Take the pledge to image wisely and view resources on. Jan 16, 2006 this book provides structured uptodate information on all routine protocols used for multislice multidetector row ct. Image wisely develops new radiation safety education tool. Radiography imaging standards manual orthopedic msk protocol trauma x protocol. Chest routine chest high resolution chestabdomenpelvis. Radiology is subject to many such accrediting bodies, but perhaps the largest is the joint commission, which oversees accreditation for all healthcare specialties. Medical imaging is a collection of technologies, all having the purpose of visualization of the interior of the intact, living human body for the purpose of diagnosis. Free radiology books download ebooks online textbooks. Ct protocol selection in petct imaging image wisely. The increasing demand for mri and ct scans has led to longer wait times for imaging services across the country. Developing ct protocols to maximize diagnostic yield while minimizing dose. Ct protocol scanner compatibility information 6 direct multiplanar reformat dmpr protocols 7 introduction to university of wisconsinmadison ct protocols 9 design philosophy of uw protocols.
On june 10, 20, the director of the center for devices and radiological health cdrh of the federal drug administration fda, jeffrey shuren, m. Ct imaging increasingly relies on the integration of a variety of knowledge and skills. The critical access hospital plans the patients care. Whatever role you play in caring for children, you can pledge to image gently. Modalityspecific ct, nuclear medicine, and fluoroscopy information including links to vendor microsites for modelspecific imaging protocols. Radiographic standard operating protocols revision 7 active date. Designed for all personnel who work with or around radiation. Provides a basic explanation of radiation and how to apply radiation protection techniques in the performance of duties. University of iowa roy carver college of medicine department of radiology 3970 john pappajohn pavilion 200 hawkins drive iowa city, ia 522421089. Iterative reconstruction techniques in abdominopelvic ct. The benefits of computed tomography are immense and certainly exceed the risks. Mar 12, 2012 if you work in radiology, chances are that you are aware of the image wisely campaign. Practice parameters are not intended to be legal standards of care or conduct and may be modified as determined by individual circumstances and. Ctdi vol only fixed ma protocols, dosecheck threshold for each ct scanner, the protocols are organized based on body sections and age adult or pediatric.
Computed tomography ct scanners have become markedly more complex over the past three decades, with a myriad of new options for performing ct. The mission of image gently is radiation safety in pediatric imaging to improve safe. Practice parameters describe recommended conduct in specific areas of clinical practice. The images in this book are laid out so that images are are grouped together on one page showing the same anatomy ranging from normal anatomy to common pathological conditions. Download a reference card listing common imaging examination doses. Ct protocol monitoring and optimization joint commission standard pc. We also enhance the ct protocols with select instructive cases. Created by the joint task force on adult radiation protection made up of members of the american college of radiology and the radiological society of north america, the american association of physicists in medicine, and the american society of radiologic technologists, the campaign strives to lower. New image gently universal ct protocols are now available for head, thorax. The membership includes academic and consulting medical physicists who specialize in ct imaging, representatives of each of the major ct scanner.
If you know the machine type that the protocol you are looking for falls under, select that machine e. However, this is only true when they are ordered appropriately and studies are optimized to obtain the best image quality with the lowest radiation dose. Practice parameters by modality american college of radiology. This is the basic radiation safety training for both radioactive and nonradioactive material users created for staff who need a basic understanding of radiation. Ct scanning ct protocols ct scan protocols imaging. Therefore, it is critical that you start the scan immediately after the threshold or time delay specified in the protocols, since the indicated settings account for this delay. Diagnostic reference levels and achievable doses for 10 adult ct examinations, radiology 2017. As healthcare continues to march forward with numerous reforms, it falls to its various accrediting bodies to set standards to guide actual progress. The alliance for quality computed tomography aqct, an aapm working group comprising academic and consulting medical physicists who specialize in ct imaging, representatives of each of the major ct scanner manufacturers, and liaisons to the american college of radiology, american society of radiology technologists, and the food and drug. The present book will try to explain the physical principle behind each of these imaging modalities, together with a description of how these are implemented. Five things physicians and patients should question internet. Image wisely radiation safety and lowdose lung ct for. The volume contains a detailed technical section and covers the prevailing investigations of the brain, neck, lungs and chest, abdomen with parenchymal organs and gastrointestinal tract, the musculoskeletal system and cta as well as dedicated protocols for the heart. New image gently universal ct protocols are now available for head, thorax and abdomen.
Dr jh reynolds p a g e 5 radiographic standard operating protocols fluoroscopy. Updated protocols are now available to address technology improvements to ct scanners since that time. The volume contains a detailed technical section and covers the prevailing investigations of the brain, neck, lungs and chest, abdomen with parenchymal organs and gastrointestinal tract, the musculoskeletal system and cta as well as dedicated protocols. In neuroradiology, for example, most practices still adopt a one size fits all approach to ct protocols. A metaanalysis on the effectiveness of multidetector ct for the diagnosis of small bowel obstruction. Dosewatch is a enterprisewide dose management solution designed to automatically collect and analyze patient radiation and iodine exposure across multifacility, multimodality, and multivendor imaging environments. In full colour throughout, and with a free cd rom containing the 62 figures in the book, step by step ct scan is an excellent pocket reference for. A new systematic approach for the imaging assessment of patients with chronic pancreatitis april 2020. Download a customizable medical imaging fact card for your patients.
