcation, and postoperative complications...
January 1, 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28050714/characterization-of-change-and-significance-for-clinical-findings-in-radiology-reports-through-natural-language-processing
#5
Saeed Hassanpour, Graham Bay, Curtis P Langlotz
We built a natural language processing (NLP) method to automatically extract clinical findings in radiology reports and characterize their level of change and significance according to a radiology-specific information model. We utilized a combination of machine learning and rule-based approaches for this purpose. Our method is unique in capturing different features and levels of abstractions at surface, entity, and discourse levels in text analysis. This combination has enabled us to recognize the underlying semantics of radiology report narratives for this task...
January 3, 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/28048846/mo-de-204-02-optimization-of-the-patient-ct-dose-in-europe
#6
V Tsapaki
: The main topic of the session is to show how dose optimization is being implemented in various regions of the world, including Europe, Australia, North America and other regions. A multi-national study conducted under International Atomic Energy Agency (IAEA) across more than 50 less resourced countries gave insight into patient radiation doses and safety practices in CT, mammography, radiography and interventional procedures, both for children and adults. An important outcome was the capability development on dose assessment and management...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048837/mo-de-202-01-image-guided-focused-ultrasound-surgery-and-therapy
#7
K Farahani
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048638/tu-d-201-04-veracity-of-data-elements-in-radiation-oncology-incident-learning-systems
#8
A Kapur, S Evans, D Brown, G Ezzell, D Hoopes, S Dieterich, K Kapetanovic, C Tomlinson
PURPOSE: Incident learning systems encompass volumes, varieties, values, and velocities of underlying data elements consistent with the V's of big data. Veracity, the 5th V however exists only if there is high inter-rater reliability (IRR) within the data elements. The purpose of this work was to assess IRR in the nationally deployed RO-ILS: Radiation Oncology-Incident Learning System (R) sponsored by the American Society for Radiation Oncology (ASTRO) and the American Association of Physicists in Medicine (AAPM)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048615/tu-h-202-04-the-vampire-challenge-preliminary-results-from-a-multi-institutional-study-of-ct-ventilation-image-accuracy
#9
J Kipritidis
: CT ventilation imaging is an exciting functional imaging modality that combines four-dimensional computed tomography (4DCT) and deformable image registration (DIR) to provide exquisite ventilation maps of the lung. CT ventilation imaging can be used for: (1) Functional avoidance in thoracic radiation therapy, (2) Imaging longitudinal changes in regional lung function for treatment assessment and adaptation, (3) Image-assisted diagnosis of non-oncologic respiratory diseases. CT ventilation imaging uses CT, a predominantly anatomic imaging modality, and through imaging processing creates functional images...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048595/we-ab-206-02-acr-ultrasound-accreditation-requirements-and-pitfalls
#10
J Walter
: The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. The goal of this ultrasound hands-on workshop is to demonstrate quality control (QC) testing in diagnostic ultrasound and to provide updates in ACR ultrasound accreditation requirements. The first half of this workshop will include two presentations reviewing diagnostic ultrasound QA/QC and ACR ultrasound accreditation requirements. The second half of the workshop will include live demonstrations of basic QC tests...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048585/tu-d-206-03-ts-body-dose
#11
J Sabol
: The current use of tomosynthesis for musculo-skeletal, abdominal, and thoracic imaging will be considered in four sections: A. Current Practice (M. Bath) : The presently available systems for body tomosynthesis will be reviewed and the current diagnostic applications described. B. Image Features and artifacts (M. FLynn): The consequence of a limited angle linear acquisition scan on image features and artifacts will be explained. C. Radiation Dose (J. Sabol): The organ dose associated with common tomosynthesis protocols will be reported and compared to the dose for radiographic and computed tomography procedures...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048569/tu-h-204-03-ncrp-pac-4-radiation-protection-in-medicine
#12
D Miller
: Since 1928, the International Commission on Radiological Protection (ICRP) has developed, maintained, and elaborated the International System of Radiological Protection used world-wide as the common basis for radiological protection standards, legislation, guidelines, programs, and practice. ICRP provides and periodically revises radiation and tissue weighing factors, provides and updates recommended dose limits for occupational and public exposures, recommends dose levels for termination of pregnancy, and estimates threshold doses for tissue reactions (deterministic effects)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048557/tu-h-202-00-ct-ventilation-imaging-the-new-clinical-reality-of-functional-avoidance-and-response-assessment-in-lung-cancer-radiation-therapy
#13
Paul Keall
