The Effectiveness of Tomosynthesis for the Diagnosis of Atlantoaxial Vertical Subluxation Open Download
Department of Orthopaedic Surgery, Tokyo Women's Medical University - Ryo Tamaki, Keija Wada, Mitusro Yui, Daisuke Numaguchi, Ken Okazaki
Radiographs of the upper cervical spine are usually clear enough to evaluatethe detailed morphological structures. CT images are normally acquired with patients in decubitus posture, so they do not refelct the effects of gravity in the vertical axis of the body. ...Read More
Evaluation of thoracolumbar vertebral fractures using tomosynthesis Open Download
Department of Orthopaedic Surgery, Kitsato University School of Medicine Hospital - Yuya Otake, Mitsutoshi Moriya, Wataru Saito, Masayuki Miyagi, Kensuke Fukushima, Takayuki Imura, Gen Inoue, Katsufumi Uchiyama, Kenji Kuroda, Masashi Takaso
Tomosynthesis, a contraction of the words "tomography" and "Synthesis" is an X-ray tomographic imaging method. Conventional film-based tomography has disappeared along the widespread feasibility of computed tomography (CT) but the advent of flat panel X-ray detectors (FPDs) and the digital image processing technologies has triggered a resurgence of interest in tomosynthesis. Key characteristics of the X-ray system we use are to have the ability to perform both radiography and tomosynthesis examinations. ...Read More
Tracy L. Herrmann, M.Ed., R.T.(R); Terri L. Fauber, Ed.D., R.T.(R)(M); Julie Gill, Ph.D., R.T.(R)(QM); Colleen Hoffman, R.T.(R)(M)(CT); Denise K. Orth, M.S., R.T.(R)(M); Paulette A. Peterson, M.Ed., R.T.(R)(M)(QM); Randy R. Prouty, B.S., R.T.(R); Andrew P. Woodward, M.A., R.T.(R)(CT)(QM); Teresa G. Odle, B.A., ELS
The amount of radiation Americans are exposed to as a result of diagnostic medical imaging increased about sixfold from 1980 to 2006, and for the first time in history, estimates of medical radiation exposure nearly equaled those for background radiation. The reasons for the increase were varied, and the highest percentage of collective dose (taking into account the effective dose and the size of the exposed population) easily was explained by the corresponding increase in computed tomography (CT) and nuclear medicine scanning over the same time period. All the same, the total number of medical imaging studies rose dramatically, and radiography was no exception. The number of radiographic and fluoroscopic studies skyrocketed from 25 million in 1950 to 293 million in 2006. ...Read More
Cybersecurity of Medical Imaging Equipment Open Download
Global Diagnostic Imaging, Healthcare IT & Radiation Therapy Trade Association - DITTA
Medical imaging devices, like all computer systems, are subject to risks their might harm the software, hardware, or data security. As devices become increasingly connected to networks, security risks expand into larger-scale intrusions across digital networks. What have been called cybersecurity incidents may compromise confidentiality, integrity, availability of data and functions in medical devices and could affect the safety of patients. ...Read More
Development of Trinias Series unity edition Angiography Systems Open Download
Taisuke Goto
The Trinias series of angiography systems has been introducing ever more functions and proprietary image guidance applications to support minimally invasive treatment (reduced exposure, reduced contrast media usage, and reduced examination times). Recent years have seen a rapid increase in the sophistication of interventional technologies, with therapeutic equipment becoming smaller and more delicate, just as a wider variety of functions are required of angiography systems. Trinias series "unity edition" greatly expands Shimadzu's product lineup by increasing its areas of application while also bringing improved proprietary image guidance software, all in the support of state of the art treatment. This article describes these changes...Read More
First Experiences Using Shimadzu’s New “unity edition” Angiography System Open Download
Kenji Ando
Kokura Memorial Hospital has started using one of Shimadzu's new "unity edition" angiography systems. Kokura Memorial Hospital has used Shimadzu's angiography systems since becoming the first hospital in Japan to perform percutaneous coronary intervention (PCI) and up to the present day. We asked Dr. Kenji Ando (Consultant/Chief Director of the Department of Cardiology), Dr. Yoshimitsu Soga (General Manager of the Department of Cardiology), and Dr. Ryouji Ichinose (General Manager, Radiological Technologist) why Kokura Memorial Hospital, simultaneously a pioneer in cardiovascular medicine and a leader in the treatment for cardiovascular disease in Japan, continues to choose Shimadzu's systems and the appeal of Shimadzu's "unity edition."...Read More
