Sample records for radstram radiological source

  1. RadSTraM: Radiological Source Tracking and Monitoring, Phase II Final Report

    Warren, Tracy A [ORNL; Walker, Randy M [ORNL; Hill, David E [ORNL; Gross, Ian G [ORNL; Smith, Cyrus M [ORNL; Abercrombie, Robert K [ORNL


    This report focuses on the technical information gained from the Radiological Source Tracking and Monitoring (RadSTraM) Phase II investigation and its implications. The intent of the RadSTraM project was to determine the feasibility of tracking radioactive materials in commerce, particularly International Atomic Energy Agency (IAEA) Category 3 and 4 materials. Specifically, Phase II of the project addressed tracking radiological medical isotopes in commerce. These categories of materials are susceptible to loss or theft but the problem is not being addressed by other agencies.

  2. International Data on Radiological Sources

    Martha Finck; Margaret Goldberg


    ABSTRACT The mission of radiological dispersal device (RDD) nuclear forensics is to identify the provenance of nuclear and radiological materials used in RDDs and to aid law enforcement in tracking nuclear materials and routes. The application of databases to radiological forensics is to match RDD source material to a source model in the database, provide guidance regarding a possible second device, and aid the FBI by providing a short list of manufacturers and distributors, and ultimately to the last legal owner of the source. The Argonne/Idaho National Laboratory RDD attribution database is a powerful technical tool in radiological forensics. The database (1267 unique vendors) includes all sealed sources and a device registered in the U.S., is complemented by data from the IAEA Catalogue, and is supported by rigorous in-lab characterization of selected sealed sources regarding physical form, radiochemical composition, and age-dating profiles. Close working relationships with global partners in the commercial sealed sources industry provide invaluable technical information and expertise in the development of signature profiles. These profiles are critical to the down-selection of potential candidates in either pre- or post- event RDD attribution. The down-selection process includes a match between an interdicted (or detonated) source and a model in the database linked to one or more manufacturers and distributors.

  3. Advanced Neutron Source radiological design criteria

    Westbrook, J.L.


    The operation of the proposed Advanced Neutron Source (ANS) facility will present a variety of radiological protection problems. Because it is desired to design and operate the ANS according to the applicable licensing standards of the Nuclear Regulatory Commission (NRC), it must be demonstrated that the ANS radiological design basis is consistent not only with state and Department of Energy (DOE) and other usual federal regulations, but also, so far as is practicable, with NRC regulations and with recommendations of such organizations as the Institute of Nuclear Power Operations (INPO) and the Electric Power Research Institute (EPRI). Also, the ANS radiological design basis is in general to be consistent with the recommendations of authoritative professional and scientific organizations, specifically the National Council on Radiation Protection and Measurements (NCRP) and the International Commission on Radiological Protection (ICRP). As regards radiological protection, the principal goals of DOE regulations and guidance are to keep occupational doses ALARA [as low as (is) reasonably achievable], given the current state of technology, costs, and operations requirements; to control and monitor contained and released radioactivity during normal operation to keep public doses and releases to the environment ALARA; and to limit doses to workers and the public during accident conditions. Meeting these general design objectives requires that principles of dose reduction and of radioactivity control by employed in the design, operation, modification, and decommissioning of the ANS. The purpose of this document is to provide basic radiological criteria for incorporating these principles into the design of the ANS. Operations, modification, and decommissioning will be covered only as they are affected by design.

  4. CONCEPT OF OPERATIONS PLANS for Phase I the INTERNATIONAL PILOT FOR Global Radiological source SORTING, Tracking, AND MONITORING (GradSStraM) Using eMERGING RFID AND WEB 2.0 TECHNOLOGIES TO PROVIDE TOTAL ASSET AND INFORMATION VISUALIZATIONA United states- European Union Lighthouse Priority Project for fostering trade and reducing regulatory burden

    Walker, Randy M [ORNL


    Thousands of shipments of radioisotopes developed in the United States (US) are transported domestically and internationally for medical and industrial applications, including to partner laboratories in European Union (EU) countries. Over the past five years, the Environmental Protection Agency (EPA), the Department of Energy (DOE), and Oak Ridge National Laboratory (ORNL) have worked with state regulatory compliance personnel, key private sector shippers and carriers, the Department of Homeland Security (DHS), the Department of Transportation (DOT), the Department of Defense (DoD) and the Nuclear Regulatory Commission (NRC) on Radio Frequency Identification (RFID) tracking and monitoring of medical and industrial radioisotopes in commerce. The EPA Radiological Source Tracking and Monitoring (RadSTraM) project tested, evaluated, and integrated RFID technologies in laboratory settings, and at multiple private-sector shipping and distribution facilities (Perkin Elmer and DHL) using common radioisotopes used in everyday commerce. The RFID tracking was also tested in association with other deployed technologies including radiation detection, chemical/explosives detection, advanced imaging, lasers, and infrared scanning. At the 2007 EU-US Summit, the leaders of the US Department of Commerce (DOC) and EU European Commission (EC) committed to pursue jointly directed Lighthouse Priority Projects. These projects are intended to 'foster cooperation' and 'reduce regulatory burdens' with respect to transatlantic commerce. The Transatlantic Economic Council (TEC) Lighthouse Project on Radio Frequency Identification (RFID) has been directed to 'develop a joint framework for cooperation on identification and development of best practices for Radio Frequency Identification (RFID) technologies.' The RFID Lighthouse Priority Project commits both sides to endeavor to align U.S. and EU regulatory and policy approaches on RFID technologies, including pilot

  5. Global Radiological Source Sorting, Tracking, and Monitoring (Gradsstram) Using Emergin RFID and Web 2.0 Technologies to Provide Total Asset and Information Visualization, Paper at 2009 INMM

    Walker, Randy M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kopsick, Deborah A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gorman, Bryan L. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Ganguly, Auroop R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Ferren, Mitch [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Shankar, Mallikarjun [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)


    Background Thousands of shipments of radioisotopes developed in the United States (U.S.) are transported domestically and internationally for medical and industrial applications, including to partner laboratories in European Union (EU) countries. Over the past five years, the Environmental Protection Agency (EPA), the Department of Energy (DOE), and Oak Ridge National Laboratory (ORNL)1 have worked with state first responder personnel, key private sector supply chain stakeholders, the Department of Homeland Security (DHS), the Department of Transportation (DOT), the Department of Defense (DoD) and the Nuclear Regulatory Commission (NRC) on Radio Frequency Identification (RFID) tracking and monitoring of medical, research and industrial radioisotopes in commerce. ORNL was the pioneer of the international radioisotope shipping and production business. Most radioisotopes made and used today were either made or discovered at ORNL. While most of the radioisotopes used in the commercial sector are now produced and sold by the private market, ORNL still leads the world in the production of exotic, high-value and/or sensitive industrial, medical and research isotopes. The ORNL-EPA-DOE Radiological Source Tracking and Monitoring (RadSTraM) project tested, evaluated, and integrated RFID technologies in laboratory settings and at multiple private-sector shipping and distribution facilities (Perkin Elmer and DHL) to track and monitor common radioisotopes used in everyday commerce. The RFID tracking capability was also tested in association with other deployed technologies including radiation detection, chemical/explosives detection, advanced imaging, lasers, and infrared scanning. At the 2007 EU-U.S. Summit, the leaders of the US Department of Commerce (DOC) and EU European Commission (EC) committed to pursue jointly directed Lighthouse Priority Projects. These projects are intended to foster cooperation and reduce regulatory burdens with respect to transatlantic commerce. The

  6. Dense plasma focus (DPF) accelerated non radio isotopic radiological source

    Rusnak, Brian; Tang, Vincent


    A non-radio-isotopic radiological source using a dense plasma focus (DPF) to produce an intense z-pinch plasma from a gas, such as helium, and which accelerates charged particles, such as generated from the gas or injected from an external source, into a target positioned along an acceleration axis and of a type known to emit ionizing radiation when impinged by the type of accelerated charged particles. In a preferred embodiment, helium gas is used to produce a DPF-accelerated He2+ ion beam to a beryllium target, to produce neutron emission having a similar energy spectrum as a radio-isotopic AmBe neutron source. Furthermore, multiple DPFs may be stacked to provide staged acceleration of charged particles for enhancing energy, tunability, and control of the source.

  7. Radiology

    Vassallo, Pierre


    Radiology is the fastest developing field of medicine and these unprecedented advances have been mainly due to improving computer technology. Digital imaging is a technology whereby images are acquired in a computer format, so that they can be easily stored and recalled for display on any computer workstation. Digital image acquisition has been used in ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) from the start. The use of digital imaging in conventional X-rays, k...

  8. Proving Value in Radiology: Experience Developing and Implementing a Shareable Open Source Registry Platform Driven by Radiology Workflow.

    Gichoya, Judy Wawira; Kohli, Marc D; Haste, Paul; Abigail, Elizabeth Mills; Johnson, Matthew S


    Numerous initiatives are in place to support value based care in radiology including decision support using appropriateness criteria, quality metrics like radiation dose monitoring, and efforts to improve the quality of the radiology report for consumption by referring providers. These initiatives are largely data driven. Organizations can choose to purchase proprietary registry systems, pay for software as a service solution, or deploy/build their own registry systems. Traditionally, registries are created for a single purpose like radiation dosage or specific disease tracking like diabetes registry. This results in a fragmented view of the patient, and increases overhead to maintain such single purpose registry system by requiring an alternative data entry workflow and additional infrastructure to host and maintain multiple registries for different clinical needs. This complexity is magnified in the health care enterprise whereby radiology systems usually are run parallel to other clinical systems due to the different clinical workflow for radiologists. In the new era of value based care where data needs are increasing with demand for a shorter turnaround time to provide data that can be used for information and decision making, there is a critical gap to develop registries that are more adapt to the radiology workflow with minimal overhead on resources for maintenance and setup. We share our experience of developing and implementing an open source registry system for quality improvement and research in our academic institution that is driven by our radiology workflow.

  9. Radiological Source Terms for Tank Farms Safety Analysis

    COWLEY, W.L.


    This document provides Unit Liter Dose factors, atmospheric dispersion coefficients, breathing rates and instructions for using and customizing these factors for use in calculating radiological doses for accident analyses in the Hanford Tank Farms.

  10. The effects of using Cesium-137 teletherapy sources as a radiological weapon (dirty bomb)

    Liolios, Theodore


    While radioactive sources used in medical diagnosis do not pose a great security risk due to their low level of radioactivity, therapeutic sources are extremely radioactive and can presumably be used as a radiological weapon. Cobalt-60 and Cesium-137 sources are the most common ones used in radiotherapy with over 10,000 of such sources currently in use worldwide, especially in the developing world, which cannot afford modern accelerators. The present study uses computer simulations to investi...

  11. Radiological protection, safety and security issues in the industrial and medical applications of radiation sources

    Vaz, Pedro


    The use of radiation sources, namely radioactive sealed or unsealed sources and particle accelerators and beams is ubiquitous in the industrial and medical applications of ionizing radiation. Besides radiological protection of the workers, members of the public and patients in routine situations, the use of radiation sources involves several aspects associated to the mitigation of radiological or nuclear accidents and associated emergency situations. On the other hand, during the last decade security issues became burning issues due to the potential malevolent uses of radioactive sources for the perpetration of terrorist acts using RDD (Radiological Dispersal Devices), RED (Radiation Exposure Devices) or IND (Improvised Nuclear Devices). A stringent set of international legally and non-legally binding instruments, regulations, conventions and treaties regulate nowadays the use of radioactive sources. In this paper, a review of the radiological protection issues associated to the use of radiation sources in the industrial and medical applications of ionizing radiation is performed. The associated radiation safety issues and the prevention and mitigation of incidents and accidents are discussed. A comprehensive discussion of the security issues associated to the global use of radiation sources for the aforementioned applications and the inherent radiation detection requirements will be presented. Scientific, technical, legal, ethical, socio-economic issues are put forward and discussed.

  12. RCT: Module 2.08, Radiological Source Control, Course 8774

    Hillmer, Kurt T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    radioactive source is material used for its emitted radiation. Sources are sealed or unsealed and are classified as accountable or exempt. Radioactive sources are used for response checks, functional checks, and the calibration of instruments and monitors to traceable standards. To ensure the safety and welfare of all personnel, it is important to maintain control of radioactive sources to minimize the potential for the spread of contamination, unnecessary exposure to personnel, loss or theft, and improper disposal. This course will prepare the student with the skills necessary for RCT qualification by passing quizzes, tests, and the RCT Comprehensive Phase 1, Unit 2 Examination (TEST 27566) and will provide in-the-field skills.

  13. The effects of using Cesium-137 teletherapy sources as a radiological weapon (dirty bomb)

    Liolios, Theodore


    While radioactive sources used in medical diagnosis do not pose a great security risk due to their low level of radioactivity, therapeutic sources are extremely radioactive and can presumably be used as a radiological weapon. Cobalt-60 and Cesium-137 sources are the most common ones used in radiotherapy with over 10,000 of such sources currently in use worldwide, especially in the developing world, which cannot afford modern accelerators. The present study uses computer simulations to investigate the effects of using Cesium-137 sources from teletherapy devices as a radiological weapon. Assuming a worst-case terrorist attack scenario, we estimate the ensuing cancer mortality, land contamination, evacuation area, as well as the relevant evacuation, decontamination, and health costs in the framework of the linear risk model. The results indicate that an attack with a Cesium-137 dirty bomb in a large metropolitan city (especially one that would involve several teletherapy sources) although would not cause any sta...

  14. Orphan Sources. Extending Radiological Protection outside the Regulatory Framework

    Eugenio Gil [Deputy Director for Emergency, Spanish Nuclear Safety Council (Spain)


    Radioactive sources that are not under appropriate regulatory control-Orphan sources- can result in a number of undesirable consequences including human health impacts, socio-psychological impacts, political and economic impacts, as well as environmental impacts. Many countries are now in the process of introducing the necessary measures to regain an appropriate level of control over them. For a variety of historical and economic reasons, there could already be sources in any specific country that are not within the usual regulatory system. Some of these may be known about, others may not. Therefore a national strategy is needed to ascertain the likelihood and magnitude of the issue of radioactive source control problem within a country and the priorities necessary to address the problems identified. A well-developed plan for improving control over all relevant radioactive sources tailored to the national situation will ensure optimum use of resources such as time, money and personnel. It will allow these limited resources to be allocated appropriately to ensure that control is first regained over those sources presenting the highest risks. This lecture shows a way to develop an appropriate national strategy for regaining control over orphan sources. The methodology described in this lecture is basically based in the IAEA Recommendations. (author)


    Zhu, Zhixuan; Zhou, Qifu; Yang, Yaoyun; Huang, Chaoyun; Lloyd, James; Williams, Adam; Feldman, Alexander; Streeper, Charles; Pope, Noah G.; Hawk, Mark; Rawl, Rick; Howell, Randy A.; Kennedy, Catherine


    The successful radiological security cooperation between the U.S. and China to secure at-risk sites near venues of the 2008 Beijing Summer Olympics has led to an expanded bilateral nonproliferation cooperation scope. The U.S. Department of Energy’s National Nuclear Security Administration, the Chinese Atomic Energy Authority and the China Ministry of Environmental Protection are continuing joint efforts to secure radiological sources throughout China under the U.S.-China Peaceful Uses of Nuclear Technology (PUNT) Agreement. Joint cooperation activities include physical security upgrades of sites with International Atomic Energy Agency (IAEA) Category 1 radiological sources, packaging, recovery, and storage of high activity transuranic and beta gamma sources, and secure transportation practices for the movement of recovered sources. Expansion of cooperation into numerous provinces within China includes the use of integrated training workshops that will demonstrate methodologies and best practices between U.S. and Chinese radiological source security and recovery experts. The fiscal year 2009 expanded scope of cooperation will be conducted similar to the 2008 Olympic cooperation with the Global Threat Reduction Initiative taking the lead for the U.S., PUNT being the umbrella agreement, and Los Alamos, Sandia, and Oak Ridge National Laboratories operating as technical working groups. This paper outlines the accomplishments of the joint implementation and training efforts to date and discusses the possible impact on future U.S./China cooperation.

