The Medicine Behind the Image DICOM, PACS and Veterinary Radiology Dr. David A. Clunie, MB.,BS., FRACR Chief Technology Oficer RadPharm, Inc. Overview •Why Digital ? •PACS and the ned for DICOM •What is DICOM ? •Veterinary-specific gaps and isues •DICOM and workflow •DICOM and consistency of apearance Why Digital ? •Images: fidelity and flexibility –CT, MR, PET, NM and now US are digital to start with –CR and Digital X-Ray replacing film also –Printing to film involves loss of informationand quality •Efficiency –Storage (less bulk, ease of transport) •Multiple simultaneous access –Fewer repeats for lost film –Copying film leads to substantial quality loss •Review, search and analysis –More powerful visualization and analysis tools –Quantitation of values, segmentation, registration Image Transfer Network Media Film Convert CT, MR … Standard Format Images Analog Media Network Internet Wireless Deployment Scenarios •Within local ofice or facility only –Take advantage of digital quality –Softcopy reading –Avoid storing film –Storage of priors from previous visits for comparison –From smal to large facility, even one modality and one workstation •Betwen facilities, providers or patients/owners –Referals to specialist facilities –Referal to or consultation with other providers (teleconsultation) –CD to give to patient/owner (for next time, or just for interest) Simplest Case Workstation Modality Images LAN Long term storage + backup Local Storage Workstation Modality Archive Query Images Images LAN Remote Aces Workstation Modality Archive Query Images Images Hospital Office Internet, VPN (Secure DICOM) Off-site Archival Modality Proxy Query Images Hospital Of-site Archive Internet, VPN (Secure DICOM) Archive Workstation Off-site Archival - Replication, Load Sharing Hospital Of-site Archive 1 Internet, VPN (Secure DICOM) Of-site Archive 2 Query Images Modality Proxy Workstation Aplication Service Provider Modality Proxy Hospital Service...
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UNIVERSITY OF MICHIGAN HOSPITALS & HEALTH CENTERS Radiology Requisition NAME Routine Results Reporting UMHS REG NO DOB: Urgent Stat Location Code DOS: Sex: Order date: ACC: ICD-9 codes: Bill to Research Account: 700__________________ Clinical Indications (please fill out a separate form for each modality) Ordering Clinician to receive report __ __ __ __ __ __ See label above UMHS Dr. # Attending Physician if different: __ __ __ __ __ __ Interpret Outside Films/Images (list exam type & attach OSH
DEPARTMENT OF RADIOLOGY POLICY ON THE ADMINISTRATION OF IV CONTRAST MEDIA Policy Intravenous contrast material is to be administered by a qualified physician or trained radiologic nurse. A radiologist or radiology resident/fellow will administer all other parenteral contrast material. The supervising physician will prescribe the nature, dose and rate of contrast administration. The patient’s risk status will be assessed prior to contrast administration, so as to determine the type, quantity and dose of contrast to be administered. Standard recommendations for
Offshoring Radiology Services to India For submission to Journal of International Business Studies, Special Issue on ‘Offshoring Administrative and Technical Work: Implications for Globalization, Corporate Strategies, and Organizational Designs’ Frank Levy 1 and Kyoung-Hee Yu 2 1 Corresponding author: Professor of Urban Economics, Department of Urban Studies and Planning, Massachusetts Institute of Technology. E-mail: flevy@mit.edu. Address correspondence to: Room 9-523, Massachusetts Institute of Technology, Cambridge, MA 02139. Tel. (617) 253-2089, Fax (617) 258-8594 2 Ph.D. Candidate, Sloan School of Management,
Review article Forensic radiology 1 T KAHANA, PhD and 2 J HISS, MD 1 Israel National Police, Division of Identi¢cation and Forensic Science, Headquarters, Jerusalem, and 2 The L. Greenberg Institute of Forensic Medicine, 67 Ben Zvi Street, PO Box 49015,Tel-Aviv 61490, Israel Abstract. Imaging techniques are a powerful tool in forensic science. Medical examiners and forensic anthropologists are less versed in the ¢ner points of radiology than radiologists; nevertheless they are required to interpret ¢ndings from imaging studies
White PaPer Closed-Loop radiology Managing the Order-to-Results Delivery Cycle for Improved Diagnostic Imaging Utilization, Documentation and Patient Care. White Paper | Closed-Loop Radiology Nuance Healthcare© 2008 Nuance Communications, Inc. All rights reserved. Contents Introduction .............................................................................................................................3 Applying “Six Sigma” Principles to the Radiology Process… ....................................................4 Improving High-Cost Exam Order Appropriateness ..................................................................5 Accelerating Turnaround Time, Reducing Transcription Costs and Integrating Analogous Processes via Speech-Driven Documentation .......................................7 Guaranteeing Critical Test Results ............................................................................................9 Analyzing Outcomes, Improving Business Decisions and Closing the Loop ...........................11 Conclusion
P R o d U C T S h e e T Structured Reporting, Workflow Orchestration, Peer Review, Data Capture, Integrated Content and Communication Tools Commissure RadWhere ™ for Radiology RadWhere™ for Radiology Workstation — Multi-site, Robust Data-Driven “Once and Done” Structured Reporting CHALLENGE: How can i provide my radiologists a single unified work list, create structured reports, efficiently capture report data, and integrate clinical content and communication tools into the reporting process? SOLUTION: RadWhere for Radiology is the #1
AAPM REPORT No. 4 BASIC QUALITY CONTROL IN DIAGNOSTIC RADIOLOGY American Association of Physicists in Medicine FOREWORD This document, “Basic Quality Control in Diagnostic Radiology”, is the fourth in a series of AAPM reports. This document is designed to enable technologists working with the guidance and supervision of a medical physicist to set up a viable quality assurance program in diagnostic radiology with minimal expense. The AAPM, through its Diagnostic Radiology Committee, plans to issue additional documents detailing physicist/engineer level
DEP AR TMENTS Radiology Business Information ■ RADIOLOGY BUSINES Radiology, a monthly peer-reviewed journal Journal Business Photocopying S devoted to clinical and other investigations I Correspondence concerning accepted or Authorization to photocopy items for N relating to radiology and its allied sciences, F published material should be addressed internal or personal use, or the internal O is owned and published by: R to: or personal use of specifi c clients and M Herbert Y. Kressel, MD educators, is granted by
referred to the ear from distant structures that receive sensory innervation from the same four cranial nerves as the ear itself: the upper and lower aerodigestive tracts, TMJs, teeth, salivary (middle ear) surface of the TM (7), the middle ear mucosa, and the upper eustachian tube (4). Jacobson’s nerve anastomoses in the tympanic Address reprint requests to Jane L. Weissman, MD, Department of Radiology, Room D-132 PUH, University of Pittsburgh Medical Center, 200 Lothrop St, Pittsburgh, PA 15213. Index terms:
InterventIonal radIology For more information on any of nationwide Children’s radiology programs for your patients or practice, please call our department of radiology at (614) 722-2350 or the nationwide Children’s Physician assistance line at 1-800-927-PedS (7337). For a referral or consultation, please call Centralized Scheduling at (614) 722-6200. or, you can reach the following departments directly, weekdays from 8 a.m. to 5 p.m. • CT: (614) 722-2395 • Digital Imaging Laboratory: (614) 722-2372 • Fluoroscopy: (614) 722-2351 • Interventional Radiology: