A Multiinstitutional Study on Wasted CT Scans for Over 60,000 Patients

Rose, Sean; Viggiano, Ben; Bour, Robert K.; Bartels, Carrie; Szczykutowicz, Timothy P.

doi:10.2214/ajr.19.22604

Cited by 6 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, an unusually low rate of repeat scanning should be viewed with some caution, particularly in an environment in which patient noncompliance is more common, such as the emergency department. For further discussion of how this impacts use of repeat rate as a quality metric, we refer the reader to our previous work [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…A complete description of the automated RA algorithm can be found elsewhere [10][11][12]. Briefly, the algorithm uses information provided in standard DICOM tags to determine gold standard practice patterns that are scannerand indication-specific and contain no repeated acquisitions.…”

Section: Automated Ra Algorithmmentioning

confidence: 99%

“…In this study, we confine our attention to repeated helical acquisitions. Szczykutowicz and Rose [10] and Rose et al [11] in which an examination includes all CT scans associated with a single patient appointment in CT.…”

Section: Repeat Ratementioning

confidence: 99%

“…We believe this is due to the lack of a robust and easily implementable methodology for monitoring repeated imaging. To address this issue, we recently developed and validated an algorithm that performs automated repeat and reject rate analysis (RA) in CT using readily available DICOM metadata [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…Here, we use an automated RA algorithm [10][11][12] to investigate how often repeated imaging occurs in CT. Because this is a relatively unstudied topic, we first quantify and compare overall rates of repeated helical scanning across all CT examinations performed at five institutions. We hypothesize that overall repeat rates are low but that they differ across institutions and by indication.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Applying a New CT Quality Metric in Radiology: How CT Pulmonary Angiography Repeat Rates Compare Across Institutions

Rose

Viggiano

Bour

et al. 2021

Journal of the American College of Radiology

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Automated Ra Algorithmmentioning

confidence: 99%

Section: Repeat Ratementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Applying a New CT Quality Metric in Radiology: How CT Pulmonary Angiography Repeat Rates Compare Across Institutions

Rose

Viggiano

Bour

et al. 2021

Journal of the American College of Radiology

Self Cite

View full text Add to dashboard Cite

Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan

Yaseen,

Nishtar,

Kharita

et al. 2024

Jpn J Radiol

View full text Add to dashboard Cite

Purpose To describe the first experience of patient dose optimization in developing AQD, SSDE and image quality-related DRLs for common CT examinations in the adult age group using the concept of AQD. Materials and methods The recent published IQSC from 0 to 4 were used by radiologists for the assessment of image quality. The entire data were collected for five types (brain CT, chest CT, chest HRCT, abdomen KUB CT and abdomen + pelvic CT) CT investigations based on anatomic region (head, chest and abdomen + pelvic). The entire datasets of 264 patients were categorized into three groups based on their weights: group-1 (41–60 kg), group-2 (61–80 kg) and group-3 (81–100 kg). Only score-3 images were considered to assess median and 75th percentile values of CTDIvol and DLP to obtain AQDs and DRLs, respectively. Results Following the practical training of four radiologists on image quality scoring criteria for CT images, 264 (92%) out of 288 patient images were clinically acceptable as per IQSC for the study. The AQD (median) values in terms of CTDIvol for the mentioned weight groups were 25.8, 2.7, and 30.6 mGy, while the median DLP values for these groups were 496, 510 and 557 mGycm, respectively, for brain CT. The 75th percentile values in terms of CTDIvol were 30.2, 35.3 and 36.2 mGy, while in terms of DLP, they were 583, 619 and 781 mGycm for brain CT, respectively. Similar results are presented for the above-mentioned procedures, as well as in terms of SSDE. Conclusion The first ever experience in obtaining AQD, SSDE and DRLs values for specific CT procedures couples image quality with dose indices, showing comparable values with other relevant studies. Hence, it will provide a baseline for comparison within the facility for future studies and facilitate dose optimization for other facilities aiming for improvement.

show abstract

Accounting for radiation exposure from previous CT exams while deciding on the next exam: What do referring clinicians think?

Rehani¹,

Applegate²,

Bodzay³

et al. 2022

European Journal of Radiology

View full text Add to dashboard Cite

A Multiinstitutional Study on Wasted CT Scans for Over 60,000 Patients

Cited by 6 publications

References 24 publications

Applying a New CT Quality Metric in Radiology: How CT Pulmonary Angiography Repeat Rates Compare Across Institutions

Applying a New CT Quality Metric in Radiology: How CT Pulmonary Angiography Repeat Rates Compare Across Institutions

Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan

Accounting for radiation exposure from previous CT exams while deciding on the next exam: What do referring clinicians think?

Contact Info

Product

Resources

About