  16. Business intelligence tools for radiology: creating a prototype model using open-source tools.

    Prevedello, Luciano M; Andriole, Katherine P; Hanson, Richard; Kelly, Pauline; Khorasani, Ramin


    Digital radiology departments could benefit from the ability to integrate and visualize data (e.g. information reflecting complex workflow states) from all of their imaging and information management systems in one composite presentation view. Leveraging data warehousing tools developed in the business world may be one way to achieve this capability. In total, the concept of managing the information available in this data repository is known as Business Intelligence or BI. This paper describes the concepts used in Business Intelligence, their importance to modern Radiology, and the steps used in the creation of a prototype model of a data warehouse for BI using open-source tools.

  17. Radiological source tracking in oil/gas, medical and other industries: requirements and specifications for passive RFID technology

    Dowla, Farid U. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)


    Subsurface sensors that employ radioisotopes, such 241Am-Be and 137Cs, for reservoir characterization must be tracked for safety and security reasons. Other radiological sources are also widely used in medicine. The radiological source containers, in both applications, are small, mobile and used widely worldwide. The nuclear sources pose radiological dispersal device (RDD) security risks. Security concerns with the industrial use of radionuclide sources is in fact quite high as it is estimated that each year hundreds of sealed sources go missing, either lost or stolen. Risk mitigation efforts include enhanced regulations, source-use guidelines, research and development on electronic tracking of sources. This report summarizes the major elements of the requirements and operational concepts of nuclear sources with the goal of developing automated electronic tagging and locating systems.

  18. Temporal bone radiology report classification using open source machine learning and natural langue processing libraries.

    Masino, Aaron J; Grundmeier, Robert W; Pennington, Jeffrey W; Germiller, John A; Crenshaw, E Bryan


    Radiology reports are a rich resource for biomedical research. Prior to utilization, trained experts must manually review reports to identify discrete outcomes. The Audiological and Genetic Database (AudGenDB) is a public, de-identified research database that contains over 16,000 radiology reports. Because the reports are unlabeled, it is difficult to select those with specific abnormalities. We implemented a classification pipeline using a human-in-the-loop machine learning approach and open source libraries to label the reports with one or more of four abnormality region labels: inner, middle, outer, and mastoid, indicating the presence of an abnormality in the specified ear region. Trained abstractors labeled radiology reports taken from AudGenDB to form a gold standard. These were split into training (80 %) and test (20 %) sets. We applied open source libraries to normalize and convert every report to an n-gram feature vector. We trained logistic regression, support vector machine (linear and Gaussian), decision tree, random forest, and naïve Bayes models for each ear region. The models were evaluated on the hold-out test set. Our gold-standard data set contained 726 reports. The best classifiers were linear support vector machine for inner and outer ear, logistic regression for middle ear, and decision tree for mastoid. Classifier test set accuracy was 90 %, 90 %, 93 %, and 82 % for the inner, middle, outer and mastoid regions, respectively. The logistic regression method was very consistent, achieving accuracy scores within 2.75 % of the best classifier across regions and a receiver operator characteristic area under the curve of 0.92 or greater across all regions. Our results indicate that the applied methods achieve accuracy scores sufficient to support our objective of extracting discrete features from radiology reports to enhance cohort identification in AudGenDB. The models described here are available in several free, open source libraries that

  19. Improved radiological/nuclear source localization in variable NORM background: An MLEM approach with segmentation data

    Penny, Robert D., E-mail: [Leidos Inc., 10260 Campus Point Road, San Diego, CA (United States); Crowley, Tanya M.; Gardner, Barbara M.; Mandell, Myron J.; Guo, Yanlin; Haas, Eric B.; Knize, Duane J.; Kuharski, Robert A.; Ranta, Dale; Shyffer, Ryan [Leidos Inc., 10260 Campus Point Road, San Diego, CA (United States); Labov, Simon; Nelson, Karl; Seilhan, Brandon [Lawrence Livermore National Laboratory, Livermore, CA (United States); Valentine, John D. [Lawrence Berkeley National Laboratory, Berkeley, CA (United States)


    A novel approach and algorithm have been developed to rapidly detect and localize both moving and static radiological/nuclear (R/N) sources from an airborne platform. Current aerial systems with radiological sensors are limited in their ability to compensate for variable naturally occurring radioactive material (NORM) background. The proposed approach suppresses the effects of NORM background by incorporating additional information to segment the survey area into regions over which the background is likely to be uniform. The method produces pixelated Source Activity Maps (SAMs) of both target and background radionuclide activity over the survey area. The task of producing the SAMs requires (1) the development of a forward model which describes the transformation of radionuclide activity to detector measurements and (2) the solution of the associated inverse problem. The inverse problem is ill-posed as there are typically fewer measurements than unknowns. In addition the measurements are subject to Poisson statistical noise. The Maximum-Likelihood Expectation-Maximization (MLEM) algorithm is used to solve the inverse problem as it is well suited for under-determined problems corrupted by Poisson noise. A priori terrain information is incorporated to segment the reconstruction space into regions within which we constrain NORM background activity to be uniform. Descriptions of the algorithm and examples of performance with and without segmentation on simulated data are presented.

  20. Data Fusion for a Vision-Radiological System for Source Tracking and Discovery

    Enqvist, Andreas; Koppal, Sanjeev [University of Florida, Gainesville, FL, 32606 (United States)


    A multidisciplinary approach to allow the tracking of the movement of radioactive sources by fusing data from multiple radiological and visual sensors is under development. The goal is to improve the ability to detect, locate, track and identify nuclear/radiological threats. The key concept is that such widely available visual and depth sensors can impact radiological detection, since the intensity fall-off in the count rate can be correlated to movement in three dimensions. To enable this, we pose an important question; what is the right combination of sensing modalities and vision algorithms that can best compliment a radiological sensor, for the purpose of detection and tracking of radioactive material? Similarly what is the best radiation detection methods and unfolding algorithms suited for data fusion with tracking data? Data fusion of multi-sensor data for radiation detection have seen some interesting developments lately. Significant examples include intelligent radiation sensor systems (IRSS), which are based on larger numbers of distributed similar or identical radiation sensors coupled with position data for network capable to detect and locate radiation source. Other developments are gamma-ray imaging systems based on Compton scatter in segmented detector arrays. Similar developments using coded apertures or scatter cameras for neutrons have recently occurred. The main limitation of such systems is not so much in their capability but rather in their complexity and cost which is prohibitive for large scale deployment. Presented here is a fusion system based on simple, low-cost computer vision and radiological sensors for tracking of multiple objects and identifying potential radiological materials being transported or shipped. The main focus of this work is the development on two separate calibration algorithms for characterizing the fused sensor system. The deviation from a simple inverse square-root fall-off of radiation intensity is explored and

  1. Justification Of The Use Of Boreholes For Disposal Of Sealed Radiological Sources

    Zarling, John [Los Alamos National Laboratory; Johnson, Peter [Los Alamos National Laboratory


    Soon there will be only 14 states in two compacts that are able to dispose of Low Level Waste (LLW): the Northwest and Rocky Mountain compact with disposal options in Richland, Washington, and the Atlantic compact with disposal options in Barnwell, South Carolina. How do states not in one of the two compacts dispose of their LLW? The Off-Site Source Recovery Project can take possession and dispose of some of the unwanted transuranic sources at the Waste Isolation Pilot Plant (WIPP). However, there will be no path forward for states outside of the two compacts for disposal of their non-transuranic LLW. A solution that has been much discussed, debated and researched, but has not been put into wide scale practice, is the borehole disposal concept. It is the author's position that companies that drill and explore for oil have been disposing of sources in borehole-like structures for years. It should be noted that these companies are not purposely disposing of these sources, but the sources are irretrievable and must be abandoned. Additionally, there are Nuclear Regulatory Commission (NRC) regulations that must be followed to seal the well that contains the lost and abandoned source. According to the NRC Event Notification Reports database, there were a minimum of 29 reports of lost and abandoned sources in oil wells between December 1999 and October 2006. The sources were lost at depths between 2,018-18,887 feet, or 600-5,750 meters. The companies that are performing explorations with the aid of sealed radiological sources must follow regulation 10 CFR Part 39. Subsection 15 outlines the procedures that must be followed if sources are determined to be irretrievable and abandoned in place. If the NRC allows and has regulations in place for oil companies, why can't states and/or companies be allowed to dispose of LLW in a similar fashion?

  2. Adaptively Reevaluated Bayesian Localization (ARBL). A Novel Technique for Radiological Source Localization

    Miller, Erin A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Robinson, Sean M. [Pacific Northwest National Lab. (PNNL), Seattle, WA (United States); Anderson, Kevin K. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); McCall, Jonathon D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Prinke, Amanda M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Webster, Jennifer B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Seifert, Carolyn E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    Here we present a novel technique for the localization of radiological sources in urban or rural environments from an aerial platform. The technique is based on a Bayesian approach to localization, in which measured count rates in a time series are compared with predicted count rates from a series of pre-calculated test sources to define likelihood. Furthermore, this technique is expanded by using a localized treatment with a limited field of view (FOV), coupled with a likelihood ratio reevaluation, allowing for real-time computation on commodity hardware for arbitrarily complex detector models and terrain. In particular, detectors with inherent asymmetry of response (such as those employing internal collimation or self-shielding for enhanced directional awareness) are leveraged by this approach to provide improved localization. Our results from the localization technique are shown for simulated flight data using monolithic as well as directionally-aware detector models, and the capability of the methodology to locate radioisotopes is estimated for several test cases. This localization technique is shown to facilitate urban search by allowing quick and adaptive estimates of source location, in many cases from a single flyover near a source. In particular, this method represents a significant advancement from earlier methods like full-field Bayesian likelihood, which is not generally fast enough to allow for broad-field search in real time, and highest-net-counts estimation, which has a localization error that depends strongly on flight path and cannot generally operate without exhaustive search

  3. Adaptively Reevaluated Bayesian Localization (ARBL): A novel technique for radiological source localization

    Miller, Erin A. [Pacific Northwest National Laboratory, Richland, WA 99352 (United States); Robinson, Sean M. [Pacific Northwest National Laboratory, Seattle, WA 98109 (United States); Anderson, Kevin K.; McCall, Jonathon D.; Prinke, Amanda M.; Webster, Jennifer B.; Seifert, Carolyn E. [Pacific Northwest National Laboratory, Richland, WA 99352 (United States)


    We present a novel technique for the localization of radiological sources in urban or rural environments from an aerial platform. The technique is based on a Bayesian approach to localization, in which measured count rates in a time series are compared with predicted count rates from a series of pre-calculated test sources to define likelihood. This technique is expanded by using a localized treatment with a limited field of view (FOV), coupled with a likelihood ratio reevaluation, allowing for real-time computation on commodity hardware for arbitrarily complex detector models and terrain. In particular, detectors with inherent asymmetry of response (such as those employing internal collimation or self-shielding for enhanced directional awareness) are leveraged by this approach to provide improved localization. Results from the localization technique are shown for simulated flight data using monolithic as well as directionally-aware detector models, and the capability of the methodology to locate radioisotopes is estimated for several test cases. This localization technique is shown to facilitate urban search by allowing quick and adaptive estimates of source location, in many cases from a single flyover near a source. In particular, this method represents a significant advancement from earlier methods like full-field Bayesian likelihood, which is not generally fast enough to allow for broad-field search in real time, and highest-net-counts estimation, which has a localization error that depends strongly on flight path and cannot generally operate without exhaustive search.


    M. I. M.I. Balonov


    Full Text Available Dose criteria for limitation of exposure incurred by persons helping the patients or living with patients discharged from hospitals following radionuclide therapy or brachytherapy with implanted sealed radionuclide sources have been proposed for national Russian regulation. By means of a conservative dosimetry model, the values of operational radiological criteria for patient discharge from hospital are substantiated, i.e. whole body activity for radionuclides 125I,131I,153Sm and 188Re as well as dose rate near patient body. Observance of suggested criteria included in the new Russian Standards for Radiation Safety (RSS-99/2009 will ensure radiation safety of people in near environment (family, close friends et ah.

  5. Radioactive sources of main radiological concern in the Kola-Barents region

    Bergman, R.; Baklanov, A


    This overview focuses on some major issues for risk analysis appearing in our recent study surveying radioactive sources on the Kola Peninsula, along with adjacent parts of the Arctic seas. The main issues of the parts are as follows: An introduction to the presence of radioactive sources and environmental contamination in the Barents Euro-Arctic Region and the current status as regards various significant studies. Radioactive contamination in man and the environment on the Kola Peninsula, as well as radioactive transfer during the last three decades from external sources to the Kola-Barents region. The main conclusion from the findings is that the contamination is generally relatively low and that neither the activity levels in samples of soil, vegetation, and the important food-chains, nor the content in man indicate any changes since 1986 that could not be explained by the combined effect of the cumulative deposition from the nuclear weapons testing and the accident in Chernobyl. The radioactive sources of main concern in the region belong to the following categories: nuclear power submarine and cruiser naval bases; civil nuclear power ice-breaker fleet; building and repairing shipyards; nuclear power plants; radioactive waste and spent nuclear fuel storage facilities; sunken reactors/ships; liquid radioactive waste dumping; solid radioactive waste dumping; nuclear weapon bases; nuclear weapon tests; civil nuclear explosions; nuclear accidents; mining radioactive ore deposits and plants; new projects and others. Several case studies concerning releases in the Kola-Barents region are reviewed, and followed by consequence analyses for the categories of primary interest covering: a) airborne releases from the Kola NPP, and from submarines or spent nuclear fuel; b) releases from objects in the marine environment including submarines, dumped reactors, and various other radioactive objects and waste; c) releases from liquid and solid wastes stored on land or during

  6. AmBe Radiological Source Replacement Using Dense Plasma Focus Z-Pinch

    Shaw, Brian; Povilus, Alexander; Chapman, Steven; Podpaly, Yuri; Cooper, Christopher; Higginson, Drew; Link, Anthony; Schmidt, Andrea


    A dense plasma focus (DPF) is a compact plasma gun that produces high energy ion beams up to several MeV through strong potential gradients formed from m=0 plasma instabilities. These ion beams can be used to replace radiological sources for a variety of applications. Americium-beryllium (AmBe) neutron sources are commonly used for oil well logging. An optimized DPF produces high energy helium ion beams of 2+ MeV which can interact with a beryllium target to produce neutrons. The alpha-Be interaction produces a neutron energy spectrum similar to the neutrons produced by the AmBe reaction. To demonstrate this concept experimentally a 2 kJ DPF is used to produce a beam of alpha particles which interacts with a beryllium target. We report on the improvements made to the DPF platform using He gas and the observation of 3.0 ×104 peak neutrons generated per shot. This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  7. Tympanomastoid cholesterol granuloma: radiological and intraoperative findings of blood source connection.

    Iannella, Giannicola; Stasolla, Alessandro; Pasquariello, Benedetta; Re, Massimo; Magliulo, Giuseppe


    The hypothesis that the close contiguity between the cholesterol granulomas and some rich blood sources provided the trigger to the aggressive nature of tympanomastoid cholesterol granulomas has been recently reported. To corroborate this new etiopathogenetic theory we retrospectively reviewed a series of 14 patients with primary middle ear and mastoid cholesterol granulomas and investigated the temporal bone marrow invasion and its hematopoietic potentialities and a possible cholesterol granulomas contiguity with relevant vascular structures such as the carotid artery, sigmoid jugular system, mastoid or dural vein. Eight cases did not show radiological sign of bone marrow invasion or hematopoietic potentialities visible in MRI. Besides no intraoperative vascular connections that could explain an initial bleeding source were found. Cholesterol granulomas bone marrow invasion was present in six patients. A bone marrow hematopoietic potentiality was showed in four of these patients, whereas, an evident anatomical contiguity of the cholesterol granuloma with some important temporal bone vascular structures was visible in five cases. Analysis of cardiovascular risk factors showed that four patients presented one or more of the risk factors analysed.

  8. Radiological Assessment for the Vance Road Facility Source Vault, Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee

    J. R. Morton


    From the 1950s, the Vance Road laboratories had been used for a broad range of nuclear medicine research involving numerous radionuclides. These radionuclides were stored in the a source vault located on the first floor of the facility. The Environmental Survey and Site Assessment Program (ESSAP) of ORISE performed a radiological assessment survey of the source vault after it had been remediated and in preparation for converting the area to office space.

