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MRI Upgrade: A Case Study in Germany. MRI升级:以德国为例。
Pub Date : 2017-01-01
Benjamin Kaltenbach, Andrei Roman, Julian L Wichmann, Sebastian Fischer, Katrin Eichler, Thomas J Vogl, Stephan Zangos

The purpose of this work was a cost analysis for the acquisition of two new MRI devices in a university hospital. The costs of a classical exchange (new purchase) were compared to those of a system upgrade. Taking the local circumstances into account, up to $121,000 could be saved with. the system upgrade for one MRI system compared to a classic exchange. Upgrades of the 1.5 and 3 Tesla systems were performed within 15 working days without any problems or restrictions. The number of examinations per day could be increased from 13.4 to 16.2 using the 1.5T system and from 14.1 to 15.9 using the 3T. The upgrade possibility of an old MRI device represents an economically attractive approach, which allows access to the latest state-of-the-art MRI technology while respecting the limited economic resources of the department.

本研究的目的是对某大学医院购置两台新的核磁共振成像设备进行成本分析。将传统交换(新购买)的成本与系统升级的成本进行比较。考虑到当地的情况,可以节省多达121 000美元。与传统的交换相比,一个MRI系统的系统升级。1.5和3特斯拉系统的升级在15个工作日内完成,没有任何问题或限制。使用1.5T系统,每天的检查次数可以从13.4次增加到16.2次,使用3T系统,可以从14.1次增加到15.9次。对旧的MRI设备进行升级的可能性代表了一种经济上有吸引力的方法,在尊重部门有限的经济资源的同时,可以使用最新的最先进的MRI技术。
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引用次数: 0
From the outside looking in. 从外面往里看。
Pub Date : 2017-01-01
Julie Kaufield
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引用次数: 0
The Certainty of Change. 变化的确定性。
Pub Date : 2017-01-01
Gordon Ah Tye
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引用次数: 0
A Team Approach for CT Protocol Optimization. CT方案优化的团队方法。
Pub Date : 2016-11-01
Timothy P Szczykutomicz, Myron Pozniak

* This article demonstrates that using several protocol change scenarios to illustrate how combining the expertise of a radiologist, CT technologist, a medical physicist, schedulers, and IT personnel would result in a better outcome for protocol optimization, management, and review. * While a team can develop a protocol change, it is not a given that they would then be capable of disseminating that change in a well-documented manner to all scanners within the CT fleet of their enterprise. Several scenarios are used to demonstrate these complexities and interrelationships. * Costs associated with protocol management are discussed. While teamwork and FTEs are quantifiable, the cost of failing to carry out these tasks is harder to quantify.

*本文演示了使用几个协议变更场景来说明如何结合放射科医生、CT技术专家、医学物理学家、调度人员和IT人员的专业知识,从而在协议优化、管理和审查方面产生更好的结果。*虽然团队可以开发协议更改,但并不能保证他们能够以良好的文档方式将该更改传播到企业CT舰队中的所有扫描仪。本文使用了几个场景来演示这些复杂性和相互关系。*讨论了与协议管理相关的成本。虽然团队合作和全职员工是可以量化的,但未能完成这些任务的成本却很难量化。
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引用次数: 0
Oh No, New Codes! 哦,不,新代码!
Pub Date : 2016-11-01
Melody W Mulaik

It would be easy to think that there is no way that there could be more coding changes, but alas, that is not the case. A new year is upon us and so are new coding changes. This year there are more changes for interventional services than regular diagnostic services but the new changes will impact every radiology organization. As of the writing of this article all of the supporting guidance that we look to for additional information is not yet available so more guidance will be needed to ensure proper code assignment. The following information will allow you to start on the update journey within your organization.

人们很容易认为不可能有更多的代码更改,但是,唉,事实并非如此。新的一年即将到来,新的编码变化也即将到来。今年,介入服务的变化比常规诊断服务要多,但新的变化将影响到每个放射机构。在撰写本文时,我们所寻求的附加信息的所有支持指导还没有提供,因此需要更多的指导来确保正确的代码分配。以下信息将帮助您开始组织内部的更新之旅。
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引用次数: 0
The Diagnostic Imagination in Radiology: Part 1. 放射学中的诊断想象:第1部分。
Pub Date : 2016-11-01
Rodney Sappington

*Machines that dream, the restless impulse for technical change that has marked radiology from its beginning and forays into deep neural networks, will no doubt unsettle long-held institu- tional practices in radiology. *A willingness to collaborate and puzzle through machine intelligence has come from those who have not accepted the status quo. A certain form of scientific curiosity has been a guiding principle in their work. *In radiology, machine intelligence has been extremely useful and built into just about every major technical innovation. But it has only been the last several years that a subfield of Al, machine learning, has begun to show remarkably fast development due to faster comput- er processing capabilities and advanced modeling and results emerging from the application of deep learning.

