An Automated DICOM Database Capable of Arbitrary Data Mining (Including Radiation Dose Indicators) for Quality Monitoring.

The U.S. National Press has brought to full public discussion concerns regarding the use of medical radiation, specifically x-ray computed tomography (CT), in diagnosis. A need exists for developing methods whereby assurance is given that all diagnostic medical radiation use is properly prescribed,...

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Published in:Journal of Digital Imaging Vol. 24; no. 2; pp. 223 - 234
Main Authors: Wang, Shanshan, Pavlicek, William, Roberts, Catherine, Langer, Steve, Zhang, Muhong, Hu, Mengqi, Morin, Richard, Schueler, Beth, Wellnitz, Clinton, Wu, Teresa
Format: pictorial tables/charts Journal Article
Published: Springer Nature Apr2011
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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          Wang, Shanshan
          Pavlicek, William
          Roberts, Catherine
          Langer, Steve
          Zhang, Muhong
          Hu, Mengqi
          Morin, Richard
          Schueler, Beth
          Wellnitz, Clinton
          Wu, Teresa
        affil: School of Computing, Informatics and Decision Systems Engineering, Arizona State University, 699 S. Mills Ave. Tempe 85287 USA
      sug:
        subj:
          Radiation Dosage
          Database Management Software
          DICOM
          Medical Informatics
          Quality Assurance
          Data Mining
          Data Management Methods
          Systems Design
          Knowledge Bases
          Reports
          Patient Safety
          Automation
      ab: The U.S. National Press has brought to full public discussion concerns regarding the use of medical radiation, specifically x-ray computed tomography (CT), in diagnosis. A need exists for developing methods whereby assurance is given that all diagnostic medical radiation use is properly prescribed, and all patients' radiation exposure is monitored. The 'DICOM Index Tracker©' (DIT) transparently captures desired digital imaging and communications in medicine (DICOM) tags from CT, nuclear imaging equipment, and other DICOM devices across an enterprise. Its initial use is recording, monitoring, and providing automatic alerts to medical professionals of excursions beyond internally determined trigger action levels of radiation. A flexible knowledge base, aware of equipment in use, enables automatic alerts to system administrators of newly identified equipment models or software versions so that DIT can be adapted to the new equipment or software. A dosimetry module accepts mammography breast organ dose, skin air kerma values from XA modalities, exposure indices from computed radiography, etc. upon receipt. The American Association of Physicists in Medicine recommended a methodology for effective dose calculations which are performed with CT units having DICOM structured dose reports. Web interface reporting is provided for accessing the database in real-time. DIT is DICOM-compliant and, thus, is standardized for international comparisons. Automatic alerts currently in use include: email, cell phone text message, and internal pager text messaging. This system extends the utility of DICOM for standardizing the capturing and computing of radiation dose as well as other quality measures.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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