  9. Global Radiological Source Sorting, Tracking, and Monitoring Project: Phase I Final Report

    Walker, Randy M [ORNL; Hill, David E [ORNL; Gorman, Bryan L [ORNL


    As a proof of concept tested in an operational context, the Global Radiological Source Sorting, Tracking, and Monitoring (GRadSSTraM) Project successfully demonstrated that radio frequency identification (RFID) and Web 2.0* technologies can be deployed to track controlled shipments between the United States and the European Union. Between November 2009 and May 2010, a total of 19 shipments were successfully shipped from Oak Ridge National Laboratory (ORNL) by the U.S. Postal Service (USPS) and tracked to their delivery at England's National Physical Laboratory (NPL) by the United Kingdom Royal Mail. However, the project can only be viewed as a qualified success as notable shortcomings were observed. Although the origin and terminus of all RFID-enabled shipments were recorded and no shipments were lost, not all the waypoints between ORNL and NPL were incorporated into the pilot. Given limited resources, the project team was able to install RFID listeners/actuators at three waypoints between the two endpoints. Although it is likely that all shipments followed the same route between ORNL and NPL, it cannot be determined beyond question that all 19 shipments were routed on identical itineraries past the same three waypoints. The pilot also raises the distinct possibility that unattended RFID tracking alone, without positive confirmation that a tagged item has been properly recorded by an RFID reader, does not meet a rigorous standard for shipping controlled items. Indeed, the proof of concept test strongly suggests that a multifaceted approach to tracking may be called for, including tracking methods that are capable of reading and accepting multiple inputs for individual items [e.g., carrier-provided tracking numbers, Universal Product Codes (UPCs), and RFID tags]. For controlled items, another apparent requirement is a confirmation feature, human or otherwise, which can certify that an item's RFID tag, UPC, or tracking number has been recorded.

  10. Design and implementation of an open source indexing solution for a large set of radiological reports and images.

    Voet, T; Devolder, P; Pynoo, B; Vercruysse, J; Duyck, P


    This paper hopes to share the insights we experienced during designing, building, and running an indexing solution for a large set of radiological reports and images in a production environment for more than 3 years. Several technical challenges were encountered and solved in the course of this project. One hundred four million words in 1.8 million radiological reports from 1989 to the present were indexed and became instantaneously searchable in a user-friendly fashion; the median query duration is only 31 ms. Currently, our highly tuned index holds 332,088 unique words in four languages. The indexing system is feature-rich and language-independent and allows for making complex queries. For research and training purposes it certainly is a valuable and convenient addition to our radiology informatics toolbox. Extended use of open-source technology dramatically reduced both implementation time and cost. All software we developed related to the indexing project has been made available to the open-source community covered by an unrestricted Berkeley Software Distribution-style license.

  11. lllicit Radiological and Nuclear Trafficking, Smuggling and Security Incidents in the Black Sea Region since the Fall of the Iron Curtain – an Open Source Inventory

    Alex P. Schmid


    Full Text Available Nuclear and radiological smuggling and trafficking incidents, events, and threats from the wider Black Sea area, 1990 – 2011  An Open Source Compilation prepared by Alex P. Schmid & Charlotte Spencer-Smith

  12. Source term derivation and radiological safety analysis for the TRICO II research reactor in Kinshasa

    Muswema, J.L., E-mail: [Faculty of Science, University of Kinshasa, P.O. Box 190, KIN XI (Congo, The Democratic Republic of the); Ekoko, G.B. [Faculty of Science, University of Kinshasa, P.O. Box 190, KIN XI (Congo, The Democratic Republic of the); Lukanda, V.M. [Faculty of Science, University of Kinshasa, P.O. Box 190, KIN XI (Congo, The Democratic Republic of the); Democratic Republic of the Congo' s General Atomic Energy Commission, P.O. Box AE1 (Congo, The Democratic Republic of the); Lobo, J.K.-K. [Faculty of Science, University of Kinshasa, P.O. Box 190, KIN XI (Congo, The Democratic Republic of the); Darko, E.O. [Radiation Protection Institute, Ghana Atomic Energy Commission, P.O. Box LG 80, Legon, Accra (Ghana); Boafo, E.K. [University of Ontario Institute of Technology, 2000 Simcoe St. North, Oshawa, ONL1 H7K4 (Canada)


    Highlights: • Atmospheric dispersion modeling for two credible accidents of the TRIGA Mark II research reactor in Kinshasa (TRICO II) was performed. • Radiological safety analysis after the postulated initiating events (PIE) was also carried out. • The Karlsruhe KORIGEN and the HotSpot Health Physics codes were used to achieve the objectives of this study. • All the values of effective dose obtained following the accident scenarios were below the regulatory limits for reactor staff members and the public, respectively. - Abstract: The source term from the 1 MW TRIGA Mark II research reactor core of the Democratic Republic of the Congo was derived in this study. An atmospheric dispersion modeling followed by radiation dose calculation were performed based on two possible postulated accident scenarios. This derivation was made from an inventory of peak radioisotope activities released in the core by using the Karlsruhe version of isotope generation code KORIGEN. The atmospheric dispersion modeling was performed with HotSpot code, and its application yielded to radiation dose profile around the site using meteorological parameters specific to the area under study. The two accident scenarios were picked from possible accident analyses for TRIGA and TRIGA-fueled reactors, involving the case of destruction of the fuel element with highest activity release and a plane crash on the reactor building as the worst case scenario. Deterministic effects of these scenarios are used to update the Safety Analysis Report (SAR) of the reactor, and for its current version, these scenarios are not yet incorporated. Site-specific meteorological conditions were collected from two meteorological stations: one installed within the Atomic Energy Commission and another at the National Meteorological Agency (METTELSAT), which is not far from the site. Results show that in both accident scenarios, radiation doses remain within the limits, far below the recommended maximum effective

  13. Radiological Characterization Technical Report on Californium-252 Sealed Source Transuranic Debris Waste for the Off-Site Source Recovery Project at Los Alamos National Laboratory

    Feldman, Alexander [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    This document describes the development and approach for the radiological characterization of Cf-252 sealed sources for shipment to the Waste Isolation Pilot Plant. The report combines information on the nuclear material content of each individual source (mass or activity and date of manufacture) with information and data on the radionuclide distributions within the originating nuclear material. This approach allows for complete and accurate characterization of the waste container without the need to take additional measurements. The radionuclide uncertainties, developed from acceptable knowledge (AK) information regarding the source material, are applied to the summed activities in the drum. The AK information used in the characterization of Cf-252 sealed sources has been qualified by the peer review process, which has been reviewed and accepted by the Environmental Protection Agency.

  14. SESAME: a software tool for the numerical dosimetric reconstruction of radiological accidents involving external sources and its application to the accident in Chile in December 2005.

    Huet, C; Lemosquet, A; Clairand, I; Rioual, J B; Franck, D; de Carlan, L; Aubineau-Lanièce, I; Bottollier-Depois, J F


    Estimating the dose distribution in a victim's body is a relevant indicator in assessing biological damage from exposure in the event of a radiological accident caused by an external source. This dose distribution can be assessed by physical dosimetric reconstruction methods. Physical dosimetric reconstruction can be achieved using experimental or numerical techniques. This article presents the laboratory-developed SESAME--Simulation of External Source Accident with MEdical images--tool specific to dosimetric reconstruction of radiological accidents through numerical simulations which combine voxel geometry and the radiation-material interaction MCNP(X) Monte Carlo computer code. The experimental validation of the tool using a photon field and its application to a radiological accident in Chile in December 2005 are also described.

  15. A comparative study of the radiological hazard in sediments samples from drinking water purification plants supplied from different sources

    Shams A.M. Issa


    Full Text Available The natural radiation level has been determined for 135 sediment samples from forty-six drinking water purification plants supplied from different sources (Nile River, Ibrahimia Canal and Bahr Yousif Canal aiming to evaluate the radiation hazard. The concentration of natural radionuclides (226Ra, 232Th and 40K has been investigated by using gamma spectrometry (NaI (Tl 3″ × 3″ detector. The results showed that the concentrations of average activity in the sediment samples collected from Nile River, Ibrahimia Canal and Bahr Yousif Canal are (29 ± 2, 30 ± 2 and 240 ± 8 Bq kg−1, (47 ± 3, 46 ± 8 and 258 ± 12 Bq kg−1 and (28 ± 2, 27 ± 3 and 219 ± 18 Bq kg−1 for 226Ra, 232Th and 40K, respectively. The distributions of average activity concentrations of samples under investigation are within the world values although some extreme values have been determined. Radiological hazard effects such as: absorbed dose rate (D, outdoor and indoor annual effective dose equivalent (AEDE, radium equivalent activities (Raeq, hazard indices (Hex and Hin, gamma index (Iγ, excess lifetime cancer risk (ELCR and annual gonadal dose equivalent (AGDE for the corresponding samples were also estimated.

  16. Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources--1950-2007.

    Mettler, Fred A; Bhargavan, Mythreyi; Faulkner, Keith; Gilley, Debbie B; Gray, Joel E; Ibbott, Geoffrey S; Lipoti, Jill A; Mahesh, Mahadevappa; McCrohan, John L; Stabin, Michael G; Thomadsen, Bruce R; Yoshizumi, Terry T


    The U.S. National Council on Radiation Protection and Measurements and United Nations Scientific Committee on Effects of Atomic Radiation each conducted respective assessments of all radiation sources in the United States and worldwide. The goal of this article is to summarize and combine the results of these two publicly available surveys and to compare the results with historical information. In the United States in 2006, about 377 million diagnostic and interventional radiologic examinations and 18 million nuclear medicine examinations were performed. The United States accounts for about 12% of radiologic procedures and about one-half of nuclear medicine procedures performed worldwide. In the United States, the frequency of diagnostic radiologic examinations has increased almost 10-fold (1950-2006). The U.S. per-capita annual effective dose from medical procedures has increased about sixfold (0.5 mSv [1980] to 3.0 mSv [2006]). Worldwide estimates for 2000-2007 indicate that 3.6 billion medical procedures with ionizing radiation (3.1 billion diagnostic radiologic, 0.5 billion dental, and 37 million nuclear medicine examinations) are performed annually. Worldwide, the average annual per-capita effective dose from medicine (about 0.6 mSv of the total 3.0 mSv received from all sources) has approximately doubled in the past 10-15 years.

  17. Radiological Assessment Survey of the Vance road Facility Source Vault Building Materials, Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee

    J. R. Morton


    From the 1950s, the Vance Road laboratory was the site of extensive nuclear medical research and involved the used of numerous radionuclides. These nuclides were stored in a source vault stored on the first floor of the facility. Nuclear medical research is no longer conducted in this facility, and the source vault was remediated in preparation for converting the area to office space and general use. The Environmental Survey and Site Assessment Program (ESSAP) of ORISE performed a radiological assessment survey of the source vault and its associated miscellaneous building materials and laboratory equipment in preparation for the conversion to general use space.

  18. Radiological English

    Ribes, R. [Hospital Reina Sofia, Cordoba (Spain). Servicio de Radiologia; Ros, P.R. [Harvard Medical School, Boston, MA (United States). Div. of Radiology


    The book is an introductory book to radiological English on the basis that there are a lot of radiologists, radiology residents, radiology nurses, radiology students, and radiographers worldwide whose English level is indeterminate because their reading skills are much higher than their fluency. It is intended to help those health care professionals who need English for their work but do not speak English on a day-to-day basis. (orig.)

  19. Radiology fundamentals

    Singh, Harjit


    ""Radiology Fundamentals"" is a concise introduction to the dynamic field of radiology for medical students, non-radiology house staff, physician assistants, nurse practitioners, radiology assistants, and other allied health professionals. The goal of the book is to provide readers with general examples and brief discussions of basic radiographic principles and to serve as a curriculum guide, supplementing a radiology education and providing a solid foundation for further learning. Introductory chapters provide readers with the fundamental scientific concepts underlying the medical use of imag

  20. Radiology illustrated. Pediatric radiology

    Kim, In-One (ed.) [Seoul National Univ. College of Medicine (Korea, Republic of). Dept. of Radiology


    Depicts characteristic imaging findings of common and uncommon diseases in the pediatric age group. Will serve as an ideal diagnostic reference in daily practice. Offers an excellent teaching aid, with numerous high-quality illustrations. This case-based atlas presents images depicting the findings typically observed when imaging a variety of common and uncommon diseases in the pediatric age group. The cases are organized according to anatomic region, covering disorders of the brain, spinal cord, head and neck, chest, cardiovascular system, gastrointestinal system, genitourinary system, and musculoskeletal system. Cases are presented in a form resembling teaching files, and the images are accompanied by concise informative text. The goal is to provide a diagnostic reference suitable for use in daily routine by both practicing radiologists and radiology residents or fellows. The atlas will also serve as a teaching aide and a study resource, and will offer pediatricians and surgeons guidance on the clinical applications of pediatric imaging.

  1. The Radiological Hygienic Assessment of the Sources of Utility and Drinking Water Supply for the Population of Khakasia Republic

    E. A. Pivovarova


    Full Text Available The article is aimed at the hygienic assessment of the sources of utility and drinking water for the Khakasia population regarding radiation protection indicators. The results. Annually over 50% of studied water samples of the utility and drinking water sources for the republic’s population do not comply with the regulatory requirements on specific total alpha –activity ( Aa. This value in the samples varies from 0.03 to 5 Bq/kg. Water samples of utility and drinking water supply sources with the exceedance of limit levels on Alfa – activity were pinpointed in Sorsk, Prigorsk, Verhnyaya Sogra water intake ( Abakan , Ordzhonikidze, Shirinsk, Bogradsk, Ust’ –Abakan, Altaisk, Beisk, Toshtypsk, Askizsk districts of the republic. For Betaactivity the exceedances of limit levels were not found. High alpha-activity levels are attributed to the natural radionuclides 238U and 234U. On the annual basis water samples from utility and drinking water supply sources display the growing amount of intervention level exceedances on 222Rn. The radon-222 specific activity in the samples varies from 6.0 to 170 Bq/kg. The ratio of the sum of natural radionuclides’ specific activities’ ratios to the corresponding intervention levels is below 1.0 in Ordzhenikidzevsk, Bogradsk, Ust’-Abakan, Shirinsk, Toshtypsk, Askizsk districts, Sorsk town, Prigorsk township, Verkhnaya Sogra water intake ( Abakan . This means that radiological protection measures are not necessary for those territories in present time. In Beisk and Altaisk districts of the republic, the sum of natural radionuclides’ specific activities’ ratios to the corresponding intervention levels is above 1.0 (the values are in the range of 1.02 – 1.2 . The average annual individual effective doses for population internal exposure from drinking water natural radionuclides in Khakasia Republic exceed twofold the average levels across Russia. In Beisk and Altaisk districts, the

  2. Imaging and radiology

    Interventional radiology; Diagnostic radiology; X-ray imaging ... DIAGNOSTIC RADIOLOGY Diagnostic radiology helps health care professionals see structures inside your body. Doctors that specialize in the interpretation ...

  3. Radiological Safety Handbook.

    Army Ordnance Center and School, Aberdeen Proving Ground, MD.

    Written to be used concurrently with the U.S. Army's Radiological Safety Course, this publication discusses the causes, sources, and detection of nuclear radiation. In addition, the transportation and disposal of radioactive materials are covered. The report also deals with the safety precautions to be observed when working with lasers, microwave…

  4. Interventional radiology

    Steinbrich, W. (ed.) (Basel Univ. (Switzerland). Inst. fuer Medizinische Radiologie); Gross-Fengels, W. (ed.) (Allgemeines Krankenhaus Harburg, Hamburg (Germany). Abt. fuer Klinische Radiologie)


    In interventional radiology adjunctive medical therapy can increase patient's comfort, and should further reduce the risks of the procedures. In order to fulfill the responsibility of the interventionist to the patients and to increase the success rate of the interventions, a profound knowledge of certain drugs is indispensable. This includes, for example, sedatives, analgesics, cardiovascular drugs and agents to prevent infections, thromboembolic complications or restenoses. Moreover, a good monitoring system during complex procedures will increase the safety of radiological interventions. These topics and several more are presented in this book. (orig.). 32 figs.

  5. FDH radiological design review guidelines

    Millsap, W.J.


    These guidelines discuss in more detail the radiological design review process used by the Project Hanford Management Contractors as described in HNF-PRO-1622, Radiological Design Review Process. They are intended to supplement the procedure by providing background information on the design review process and providing a ready source of information to design reviewers. The guidelines are not intended to contain all the information in the procedure, but at points, in order to maintain continuity, they contain some of the same information.

