Widgetblog556

• Bayer Schering Mri Made Easy
• Mri Made Easy Bayer Glucose Meter
• Mri Made Easy Bayer Pdf
• Mri Made Easy Bayern
• Mri Made Easy Bayer

Your Challenging Role in a Complex Environment

• Welcome to the Bayer Radiology Resource Website. Here you will find our Ready, Teddy, Go video and downloadble PDFs. These resources will help you to prepare your child for an MRI procedure by seeing Teddy's journey through an MRI.
• GADAVIST ® (gadobutrol) Injection INDICATIONS AND USAGE. Gadavist ® (gadobutrol) injection is a gadolinium-based contrast agent indicated for use with magnetic resonance imaging (MRI). To detect and visualize areas with disrupted blood brain barrier and/or abnormal vascularity of the central nervous system in adult and pediatric patients including term neonates.

Centargo is designed for a simple, reliable and automated workflow, easy daily set-up and quick change time between scans. Centargo’s daily set-up process can be completed in under 2 minutes. The simple snap-in patient line auto-primes upon insertion and is ready for the next patient in less than 20 seconds. Easy to remember). It may be obvious at this point already, that for MRI the mobile protons are important (which are a subset of all pro-tons that are in the body). 3 When there are two possible states of alignment, th e on that take s les energy, is on a lower energy level, is preferred.

With new and evolving radiation dose regulations and standards, your responsibilities may extend even further than before.

These regulations and quality initiatives mean that you could be responsible for dose recording, threshold setting, and outlier reporting. Although the safe operation of your department rests on your shoulders, you may have time only for sporadic spot checks, which can be time-consuming, incomplete, and error-prone. Dose variability can be a persistent problem, with variations between patients, protocols, and users.

Broadly available technology such as PACS, RIS and scanner dose sheets provide a passive means of satisfying basic compliance requirements of dose recording, reporting and archiving. But because PACS are not designed to perform aggregate statistical evaluations, your ability to identify and differentiate between outliers and trends, adjust dosing, or improve dose consistency is limited.

Dose levels must be predictable and consistent between exams. This can be difficult to achieve without connecting the data from your PACS to a radiation dose management system. Once the dose distribution across all scans becomes visible, you have taken the first step towards active dose management. This requires more advanced tools for statistical process control and quality management.

The University of California reduced the number of high-dose abdomen exams by 50% within three months. Using Radimetrics^TM, they collected 274,124 CT exams from 12 facilities. They found that the primary factors influencing dose variation were multiphase scanning and institutional protocol choices. They used this information to benchmark dose levels across all their medical centers and achieved a 50% reduction in high-dose abdominal exams (defined as exceeding the 75th percentile).^*1

Radimetrics^TM provides you with state-of-the-art capabilities to help you operationalize consistent production within defined dose tolerances. Advanced tools help you to add value and raise safety standards:

• Protocol management, robust reporting, and interactive dosimetry to help you and your team identify and reduce outlier events
• Customizable, interactive quality metrics assist with your quality assurance program
• Multimodality support for objective dose information on a vendor-neutral platform
  

Bayer Schering Mri Made Easy

Radimetrics^TM helps automate routine administrative tasks, freeing your time for analysis.

This powerful tool provides you with holistic and near real-time tracking and monitoring. In addition, Radimetrics^TM automated reporting helps you avoid time-intensive administrative tasks such as manually calculating peak skin dose or manually recording and transcribing contrast information in the final patient report, both of which can be error-prone and time consuming processes.

Radimetrics^TM helps simplify dose management beyond basic dose reporting.

Information available from Radimetrics^TM may be used to help you consistently identify outliers and trends, either through automated email alerts or case drill-down from your distribution charts. For audits, you can review all studies, utilizing aggregated data generated by the software – instead of depending on random spot checks. Armed with this information, the interactive dosimetry and protocol management tools help you reduce outlier events.

The University of California analyzed almost 200,000 exams for expected dose ranges, in line with the Joint Commission standard. Using Radimetrics^TM, they obtained quartile ranges for six key CT imaging protocols, differentiated by adults and children as well as single and multi-phase CT.

Peking University First Hospital was able to reduce the number of CT protocols from 200 to 60. Using Radimetrics^TM, the department was able to compare effective radiation doses between individual patients, patient groups, single sequences, as well as applications. This helped them to review CT protocols and eliminate redundant and obsolete protocols to reduce complexity, enhance dose consistency, and actively manage exposure.²

Protocol Management helps you reduce variability between users and protocols by harmonizing the protocol library and reducing redundant, outdated or suboptimal scan protocols. It allows you to set alerts and apply notes, tracking alert occurrence over time, and documenting when corrective actions were taken.

