2016
DOI: 10.1007/s10278-016-9895-8
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CT and MR Protocol Standardization Across a Large Health System: Providing a Consistent Radiologist, Patient, and Referring Provider Experience

Abstract: Building and maintaining a comprehensive yet simple set of standardized protocols for a cross-sectional image can be a daunting task. A single department may have difficulty preventing "protocol creep," which almost inevitably occurs when an organized "playbook" of protocols does not exist and individual radiologists and technologists alter protocols at will and on a case-by-case basis. When multiple departments or groups function in a large health system, the lack of uniformity of protocols can increase expon… Show more

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Cited by 23 publications
(15 citation statements)
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“…Certain regulations and guidelines can be implemented in imaging protocols by providing quality assurance, indications and guided documentation such as the one laid down by ESTRO and FDA. Such guidelines are not available extensively for MRI [ 49 ] but efforts have been taken to reduce the number of MRI protocols [ 51 ]. However, these guidelines might not be able to compensate for the number of existing scanners and protocol combinations.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Certain regulations and guidelines can be implemented in imaging protocols by providing quality assurance, indications and guided documentation such as the one laid down by ESTRO and FDA. Such guidelines are not available extensively for MRI [ 49 ] but efforts have been taken to reduce the number of MRI protocols [ 51 ]. However, these guidelines might not be able to compensate for the number of existing scanners and protocol combinations.…”
Section: Discussionmentioning
confidence: 99%
“…In MRI, however, such guidelines do not exist [ 49 ] and most of the MRI modalities are not even quantitative [ 50 ]. Efforts have been taken in the past, concerning MRI imaging, for example by UCHealth [ 51 ] to reduce the number of MRI protocols from 168 to 66 across scanners and centers by selecting an appropriate clinics-driven protocol and standardization process. Another set of guidelines is provided by the FDA (Food and Drug Administration) [ 52 ] to focus on image acquisition in clinical trials conducted to support the authorization of drugs and biological products.…”
Section: Image Domain Harmonizationmentioning
confidence: 99%
“…Consequently, sequence parameterizations differ significantly across different radiology sites [2,3]. However, due to the various degrees of freedom in protocol configuration and sequence parameterization, this can also be true for a single radiology site.…”
Section: Introductionmentioning
confidence: 99%
“…Rubin et al state that managing costs in addition to improving quality and outcomes is critical to maximising the value of an imaging service [12]. This motivation is well captured by the definition of MR valuedefined as the ratio of actionable diagnostic information to the costs incurred (including the time involved in acquiring that information) [13].…”
Section: Introductionmentioning
confidence: 99%