  6. Two-frequency heating technique at the 18 GHz electron cyclotron resonance ion source of the National Institute of Radiological Sciences

    Biri, S; Muramatsu, M; Drentje, A G; Rácz, R; Yano, K; Kato, Y; Sasaki, N; Takasugi, W


    The two-frequency heating technique was studied to increase the beam intensities of highly charged ions provided by the high-voltage extraction configuration (HEC) ion source at the National Institute of Radiological Sciences (NIRS). The observed dependences on microwave power and frequency suggested that this technique improved plasma stability but it required precise frequency tuning and more microwave power than was available before 2013. Recently, a new, high-power (1200 W) wide bandwidth (17.1-18.5 GHz) travelling-wave-tube amplifier (TWTA) was installed. After some single tests with klystron and TWT amplifiers the simultaneous injection of the two microwaves has been successfully realized. The dependence of highly charged ions (HCI) currents on the superposed microwave power was studied by changing only the output power of one of the two amplifiers, alternatively. While operating the klystron on its fixed 18.0 GHz, the frequency of the TWTA was swept within its full limits (17.1-18.5 GHz), and the effec...

  7. Current radiology. Volume 5

    Wilson, G.H.; Hanafee, W.N.


    This book contains 10 selections. They are: Nuclear Magnetic Resonance Imaging, Interventional Vascular Radiology, Genitourinary Radiology, Skeletal Radiology, Digital Subtraction Angiography, Neuroradiology, Computed Tomographic Evaluation of Degenerative Diseases of the Lumbar Spine, The Lung, Otolaringology and Opthalmology, and Pediatric Radiology: Cranial, Facial, Cervical, Vertebral, and Appendicular.

  8. Radiological Control Manual


    This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

  9. Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education

    Talanow, Roland


    This article focuses on Radiology Olympics ( - a collaboration with the international Radiology community for Radiology education, Radiolopolis ( The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

  10. Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education

    Talanow, Roland


    This article focuses on Radiology Olympics ( - a collaboration with the international Radiology community for Radiology education, Radiolopolis ( The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

  11. Society of Interventional Radiology


  12. Interventional Radiology: Stroke


  13. Society of Interventional Radiology

    ... Search Patient information Membership Directory (SIR login) Interventional Radiology General News Multiple procedure payment reduction (MPPR) rate ... contact Eleanore Moye . Learn more . American Board of Radiology Announces Maintenance of Certification Part 3: ABR diplomates ...

  14. Laenderyggens degeneration og radiologi

    Jacobsen, Steffen; Gosvig, Kasper Kjaerulf; Sonne-Holm, Stig


    and significant relationships between radiological findings and subjective symptoms have both been notoriously difficult to identify. The lack of consensus on clinical criteria and radiological definitions has hampered the undertaking of properly executed epidemiological studies. The natural history of LBP...

  15. Radiological assessment of past, present and potential sources to environmental contamination in the Southern Urals and strategies for remedial measures (SUCON)

    Aarkrog, A. [Risoe National Lab. (Denmark); Simmonds, J. [National Radiological Protection Board (United Kingdom); Strand, P. [Norwegian Radiation Protection Authority (Norway); Christensen, G. [Institute of Energy Technology (Norway); Salbu, B. [Agricultural Univ. of Norway (Norway)


    This report summarises work done on the SUCON Project during 1996-1999 (European Commission Contract No. FI4C-CT95-0001). The project has focused on three major objectives: 1) An assessment of the radiological consequences of the contamination of the South Urals and the Ob river system from the production of plutonium at 'Mayak', 2) The development of models to calculate doses to individuals and populations in the South Urals using environmental data, and 3) The intercomparison, harmonisation and standardisation of techniques used in dose reconstruction and specification of good practice in particular with regard to remedial measures. (au)

  16. A NATO exercise on radiological sampling.

    Haslip, Dean S; Mercier, J R


    The North Atlantic Treaty Organization (NATO) has held its first-ever large-scale radiological exercise employing unsealed radioactive sources. The objective of the exercise was to validate NATO protocols on radiological sampling and surveying. However, the exercise also proved to be a valuable training opportunity and was highly instructive to all involved. This paper highlights the lessons learned from this exercise, particularly in the areas of radiation survey equipment and techniques, sampling techniques, and field measurements.

  17. Poul Erik Andersen's radiological work on Osteochondrodysplasias and interventional radiology

    Andersen, Poul Erik


    Hospital. His significant experience and extensive scientific work has led to many posts in the Danish Society of Interventional Radiology, the European Society of Radiology and the Cardiovascular and Interventional Radiological Society of Europe, where he is a fellow and has passed the European Board...... of Interventional Radiology - The European qualification in Interventional Radiology....

  18. Essentials of skeletal radiology

    Yochum, T.R.; Rowe, L.J.


    This book discusses the following topics of skeletal radiology: Positioning of patients for diagnostic radiology and normal anatomy; congenital malformations of skeleton; measurements in radiology; spondylolisthesis; metabolic and endocrine diseases of bone and their diagnostic aspects; image processing of vertebrae, skeleton, bone fractures evaluations and epidemiological and social aspects of some bone diseases. Various modalities as CT scanning, NMR imaging, ultrasonography and biomedical radiography are briefly discussed in relation to bone pathology.

  19. Machine Learning and Radiology

    Wang, Shijun; Summers, Ronald M.


    In this paper, we give a short introduction to machine learning and survey its applications in radiology. We focused on six categories of applications in radiology: medical image segmentation, registration, computer aided detection and diagnosis, brain function or activity analysis and neurological disease diagnosis from fMR images, content-based image retrieval systems for CT or MRI images, and text analysis of radiology reports using natural language processing (NLP) and natural language understanding (NLU). This survey shows that machine learning plays a key role in many radiology applications. Machine learning identifies complex patterns automatically and helps radiologists make intelligent decisions on radiology data such as conventional radiographs, CT, MRI, and PET images and radiology reports. In many applications, the performance of machine learning-based automatic detection and diagnosis systems has shown to be comparable to that of a well-trained and experienced radiologist. Technology development in machine learning and radiology will benefit from each other in the long run. Key contributions and common characteristics of machine learning techniques in radiology are discussed. We also discuss the problem of translating machine learning applications to the radiology clinical setting, including advantages and potential barriers. PMID:22465077

  20. Radiological Emergency Response Data

    U.S. Environmental Protection Agency — Quality Data Asset includes all current and historical emergency radiological response event and incident of national significance data and surveillance, monitoring,...

  1. Radiological protection and routinary controls of an activimeter with a cesium and barium sources in an nuclear medicine center; Proteccion radiologica y controles rutinarios de un activimetro con fuentes de cesio y bario en un centro de medicina nuclear

    Morales L, M.E. [IPEN INEN, Centro de Medicina Nuclear, Av. Aviacion 3799, Lima 34 (Peru)]. e-mail:


    In the present work the results when carrying out the routine controls in a Deluxe Isotope (Calibrator II) equipment, with some sources of Cesium 137 and Barium 133, in a Nuclear Medicine Center that operates from the year 1983 in a modern one construction inside the Institute of Neoplastic Illnesses (INEN) are shown. Taking in account the Radiological Protection measures to verify if the equipment responds to the personnel's demands in the measurements of activities of the diverse radionuclides that are used in different types of exams that are carried out in this Nuclear Medicine Center are the objectives of this work. This Center was equipped initially with donated equipment by the International Atomic Energy Agency (IAEA) with those that it develops assistance, educational works and of research, giving services to patients of the INEN and other public and private medical centers. (Author)

  2. American College of Radiology

    American College of Radiology Login About Us Media Center Contact Us Follow us Shopping Cart (0) ACR Catalog Donate My ACR Join ACR ... ACR Catalog Education Center eLearning Exams & Assessments AIRP™ Radiology Leadership Institute ® Quality & Safety Accreditation Appropriateness Criteria ® Practice ...

  3. Physics of Radiology

    Johns, Harold Elford


    Authority, comprehensivity and a consummate manner of presentation have been hallmarks of The Physics of Radiology since it first saw publication some three decades past. This Fourth Edition adheres to that tradition but again updates the context. It thoroughly integrates ideas recently advanced and practices lately effected. Students and professionals alike will continue to view it, in essence, as the bible of radiological physics.

  4. Can neuroimaging differentiate PFO and AF-related cardioembolic stroke from the other embolic sources? Clinical-radiological correlation on a retrospective study.

    Stecco, Alessandro; Quagliozzi, Martina; Soligo, Eleonora; Naldi, Andrea; Cassarà, Alessia; Coppo, Lorenzo; Rosso, Roberta; Bongo, Angelo Sante; Amatuzzo, Paola; Buemi, Francesco; Guenzi, Elena; Carriero, Alessandro


    The aim of this retrospective study was to map the specific ischemic lesion patterns of distribution in patent foramen ovale-related stroke (PFO-stroke) and atrial fibrillation-related stroke (AF-stroke) in patients with idiopatic ischemic stroke. 750 ischaemic strokes were screened on basis of diagnostic imaging and tests: patients with known causes were excluded. 171 patients with unknown cause were selected and divided in two groups: AF-stroke (43 patients) and PFO-stroke (128 patients). Vascular territories of ischemic involvement were divided into four classes in each group: the anterior cerebral artery, the middle cerebral artery, the vertebro-cerebral artery (including the posterior cerebral artery) and multisite (MS) involvement. Infarcts in vertebro-basilar territory and multisite represented each one about 32% of infarcts in PFO-stroke group and their involvement are more frequent than AF-stroke group (p = 0.03). Ischemic lesions in PFO-group were predominantly cortical (34.3%), and in AF-group cortical-subcortical (60.4%). Multisite pattern of ischemic lesion was more frequent in patients with severe degree of right to left shunts (37.5%). In clinical practice, PFO may be considered a cause of cortical stroke on the basis of radiological findings, when VB vascular territory or MS brain involvement is present in younger patients (<50 age).

  5. [Controlling instruments in radiology].

    Maurer, M


    Due to the rising costs and competitive pressures radiological clinics and practices are now facing, controlling instruments are gaining importance in the optimization of structures and processes of the various diagnostic examinations and interventional procedures. It will be shown how the use of selected controlling instruments can secure and improve the performance of radiological facilities. A definition of the concept of controlling will be provided. It will be shown which controlling instruments can be applied in radiological departments and practices. As an example, two of the controlling instruments, material cost analysis and benchmarking, will be illustrated.

  6. Nuclear and radiological Security: Introduction.

    Miller, James Christopher [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    Nuclear security includes the prevention and detection of, and response to, theft, sabotage, unauthorized access, illegal transfer, or other malicious acts involving nuclear or other radioactive substances or their associated facilities. The presentation begins by discussing the concept and its importance, then moves on to consider threats--insider threat, sabotage, diversion of materials--with considerable emphasis on the former. The intrusion at Pelindaba, South Africa, is described as a case study. The distinction between nuclear security and security of radiological and portable sources is clarified, and the international legal framework is touched upon. The paper concludes by discussing the responsibilities of the various entities involved in nuclear security.

  7. A Proof-of-concept Study on Integrating GEANT4 and MATLAB to Develop a Simulation Capability for Testing Radiological Source Localisation Algorithms


    particles matching the energy distribution and relative abundances expected. For example, to model a caesium -137 source the following commands can be...must be specified as the ion; in this case we have specified the /gps/ion to be the caesium -137 isotope. The arguments of the ion command are as

  8. Laenderyggens degeneration og radiologi

    Jacobsen, Steffen; Gosvig, Kasper Kjaerulf; Sonne-Holm, Stig


    Low back pain (LBP) is one of the most common conditions, and at the same time one of the most complex nosological entities. The lifetime prevalence is approximately 80%, and radiological features of lumbar degeneration are almost universal in adults. The individual risk factors for LBP and signi......Low back pain (LBP) is one of the most common conditions, and at the same time one of the most complex nosological entities. The lifetime prevalence is approximately 80%, and radiological features of lumbar degeneration are almost universal in adults. The individual risk factors for LBP...... and significant relationships between radiological findings and subjective symptoms have both been notoriously difficult to identify. The lack of consensus on clinical criteria and radiological definitions has hampered the undertaking of properly executed epidemiological studies. The natural history of LBP...

  9. Radiologic Technology Program Standards.

    Georgia Univ., Athens. Dept. of Vocational Education.

    This publication contains statewide standards for the radiologic technology program in Georgia. The standards are divided into 12 categories; Foundations (philosophy, purpose, goals, program objectives, availability, evaluation); Admissions (admission requirements, provisional admission requirements, recruitment, evaluation and planning); Program…

  10. Hygiene in radiology

    Kapp-Schwoerer, A.; Daschner, F.


    A survey is given of the hygienic management in radiological departments with special regard to the handling of injections and infusions. It includes prevention of bacterial as well as viral infections. In radiological departments disinfection of X-ray tables is necessary only in exceptional cases. A special proposal for disinfection is added. A safe method of sterilisation of flexible catheders is included, which proved to prevent bacterial infection.

  11. Radiologic science for technologists

    Bushong, S.C.


    This book provides in-depth coverage of physics, biology and protection for the radiologic technology student. It presents a significant portion of all of the science required of radiologic technology students under one cover. Chapter content reflects a readable and practical organization with outlines listed on the first page of each chapter and sample problems at the end. New to this edition are: new and expanded sections on radiation techniques, digital imaging, and magnetic resonance imaging and ultrasound.

  12. Diagnostic and interventional radiology

    Vogl, Thomas J. [Klinikum der Johann Wolfgang Goethe-Universitaet, Frankfurt am Main (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Reith, Wolfgang [Universitaetsklinikum des Saarlandes, Homburg/Saar (Germany). Klinik fuer Diagnostische und Interventionelle Neuroradiologie; Rummeny, Ernst J. (ed.) [Technische Univ. Muenchen Klinikum rechts der Isar, Muenchen (Germany). Inst. fuer Radiologie


    This exceptional book covers all aspects of diagnostic and interventional radiology within one volume, at a level appropriate for the specialist. From the basics through diagnosis to intervention: the reader will find a complete overview of all areas of radiology. The clear, uniform structure, with chapters organized according to organ system, facilitates the rapid retrieval of information. Features include: Presentation of the normal radiological anatomy Classification of the different imaging procedures according to their diagnostic relevance Imaging diagnosis with many reference images Precise description of the interventional options The inclusion of many instructive aids will be of particular value to novices in decision making: Important take home messages and summaries of key radiological findings smooth the path through the jungle of facts Numerous tables on differential diagnosis and typical findings in the most common diseases offer a rapid overview and orientation Diagnostic flow charts outline the sequence of diagnostic evaluation All standard procedures within the field of interventional radiology are presented in a clinically relevant and readily understandable way, with an abundance of illustrations. This is a textbook, atlas, and reference in one: with more than 2500 images for comparison with the reader's own findings. This comprehensive and totally up-to-date book provides a superb overview of everything that the radiology specialist of today needs to know.

  13. Informatics in radiology: An open-source and open-access cancer biomedical informatics grid annotation and image markup template builder.

    Mongkolwat, Pattanasak; Channin, David S; Kleper, Vladimir; Rubin, Daniel L


    In a routine clinical environment or clinical trial, a case report form or structured reporting template can be used to quickly generate uniform and consistent reports. Annotation and image markup (AIM), a project supported by the National Cancer Institute's cancer biomedical informatics grid, can be used to collect information for a case report form or structured reporting template. AIM is designed to store, in a single information source, (a) the description of pixel data with use of markups or graphical drawings placed on the image, (b) calculation results (which may or may not be directly related to the markups), and (c) supplemental information. To facilitate the creation of AIM annotations with data entry templates, an AIM template schema and an open-source template creation application were developed to assist clinicians, image researchers, and designers of clinical trials to quickly create a set of data collection items, thereby ultimately making image information more readily accessible.

  14. DOE standard: Radiological control


    The Department of Energy (DOE) has developed this Standard to assist line managers in meeting their responsibilities for implementing occupational radiological control programs. DOE has established regulatory requirements for occupational radiation protection in Title 10 of the Code of Federal Regulations, Part 835 (10 CFR 835), ``Occupational Radiation Protection``. Failure to comply with these requirements may lead to appropriate enforcement actions as authorized under the Price Anderson Act Amendments (PAAA). While this Standard does not establish requirements, it does restate, paraphrase, or cite many (but not all) of the requirements of 10 CFR 835 and related documents (e.g., occupational safety and health, hazardous materials transportation, and environmental protection standards). Because of the wide range of activities undertaken by DOE and the varying requirements affecting these activities, DOE does not believe that it would be practical or useful to identify and reproduce the entire range of health and safety requirements in this Standard and therefore has not done so. In all cases, DOE cautions the user to review any underlying regulatory and contractual requirements and the primary guidance documents in their original context to ensure that the site program is adequate to ensure continuing compliance with the applicable requirements. To assist its operating entities in achieving and maintaining compliance with the requirements of 10 CFR 835, DOE has established its primary regulatory guidance in the DOE G 441.1 series of Guides. This Standard supplements the DOE G 441.1 series of Guides and serves as a secondary source of guidance for achieving compliance with 10 CFR 835.

