Feature | March 18, 2014| Dave Fornell

Joint Commission Calls for Use of Radiation Dose Monitoring

I have watched a trend in medical technology grow from a small ripple a couple years ago into what I expect will be a tidal wave in 2014 due to growing concern over patient radiation dose levels from medical imaging. Use of radiation dose monitoring software came to the forefront when California, followed by Texas, created laws requiring medical facilities to record the amount of exposure patients receive from things like computed tomography (of which cardiac exams are among the highest dose levels used) and angiography. Adoption of this software will be further accelerated by new Joint Commission standards released in December 2013, which starting in mid-2014 requires the use of radiation dose monitoring software as part of its accreditation.

The Joint Commission’s view is that it is not possible for a medical facility to know exactly how it is doing in regards to patient radiation safety or use of “as low as reasonably achievable” (ALARA) dosing principles if it does not track the data. The software enables hospitals to build a more robust radiation safety program and re-evaluate its radiation safety practices. Empirical data from these systems offer justification for changing imaging protocols and revision of workflows in both radiology exams and interventional procedures. 
In addition to requiring a method for collecting and storing dose data within the patient’s clinical record, the Joint Commission guidelines call for implementation of a robust and dynamic radiation safety program. This includes an engaged radiation safety committee and physicist who regulate radiation safety practices, annual performance evaluations of imaging equipment by a medical physicist, registration and certification of all radiology technologists, and updated protocols for all imaging procedures including the pediatric population.
Additionally, there is a general feeling in radiology that it is only a matter of time before more states legislate the use of radiation dose monitoring software. There is also an expectation that dose level guidelines may eventually be set for all imaging protocols by the American College of Radiology (ACR), based on its national Dose Index Registry. This would be similar to practice guidelines set by organizations such as the American College of Cardiology (ACC), American Heart Association (AHA) or the Heart Rhythm Society (HRS).  
I suspect radiation dose monitoring software will be among the ?highlights on the expo floor at radiology and cardiology shows in 2014.
For more on this software, see the article and comparison chart from the March April 2014 issue of DAIC. 

Related Content

Medic Vision, SafeCT-29, XR-29 compliance, CT systems, RSNA 2015

Image courtesy of Siemens

Technology | Computed Tomography (CT)| November 24, 2015
Medic Vision Imaging Solutions Ltd. announced the introduction of SafeCT-29. Designed to be computed tomography (CT)-...
CIRS, Dynamic Cardiac Phantom, CT, RSNA 2015

Image courtesy of CIRS Inc.

Technology | Quality Assurance (QA)| November 24, 2015
The Dynamic Cardiac Phantom is a precision instrument which mimics the translation and rotational motion of the heart...
3-D modeling, reconstructed hearts, child heart transplants, AHA Scientific Sessions 2015
News | Advanced Visualization| November 23, 2015
A new 3-D computer modeling system may significantly improve a surgeon’s ability to select the best-sized donor heart...
GE Healthcare, molecular imaging, PET/CT, Discovery IQ, Discovery NM/CT 670 Pro, RSNA 2015

Discovery IQ PET/CT scanner image courtesy of GE Healthcare

News | Nuclear Imaging| November 16, 2015
GE Healthcare’s Molecular Imaging business will showcase the Discovery IQ positron emission tomography/computed...

Cardiologists using the Philips spectral CT software to view a spectral CT image reconstruction at various energy levels.

Feature | CT Angiography (CTA)| November 12, 2015 | Dave Fornell
Computed tomography has seen rapid growth in all segments of medicine over the past two decades, and recent advances
Sponsored Content | Videos | TCT| November 05, 2015
DAIC Editor Dave Fornell offers his choices for the most innovative new interventional cardiovascular technologies pr
Sponsored Content | Videos | Cath Lab| November 03, 2015
Guillaume Baillaird, CEO of ControlRad Systems, described how his company's technology can significantly reduce radia
Access Scientific, Powerwand midline IV catheter, CT contrast injection

Image courtesy of Access Scientific LLC

Technology | Contrast Media| November 02, 2015
Access Scientific LLC announced validation of the Powerwand midline IV catheter for power-injectable capability up to...
FFR-CT, cost and quality of life outcomes, TCT 2015, PLATFORM trial

Image courtesy of HeartFlow Inc.

Feature | CT Angiography (CTA)| October 18, 2015
New results from a multicenter, prospective study show that assessing fractional flow reserve estimated with computed...
Oregon Health & Science University, OSHU, Toshiba Aquilion ONE ViSION Edition, CT, computed tomography

Image courtesy of Toshiba America Medical Systems

News | CT Angiography (CTA)| October 08, 2015
Oregon Health & Science University (OHSU) now offers patients one of the most advanced computed tomography (CT)...
Overlay Init