CT Techniques and Principles, Including Mpr and 3D: Practice Management Imaging Pearls - Educational Tools | CT Scanning | CT Imaging | CT Scan Protocols - CTisus
Imaging Pearls ❯ CT Techniques and Principles, including MPR and 3D ❯ Practice Management

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  • Workstation 2020: Design
    - Amazon           Workspace design
    - Apple               Customization
    - Google             Data source and sequesting

    - This will work for PACs, Workstations, and 3D Post processing
  • Workstation 2020: Design
    - Amazon          Cloud Storage
    - Apple             Touch screen and voice interface
    - Google            Google glasses and Knowledge

    - This will work for PACs, Workstations, and 3D Post processing
  • "There is low utilization of the ACR appropriateness criteria by clinicians when ordering imaging studies for their patients. Our findings may have implications about how the ACR appropriateness criteria are reviewed, revised and disseminated."

    Do Clinicians Use the American College of Radiology Appropriateness Criteria in the Management of Their Patients?
    Bautista AB et al.
    AJR 2009; 192:1581-1585

  • "There is low utilization of the ACR appropriateness criteria by clinicians when ordering imaging studies for their patients."

    Do Clinicians Use the American College of Radiology Appropriateness Criteria in the Management of Their Patients?
    Bautista AB et al.
    AJR 2009; 192:1581-1585

  • Practice Guidelines in Radiology
    - Do we have well defined practice guidelines for the common clinical scenarios?
    - How helpful is the ACR Appropriateness Criteria in the real world?
    - What percent of radiologists in pracice routinely use the ACR Appropriateness Criteria in the real world?
  • Common Misdiagnosis in Body CT: Solutions
    - The need to be aware of pitfalls in general helps you avoid those pitfalls
    - Moving to routine review of non-axial plane imaging. Even a cursory look at coronal and sagittal images will be useful
    - New workflow patterns with next generation workflow and software that incorporate “advanced visualization tools” and make them “standard visualization tools”.
  • Common Misdiagnosis in Body CT
    - Unsuspected pulmonary embolism
    - Gastric tumors especially toward the fundus
    - Etiology of biliary tract obstruction (stone)
    - Pancreatic tumor detection
    - Renal tumors especially in the upper/lower pole
    - Small bowel tumor detection
    - Mesenteric vascular pathology
    - Musculoskeletal pathology
  • "At some point, multiplanar reconstructions will become the standard of care, as opposed to a supplemental display technique."

    MDCT of the Abdomen: Common Misdiagnosis at a Busy Academic Center
    Horton KM, Johnson PT, Fishman EK
    AJR 2010; 194:660-667

  • "For each diagnostic error, we explore the reasons for the misdiagnosis and provide experience based advise to avoid these mistakes."

    MDCT of the Abdomen: Common Misdiagnosis at a Busy Academic Center
    Horton KM, Johnson PT, Fishman EK
    AJR 2010; 194:660-667

  • "At our busy academic institution, we have noticed repeated examples of certain misdiagnosis, even by experienced abdominal imagers, both in our own department and at outside institutions. This is likely related to many factors. Discussed here are a variety of common diagnostic errors on body CT examinations."

    MDCT of the Abdomen: Common Misdiagnosis at a Busy Academic Center
    Horton KM, Johnson PT, Fishman EK
    AJR 2010; 194:660-667

     

  • "Radiologists with increasing levels of experience made fewer recommendations for additional imaging after accounting for all other factors; the size of this effect ws estimated to be about a 15% decrease in the odds of recommendation per decade of experience."

    Recommendations for Additional Imaging in Radiology Reports: Multifactorial Analysis of 5.9 Million Examinations
    Sistromm CL et al.
    Radiology 2009; 253:453-461

  • "Examinations with positive findings were more likely to contain recommendations for further imaging with an odds ratio of 5.03 compared with examinations with negative findings; when patients being examined came from the emergency department or were outpatients,the odds of recommendation were roughly 1.5 times higher than for inpatients."

    Recommendations for Additional Imaging in Radiology Reports: Multifactorial Analysis of 5.9 Million Examinations
    Sistromm CL et al.
    Radiology 2009; 253:453-461

  • "With use of e-mail technology, 93.3% of the reports containing notifications of important but non-urgent findings were sent and 74.6% of these e-mail reports were viewed by the referring physicians."

    Important Imaging Finding E-mail Alert System:Experience after 3 Years of Implementattion
    Abujudeh HH et al.
    Radiology 2009;252:747-753

  • "There is low utilization of the ACR appropriateness criteria by clinicians when ordering imaging studies for their patients. Our findings may have implications about how the ACR appropriateness criteria are reviewed, revised and disseminated."

    Do Clinicians Use the American College of Radiology Appropriateness Criteria in the Management of Their Patients?
    Bautista AB et al.
    AJR 2009; 192:1581-1585

  • "There is low utilization of the ACR appropriateness criteria by clinicians when ordering imaging studies for their patients."

    Do Clinicians Use the American College of Radiology Appropriateness Criteria in the Management of Their Patients?
    Bautista AB et al.
    AJR 2009; 192:1581-1585 

  • Practice Guidelines in Radiology
    - Do we have well defined practice guidelines for the common clinical scenarios?
    - How helpful is the ACR Appropriateness Criteria in the real world?
    - What percent of radiologists in pracice routinely use the ACR Appropriateness Criteria in the real world?

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