  15. Radiological NESHAP ANNUAL REPORT CY 2016.

    Evelo, Stacie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    This report provides a summary of the radionuclide releases from the United States (U.S.) Department of Energy (DOE) National Nuclear Security Administration facilities at Sandia National Laboratories, New Mexico (SNL/NM) during Calendar Year (CY) 2016, including the data, calculations, and supporting documentation for demonstrating compliance with 40 Code of Federal Regulation (CFR) 61, Subpart H--NATIONAL EMISSION STANDARDS FOR EMISSIONS OF RADIONUCLIDES OTHER THAN RADON FROM DEPARTMENT OF ENERGY FACILITIES (Radiological NESHAP). A description is given of the sources and their contributions to the overall dose assessment. In addition, the maximally exposed individual (MEI) radiological dose calculation and the population dose to local and regional residents are discussed.

  16. The Future of Radiology

    Alexander R. Margulis


    Full Text Available It has been my good fortune to live and practice radiology during a long period of momentous change – to see the transformation of the discipline from a supportive service into a mainstream, essential branch of clinical medicine. I remember wearing red goggles to adapt my vision before performing fluoroscopy; observing the horrible, now thankfully obsolete, practice of ventriculography, which was considered advanced neuroradiology; and performing other, now rarely prescribed procedures, such as double-contrast barium enemas and intravenous pyelography. Witnessing the beginnings of interventional radiology, I suggested its name in an editorial. I also had the good fortune to see the introduction of computed tomography (CT and a technology first known as nuclear magnetic resonance imaging. Together with fellow members of a committee of the American College of Radiology and editors of prestigious radiological journals, I took part in changing the name of the latter modality to MRI, freeing it from threatening implications. Looking back on these experiences, one lesson stands out above all: Innovation and transformation never cease. Looking forward, it is clear that radiology, along with the rest of medicine, is now undergoing further momentous changes that will affect the future of all those already practicing as well as those yet to start their careers.


    Rade R. Babić


    Full Text Available The development of information systems in health care is approaching the process of integration of various systems used in a single computer so that we witness today the omnipresent idea of merging the functions of the clinical-hospital (CHIS and radiology (RIS information system. Radiological Information System (RIS is a technology solution to complete computerization and modernization of the work of the radiology center, and transition from film to paper and ful electronic management and digital recordings. RIS creates the digital radiology center where information is always available at the right place and at the right time. Within the realisation of RIS, it is necessary to follow the standards and systems relating to the specific RIS, which are: DICOM (Digital Imaging and Communications in Medicine, PACS (Picture Archiving and Communication System, HL7 (Health Level Seven. The relevant links of modern RIS are teleradiology and mobile radiology. The authors conclude that the introduction of RIS, HIS and other information systems are reflected in the automation, reduction of possible errors, increase in diagnostic and therapeutic quality, lower costs for materials, the increase in efficiency, saving time and others.

  18. Radiological protection; Proteccion radiologica

    Azorin N, J. [Universidad Autonoma Metropolitana, Unidad Iztapalapa, Division de Ciencias Basicas e Ingenieria, Av. San Rafael Atlixco 186, Col. Vicentina, 09340 Mexico, D. F. (Mexico); Azorin V, J. C. [Universidad de Guanajuato, Campus Leon, Division de Ciencias e Ingenieria, Loma del Bosque 103, Lomas del Campestre, 37150 Leon de los Aldama, Guanajuato (Mexico)


    This work is directed to all those people related with the exercise of the radiological protection and has the purpose of providing them a base of knowledge in this discipline so that they can make decisions documented on technical and scientist factors for the protection of the personnel occupationally exposed, the people in general and the environment during the work with ionizing radiations. Before de lack of a text on this matter, this work seeks to cover the specific necessities of our country, providing a solid presentation of the radiological protection, included the bases of the radiations physics, the detection and radiation dosimetry, the radiobiology, the normative and operational procedures associates, the radioactive wastes, the emergencies and the transport of the radioactive material through the medical and industrial applications of the radiations, making emphasis in the relative particular aspects to the radiological protection in Mexico. The book have 16 chapters and with the purpose of supplementing the given information, are included at the end four appendixes: 1) the radioactive waste management in Mexico, 2-3) the Mexican official standards related with the radiological protection, 4) a terms glossary used in radiological protection. We hope this book will be of utility for those people that work in the investigation and the applications of the ionizing radiations. (Author)

  19. Remote search for gamma sources at the dry storage unit 3A in Andreeva bay and the determination of their dose rates during activities for improvement to the radiological environment

    Ivanov Kirill E.


    Full Text Available The remotely controlled replacement of the concrete covering of the spent fuel dry storage unit 3A with a new iron horizontal biological shielding was carried out during works aimed at the improvement of the radiological environment at the NWC “SevRAO” - Branch of FSUE “RosRAO”, Andreeva Bay, Murmansk Region. Video control systems, a BROKK robotic manipulator, HIAB manipulator crane, gamma detectors of the ASCRO radiation monitoring system, and a CARTOGAM gamma camera were employed. A CARTOGAM gamma camera was used in all stages of the work involving high radiation levels for the remote location of the most dangerous gamma radiation sources and the evaluation of their dose rates. Gamma detectors of the ASCRO radiation monitoring system were located at several spots of the dry storage unit 3A in order to control the radiation situation. The use of the ASCRO and CARTOGAM has allowed us to avoid unauthorized exposure of the staff involved in the operations at the dry storage unit 3A site.

  20. Organizational decentralization in radiology.

    Aas, I H Monrad


    At present, most hospitals have a department of radiology where images are captured and interpreted. Decentralization is the opposite of centralization and means 'away from the centre'. With a Picture Archiving and Communication System (PACS) and broadband communications, transmitting radiology images between sites will be far easier than before. Qualitative interviews of 26 resource persons were performed in Norway. There was a response rate of 90%. Decentralization of radiology interpretations seems less relevant than centralization, but several forms of decentralization have a role to play. The respondents mentioned several advantages, including exploitation of capacity and competence. They also mentioned several disadvantages, including splitting professional communities and reduced contact between radiologists and clinicians. With the new technology decentralization and centralization of image interpretation are important possibilities in organizational change. This will be important for the future of teleradiology.

  1. Radiology illustrated. Hepatobiliary and pancreatic radiology

    Choi, Byung Ihn (ed.) [Seoul National Univ. Hospital (Korea, Republic of). Dept. of Radiology


    Clear, practical guide to the diagnostic imaging of diseases of the liver, biliary tree, gallbladder, pancreas, and spleen. A wealth of carefully selected and categorized illustrations. Highlighted key points to facilitate rapid review. Aid to differential diagnosis. Radiology Illustrated: Hepatobiliary and Pancreatic Radiology is the first of two volumes that will serve as a clear, practical guide to the diagnostic imaging of abdominal diseases. This volume, devoted to diseases of the liver, biliary tree, gallbladder, pancreas, and spleen, covers congenital disorders, vascular diseases, benign and malignant tumors, and infectious conditions. Liver transplantation, evaluation of the therapeutic response of hepatocellular carcinoma, trauma, and post-treatment complications are also addressed. The book presents approximately 560 cases with more than 2100 carefully selected and categorized illustrations, along with key text messages and tables, that will allow the reader easily to recall the relevant images as an aid to differential diagnosis. At the end of each text message, key points are summarized to facilitate rapid review and learning. In addition, brief descriptions of each clinical problem are provided, followed by both common and uncommon case studies that illustrate the role of different imaging modalities, such as ultrasound, radiography, CT, and MRI.

  2. Radiology's value chain.

    Enzmann, Dieter R


    A diagnostic radiology value chain is constructed to define its main components, all of which are vulnerable to change, because digitization has caused disaggregation of the chain. Some components afford opportunities to improve productivity, some add value, while some face outsourcing to lower labor cost and to information technology substitutes, raising commoditization risks. Digital image information, because it can be competitive at smaller economies of scale, allows faster, differential rates of technological innovation of components, initiating a centralization-to-decentralization technology trend. Digitization, having triggered disaggregation of radiology's professional service model, may soon usher in an information business model. This means moving from a mind-set of "reading images" to an orientation of creating and organizing information for greater accuracy, faster speed, and lower cost in medical decision making. Information businesses view value chain investments differently than do small professional services. In the former model, producing a better business product will extend image interpretation beyond a radiologist's personal fund of knowledge to encompass expanding external imaging databases. A follow-on expansion with integration of image and molecular information into a report will offer new value in medical decision making. Improved interpretation plus new integration will enrich and diversify radiology's key service products, the report and consultation. A more robust, information-rich report derived from a "systems" and "computational" radiology approach will be facilitated by a transition from a professional service to an information business. Under health care reform, radiology will transition its emphasis from volume to greater value. Radiology's future brightens with the adoption of a philosophy of offering information rather than "reads" for decision making. Staunchly defending the status quo via turf wars is unlikely to constitute a

  3. E-learning and education in radiology

    Pinto, Antonio, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy); Brunese, Luca, E-mail: [Department of Health Science, Faculty of Medicine and Surgery, University of Molise, I-86100 Campobasso (Italy); Pinto, Fabio, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy); Acampora, Ciro, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy); Romano, Luigia, E-mail: [Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples (Italy)


    Purpose: To evaluate current applications of e-learning in radiology. Material and methods: A Medline search was performed using PubMed (National Library of Medicine, Bethesda, MD) for publications discussing the applications of e-learning in radiology. The search strategy employed a single combination of the following terms: (1) e-learning, and (2) education and (3) radiology. This review was limited to human studies and to English-language literature. We reviewed all the titles and subsequent the abstract of 29 articles that appeared pertinent. Additional articles were identified by reviewing the reference lists of relevant papers. Finally, the full text of 38 selected articles was reviewed. Results: Literature data shows that with the constant development of technology and global spread of computer networks, in particular of the Internet, the integration of multimedia and interactivity introduced into electronic publishing has allowed the creation of multimedia applications that provide valuable support for medical teaching and continuing medical education, specifically for radiology. Such technologies are valuable tools for collaboration, interactivity, simulation, and self-testing. However, not everything on the World Wide Web is useful, accurate, or beneficial: the quality and veracity of medical information on the World Wide Web is variable and much time can be wasted as many websites do not meet basic publication standards. Conclusion: E-learning will become an important source of education in radiology.

  4. Radiological worker training



    This Handbook describes an implementation process for core training as recommended in Implementation Guide G441.12, Radiation Safety Training, and as outlined in the DOE Radiological Control Standard (RCS). The Handbook is meant to assist those individuals within the Department of Energy, Managing and Operating contractors, and Managing and Integrating contractors identified as having responsibility for implementing core training recommended by the RCS. This training is intended for radiological workers to assist in meeting their job-specific training requirements of 10 CFR 835. While this Handbook addresses many requirements of 10 CFR 835 Subpart J, it must be supplemented with facility-specific information to achieve full compliance.

  5. Westinghouse radiological containment guide

    Aitken, S.B. [Idaho National Engineering Lab., Idaho Falls, ID (United States); Brown, R.L. [Westinghouse Hanford Co., Richland, WA (United States); Cantrell, J.R. [Westinghouse Savannah River Co., Aiken, SC (United States); Wilcox, D.P. [West Valley Nuclear Services Co., Inc., West Valley, NY (United States)


    This document provides uniform guidance for Westinghouse contractors on the implementation of radiological containments. This document reflects standard industry practices and is provided as a guide. The guidance presented herein is consistent with the requirements of the DOE Radiological Control Manual (DOE N 5480.6). This guidance should further serve to enable and encourage the use of containments for contamination control and to accomplish the following: Minimize personnel contamination; Prevent the spread of contamination; Minimize the required use of protective clothing and personal protective equipment; Minimize the generation of waste.

  6. Radiological sciences dictionary

    Dowsett, David


    The Radiological Sciences Dictionary is a rapid reference guide for all hospital staff employed in diagnostic imaging, providing definitions of over 3000 keywords as applied to the technology of diagnostic radiology.Written in a concise and easy to digest form, the dictionary covers a wide variety of subject matter, including:· radiation legislation and measurement · computing and digital imaging terminology· nuclear medicine radionuclides and radiopharmaceuticals· radiographic contrast agents (x-ray, MRI and ultrasound)· definitions used in ultrasound and MRI technology· statistical exp

  7. Radiologic quality and safety: mapping value into radiology.

    Swensen, Stephen J; Johnson, C Daniel


    The authors have created a radiology quality map to help understand the opportunities for improvement in the radiologic safety, reliability, quality, and appropriateness of examinations and interventions. It entails 9 steps with dozens of specific opportunities for improving care to patients. The radiology profession has an obligation to robustly document and improve quality and safety in its practice.

  8. Radiological Approach to Forefoot Pain

    Sai Chung Ho


    Full Text Available Forefoot pain is a common clinical complaint in orthopaedic practice. In this article, we discuss the anatomy of the forefoot, clinical and radiological approaches to forefoot pain, and common painful forefoot disorders and their associated radiological features.

  9. 324 Building Baseline Radiological Characterization

    R.J. Reeder, J.C. Cooper


    This report documents the analysis of radiological data collected as part of the characterization study performed in 1998. The study was performed to create a baseline of the radiological conditions in the 324 Building.

  10. Radiology of spinal curvature

    De Smet, A.A.


    This book offers the only comprehensive, concise summary of both the clinical and radiologic features of thoracic and lumbar spine deformity. Emphasis is placed on idiopathic scoliosis, which represents 85% of all patients with scoliosis, but less common areas of secondary scoliosis, kyphosis and lordosis are also covered.

  11. Paediatric musculoskeletal interventional radiology

    Paolantonio, Guglielmo; Fruhwirth, Rodolfo; Alvaro, Giuseppe; Parapatt, George K; Toma', Paolo; Rollo, Massimo


    Interventional radiology technique is now well established and widely used in the adult population. Through minimally invasive procedures, it increasingly replaces surgical interventions that involve higher percentages of invasiveness and, consequently, of morbidity and mortality. For these advantageous reasons, interventional radiology in recent years has spread to the paediatric age as well. The aim of this study was to review the literature on the development, use and perspectives of these procedures in the paediatric musculoskeletal field. Several topics are covered: osteomuscle neoplastic malignant and benign pathologies treated with invasive diagnostic and/or therapeutic procedures such as radiofrequency ablation in the osteoid osteoma; invasive and non-invasive procedures in vascular malformations; treatment of aneurysmal bone cysts; and role of interventional radiology in paediatric inflammatory and rheumatic inflammations. The positive results that have been generated with interventional radiology procedures in the paediatric field highly encourage both the development of new ad hoc materials, obviously adapted to young patients, as well as the improvement of such techniques, in consideration of the fact that childrens' pathologies do not always correspond to those of adults. In conclusion, as these interventional procedures have proven to be less invasive, with lower morbidity and mortality rates as well, they are becoming a viable and valid alternative to surgery in the paediatric population. PMID:26235144

  12. Radiologic Technology Program Guide.

    Georgia Univ., Athens. Dept. of Vocational Education.

    This guide presents the standard curriculum for technical institutes in Georgia. The curriculum addresses the minimum competencies for a radiologic technology program. The guide contains four major sections. The General Information section contains an introduction giving an overview and defining purpose and objectives; a program description,…

  13. Radiologic manifestations in alcaptonuria

    Justesen, P.; Andersen, P.E.


    Alcaptonuria is a rare, hereditary disorder of amino acid metabolism, secondary to lack of homogentisic acid oxydase. As a consequence, there is an accumulation of homogenitisic acid, which is excreted in the urine and deposited in the connective tissues. This deposition results in ochronotic pigmentation and arthropathy, of which some characteristic radiological findings are demonstrated.