The HealthCare sector provides significant opportunities for Document Imaging software and hardware including document scanners as this market is currently paper intensive and prospects are looking for ways to manage information more efficiently and to ensure the privacy and physical protection of patient information. ...Read More
How is the Revenue Cycle in Healthcare Changing? Open Download
Lyman Sornberger: President and CEO, LGS Health Care and Chief Strategy Officer, Capio Partners, Cleveland, OH
The HealthCare sector provides significant opportunities for Document Imaging software and hardware including document scanners as this market is currently paper intensive and prospects are looking for ways to manage information more efficiently and to ensure the privacy and physical protection of patient information. ...Read More
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging Open Download
U.S. Food and Drug Administration
Like all medical procedures, computed tomography (CT), fluoroscopy, and nuclear medicine imaging exams present both benefits and risks. These types of imaging procedures have led to improvements in the diagnosis and treatment of numerous medical conditions. At the same time, these types of exams expose patients to ionizing radiation (hereinafter “radiation”), which may elevate a person’s lifetime risk of developing cancer. A balanced public health approach seeks to support the benefits of these medical imaging exams while minimizing the risks. ...Read More
Minimally Invasive Procedure in Practice - efforts by Ota Memorial Hospital Open Download
Hiroyuki Kinoshita
Due complexity to the increasing complexity and sophistication procedure of interventional procedure in recent years, there is a demand angiography capable of reducing exposure, contrast usage, and reducing examination times. Shimadzu's latest Trinias series systems of angiography systems is equipped with a variety of functions that facilitate minimally invasive treatment. This aaarticle focuses on using fluoroscopy Low mode, radiography Low mode, and fluoroscopy record function to achieve additional reductions in radiation dose. The efforts of Ota Hospital (Gunma Prefecture, Japan) in using these functions to operate Trinias with low radiation doses are described. ...Read More
Patient Safety and Quality in Medical Imaging: The Radiological Technologist’s Role Open Download
Liana Watson, DM, R.T.(R)(M)(S)(BS), RDMS, RVT, FASRT and Teresa G. Odle, BA, ELS for The ASRT Foundation Health Care Industry Advisory Council Subcommittee on Patient Safety and Quality in Medical Imaging
Radiologic technologists are at the forefront of patient safety and quality. The Code of Ethics of the American Registry of Radiologic Technologists (ARRT), which forms the first part of the ARRT Standards of Ethics, includes these four statements: ...Read More
Radiation Dose in Medicine: Three Years Later Open Download
E. Stephen Amis Jr, MD & Priscilla F. Butler, MS
The benefits of diagnostic imaging are immense and have revolutionized the practice of medicine. The increased sophistication and clinical efficacy of imaging have resulted in its dramatic growth over the past quarter century. However, the evolution of imaging has also resulted in a significant increase in the population's cumulative exposure to ionizing radiation and a potential increase in cancer risk. The ACR, an advocate for radiation safety since its inception in 1924, convened the ACR Blue Ribbon Panel on Radiation Dose in Medicine in 2006 and issued 37 recommendations for the College to address these issues. This report updates the status of these recommendations. ...Read More
Standards Revisions for Organizations Providing Fluoroscopy Services Open Download
Joint Commission Requirements
Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. ...Read More
The GUIDES checklist: implentation of guideline-based computerised clinical decision support Open Download
Stijn Van de VeldeEmail, Ilkka Kunnamo, Pavel Roshanov, Tiina Kortteisto, Bert Aertgeerts, Per Olav Vandvik, Signe Flottorp and GUIDES expert panel
Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. ...Read More
The Importance of Time in Orthopedic Patient Payment Open Download
Healthcare Information Service, LLC
When it comes to collecting payments for orthopedic services rendered, time is the enemy. As time passes, the likelihood for reimbursement decreases. What can a practice do to ensure the collection of payments? ...Read More
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