Image gently pediatric imaging image wisely adult imaging the purpose of these ct protocol pages is to provide a reference. Recognizing that every member of the imaging team plays a vital role in caring for the patient and wants to provide the best care, our goals. Diagnostic reference levels and achievable doses for 10 adult ct examinations. Radiography is an imaging technique using xrays, gamma rays, or similar ionizing radiation and nonionizing radiation to view the internal form of an object. Standards 1 and 2 on assessment and analysis are your guide to ensuring an appropriate action plan is established for completing a ct exam. Weight bearing cone beam computed tomography wbct in the foot and ankle. Diagnostic reference levels and achievable doses for 10 adult ct examinations acr statement. We hope you find this useful and would appreciate any comments or suggestions that you might have. There is a simple change removing the term technologists and replacing it with individuals. Standard imaging protocols this document includes typical imaging protocols for diagnostic imaging. Jun 19, 2017 new image wisely radiation safety case discusses childsizing ct dose june 19, 2017 the tenth special edition image wisely radiation safety case is now available to help radiologists, imaging technologists and medical physicists assess their understanding of important radiation safety concepts, including dose monitoring and management.
To communicate optimal patient imaging strategies to referring physicians, and to be available for consultation. Confirm that ct techniques for adult head, abdomenpelvis, chest, and pediatric head and pediatric abdomen exams are at or below the reference levels suggested by the acr currently 75, 25, 21, 40, and 20. Image wisely adult imaging the purpose of these ct protocol pages is to provide a reference for radiology residents, fellows and technologists when prescribing a ct examination. Lowtubevoltage 80 kvp ct aortography using 320row volume ct with adaptive iterative reconstruction.
Image reconstruction has fundamental impacts on image quality and therefore on radiation dose. Other key features of the image wisely website include the following. Imaging test overuse, for example, was already a common topic among health insurers, and radiologists had launched campaignsimage wisely and image gentlyto moderate imaging 18. Alessio, phd university of washington, seattle, wa paul e. Diagnostic reference levels for adult ct exams image wisely. It gives a very good and concise general overview of ct with info on contrast agents, scanner protocols by slice, and a lot of images detailing normal pathology. Digital radiography protocols nuclear medicine physician. Acracnm practice parameter for the performance of dopamine dat transporter single photon emission computed tomography spect imaging for movement disorders res. Jun 12, 2017 over the last 10 to 15 years, awareness of the risks of radiation exposure in medical imaging and efforts to reduce dose have escalated exponentially. The image wisely campaign will begin by providing and educational resourse for optimizing radiation dose in adults. Applications of radiography include medical radiography diagnostic and therapeutic and industrial radiography. To help answer those questions we have put together our protocols as well as adding ct scan protocols from other institutions that we thought might prove useful. This session focused on the image gently campaign, which is a.
Importance of adult body ct protocol design for patient safety, exam quality, and diagnostic efficacy. Confirm that ct techniques for adult head, abdomenpelvis, chest, and pediatric head and pediatric abdomen exams are at or below the reference levels. Given the rapid evolution of ct technology in the past decade, the number of applications for ct has expanded greatly and the techniques for performing the optimal. Prerequisite for this course is arrt or nmtcb registration or state licensure. New fluoroscopy requirements patton healthcare consulting. Imaging equipment vendors have answered the call with dosereducing strategies that include more sensitive image receptors, better image reconstruction techniques, dose alerts and postprocessing software. The mission of image gently is radiation safety in pediatric imaging to improve safe and effective imaging care of children worldwide like. Aapm ct scan protocols the alliance for quality computed. This will help filter your search to just protocols within that specific list. To update our ct liver protocol according to recommended guidelines. Typically 200 imaging protocols per scanner need the actual ct protocols. It is not intended to be a clinical book as there are plenty of clinical specialist books on the market.
For example, the alliance worked with its members to create ct imaging protocols that can be. They are based on analysis of current literature, expert opinion, open forum commentary and formal consensus. Technologists role center of the protocol process first contact for new protocols and modifications triage to appropriate people or group, if necessary centralizes protocol activity author first drafts and iterations consulting with others assist in preflights. To provide the best image quality at the lowest dose, proper patient positioning is always. It outlines ct protocols for diagnostic imaging currently applied to ou ct scanners. Focal spot at 120 kv, if the ma is less than 570, the machine will default to the small focal. A state of the art web site will be developed containing carefully selected, logically indexed and clearly explained information for imaging professionals and referring practitioners. Hence, this section is intended to be a culmination of the sections that precede it. Acr and american society of neuroradiology statement on ct protocols and radiation dose. Image wisely encourages practitioners to optimize the amount of radiation used in. Kinahan, phd university of washington, seattle, wa computed tomography ct acquisition during positron emission tomography pet ct imaging is often performed for a variety of purposes. Using the uw protocols, i sometimes find that parts of the image are too noisy, particularly towards the posterior part of the patient.