  14. Ethical problems in radiology: radiological consumerism.

    Magnavita, N; Bergamaschi, A


    One of the causes of the increasing request for radiological examinations occurring in all economically developed countries is the active role played by the patient-consumer. Consumerism places the radiologist in an ethical dilemma, between the principle of autonomy on the one hand and the ethical principles of beneficence, nonmaleficence and justice on the other. The choice made by radiologists in moral dilemmas is inspired by an adherence to moral principles, which in Italy and elsewhere refer to the Judaeo-Christian tradition or to neo-Darwinian relativism. Whatever the choice, the radiologist is bound to adhere to that choice and to provide the patient with all the relevant information regarding his or her state of health.

  15. Radiation exposure and radiological protection in interventional radiological procedures with special attention to neurointerventional radiology

    Okamoto, Kouichirou; Sakai, Kunio [Niigata Univ. (Japan). School of Medicine; Yoshimura, Shutaro; Oka, Tetsuya; Ito, Jusuke


    It is necessary to interventional radiologists to understand the system of radiological protection recommended by the International Commission on Radiological Protection: justification, optimization, and individual dose and risk limits. Estimation and measurements of the radiation exposure to patients and personnel are important for radiological protection to avoid radiation injuries, such as temporal epilation and cataract. The practical principle of ALARA (as low as reasonably achievable) should be kept in any interventional radiological procedure. (author)

  16. Radiological analysis of osteoporosis

    Lemaire, C


    This paper is intended to provide medical radiation technologists with an overview of how radiology can play a role in the detection of osteoporosis. Osteoporosis is defined as disease where there is a generalized or localized deficiency of bone matrix. This deficiency causes bones to become weak resulting in an increased risk of fracture. Current methods to detect bone deficiency involve the use of bone densitometry. Over the years both radioactivity and ionizing radiation have been used to measure bone density. Currently the preferred method of choice for bone densitometry is a dual energy x-ray absorptiometry unit. This unit has the greatest reliability and precision with a low absorbed dose to the patient. With early detection of the disease, treatment can begin and further bone loss prevented. In the future, radiology will continue to be a valuable asset in the diagnosis and management of osteoporosis. (author)

  17. Radiologic aspects of lunatomalacia

    Rasmussen, F.; Schantz, K.


    A radiological classification of lunatomalacia, based upon the chronological radiologic manifestations in 93 patients is presented. Compression fractures were not seen as the initial event. Fifty-seven per cent of the patients had a short ulna (ulna minus variant). The presence of ulna minus variant was expecially observed in the younger patients. In 16 patients suffering from a lunate fracture and in 20 patients with lunate or perilunate luxations, lunatomalacia did not develop. Immobilization as treatment of the disorder resulted in a progressive course in all patients, but one, an 8-year-old girl. The lesion of the lunate was arrested and tended to heal following radial osteotomy in all patients. (orig.)

  18. Data mining in radiology.

    Kharat, Amit T; Singh, Amarjit; Kulkarni, Vilas M; Shah, Digish


    Data mining facilitates the study of radiology data in various dimensions. It converts large patient image and text datasets into useful information that helps in improving patient care and provides informative reports. Data mining technology analyzes data within the Radiology Information System and Hospital Information System using specialized software which assesses relationships and agreement in available information. By using similar data analysis tools, radiologists can make informed decisions and predict the future outcome of a particular imaging finding. Data, information and knowledge are the components of data mining. Classes, Clusters, Associations, Sequential patterns, Classification, Prediction and Decision tree are the various types of data mining. Data mining has the potential to make delivery of health care affordable and ensure that the best imaging practices are followed. It is a tool for academic research. Data mining is considered to be ethically neutral, however concerns regarding privacy and legality exists which need to be addressed to ensure success of data mining.

  19. Radiology and Ethics Education.

    Camargo, Aline; Liu, Li; Yousem, David M


    The purpose of this study is to assess medical ethics knowledge among trainees and practicing radiologists through an online survey that included questions about the American College of Radiology Code of Ethics and the American Medical Association Code of Medical Ethics. Most survey respondents reported that they had never read the American Medical Association Code of Medical Ethics or the American College of Radiology Code of Ethics (77.2% and 67.4% of respondents, respectively). With regard to ethics education during medical school and residency, 57.3% and 70.0% of respondents, respectively, found such education to be insufficient. Medical ethics training should be highlighted during residency, at specialty society meetings, and in journals and online resources for radiologists.

  20. Data mining in radiology

    Amit T Kharat


    Full Text Available Data mining facilitates the study of radiology data in various dimensions. It converts large patient image and text datasets into useful information that helps in improving patient care and provides informative reports. Data mining technology analyzes data within the Radiology Information System and Hospital Information System using specialized software which assesses relationships and agreement in available information. By using similar data analysis tools, radiologists can make informed decisions and predict the future outcome of a particular imaging finding. Data, information and knowledge are the components of data mining. Classes, Clusters, Associations, Sequential patterns, Classification, Prediction and Decision tree are the various types of data mining. Data mining has the potential to make delivery of health care affordable and ensure that the best imaging practices are followed. It is a tool for academic research. Data mining is considered to be ethically neutral, however concerns regarding privacy and legality exists which need to be addressed to ensure success of data mining.

  1. Data mining in radiology

    Kharat, Amit T; Singh, Amarjit; Kulkarni, Vilas M; Shah, Digish


    Data mining facilitates the study of radiology data in various dimensions. It converts large patient image and text datasets into useful information that helps in improving patient care and provides informative reports. Data mining technology analyzes data within the Radiology Information System and Hospital Information System using specialized software which assesses relationships and agreement in available information. By using similar data analysis tools, radiologists can make informed decisions and predict the future outcome of a particular imaging finding. Data, information and knowledge are the components of data mining. Classes, Clusters, Associations, Sequential patterns, Classification, Prediction and Decision tree are the various types of data mining. Data mining has the potential to make delivery of health care affordable and ensure that the best imaging practices are followed. It is a tool for academic research. Data mining is considered to be ethically neutral, however concerns regarding privacy and legality exists which need to be addressed to ensure success of data mining. PMID:25024513

  2. Disabling Radiological Dispersal Terror

    Hart, M


    Terror resulting from the use of a radiological dispersal device (RDD) relies upon an individual's lack of knowledge and understanding regarding its significance. Disabling this terror will depend upon realistic reviews of the current conservative radiation protection regulatory standards. It will also depend upon individuals being able to make their own informed decisions merging perceived risks with reality. Preparation in these areas will reduce the effectiveness of the RDD and may even reduce the possibility of its use.

  3. Microcephaly: a radiological review

    Tarrant, Ailbhe; Garel, Catherine; Germanaud, David; Lenoir, Marion; Pointe, Hubert Ducou le [Universite Paris VI Pierre et Marie Curie, Radiology Department, Hopital d' Enfants Armand-Trousseau, Paris (France); Villemeur, Thierry Billette de; Mignot, Cyril [Universite Paris V Rene Descartes, CNRS (UMR 8104), Inserm, U567, Institut Cochin, Paris (France); Universite Paris VI Pierre et Marie Curie, Paediatric Neurology Department, Hopital d' Enfants Armand-Trousseau, Paris (France)


    Microcephaly results from inadequate brain growth during development. It may develop in utero, and therefore be present at birth, or may develop later as a result of perinatal events or postnatal conditions. The aetiology of microcephaly may be congenital (secondary to cerebral malformations or metabolic abnormalities) or acquired, most frequently following an ischaemic insult. This distinct radiological and pathological entity is reviewed with a specific focus on aetiology. (orig.)

  4. Radiological safety and control

    Chang, Sea Young; Yoo, Y. S.; Lee, J. C.; Lee, T. Y.; Lee, J. L.; Kim, B. W.; Lee, B. J.; Chung, K. K.; Chung, R. I.; Kim, J. S.; Lee, H. S.; Han, Y. D.; Lee, J. I.; Lee, K. C.; Yoon, J. H.; Sul, C. W.; Kim, C. K.; Yoon, K. S.; Seo, K. W.; Yoon, Y. C. [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)


    This report describes the annual results of radiological safety and control program of 1995. This program consists of working area monitoring including HANARO, personnel radiation monitoring, education for radiation protection. As a result, the objectives of radiation protection have been achieved satisfactorily through the activities mentioned above. Also, the calibration services were provided to insure accurate radiation measurement in the radiation working places. 21 figs., 39 tabs., 5 refs. (Author) .new.

  5. Pitfalls in diagnostic radiology

    Peh, Wilfred C.G. (ed.) [Khoo Teck Puat Hospital (Singapore). Dept. of Diagnostic Radiology


    Only textbook to focus primarily on the topic of pitfalls in diagnostic radiology. Highlights the pitfalls in a comprehensive and systematic manner. Written by experts in different imaging modalities and subspecialties from reputable centers across the world. The practice of diagnostic radiology has become increasingly complex, with the use of numerous imaging modalities and division into many subspecialty areas. It is becoming ever more difficult for subspecialist radiologists, general radiologists, and residents to keep up with the advances that are occurring year on year, and this is particularly true for less familiar topics. Failure to appreciate imaging pitfalls often leads to diagnostic error and misinterpretation, and potential medicolegal problems. Diagnostic errors may be due to various factors such as inadequate imaging technique, imaging artifacts, failure to recognize normal structures or variants, lack of correlation with clinical and other imaging findings, and poor training or inexperience. Many, if not most, of these factors are potentially recognizable, preventable, or correctable. This textbook, written by experts from reputable centers across the world, systematically and comprehensively highlights the pitfalls that may occur in diagnostic radiology. Both pitfalls specific to different modalities and techniques and those specific to particular organ systems are described with the help of numerous high-quality illustrations. Recognition of these pitfalls is crucial in helping the practicing radiologist to achieve a more accurate diagnosis.

  6. Evaluation of gastrointestinal bleeding: Update of current radiologic strategies

    Parth; J; Parekh; Ross; C; Buerlein; Rouzbeh; Shams; Harlan; Vingan; David; A; Johnson


    Gastrointestinal bleeding(GIB) is a common presenta-tion with significant associated morbidity and mortality, the prevalence of which continues to rise with the ever-increasing aging population. Initial evaluation includes an esophagoduodeonscopy and/or colonoscopy, which may fail to reveal a source. Such cases prove to be a dilemma and require collaboration between gastroen-terology and radiology in deciding the most appropriate approach. Recently, there have been a number of ra-diologic advances in the approach to GIB. The purpose of this review is to provide an evidence-based update on the most current radiologic modalities available and an algorithmic approach to GIB.

  7. Reinventing radiology reimbursement.

    Marshall, John; Adema, Denise


    Lee Memorial Health System (LMHS), located in southwest Florida, consists of 5 hospitals, a home health agency, a skilled nursing facility, multiple outpatient centers, walk-in medical centers, and primary care physician offices. LMHS annually performs more than 300,000 imaging procedures with gross imaging revenues exceeding dollar 350 million. In fall 2002, LMHS received the results of an independent audit of its IR coding. The overall IR coding error rate was determined to be 84.5%. The projected net financial impact of these errors was an annual reimbursement loss of dollar 182,000. To address the issues of coding errors and reimbursement loss, LMHS implemented its clinical reimbursementspecialist (CRS) system in October 2003, as an extension of financial services' reimbursement division. LMHS began with CRSs in 3 service lines: emergency department, cardiac catheterization, and radiology. These 3 CRSs coordinate all facets of their respective areas' chargemaster, patient charges, coding, and reimbursement functions while serving as a resident coding expert within their clinical areas. The radiology reimbursement specialist (RRS) combines an experienced radiologic technologist, interventional technologist, medical records coder, financial auditor, reimbursement specialist, and biller into a single position. The RRS's radiology experience and technologist knowledge are key assets to resolving coding conflicts and handling complex interventional coding. In addition, performing a daily charge audit and an active code review are essential if an organization is to eliminate coding errors. One of the inherent effects of eliminating coding errors is the capturing of additional RVUs and units of service. During its first year, based on account level detail, the RRS system increased radiology productivity through the additional capture of just more than 3,000 RVUs and 1,000 additional units of service. In addition, the physicians appreciate having someone who "keeps up

  8. Diagnostic radiology dosimetry: status and trends

    Rivera M, T., E-mail: [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, 11500 Mexico D. F. (Mexico)


    Full text: Medical radiation is by far the largest man-made source of public exposure to ionizing radiation. Since 1970 the expression of protection standards shifted from a dose- to a risk-based approach, with dose limits established to yield risks to radiation workers comparable with those for workers in other safe industries. Another hand, worldwide interest in patient dose measurement was stimulated by the publication of Patient Dose Reduction in Diagnostic Radiology by the UK National Radiological Protection Board (NRPB). In response to heightened awareness of the importance of patient dose contributed by radiology procedures, there has been a general trend to effect control of patient doses by applying the principles of optimization coupled with an increase in regulatory enforcement. In this sense, thermoluminescent dosimetry (TLD) has been actively proposed in the last 3 decades thanks to their successful applications in diagnostic radiology. At the same time, it is emerged as the best radiation dosimetry method. The present work presents advantages of thermoluminescent dosimetry for X-ray beams measurements and its optimization. (Author)

  9. sources

    Shu-Yin Chiang


    Full Text Available In this paper, we study the simplified models of the ATM (Asynchronous Transfer Mode multiplexer network with Bernoulli random traffic sources. Based on the model, the performance measures are analyzed by the different output service schemes.

  10. Informatics in radiology: radiology gamuts ontology: differential diagnosis for the Semantic Web.

    Budovec, Joseph J; Lam, Cesar A; Kahn, Charles E


    The Semantic Web is an effort to add semantics, or "meaning," to empower automated searching and processing of Web-based information. The overarching goal of the Semantic Web is to enable users to more easily find, share, and combine information. Critical to this vision are knowledge models called ontologies, which define a set of concepts and formalize the relations between them. Ontologies have been developed to manage and exploit the large and rapidly growing volume of information in biomedical domains. In diagnostic radiology, lists of differential diagnoses of imaging observations, called gamuts, provide an important source of knowledge. The Radiology Gamuts Ontology (RGO) is a formal knowledge model of differential diagnoses in radiology that includes 1674 differential diagnoses, 19,017 terms, and 52,976 links between terms. Its knowledge is used to provide an interactive, freely available online reference of radiology gamuts ( ). A Web service allows its content to be discovered and consumed by other information systems. The RGO integrates radiologic knowledge with other biomedical ontologies as part of the Semantic Web. © RSNA, 2014.

  11. Renewal of radiological equipment.


    In this century, medical imaging is at the heart of medical practice. Besides providing fast and accurate diagnosis, advances in radiology equipment offer new and previously non-existing options for treatment guidance with quite low morbidity, resulting in the improvement of health outcomes and quality of life for the patients. Although rapid technological development created new medical imaging modalities and methods, the same progress speed resulted in accelerated technical and functional obsolescence of the same medical imaging equipment, consequently creating a need for renewal. Older equipment has a high risk of failures and breakdowns, which might cause delays in diagnosis and treatment of the patient, and safety problems both for the patient and the medical staff. The European Society of Radiology is promoting the use of up-to-date equipment, especially in the context of the EuroSafe Imaging Campaign, as the use of up-to-date equipment will improve quality and safety in medical imaging. Every healthcare institution or authority should have a plan for medical imaging equipment upgrade or renewal. This plan should look forward a minimum of 5 years, with annual updates. Teaching points • Radiological equipment has a definite life cycle span, resulting in unavoidable breakdown and decrease or loss of image quality which renders equipment useless after a certain time period.• Equipment older than 10 years is no longer state-of-the art equipment and replacement is essential. Operating costs of older equipment will be high when compared with new equipment, and sometimes maintenance will be impossible if no spare parts are available.• Older equipment has a high risk of failure and breakdown, causing delays in diagnosis and treatment of the patient and safety problems both for the patient and the medical staff.• Every healthcare institution or authority should have a plan for medical imaging equipment upgrade or replacement. This plan should look forward a

  12. Radiological aspects of Gaucher disease

    Katz, Robert; Booth, Tom; Hargunani, Rikin; Wylie, Peter; Holloway, Brian [Royal Free Hospital, Radiology Department, London (United Kingdom)


    Advances in imaging and the development of commercially available enzyme therapy have significantly altered the traditional radiology of Gaucher disease. The cost of treatment and need for monitoring response to therapy have magnified the importance of imaging. There are no recent comprehensive reviews of the radiology of this relatively common lysosomal storage disease. This article describes the modern imaging, techniques and radiological manifestations of Gaucher disease. (orig.)

