Unmanaged Resources Can Cost Time and Money
How well do you manage resources in your
See How RadimetricsTM and Our Point of Care Applications* Can Help Enhance Your Team’s Efficiency.
Reduced Errors, Improved Accuracy
Contrast-enhanced exams are complex acquisitions and suboptimal settings can make it difficult for radiographers to perform studies that yield diagnostically useful images. Rescans that double the patient dose also double the work for the radiographer and impact the efficiency of your equipment utilisation.
Personalised protocols (P3T) help patients receive the right exam, on the right equipment, with the right dose the first time and every time, based on their individual requirements.
Personalised Patient Protocols Help Radiographers Deliver Consistent Results
Routine tasks such as reporting and compliance management are time consuming and can interfere with the ability of medical physicists to focus on important quality management functions such as protocol harmonisation, statistical process control, and benchmarking.
The Australian Government,Department of Health released DIAS (Diagnostic Imaging Accreditation Scheme) which outlines the standards a radiology practice must comply with.7
Below extract from DIAS, Standard 3.2 Optimised Radiation Technique Charts Standard
Interventional angiography equipment, evidence that system generated dose metrics have been logged and reviewed by a qualified person annually. If the interventional angiography equipment is not capable of generating dose metrics alternatively a copy of a log of screening times, and evidence that the log has been reviewed by a qualified person annually should be provided.
The practice must establish a program to ensure that radiation doses administered to a patient for diagnostic purposes are:
a) annually compared with diagnostic reference levels (DRLs) for diagnostic procedures for which DRLs have been established in Australia; and
b) if DRLs are consistently exceeded, reviewed to determine whether radiation protection has been optimised.
The automated reporting capabilities of the RadimetricsTMEnterprise Platform can reduce staff burden required to perform administrative compliance functions and potentially save time and money while giving medical physicists more time to focus on quality assurance.
The RadimetricsTM Enterprise Platform Can Help Reduce Costs Associated With Routine Tasks.
Inefficient Management of Equipment Utilisation Costs Time and Money.
Managing equipment usage can help you gain additional capacity from existing equipment.
For example, the RadimetricsTM Enterprise Platform provided Maastricht University Medical Centre (MUMC) with detailed time stamps for radiation emittance, the patient on the table and time between scans. By reorganising workflow so the interventionist stays in the room with radiation protection clothing on, MUMC reduced the mean study time for complex CT interventions by 8 minutes and gained additional capacity.5
Analysis of RadimetricsTM data helped MUMC not only to understand how complex CT interventions such as transthoracic biopsies are particularly time consuming but also to implement a strategy to address the issue and add additional patients to the schedule.
“We monitor the overall productivity of our CT team and scanners. The developments of productivity can be further analysed by the type of CT scan and most importantly also by the referring physicians. We also monitor the utilised capacity of our four CT scanners with the goal to reduce idle time.”3
Sebastian T. Schindera, MD
Clinic of Radiology and Nuclear Medicine University of Basel Hospital, Switzerland
By providing scanner utilisation data, RadimetricsTM can help you manage workflow and equipment usage.
Since rescans from aborted or suboptimal contrast enhanced scans effectively double patient dose and table time, contrast dose management is another key aspect of image acquisition.
RadimetricsTM contrast analytics, together with our point of care applications, provide you with information that may help your department optimise imaging equipment utilisation.
Make Investment Decisions Based on Real-World Data From Your Organisation.
With increased focus on budgets and the bottom line, ongoing access to data about resource utilisation, including contrast, equipment, and staff, can help you make informed business decisions.
University Hospital Basel used RadimetricsTM to benchmark the doses between their 4 CT scanners, which are not equally equipped with the latest technologies for dose reduction. At the beginning of the review, 2 of their scanners were equipped with iterative reconstruction technology and automatic tube current modulation, but 2 scanners were not. They discovered that the average effective dose for a routine CT of the chest differed up to 4-fold among their 4 scanners. In addition to using the information to triage patients to the appropriate scanners, they were able to demonstrate how equipment equipped with the latest technologies could positively impact patient care. Based on this information, they purchased a third high-end scanner, which helped harmonise dose distribution among all the department’s scanners.3
Real-world data provided by RadimetricsTM can provide not only near real-time information about scanner utilisation, but may also give you the necessary factual basis to make new investment decisions.
University Hospital Essen used RadimetricsTM to set dose limits and assess the validity of their organ dose calculations by comparing phantom measurements against the effective radiation doses. They then used the data to compare dose information from scanners of different generations and found dose reductions of 80% during scans with the same protocol. They also used data from Radimetrics to confirm that the CT equipment’s dose reduction system was able to achieve a 30% lower radiation dose than an older scanner as advertised by the manufacturer.6
RadimetricsTM gives you real-world data from your scanner equipment that can be used when evaluating the purchase of new equipment.
* The results cited represent the outcomes achieved by the respective institution and are not necessarily representative of every site. Results will vary based on a site’s existing circumstances and the quality of the improvement programs adopted by the site.
** CT point of care applications available for Medrad® Stellant® with Workstation 3.0, Medrad®Stellant®FLEX and Medrad®Centargo
† Requires Medrad® Injection System - Medrad®Stellant® with Workstation 3.0, Medrad®Stellant® FLEX, Medrad® MRXperionor Medrad® Centargo
‡ P<0.05 Wilcoxon rank sum.
§ SJRA’s Radimetrics® Enterprise Platform Contrast Dose Management includes the following: Medrad® Stellant D CT Injection System, Workstation, P3TTM Software for Abdomen, Informatics Starter Package. Outbound Interfaces to include: Connect. PACS Application and Speech Reporting Connect.SR Application**
1 South Jersey Radiology Associates. Using Radimetrics® Enterprise Platform Contrast Dose Management* to improve billing cycle time and enhance reporting efficiencies. March 2015.
2 Deible et al: A clinical evaluation of an automated software program (Certegra® P3T® PA) for patient specific contrast injection during chest CTA to exclude pulmonary embolism, Bayer Healthcare, November 2014 (RAD-INF-14-06087).
3 Schindera ST. Practical lessons on improving safety, reproducibility and efficiency using a dose management software. November 2014. Bayer.
4 Lenzen et al., Positionspapier zur Umsetzung des Entwurfs der EU-Richtlinie „Euratom Basic Safety Standards“, Fortschr Röntgenstr 2014; 186(4)
5 Maastricht University Medical Centre (MUMC). Efficiency in radiation dose management. Application case study. ECR 2016. Bayer Pharma AG. 2016.
6 Quality in Radiation Dose Management – Radimetrics® allows a deeper understanding. ECR 2016— Application Case Study 2. The Institute of Diagnostic and Interventional Radiology and Neuroradiology at University Hospital Essen. Bayer Pharma AG. 2016.
7 Australian Government, Department of Health - DIAS. Diagnostic Imaging Accreditation Scheme 2016