This book provides structured uptodate information on all routine protocols used for multislice multidetector row ct. Take the pledge to image gently and help provide safe and effective imaging of children worldwide. American college of radiology liver imaging reporting and data system acr lirads organ procurement and transplantation networkunited. For a given radiation dose it is desirable to reconstruct images with the lowest. Mar 27, 2018 other key features of the image wisely website include the following. When selecting the webinar option, register 7 days in advance. Aug 23, 2018 this ep discusses the image gently and image wisely low dose training requirement. For example, if a chest ct is ordered, a full abdomen should not be performed. A childrens book entitled, learning about xrays with lula and ethan is based on. Ct protocol faqs 1 ct protocol frequentlyasked questions faqs critical comments on proper patient centering.
June 2016 the alliance for quality computed tomography provides educational material to help meet the joint commissions ct technologist education. Take the pledge to image wisely and view resources on radiation safety in adult medical imaging. This page is for physicians, inside and outside this institution, and ct technologists. Unless otherwise noted, protocols that include intravenous contrast enhancement use a 300 concentration, low osmolality agent.
All aspects of the exam should be included in the protocol, including patient positioning. Ct angiography versus conventional angiography for the postoperative evaluation of clipped cerebral aneurysm april 2020. To convey the principles of the image wisely program to the imaging team in order to ensure that my facility optimizes its use of radiation when imaging patients. Acr practice parameter for the performance of molecular breast imaging mbi using a dedicated gamma camera res. Lp riccelli works closely with ohsu ct techs in the art of creating optimal images from current technology. Standardization and optimization of computed tomography. Pulmonary embolism cta pregnant patient pulmonary vein mapping. In 2008, image gently posted a set of simple protocols to childsize radiation dose for children. Ct body chest colonography prep musculoskeletal neuro pedi protocols. Likewise, if a renal mass is the clinical question, a pelvis should not be routinely performed.
To view all 5000 books, please click the button bewlow. Ct scan protocols, ct protocols by manufacturer ge, siemens, phillips, toshiba. To quantitatively evaluate the effect of our ct liver protocol modifications according to established imaging quality criteria. Ctisus ct scan, protocols, lectures, images advanced ct.
Then the new ep 15 establishes a requirement for individuals who perform fluoroscopy services. As the demand for these services remains high, clinicians and patients have noticed the challenge in accessing these services. American association of physicists in medicine aapm working group recognized by the fda. Download a medical imaging tent card for your patients. Apr 27, 2011 ct protocols for children were primarily based on empirical data from adult protocols.
Ct scan computed tomography cat scan centers and services. Popular radiation safety cases for technologist, physician, and medical physicist credit. The purpose of these ct protocol pages is to provide a. Aapm working group on standardization of ct nomenclature and protocols disclaimer the individuals involved in the production of this document along with the aapm, acr,asrt, mita, the fda and the image gently alliance and the image wisely alliance do not endorse any of the specific products mentioned in these slides. Neckchest routine pulmonary embolism abdomenpelvis. Compare ct exposures to currently developing diagnostic reference levels drls to compare your protocols to regional and national values. This handy to use pocket book provides the information necessary to manage a ct scan, covering all the topics involved, and also suggests guidelines for the planning of advanced ct studies. Aapm the american association of physicists in medicine aapm is a member society concerned with the topics of medical physics, radiation oncology, imaging physics, and radiation protection. Radiology policies and procedures department of radiology. The most recent updates including changes to the survey. One solution with integrated radiation and contrast dose management across all your radiation emitting medical devices.
Fishman, md, this website has an expansive library of content ranging from ct scan protocols, lectures, and case studies to medical illustrations and a monthly quiz. Slice counts dual source, 320 slice, 256 slice, 128 slice, 64 slice, 16 slice, 4. Image gently image wisely the joint commissions revised requirements for diagnostic imaging services that go into effect july 1, 2014, specify that the organization verifies and documents that radiologic technologists who perform ct examinations participate in ongoing education. Image reconstruction in ct is a mathematical process that generates tomographic images from xray projection data acquired at many different angles around the patient. Radiology books download thousands of radiology books pdf. In 2008, image gently posted a set of simple protocols to childsize radiation dose for children during ct scans. Practice parameters by modality american college of. Communicating and collaborating to improve imaging services the increasing demand for mri and ct scans has led to longer wait times for imaging services across the country. Minimize image creep so only the area requested is imaged. A head ct is a head ct, and the selection of parameters such as reconstruction algorithm, tube current and tube voltage is based upon a consideration of what results in the highest technical quality of the final image. Protocols, or scan instructions, are the core of every ct examination.
The fi rst three sections of this text provide information on physics, patient care, and crosssectional anatomy necessary to understand and carry out ct examination protocols. Effectiveness of a staged us and ct protocol for the diagnosis of pediatric appendicitis. Computed tomography is the largest source of medical radiation exposure. Communicating and collaborating to improve imaging services.