  13. Radiological safety and control

    Seo, Kyeong Won; You, Young Soo; Chang, Sea Young; Yoon, Yeo Chang; Yoon, Suk Chul; Kim, Jang Yeol; Lee, Tae Young; Lee, Bong Jae; Kim, Bong Hwan; Lee, Jong Il; Jeong, Juk Yeon; Lee, Sang Yeol; Jeong, Kyung Ki; Jeong, Rae Ik; Kim, Jong Su; Han, Young Dae; Lee, Hyung Sub; Kim, Chang Kyung [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)


    This report describes the annual results of radiological safety and control program. This program includes working area monitoring (WAM), personnel radiation monitoring (PRM), education for radiation protection (ERP), preparing for KMRR operation and developing QA program on personal dose evaluation. As a result, the objectives of radiation protection have been achieved satisfactorily through the WAM, PRM and ERP. The QA program on personal dose evaluation has been approved by the MOST according to the Ministerial Ordinance (No. 1992-15). KAERI has also been authorized as a specialized processor for personal dose evaluation. 32 tabs., 20 figs. (Author) .new.

  14. Radiological evaluation of chondroblastoma

    Hudson, T.M.; Hawkins, I.F. Jr.


    Eleven new and six recurrent chondroblastomas were studied with multiple radiological imaging methods (plain radiography, conventional tomography, computed tomography, radionuclide bone scanning, and angiography). When the plain radiographic appearance was typical, conventional tomography or computed tomography (CT) was helpful, but other studies were not. Periosteal reaction and angiographic hypervascularity were common and did not indicate cortical breakthrough. For large, aggressive, or atypical lesions, conventional tomography and CT were helpful in delineating anatomic extent, and angiography was of value in demonstrating major vessel displacement. Radionuclide bone scanning was not useful.

  15. Radiological Calibration and Standards Facility

    Federal Laboratory Consortium — PNNL maintains a state-of-the-art Radiological Calibration and Standards Laboratory on the Hanford Site at Richland, Washington. Laboratory staff provide expertise...

  16. Radiology illustrated. Spine

    Kang, Heung Sik; Lee, Joon Woo [Seoul National Univ. Bundang Hospital, Seongnam, Kyonggi-do (Korea, Republic of). Dept. of Radiology; Kwon, Jong Won [Samsung Medical Center, Seoul (Korea, Republic of). Dept. of Radiology


    Offers a practical approach to image interpretation for spinal disorders. Includes numerous high-quality radiographic images and schematic illustrations. Will serve as a self-learning book covering daily routine cases from the basic to the advanced. Radiology Illustrated: Spine is an up-to-date, superbly illustrated reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. Common, critical, and rare but distinctive spinal disorders are described succinctly with the aid of images highlighting important features and informative schematic illustrations. The first part of the book, on common spinal disorders, is for radiology residents and other clinicians who are embarking on the interpretation of spinal images. A range of key disorders are then presented, including infectious spondylitis, cervical trauma, spinal cord disorders, spinal tumors, congenital disorders, uncommon degenerative disorders, inflammatory arthritides, and vascular malformations. The third part is devoted to rare but clinically significant spinal disorders with characteristic imaging features, and the book closes by presenting practical tips that will assist in the interpretation of confusing cases.

  17. Sexual Harassment in Radiology.

    Camargo, Aline; Liu, Li; Yousem, David M


    To gauge the prevalence of sexual harassment (SH) and to understand the issues regarding its disclosure among radiologists. A questionnaire on ethics and SH was sent by e-mail to 1,569 radiologists and radiology trainees in an institutional database maintained for continuing medical education purposes on three separate occasions between September 17 and October 31, 2016. The link to the survey was also posted on social media sites via the authors' divisional and institutional accounts on Facebook, Twitter, Instagram, and Aunt Minnie, as well as on ACR and RSNA web blogs. Overall, 9.75% (39 of 400) respondents stated they had suffered SH, with more female (22 of 90 = 24.4%) than male victims (11 of 249 = 4.4%) (P victims said they would likely report SH (P witnessed SH. By percentage responding, female radiologists are more frequently victims and witnesses of sexual harassment but are less likely to report such cases. Steps need to be taken to eliminate a culture that leads radiologists to tolerate SH without addressing it. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  18. Predictions of models for environmental radiological assessment

    Peres, Sueli da Silva; Lauria, Dejanira da Costa, E-mail:, E-mail: [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Servico de Avaliacao de Impacto Ambiental, Rio de Janeiro, RJ (Brazil); Mahler, Claudio Fernando [Coppe. Instituto Alberto Luiz Coimbra de Pos-Graduacao e Pesquisa de Engenharia, Universidade Federal do Rio de Janeiro (UFRJ) - Programa de Engenharia Civil, RJ (Brazil)


    In the field of environmental impact assessment, models are used for estimating source term, environmental dispersion and transfer of radionuclides, exposure pathway, radiation dose and the risk for human beings Although it is recognized that the specific information of local data are important to improve the quality of the dose assessment results, in fact obtaining it can be very difficult and expensive. Sources of uncertainties are numerous, among which we can cite: the subjectivity of modelers, exposure scenarios and pathways, used codes and general parameters. The various models available utilize different mathematical approaches with different complexities that can result in different predictions. Thus, for the same inputs different models can produce very different outputs. This paper presents briefly the main advances in the field of environmental radiological assessment that aim to improve the reliability of the models used in the assessment of environmental radiological impact. The intercomparison exercise of model supplied incompatible results for {sup 137}Cs and {sup 60}Co, enhancing the need for developing reference methodologies for environmental radiological assessment that allow to confront dose estimations in a common comparison base. The results of the intercomparison exercise are present briefly. (author)

  19. Entrepreneurship in the academic radiology environment.

    Itri, Jason N; Ballard, David H; Kantartzis, Stamatis; Sullivan, Joseph C; Weisman, Jeffery A; Durand, Daniel J; Ali, Sayed; Kansagra, Akash P


    Innovation and entrepreneurship in health care can help solve the current health care crisis by creating products and services that improve quality and convenience while reducing costs. To effectively drive innovation and entrepreneurship within the current health care delivery environment, academic institutions will need to provide education, promote networking across disciplines, align incentives, and adapt institutional cultures. This article provides a general review of entrepreneurship and commercialization from the perspective of academic radiology departments, drawing on information sources in several disciplines including radiology, medicine, law, and business. Our review will discuss the role of universities in supporting academic entrepreneurship, identify drivers of entrepreneurship, detail opportunities for academic radiologists, and outline key strategies that foster greater involvement of radiologists in entrepreneurial efforts and encourage leadership to embrace and support entrepreneurship. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

  20. Common Data Elements in Radiology.

    Rubin, Daniel L; Kahn, Charles E


    Diagnostic radiologists generally produce unstructured information in the form of images and narrative text reports. Although designed for human consumption, radiologic reports contain a wealth of information that could be valuable for clinical care, research, and quality improvement if that information could be extracted by automated systems. Unfortunately, the lack of structure in radiologic reports limits the ability of information systems to share information easily with other systems. A common data element (CDE)-a unit of information used in a shared, predefined fashion-can improve the ability to exchange information seamlessly among information systems. In this article, a model and a repository of radiologic CDEs is described, and three important applications are highlighted. CDEs can help advance radiologic practice, research, and performance improvement, and thus, it is crucial that CDEs be adopted widely in radiologic information systems. (©) RSNA, 2016.

  1. Radiological Work Planning and Procedures

    Kurtz, J E


    Each facility is tasked with maintaining personnel radiation exposure as low as reasonably achievable (ALARA). A continued effort is required to meet this goal by developing and implementing improvements to technical work documents (TWDs) and work performance. A review of selected TWDs from most facilities shows there is a need to incorporate more radiological control requirements into the TWD. The Radioactive Work Permit (RWP) provides a mechanism to place some of the requirements but does not provide all the information needed by the worker as he/she is accomplishing the steps of the TWD. Requiring the engineers, planners and procedure writers to put the radiological control requirements in the work steps would be very easy if all personnel had a strong background in radiological work planning and radiological controls. Unfortunately, many of these personnel do not have the background necessary to include these requirements without assistance by the Radiological Control organization at each facility. In add...

  2. Radiological changes of adult sprue

    Neutard, E.; Kluge, F.


    Radiological findings of 10 adult patients with sprue were compared with histology. Patients suffering from subtotal villous atrophy were showing distinct radiological changes. The most important finding of sprue is the dilatation of the small intestine. Further typical changes are segmentations and fragmentations as well as mucous hypertrophy and the sign of moulage. In a 57-year-old female patient who was suffering from sprue for 35 years, a carcinoma of the small bowl was found and was resected during laparatomy. Sprue is a premalignant disease; therefore radiological investigations are of special importance. Therapy by a diet without gluten can reduce the radiological changes to normal very bad changes rarely can be reduced totally. Radiological changes are not significant, but the diagnosis can be made in most cases by investigation with barium.

  3. Radiology illustrated. Gastrointestinal tract

    Choi, Byung Ihn (ed.) [Seoul National University Hospital (Korea, Republic of). Dept. of Radiology


    Radiology Illustrated: Gastrointestinal Tract is the second of two volumes designed to provide clear and practical guidance on the diagnostic imaging of abdominal diseases. The book presents approximately 300 cases with 1500 carefully selected and categorized illustrations of gastrointestinal tract diseases, along with key text messages and tables that will help the reader easily to recall the relevant images as an aid to differential diagnosis., Essential points are summarized at the end of each text message to facilitate rapid review and learning. Additionally, brief descriptions of each clinical problem are provided, followed by case studies of both common and uncommon pathologies that illustrate the roles of the different imaging modalities, including ultrasound, radiography, computed tomography, and magnetic resonance imaging.

  4. Radiology today. Volume 4

    Heuck, F.H.W.; Donner, M.W.


    The book discusses the following contents: Advances in Cardiovascular Imaging: Digital Arteriography: Ongoing Developments. Magnetic Resonance Imaging of the Cardiovascular System. Comparison of Vascular CT and MRI. Characterization of Vascular Lesions by Ultrasound - Progress in Vascular Interventions: Laser Angioplasty: A Review. Fibrinolytic Therapy Combined with Clot Extraction. Drugs Useful in Angioplasty. Developments in Cardiovascular Imaging: Blood Flow Measurements with Digital Arteriography. Selection of Imaging Techniques for Venous Thromboembolic Disease. Clinical Usefulness of High-Verus Low-Osmolality Contrast Agents. Developments in Angiographic and Interventional Instrumentation. Progress in Cardiovascular Interventions. Inferior Vena Cava Filters: Types, Placement, and Efficiency. Transluminal Vascular Stenting and Grafting. Venography and Sclerotherapy of Varioceles in Children and Adolescents. A New Catheter System - Important Hip Problems: Radiologic and Pathologic Correlation and Hip Disease. Comparison of Imaging Modalities in Femoral Head Necrosis. Osteoartrosis and Arthritis (Synovitis) of the Hip. Hip Anthrography.

  5. Abdominal hernias: Radiological features

    Lassandro, Francesco; Iasiello, Francesca; Pizza, Nunzia Luisa; Valente, Tullio; Stefano, Maria Luisa Mangoni di Santo; Grassi, Roberto; Muto, Roberto


    Abdominal wall hernias are common diseases of the abdomen with a global incidence approximately 4%-5%. They are distinguished in external, diaphragmatic and internal hernias on the basis of their localisation. Groin hernias are the most common with a prevalence of 75%, followed by femoral (15%) and umbilical (8%). There is a higher prevalence in males (M:F, 8:1). Diagnosis is usually made on physical examination. However, clinical diagnosis may be difficult, especially in patients with obesity, pain or abdominal wall scarring. In these cases, abdominal imaging may be the first clue to the correct diagnosis and to confirm suspected complications. Different imaging modalities are used: conventional radiographs or barium studies, ultrasonography and Computed Tomography. Imaging modalities can aid in the differential diagnosis of palpable abdominal wall masses and can help to define hernial contents such as fatty tissue, bowel, other organs or fluid. This work focuses on the main radiological findings of abdominal herniations. PMID:21860678

  6. Radiologic findings in neurofibromatosis

    Kim, Dai Young; Jeon, Seok Chol; Lee, Kwan Se; Yeon, Kyung Mo; Choo, Dong Woon [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    Neurofibromatosis is an uncommon but certainly not a rare hereditary disorder, probably of neuralcrest origin, involving not only neuroectoderm and mesoderm but also endoderm and characterized by cafe au lait spots and cutaneous and subcutaneous tumors, with secondary mesodermal defects responsible for protean osseous abnormalities and various manifestations in other systems. This paper is a study of confirmed 143 cases of neurofibromatosis collected for past 8 years. In this analysis, special attention was given to the selected 37 cases which showed abnormal findings on radiological examinations. Overall male to female ratio was 1 : 1.3. The most frequent kind of abnormalities was vertebral kyphoscoliosis in 12 cases. Among the more pathognomonic but uncommon abnormalities to neurofibromatosis, we experienced each 2 cases of lambdoid defect, pseudoarthrosis and renovascular hypertension, and 1 cases of sphenoid bone absence.

  7. "Patient care in radiology"

    Bro Brask, Kirsten; Birkelund, Regner


    and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...... was electronically forwarded. And, care expressed in between was perceived as care in the traditional sense and termed as “patient care in radiology.”...

  8. Optimal Radiologic Report

    Esmaeel Shokrollahi


    Full Text Available The radiological report is the medical document that qualifies the radiologist as a clinician and as a specialist, because through it radiologists expresse their professionalism."nThere is nothing more debatable than the report and how it should be written. It is conditioned by many variables that derive from the wide variety of sensitivities and personal or local cultures. In addition, there has never been a specific school in which these rules are taught."nIn the assessment of each written material, two things are explained:"n1. Methodology of the writing process itself as an act"n2. Characters of the written material "nIn assessing the method of writing a radiological report, two dimensions are discussed: "n1. Hardware: including data gathering, their processing and preparing them to be seen, the me-thod of reporting, conditions of workspace, instru-ments and all the physical parts of the work."n2. Software: how someone watches the images, me-thodology of thought and logical reasoning, and ultimately, how pictures are transferred to understandable, meaningful and useful written material."nIn assessing the characters of the written material itself, we should note:"n1. The configuration includes the structure of the words and grammar, style of writing, order of things to come after each other. This is the carrier of the content. "n2. The content is the main reason of the writing which contains the whole meaning and all parts of what one wants his or her audience to get from the note.

  9. Radiology of bacterial pneumonia

    Vilar, Jose E-mail:; Domingo, Maria Luisa; Soto, Cristina; Cogollos, Jonathan


    Bacterial pneumonia is commonly encountered in clinical practice. Radiology plays a prominent role in the evaluation of pneumonia. Chest radiography is the most commonly used imaging tool in pneumonias due to its availability and excellent cost benefit ratio. CT should be used in unresolved cases or when complications of pneumonia are suspected. The main applications of radiology in pneumonia are oriented to detection, characterisation and follow-up, especially regarding complications. The classical classification of pneumonias into lobar and bronchial pneumonia has been abandoned for a more clinical classification. Thus, bacterial pneumonias are typified into three main groups: Community acquired pneumonia (CAD), Aspiration pneumonia and Nosocomial pneumonia (NP).The usual pattern of CAD is that of the previously called lobar pneumonia; an air-space consolidation limited to one lobe or segment. Nevertheless, the radiographic patterns of CAD may be variable and are often related to the causative agent. Aspiration pneumonia generally involves the lower lobes with bilateral multicentric opacities. Nosocomial Pneumonia (NP) occurs in hospitalised patients. The importance of NP is related to its high mortality and, thus, the need to obtain a prompt diagnosis. The role of imaging in NP is limited but decisive. The most valuable information is when the chest radiographs are negative and rule out pneumonia. The radiographic patterns of NP are very variable, most commonly showing diffuse multifocal involvement and pleural effusion. Imaging plays also an important role in the detection and evaluation of complications of bacterial pneumonias. In many of these cases, especially in hospitalised patients, chest CT must be obtained in order to better depict these associate findings.