: CT ventilation imaging is an exciting functional imaging modality that combines four-dimensional computed tomography (4DCT) and deformable image registration (DIR) to provide exquisite ventilation maps of the lung. CT ventilation imaging can be used for: (1) Functional avoidance in thoracic radiation therapy, (2) Imaging longitudinal changes in regional lung function for treatment assessment and adaptation, (3) Image-assisted diagnosis of non-oncologic respiratory diseases. CT ventilation imaging uses CT, a predominantly anatomic imaging modality, and through imaging processing creates functional images...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048448/su-f-e-10-student-driven-exploration-of-radiographic-material-properties-phantom-construction-and-clinical-workflows-or-the-extraordinary-life-of-candy-man
#14
R N Mahon, M J Riblett, G D Hugo
PURPOSE: To develop a hands-on learning experience that explores the radiological and structural properties of everyday items and applies this knowledge to design a simple phantom for radiotherapy exercises. METHODS: Students were asked to compile a list of readily available materials thought to have radiation attenuation properties similar to tissues within the human torso. Participants scanned samples of suggested materials and regions of interest (ROIs) were used to characterize bulk attenuation properties...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048357/su-f-r-05-multidimensional-imaging-radiomics-geodesics-a-novel-manifold-learning-based-automatic-feature-extraction-method-for-diagnostic-prediction-in-multiparametric-imaging
#15
V Parekh, M A Jacobs
PURPOSE: Multiparametric radiological imaging is used for diagnosis in patients. Potentially extracting useful features specific to a patient's pathology would be crucial step towards personalized medicine and assessing treatment options. In order to automatically extract features directly from multiparametric radiological imaging datasets, we developed an advanced unsupervised machine learning algorithm called the multidimensional imaging radiomics-geodesics(MIRaGe). METHODS: Seventy-six breast tumor patients underwent 3T MRI breast imaging were used for this study...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048322/th-e-201-02-hands-on-physics-teaching-of-residents-in-diagnostic-radiology
#16
J Zhang
: The ABR Core Examination stresses integrating physics into real-world clinical practice and, accordingly, has shifted its focus from passive recall of facts to active application of physics principles. Physics education of radiology residents poses a challenge. The traditional method of didactic lectures alone is insufficient, yet it is difficult to incorporate physics teaching consistently into clinical rotations due to time constraints. Faced with this challenge, diagnostic medical physicists who teach radiology residents, have been thinking about how to adapt their teaching to the new paradigm, what to teach and meet expectation of the radiology resident and the radiology residency program...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048307/mo-c-brb-02-the-physicists-leadership-role-in-academic-radiology-the-chair-s-perspective
#17
R Arenson
: 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/28048195/mo-de-204-03-radiology-dose-optimisation-an-australian-perspective
#18
D Schick
: The main topic of the session is to show how dose optimization is being implemented in various regions of the world, including Europe, Australia, North America and other regions. A multi-national study conducted under International Atomic Energy Agency (IAEA) across more than 50 less resourced countries gave insight into patient radiation doses and safety practices in CT, mammography, radiography and interventional procedures, both for children and adults. An important outcome was the capability development on dose assessment and management...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048186/mo-de-202-02-advances-in-image-registration-and-reconstruction-for-image-guided-neurosurgery
#19
J Siewerdsen
At least three major trends in surgical intervention have emerged over the last decade: a move toward more minimally invasive (or non-invasive) approach to the surgical target; the development of high-precision treatment delivery techniques; and the increasing role of multi-modality intraoperative imaging in support of such procedures. This symposium includes invited presentations on recent advances in each of these areas and the emerging role for medical physics research in the development and translation of high-precision interventional techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048094/mo-de-bra-05-eutempe-rx-combining-e-learning-and-face-to-face-training-to-build-expert-knowledge-skills-and-competences-for-medical-physicists-in-diagnostic-and-interventional-radiology
#20
H Bosmans, N Van Peteghem, A Mackenzie, E Vano, S Creten, M Borowski, S Christofides, C Caruana
PURPOSE: In 2013, the EURATOM authorities of the European Commission decided to support the Horizon2020 project submission 'EUTEMPE-RX' that aimed for a new set of course modules to train medical physicists in diagnostic and interventional radiology to expert level with small group deep learning. Each module would consist of 2 phases: an e-learning and a face-to-face phase, each phase requiring typically 40h of participant time. METHODS: The European Federation (EFOMP) and 13 European partners, all of them selected for their excellent scientific and/or educational skills, led the 12 course modules...
June 2016: Medical Physics
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