Radimetrics^TM provides you with a means to define dose reference levels (DRLs) by protocol, and monitor studies and dose distribution to remain within your defined tolerances. The system integrates with your existing IT and automates dose collection, monitoring and reporting.
Interactive dosimetry assists with training on scan range and scanner parameters. The impact of tube current modulation, scan range and many other parameters can be simulated and visualized.

Radimetrics^TM provides objective dose information for multiple modalities on a vendor neutral platform. While CT is clearly a significant source of exposure by dose and procedure volume, other modalities, including mammography, nuclear medicine, and interventional radiology are also sources of radiation which add to the cumulative dose a patient may receive.

Enhanced Ability to Meet Quality Goals

With this integrated approach to radiation dose management through statistical process control, hospitals can use software tools to comply with requirements to implement a quality assurance program.

In addition to the other tools, interactive quality metrics available in Radimetrics^TM can be fully customized to meet your needs.

In addition, the data provided by the Radimetrics^TM Enterprise Platform products provide you with the information to confidentially and anonymously compare your data with benchmark dose levels and against other institutions found in dose registries. When you compare the performance of your department with that of other participating institutions this information provides you with context and allows you to monitor progress.

References

* The results cited represent the outcomes achieved by the respective institution and are not necessarily representative of every site. Results will vary based on a site’s existing circumstances and the quality of the improvement programs adopted by the site.

1 Smith-Bindman R, Moghadassi M, Wilson N, Nelson TR, Boone JM, Cagnon CH, et al. Radiation doses in consecutive CT examinations from five University of California Medical Centers. Radiology. 2015; 277(1): 134-141.

2 Wang X. Necessity of radiation dose management system. Presented at: KCR 2016- The 72nd Korean Congress of Radiology and Annual Delegate Meeting of The Korean Society of Radiology. September 21-September 23, 2016. Seoul, Korea.

Complexity Can Introduce Unintended Variations

Unintentional variations in the image acquisition process can impact your ability to generate reproducible results and achieve a consistent standard of quality patient care.

Variability – between patients, institutions, scanners and imaging protocols – may conflict with the ALARA (As Low As is Reasonably Achievable) low dose mandate without adding diagnostic value.

Analysis of Radiation Dose Distribution by Hospital

In a large study (STONE), one of the variables measured and published in a separate letter¹ was the CT radiation dose in kidney stone exams. A wide range of practices and radiation doses administered to patients was recorded from 15 hospitals and 1,582 patients over 17 months.

Study Design: Data from the STONE study was later analyzed in a separate publication¹. Patients were eligible if the emergency physician suspected urolithiasis and were excluded if they were obese or at high risk for a significant alternative diagnosis. The total number of patients in this study was 1582.

• 200x variation in dose between patients.
• 5x variation in median doses between hospitals (4-19 mSv)
• 8% of patients received a low-dose scan of recommended 4 mSv or less
  

Dose Variation Among Patients

Basel University Hospital reduced the median dose for CT thorax exams by 67% (Mean DLP 245 to 81 mGy-cm). Using Radimetrics^TM, dose variability between scans was also reduced between the 25 and 75 percentiles. This allows University Hospital Basel to perform CT Thorax exams at a median DLP 80% below the national Dose Reference Level.^*2

When Reproducible Quality is Your Goal, Be Confident with Seamlessly Smart Consistency

The Radimetrics^TM Enterprise Platform, together with point of care applications,*** offers a set of management

Improved Reproducibility Through Protocol Optimization. Your enterprise protocol library may contain a selection of outdated, suboptimal, or redundant scan protocols across your scanner fleet.

Inconsistent and unpredictable dose effects can occur if protocol availability and selection at the individual scanner is unmanaged. Image acquisition that generates consistent results may help optimize scans, which translates into better quality care for your patients.

The Radimetrics^TM Enterprise Platform protocol management can help your department harmonize its protocol library to reduce variability.

Redundancies and obsolete instances can be eliminated when device libraries are mapped to a standard catalog. You can also promote consistent use by standardizing protocol names across all devices. In addition, the dose management software allows you to track dosing from each CT examination and calculate the average dose for each CT protocol. This helps you select the most dose-effective protocols.

Training Helps Achieve Consistent Scanner Operation

Advances in technology, coupled against a backdrop of budgetary limitations, contribute to an imaging environment that is increasingly challenging.

Technological complexity and scanner diversity can contribute to undesirable variations such as differences in radiation dose and image quality between users and shifts.

For example, even subtle changes like table height may impact the results obtained from the automated scanner algorithms. Beyond scanner parameter settings, scan range selection also impacts the total dose delivered.

The Radimetrics^TM Enterprise Platform features interactive modeling capabilities. This powerful functionality allows users to review simulated scenarios and visualize resulting organ doses. Further, the visualization of tube current modulation facilitates the detection of an unintentional selection of scan parameters.

