The Consistent Quality of Connected Radiology

Transcription

1 The Consistent Quality of Connected Radiology

2 Radiology is Evolving New compliance requirements, heightened radiation awareness and increasing technical complexity present new challenges to radiology professionals. Connect to a Seamlessly Smart Solution Leverage your compliance data to manage complexity and provide more personalized care. Resource Constraints Accelerating Regulation Radiology Challenges Radiation Awareness and Patient Concerns Provides utilization data on ionizing and non-ionizing modalities as well as CT and MR contrast. This information helps design measures to reduce lost time from repeat injections as well as balance patient scheduling across your existing equipment. Enhanced Efficiency Automated Compliance Personalized Care A web-based solution that integrates with your existing IT to automate radiation dose documentation, monitoring and reporting across systems. Complexity From Technological Advances and Diversity Provides vendor-neutral dose calculations, protocol management and contrast dosing algorithms* for CT PA, cardiac and abdominal exams. This helps manage systematic variations from protocols, scan operations and contrast dosing*. Reproducible Quality Supports radiation and contrast* management to help with modality selection based on scanner dose efficiency and patient cumulative dose. *Requires MEDRAD Stellant injector with Certegra Workstation for CT or MEDRAD MRXperion injector system for MR.

3 Features for Automated Compliance The Radimetrics Enterprise Platform starts by automating radiation dose documentation, monitoring and reporting. Actionable Analytics for More Personalized Care Decide on the modality, equipment and contrast dose that is right for your patient s history, habitus, and age. Radiation Dose Calculations Receive several measures of radiation dose from CT, including: Organ dose and effective dose calculated from Monte Carlo simulations Size-specific dose estimate (SSDE), based on the water equivalent diameter (WED or DW) or effective diameter 1 Modeling with mathematical phantoms matched to the patient by age, size and sex Scanner dose modulation information New EU Dose Reporting Elevates compliance and efficiency with and automated process Reduces the amount of time and number of data entry errors during the capture and output of EU radiation dose regulatory submission documentation Dose Alerting to Support Modality Selection The Dose Engine calculates determines radiation dose for the patient and 26 organs. If critical dose levels are approached for young patients, dose sensitive organs (breast, ovaries, eye lens) or for frequently scanned patients, alerts can be defined so that non-ionizing modalities may be considered. NEW Date range based alerts allow to set cumulative dose alerts for specified time windows, for example a 6 months period. 1. American Association of Physicists in Medicine Task Group 204. Size-Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations. College Park, MD: American Association of Physicists in Medicine; Accessed November 12, 2014.

4 Actionable Analytics for More Personalized Care Decide on the modality, equipment and contrast dose that is right for your patient s history, habitus, and age. Intelligent Contrast Dosing for More Personalized Care Decide on the modality, equipment and contrast dose that is right for your patient s history, habitus, and age. Scanner Benchmarking for Equipment Selection Radimetrics allows for easy comparison of average dose levels per scanner for a given protocol, which can differ by 400%. Advanced Algorithms to Optimize Contrast Dosing With Personalized Patient Protocol Technology, Radimetrics * provides advanced algorithms for patient weight-based dosing of contrast. In sites with a heterogeneous scanner fleet, this helps triage patient subpopulations between low-dose and conventional or older machines. *Requires MEDRAD Stellant injector with Certegra Workstation

5 Smart Data for More Reproducible Quality Complexity from sources like protocol selection, scanner operation and contrast delivery may jeopardize acquisitions in accordance with the ALARA principle. The cumulative effect of introduced variations can violate the technically achievable low-dose limit without adding diagnostic value. Tighter and more reproducible process tolerances are needed so you can acquire with confidence for every patient, every day. Smart Data for More Reproducible Quality The enterprise protocol library may contain a vast selection of redundant, outdated or sub-optimal scan protocols. If protocol availability and selection at the individual scanner is left unmanaged, inconsistent and unpredictable dose effects can occur. Complexity from sources like protocol selection, scanner operation and contrast delivery could introduce variation that may jeopardize the ALARA principle. Excess Radiation Dose Protocol Management Radimetrics allows for comprehensive protocol management. The scanner libraries can be mapped to a standard catalog. Then, redundancies and obsolete instances can be removed. Naming can be harmonized across all scanners for consistent use. NEW Radlex Playbook import to facilitate device protocol mapping. Protocol Operation Contrast ALARA

6 Smart Data for More Reproducible Quality Technological advances have led to increasing scanner complexity and diversity. Automated tube current modulation, table height, scan range and many other parameters require careful selection and monitoring for optimal results. If unmanaged, variation can occur between users and shifts. Smart Data for More Reproducible Quality To further help with the visualization of dose implications from scanner settings, the interactive dosimetry feature calculates and displays resulting organ doses. Tube Current Visualization To facilitate the detection of unintentional selection of wrong scan parameters, Radimetrics proves visualization of tube current modulation. Even subtle changes like the table height may impact the results obtained from the automated scanner algorithms. Threshold Alerts The Dose Engine accurately determines radiation dose for the patient and 26 organs. If predefined thresholds are exceeded, outlier alerts can be sent automatically for timely investigation and corrective action. NEW Breast glandular dose. Interactive Dosimetry Training Beyond scanner parameter settings, scan range selection also impacts the total dose delivered. With the interactive training capabilities, scenarios can be simulated and resulting organ doses visualized.