*会做梦的机器,永不停歇的技术变革的冲动,从放射学诞生之初就标志着放射学,并进军深度神经网络,毫无疑问将动摇放射学长期以来的制度实践。*那些不接受现状的人愿意通过机器智能进行合作和解决问题。某种形式的科学好奇心一直是他们工作的指导原则。*在放射学领域,机器智能非常有用,几乎融入了每一项重大技术创新。但直到最近几年,人工智能的一个子领域——机器学习,才开始显示出惊人的快速发展,这是由于更快的计算机处理能力、先进的建模和深度学习应用产生的结果。
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引用次数: 0
Accounting Basics, Part 2: Justify Capital Spending. 会计基础,第2部分:证明资本支出。
Pub Date : 2016-11-01
Jason C Porter, Carole A Smith-Winter

Making and justifying capital expenditures can be a difficult part of a supervisory or managerial position. Understanding some basic tools for making estimates and calculating values can help simplify this process. Breaking down some of the most common accounting methods into a six-step, intuitive process allows everyone, even those with little or no accounting background, to use and understand the results of these tools. Accounting tools can seem complex when they are first used, but after walking through them step-by-step and practicing them, they can become an essential tool in working with executives and other administrators.

制定和证明资本支出可能是监督或管理职位的一个困难部分。了解一些用于估算和计算值的基本工具可以帮助简化这个过程。将一些最常见的会计方法分解为六个步骤,直观的过程可以让每个人,甚至是那些很少或没有会计背景的人,使用和理解这些工具的结果。会计工具在第一次使用时可能看起来很复杂,但在逐步了解并实践它们之后,它们可以成为与高管和其他管理人员合作的重要工具。
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引用次数: 0
MRI Ferromagnetic Detector System: Fatigue Study. MRI铁磁检测系统:疲劳研究。
Pub Date : 2016-11-01
Ronald Bucci, Robert Ferguson, Holly Frank

*Ferromagnetic detectors capable of alerting MRI operators to potentially lethal projectile risks have been proven to increase patient safety. What is less well known is how such benefits may change over time. *The staff was involved in the whole study as they were trained on the use of the system, asked to record events that alerted the detector, and participated in follow up conversations about the impact of the systems and concerns or questions. *While a metal detection system is capable of reducing the number of incidents in which metal objects are brought into the MRI suite, technologists do become fatigued with the alarms in an MRI system and do not always consciously hear it.

*铁磁探测器能够提醒MRI操作员注意潜在的致命弹丸风险,已被证明可以提高患者的安全。不太为人所知的是,这些好处如何随着时间的推移而变化。*工作人员参与了整个研究,因为他们接受了系统使用方面的培训,被要求记录提醒探测器的事件,并参与了关于系统影响和关注或问题的后续对话。*虽然金属探测系统能够减少金属物体被带入核磁共振套件的事件数量,但技术人员确实对核磁共振系统中的警报感到疲劳,并且并不总是有意识地听到它。
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引用次数: 0
Current Employment Practices and Future Preferences for Multicredentialed Technologists in Nebraska. 内布拉斯加州多重认证技术人员的当前就业实践和未来偏好。
Pub Date : 2016-09-01
Kimberly Michael, Conner Coffin, Rhonda Sudbeck, Harlan Sayles, Tammy L Webster

A study was conducted to determine the current employment practices and future preferences of Nebraska hospitals regarding multicredentialed technologists. A survey was mailed to 104 hospital radi- ology departments in the state of Nebraska, asking for voluntary and confidential responses by radiology managers charged with hiring of radiologic technologists with a response rate of 51%. Nearly all respondents (93%) said it was very likely or fairly likely that they would hire a multicredentialed technologist in the future. Results suggest that there is a trend among Nebraska hospital radiology managers toward needing or hiring multicredentialed radiologic technologists in the future. There appears to be a greater emphasis in the pairing of credentialing in diagnostic radiography with computed tomography, ultra- sound, and mammography in current and future needs.

进行了一项研究,以确定当前的就业实践和未来的偏好内布拉斯加州医院关于多资格认证的技术人员。一份调查被邮寄到内布拉斯加州104家医院的放射科,要求负责雇用放射技术人员的放射管理人员自愿和保密地回答,回复率为51%。几乎所有的受访者(93%)都表示,他们很有可能或相当有可能在未来雇佣一名多身份认证的技术专家。结果表明,内布拉斯加州医院放射管理人员在未来有需要或雇用多认证放射技术人员的趋势。在当前和未来的需求中,似乎更强调诊断放射学与计算机断层扫描、超声波和乳房x光检查的资格配对。
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引用次数: 0
Improving Customer Service with Accommodations and Recognition. 通过住宿和认可来改善客户服务。
Pub Date : 2016-09-01
Debra Parrish

Sometimes in life it is the little things that provide for a positive reputation with patients and our communities. There is little money required for each of us to place ourselves in the patient's role and ask ourselves how we would like to be treated. Some areas where little to no cost customer service improvements can be made are in scheduling, face-to-face- encounters, and with setting and managing expectations. Employees should be encouraged to end each conversation with an expression of gratitude, whether ending a telephone call or showing a patient to the exit-the tone with which a patient encounter ends is as important as how it begins.

有时在生活中,正是一些小事给我们的病人和社区带来了积极的声誉。我们每个人都不需要多少钱就能站在病人的立场上,问问自己希望得到怎样的治疗。客户服务可以在日程安排、面对面接触以及设定和管理期望方面进行很少甚至不需要成本的改进。应该鼓励员工在每次谈话结束时表达感激之情,无论是结束电话还是带病人离开——与病人会面结束时的语气和谈话开始时的语气同样重要。
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引用次数: 0
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Radiology management
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