An Automated DICOM Database Capable of Arbitrary Data Mining Including Radiation Dose Indicators for Quality Monitoring英文文献.pdfVIP

An Automated DICOM Database Capable of Arbitrary Data Mining (Including Radiation Dose Indicators) for Quality Monitoring Shanshan Wang,1 William Pavlicek,2 Catherine C. Roberts,2 Steve G. Langer,3 Muhong Zhang,1 Mengqi Hu,1 Richard L. Morin,4 Beth A. Schueler,3 Clinton V. Wellnitz,2 and Teresa Wu1 The U.S. National Press has brought to full public procedural imaging is required by state regula- discussion concerns regarding the use of medical tory bodies and by The Joint Commission in radiation, specifically x-ray computed tomography (CT), 1 in diagnosis. A need exists for developing methods the US. Of the eight U.S. National Quality whereby assurance is given that all diagnostic medical Measures Clearinghouse2,3 (federal) metrics spe- radiation use is properly prescribed, and all patients’ cific to Radiology, two deal with radiation radiation exposure is monitored. The “DICOM Index exposure: reduction of computed tomography Tracker©” (DIT) transparently captures desired digital (CT) dose and documentation of x-ray fluoro- imaging and communications in medicine (DICOM) tags from CT, nuclear imaging equipment, and other DICOM scopy duration. Since these requirements are devices across an enterprise. Its initial use is recording, enterprise-wide, radiologists, cardiologists, vascu- monitoring, and providing automatic alerts to medical lar surgeons, urologists, GI physicians, and other professionals of excursions beyond internally deter- permitted users of x-ray and nuclear equipment are mined trigger action levels of radiation. A flexible req