Prevent Contrast Variations To Help Improve Image Quality

Because contrast enhanced exams are among the more complex acquisitions, correct volume, concentration and timing need to be controlled.

With suboptimal settings, exams may exhibit suboptimal image quality. Rescans effectively double the patient dose.

Our CT point of care applications** for contrast media injections allow you to monitor and adjust volume, concentration, and timing. Contrast algorithms for consistent enhancement are available for:

• Imaging of abdominal organs such as liver, pancreas, kidneys (P3T^TM Abdomen)
• CTA studies of the main and segmental pulmonary arteries to assess for pulmonary embolism (P3T^TM PA)
• CTA imaging of cardiac structures (P3T^TM Cardiac)
  

Reproducible Quality: Perform Acquisitions with Consistent Results

Personalized Patient Protocol Technology

Higher percentage of exams considered diagnostic without limitation in Certegra^TM P3T^TM PA exams vs standard exams (100% vs 73%, P<0.05).³

Radimetrics^TM: A Firm Foundation for Personalized Care

Once consistency has been achieved you have a firm foundation on which to personalize the exam regarding correct dosing and scanner choice.

The referring physician or radiologist should consider patient needs based on age, habits, and scan history. The indication and accumulated dose from prior exams may influence imaging decisions such as what modality to use (ionizing vs non-ionizing) and what scanner to choose (conventional vs low dose). Contrast dose should be personalized based on patient weight and other exam factors.

Mri Made Easy Bayer Glucose Meter

Dose Alerts

The Dose Engine accurately determines radiation dose for the patient and 26 organs. Non-ionizing modalities may be considered if critical dose levels are approached over a certain time frame for:

• Young patients
• Dose sensitive organs (breast, ovaries, eye lens)
• Frequently scanned patients

Scanner Benchmarking

Radimetrics^TM allows users to easily compare average dose levels per scanner for a given protocol, which can differ by 4 fold⁴. In sites with a heterogeneous scanner fleet, this helps triage patient sub-populations between low-dose and conventional or older machines.

“Before we had Radimetrics, one of our patients received a total of 14 CT examinations within 6 months and thereby accumulated an effective dose of almost 170 mSv. We came to the conclusion that some of those CT scans could have been replaced by an MRI or an ultrasound without impacting patient management. Based on this incident, we set a dose alert at a cumulative effective dose of 100 mSv.”⁴
Sebastian T. Schindera,
MD Clinic of Radiology and Nuclear Medicine University of Basel Hospital, Switzerland

Consistent Contrast Enhancement

Personalized protocol technology automatically adjust contrast media protocols to allow for differences in patient body weight, contrast concentration, total iodine load and a series of other configurable factors to improve image quality and manage within the specific hospital’s contrast protocolling guidelines. It allows for consistent contrast enhancement, even in complex studies and across a wide range of patients.

References

* The results cited represent the outcomes achieved by the respective institution and are not necessarily representative of every site. Results will vary based on a site’s existing circumstances and the quality of the improvement programs adopted by the site.

** Requires Certegra^TM Workstation for Medrad^®Stellant with Certegra^TM P3T^TM application.

*** Point of care software applications available on Certegra^TM Workstation for Medrad^® Stellant and Medrad^® MRXperion injectors.

¹ Smith-Bindman R, Moghadassi M, Griffey RT, Camargo C, Bailitz J, Beland M, Miglioretti D, Computed Tomography Radiation Dose in Patients With Suspected Urolithiasis. JAMA Intern Med. 2015;175 (8):1413- 16.

Mri Made Easy Bayer Pdf

² Parakh A, Kortesniemi M, Schindera S, CT Radiation Dose Management: A Comprehensive Optimization Process for Improving Patient Safety. Radiology. 2016;280 (3):663-73.

³Deible et al: A clinical evaluation of an automated software program (Certegra^TM P3T^TM PA) for patient specific contrast injection during chest CTA to exclude pulmonary embolism. Bayer Healthcare, November 2014 (RAD-INF-14-06087).

⁴ Schindera S, Practical lessons on Improving Safety, Reproducibility and Efficiency Using a Dose Management Software, University of Basel Case Study (G.RI.11.2014.0325)

Resources

Practical Lessons on Improving Safety, Reproducibility and Efficiency Using a Dose Management Software, University of Basel Case Study

A Clinical Evaluation of an Automated Software Program (Certegra^TM P3T^TM PA) for Patient-specific Contrast Injection During Chest CTA to Exclude PE. Deible et al. 2015. Bayer Healthcare, November 2014 (RAD-INF-14-06087)

Mri Made Easy Bayern

Image Gently^® Radiation Safety in Pediatric Medical Imaging

Mri Made Easy Bayer

Image Wisely^® Radiation Safety in Adult Medical Imaging