7 Smart Data for More Reproducible Quality Contrast enhanced exams are among the more complex acquisitions. Correct volume, concentration and timing need to be controlled. With sub-optimal settings, exams may exhibit limited or nondiagnostic image quality. Potential re-scans effectively double the patient dose. Smart Data for More Reproducible Quality Radimetrics supports the DIR standard and is a certified ACR registry partner Personalized Patient Protocol Technology Radimetrics * offers contrast algorithms that are designed for optimal and consistent enhancement. Software packages are available for CT pulmonary angiography to exclude pulmonary embolism Cardiac exams Abdominal exams Dose Benchmarking Once reproducible quality is achieved within the department, Radimetrics offers the possibility to benchmark dose levels against other institutions or even at a national level using dose registries. *Requires MEDRAD Stellant injector with Certegra Workstation

8 Smart Data for Enhanced Efficiency A contributing factor to patient wait time and extended report turnaround times can be sub-optimal scheduling. Radimetrics provides utilization data on ionizing and non-ionizing modalities to help enhance efficiency. Smart Data for Enhanced Efficiency To help reduce lost time from repeat scans and IV issues, Radimetrics provides utilization data from CT and MR injectors. Multi-Modality Tracking With detailed information that can be clustered by time, scanner, exam type or referring physician, utilization can be further enhanced while reducing patient wait time and report turn-around time. Covered modalities include: ionizing CT XA PET MG CR/DR non-ionizing MR US Contrast Analytics* Radimetrics allows for analysis of CT and MR injector utilization. Parameters available for review include Lost time Injection Site Gauge Protocol Deviation IV Issues Repeat Scans Central Communication of Contrast Data* Allows a site with one or more Certegra Workstation to communicate with other hospital IT systems from the central Radimetrics server versus configuring each device seperately. NEW MR support via the MEDRAD MRXperion injector *Requires MEDRAD Stellant injector with Certegra Workstation

9 Your Partner for Service and Support, Every Step of the Way Project planning and management framework The Bayer Informatics Project Management team uses Project Management Institute (PMI ) principles, Bayer methods, and industry standards for the overall implementation methodology. Return Over Time Implement a seamlessly smart solution and see what connected radiology can do. CONTRAST* Automatically document and report contrast data Optimize contrast protocols at the point of care Better understand contrast usage Identify repeat scans and IV issues DAY 1 BROAD USAGE Project kickoff and requirements Solution installation and configuration Interface and outbound testing User training and workflow integration Go live and user acceptance Professional services and advanced education RADIATION Get automated , alerts on cumulative dose Define DRLs and identify outliers studies Reduce variation using internal benchmarking, in line with ALARA dose principles Identify performace differences among scanners The Bayer Informatics Professional Services team can aid in gaining the most value from your data through consulting and analysis. This begins approximately 2-3 months after the completion of onsite clinical training, which allows for enough data to be collected to help ensure data analysis impact. *Requires MEDRAD Stellant injector with Certegra Workstation for CT or MEDRAD MRXperion injector system for MR.

10 Integration With Existing IT As a vendor neutral solution, Radimetrics keeps your department communicating seamlessly to capture and transmit data. Radimetrics Enterprise Platform the Seamlessly Smart Solution Leverage Your Data at Every Point of Care Connect your team to a seamless solution that automates the recording of all contrast* and radiation dose data. With multi-modality connectivity that spans CT, MR, PET, and many more, Radimetrics provides a consistent, continuous thread of communication. This vendor-neutral solution lets your team analyze and act on your data to achieve measurable improvements. The Bayer Service and Support team is with you every step of the way, providing easy integration into your current imaging workflow and IT infrastructure, helping your team become seamlessly smart. *Requires MEDRAD Stellant injector with Certegra Workstation for CT or MEDRAD MRXperion injector system for MR.

11 From Diagnosis to Care. All rights reserved. This publication or parts thereof may not be translated into other languages or reproduced in any form mechanical or electronic (including photocopying, tape recording, microcopying) or stored in a data carrier or computer system without written consent of Bayer Pharma AG. The Radimetrics Enterprise Platform is a multi-modality enterprise solution for CT, x-ray, mammography, and interventional imaging. Bayer reserves the right to modify the specifications and features described herein, or discontinue manufacture of the product described at any time without prior notice or obligation. Please contact your authorized Bayer representative for the most current information. Bayer, the Bayer Cross, Radimetrics, Certegra, MEDRAD, and MRXPerion are trademarks of the Bayer group of companies Bayer Bayer Pharma AG Berlin Germany More information on radiology.bayer.com Legal Manufacturer Bayer HealthCare LLC 100 Bayer Boulevard PO Box 915 Whippany, NJ , USA Phone: European Authorized Representative Bayer Medical Care B.V. Horsterweg AC Maastricht Airport, The Netherlands Phone: +31 (0) Fax: +31 (0) G.RI January 2016