  10. Radiological anatomy - evaluation of integrative education in radiology.

    Dettmer, S; Schmiedl, A; Meyer, S; Giesemann, A; Pabst, R; Weidemann, J; Wacker, F K; Kirchhoff, T


    Evaluation and analysis of the integrative course "Radiological Anatomy" established since 2007 at the Medical School Hannover (MHH) in comparison with conventional education. Anatomy and radiology are usually taught separately with a considerable time lag. Interdisciplinary teaching of these associated subjects seems logical for several reasons. Therefore, the integrative course "Radiological Anatomy" was established in the second year of medical education, combining these two closely related subjects. This interdisciplinary course was retrospectively evaluated by consideration of a student questionnaire and staff observations. The advantages and disadvantages of integrative teaching in medical education are discussed. The course ratings were excellent (median 1; mean 1.3 on a scale of 1 to 6). This is significantly (p radiology increased during the course (88 %). According to the students' suggestions the course was enhanced by a visitation in the Department of Radiology and the additional topic central nervous system. Integrative teaching of anatomy and radiology was well received by the students. Both, anatomical and radiological comprehension and the motivation to learn were improved. However, it should be considered, that the amount of work and time required by the teaching staff is considerably increased compared to traditional teaching. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Remote search for gamma sources at the dry storage unit 3A in Andreeva bay and the determination of their dose rates during activities for improvement to the radiological environment

    Ivanov Kirill E.; Varnavin Anatoly P.; Korolev Andrey V.; Stepennov Boris S.; Sukhoruchkin Andrey K.; Teterin Yury A.; Teterin Anton Yu.; Kharitonov Vladimir V.; Selishev Valery A.; Fedoseenkov Alexander N.; Krasnoshekov Alexander N.; Kosnikov Alexander S.; Kostikov Dmitry A.


    The remotely controlled replacement of the concrete covering of the spent fuel dry storage unit 3A with a new iron horizontal biological shielding was carried out during works aimed at the improvement of the radiological environment at the NWC “SevRAO” - Branch of FSUE “RosRAO”, Andreeva Bay, Murmansk Region. Video control systems, a BROKK robotic manipulator, HIAB manipulator crane, gamma detectors of the ASCRO radiation monitoring system, and a CARTOGAM gamma camera were employed. A C...

  12. Action research regarding the optimisation of radiological protection for nurses during vascular interventional radiology.

    Mori, Hiroshige


    The optimisation and decision-making processes for radiological protection have been broadened by the introduction of re-examination or feedback after introducing protective measures. In this study, action research was used to reduce the occupational exposure of vascular interventional radiology (IR) nurses. Four radiological protection improvement measures were continuously performed in cooperation with the researchers, nurses and stakeholders, and the nurses' annual effective doses were compared before and after the improvements. First, the dosimetry equipment was changed from one electronic personal dosimeter (EPD) to two silver-activated phosphate glass dosimeters (PGDs). Second, the nurses were educated regarding maintaining a safe distance from the sources of scattered and leakage radiation. Third, portable radiation shielding screens were placed in the IR rooms. Fourth, the x-ray units' pulse rates were reduced by half. On changing the dosimetry method, the two PGDs recorded a 4.4 fold greater dose than the single EPD. Educating nurses regarding radiological protection and reducing the pulse rates by half decreased their effective doses to one-third and two-fifths of the baseline dose, respectively. No significant difference in their doses was detected after the placement of the shielding screens. Therefore, the action research effectively decreased the occupational doses of the vascular IR nurses.

  13. Risk management in radiology departments

    Craciun, Horea; Mankad, Kshitij; Lynch, Jeremy


    Medical imaging and interventional radiology sustained prompt changes in the last few years, mainly as a result of technology breakthroughs, rise in workload, deficit in workforce and globalization. Risk is considered to be the chance or possibility of incurring loss or of a negative event happening that may cause injury to patients or medical practitioners. There are various causes of risks leading to harm and injury in radiology departments, and it is one of the objectives of this paper to scrutinize some of the causes. This will drive to consideration of some of the approaches that are used in managing risks in radiology. This paper aims at investigating risk management in radiology, and this will be achieved through a thorough assessment of the risk control measures that are used in the radiology department. It has been observed that the major focus of risk management in such medical setting is to reduce and eliminate harm and injury to patients through integration of various medical precautions. The field of Radiology is rapidly evolving due to technology advances and the globalization of healthcare. This ongoing development will have a great impact on the level of quality of care and service delivery. Thus, risk management in radiology is essential in protecting the patients, radiologists, and the medical organization in terms of capital and widening of the reputation of the medical organization with the patients. PMID:26120383

  14. Risk management in radiology departments

    Horea; Craciun; Kshitij; Mankad; Jeremy; Lynch


    Medical imaging and interventional radiology sustained prompt changes in the last few years, mainly as aresult of technology breakthroughs, rise in workload, deficit in workforce and globalization. Risk is considered to be the chance or possibility of incurring loss or of a negative event happening that may cause injury to patients or medical practitioners. There are various causes of risks leading to harm and injury in radiology departments, and it is one of the objectives of this paper to scrutinize some of the causes. This will drive to consideration of some of the approaches that are used in managing risks in radiology. This paper aims at investigating risk management in radiology, and this will be achieved through a thorough assessment of the risk control measures that are used in the radiology department. It has been observed that the major focus of risk management in such medical setting is to reduce and eliminate harm and injury to patients through integration of various medical precautions. The field of Radiology is rapidly evolving due to technology advances and the globalization of healthcare. This ongoing development will have a great impact on the level of quality of care and service delivery. Thus, risk management in radiology is essential in protecting the patients, radiologists, and the medical organization in terms of capital and widening of the reputation of the medical organization with the patients.

  15. Sources


    SOURCES MANUSCRITES Archives nationales Rôles de taille 1768/71 Z1G-344/18 Aulnay Z1G-343a/02 Gennevilliers Z1G-340/01 Ivry Z1G-340/05 Orly Z1G-334c/09 Saint-Remy-lès-Chevreuse Z1G-344/18 Sevran Z1G-340/05 Thiais 1779/80 Z1G-391a/18 Aulnay Z1G-380/02 Gennevilliers Z1G-385/01 Ivry Z1G-387b/05 Orly Z1G-388a/09 Saint-Remy-lès-Chevreuse Z1G-391a/18 Sevran Z1G-387b/05 Thiais 1788/89 Z1G-451/18 Aulnay Z1G-452/21 Chennevières Z1G-443b/02 Gennevilliers Z1G-440a/01 Ivry Z1G-452/17 Noiseau Z1G-445b/05 ...

  16. Interventional radiology for paediatric trauma

    Sidhu, Manrita K. [Everett Clinic, AIC, Seattle Radiologists, Seattle, WA (United States); University of Washington School of Medicine, Radiology Department, Children' s Hospital and Regional Medical Center, Seattle, WA (United States); Hogan, Mark J. [The Ohio State University, Section of Vascular and Interventional Radiology, Nationwide Children' s Hospital, Columbus, OH (United States); Shaw, Dennis W.W. [University of Washington School of Medicine, Radiology Department, Children' s Hospital and Regional Medical Center, Seattle, WA (United States); Burdick, Thomas [University of Washington School of Medicine, Interventional Radiology, Harborview Medical Center, Seattle, WA (United States)


    Paediatric interventional radiology plays a cornerstone role in the management of paediatric trauma. In the acute setting, interventional radiology techniques allow minimally invasive control of haemorrhage or re-establishment of blood flow. Percutaneous stenting and drainage can allow disruptions in urinary or biliary systems to heal without the need for further surgery. Interventional radiology techniques also have a significant role in treating delayed complications of trauma, including embolization of arterial pseudoaneurysms and pulmonary embolism prophylaxis in individuals immobilized due to the trauma or its operative treatment. (orig.)

  17. Radiological aspects of rheumatoid arthritis

    Schacherl, M.


    An introductory summary of the imaging-diagnosis will be given. The necessity of acquiring a catalogue of application to particular imaging methods is emphasized. Discussion of step by step diagnosis regarding rheumatologic questions is given on example of the hand. Technically insufficient radiographs and bad habits during diagnostic analysis are pointed out. Radiologic problems in differentiating arthritis/osteoarthrosis will be mentioned. The discussion of these points is followed by outlining the radiology of rheumatoid arthritis and the complexity of this disease. Introduction of a new stage classification. Finally twelve basic radiologic types of rheumatoid arthritis will be presented.

  18. Nevada National Security Site Radiological Control Manual

    Radiological Control Managers’ Council


    low-level radioactive waste and the handling of radioactive sources. Remediation of contaminated land areas may also result in radiological exposures.

  19. Natural Language Processing in Radiology: A Systematic Review.

    Pons, Ewoud; Braun, Loes M M; Hunink, M G Myriam; Kors, Jan A


    Radiological reporting has generated large quantities of digital content within the electronic health record, which is potentially a valuable source of information for improving clinical care and supporting research. Although radiology reports are stored for communication and documentation of diagnostic imaging, harnessing their potential requires efficient and automated information extraction: they exist mainly as free-text clinical narrative, from which it is a major challenge to obtain structured data. Natural language processing (NLP) provides techniques that aid the conversion of text into a structured representation, and thus enables computers to derive meaning from human (ie, natural language) input. Used on radiology reports, NLP techniques enable automatic identification and extraction of information. By exploring the various purposes for their use, this review examines how radiology benefits from NLP. A systematic literature search identified 67 relevant publications describing NLP methods that support practical applications in radiology. This review takes a close look at the individual studies in terms of tasks (ie, the extracted information), the NLP methodology and tools used, and their application purpose and performance results. Additionally, limitations, future challenges, and requirements for advancing NLP in radiology will be discussed. (©) RSNA, 2016 Online supplemental material is available for this article.

  20. Cardiac radiology: centenary review.

    de Roos, Albert; Higgins, Charles B


    During the past century, cardiac imaging technologies have revolutionized the diagnosis and treatment of acquired and congenital heart disease. Many important contributions to the field of cardiac imaging were initially reported in Radiology. The field developed from the early stages of cardiac imaging, including the use of coronary x-ray angiography and roentgen kymography, to nowadays the widely used echocardiographic, nuclear medicine, cardiac computed tomographic (CT), and magnetic resonance (MR) applications. It is surprising how many of these techniques were not recognized for their potential during their early inception. Some techniques were described in the literature but required many years to enter the clinical arena and presently continue to expand in terms of clinical application. The application of various CT and MR contrast agents for the diagnosis of myocardial ischemia is a case in point, as the utility of contrast agents continues to expand the noninvasive characterization of myocardium. The history of cardiac imaging has included a continuous process of advances in our understanding of the anatomy and physiology of the cardiovascular system, along with advances in imaging technology that continue to the present day.

  1. Granulomatous mastitis: radiological findings

    Ozturk, M.; Mavili, E.; Kahriman, G.; Akcan, A.C.; Ozturk, F. [Depts. of Radiology, Surgery, and Pathology, Erciyes Univ. Medical Faculty, Kayseri (Turkey)


    Purpose: To evaluate the radiological, ultrasonographic, and magnetic resonance imaging (MRI) findings of idiopathic granulomatous mastitis. Material and Methods: Between April 2002 and June 2005, the mammography, ultrasound, color Doppler ultrasound, non enhanced MR, and dynamic MR findings of nine patients with the preliminary clinical diagnosis of malignancy and the final diagnosis of granulomatous mastitis were evaluated. Results: On mammography, asymmetrical focal densities with no distinct margins, ill-defined masses with spiculated contours, and bilateral multiple ill-defined nodules were seen. On ultrasound, in four patients a discrete, heterogenous hypoechoic mass, in two patients multiple abscesses, in one patient bilateral multiple central hypo peripheral hyperechoic lesions, in two patients heterogeneous hypo- and hyperechoic areas together with parenchymal distortion, and in one patient irregular hypoechoic masses with tubular extensions and abscess cavities were seen. Five of the lesions were vascular on color Doppler ultrasound. On MR mammography, the most frequent finding was focal or diffuse asymmetrical signal intensity changes that were hypointense on T1W images and hyperintense on T2W images, without significant mass effect. Nodular lesions were also seen. On dynamic contrast-enhanced mammography, mass-like enhancement, ring-like enhancement, and nodular enhancement were seen. The time-intensity curves differed from patient to patient and from lesion to lesion. Conclusion: The imaging findings of idiopathic granulomatous mastitis have a wide spectrum, and they are inconclusive for differentiating malignant and benign lesions.

  2. [Controlling in outpatient radiology].

    Baum, T


    Radiology is among the medical disciplines which require the highest investment costs in the healthcare system. The need to design efficient workflows to ensure maximum utilization of the equipment has long been known. In order to be able to establish a sound financial plan prior to a project or equipment purchase, the costs of an examination have to be broken down by modality and compared with the reimbursement rates. Obviously, the same holds true for operative decisions when scarce human resources have to be allocated. It is the task of controlling to review the economic viability of the different modalities and ideally, the results are incorporated into the management decision-making processes. The main section of this article looks at the recognition and allocation of direct and indirect costs in a medical center (Medizinisches Versorgungszentrum - MVZ) in the German North Rhine region. The profit contribution of each examination is determined by deducting the costs from the income generated by the treatment of patients with either private or statutory health insurance.

  3. Radiological Assistance Program (RAP) Regions

    Department of Homeland Security — The U.S. Department of Energy (DOE) created the Radiological Assistance Program (RAP) in the 1950s to make DOE resources and expertise available to organizations...

  4. National Radiological Fixed Lab Data

    U.S. Environmental Protection Agency — The National Radiological Fixed Laboratory Data Asset includes data produced in support of various clients such as other EPA offices, EPA Regional programs, DOE,...

  5. Development of Mobile Radiological Monitor


    <正>Mobile radiological monitor is used to detect gamma rays and neutron for personal and vehicle. It can be installed on a microbus as a mobile monitoring system. One large plastic scintillation detector is

  6. The Radiological Research Accelerator Facility

    Hall, E.J.


    The Radiological Research Accelerator Facility (RARAF) is based on a 4-MV Van de Graaff accelerator, which is used to generate a variety of well-characterized radiation beams for research in radiobiology, radiological physics, and radiation chemistry. It is part of the Center for Radiological Research (CRR) -- formerly the Radiological Research Laboratory (RRL) -- of Columbia University, and its operation is supported as a National Facility by the US Department of Energy (DOE). As such, RARAF is available to all potential users on an equal basis, and scientists outside the CRR are encouraged to submit proposals for experiments at RARAF. The operation of the Van de Graaff is supported by the DOE, but the research projects themselves must be supported separately. Experiments performed from May 1991--April 1992 are described.

  7. The Radiological Research Accelerator Facility

    Hall, E.J.; Marino, S.A.


    The Radiological Research Accelerator Facility (RARAF) is based on a 4-MV Van de Graaff accelerator, which is used to generate a variety of well-characterized radiation beams for research in radiobiology, radiological physics, and radiation chemistry. It is part of the Center for Radiological Research (CRR) - formerly the Radiological Research Laboratory of Columbia University, and its operation is supported as a National Facility by the US Department of Energy (DOE). As such, RARAF is available to all potential users on an equal basis and scientists outside the CRR are encouraged to submit proposals for experiments at RARAF. The operation of the Van de Graaff is supported by the DOE, but the research projects themselves must be supported separately. This report provides a listing and brief description of experiments performed at RARAF during the May 1, 1992 through April 30, 1993.

  8. Peer review in cardiothoracic radiology.

    Kanne, Jeffrey P


    A variety of peer review methods can be used as part of quality assurance and quality improvement in cardiothoracic radiology. Traditionally, peer review in radiology is a retrospective process relying primarily on review of previously interpreted studies at the time of follow-up or additional imaging. However, peer review can be enhanced with other methods such as double reads, focused practice review, practice audit, and correlation with operative and pathologic findings. Furthermore, feedback from referring physicians can be extremely useful in improving the quality of a radiology practice. This article discusses peer review in radiology with a focus on cardiothoracic imaging. Types of peer review, advantages and shortcomings, and future challenges are addressed.

  9. 21 CFR 892.1980 - Radiologic table.


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiologic table. 892.1980 Section 892.1980 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1980 Radiologic table. (a) Identification. A radiologic...

  10. Financial accounting for radiology executives.

    Seidmann, Abraham; Mehta, Tushar


    The authors review the role of financial accounting information from the perspective of a radiology executive. They begin by introducing the role of pro forma statements. They discuss the fundamental concepts of accounting, including the matching principle and accrual accounting. The authors then explore the use of financial accounting information in making investment decisions in diagnostic medical imaging. The paper focuses on critically evaluating the benefits and limitations of financial accounting for decision making in a radiology practice.

  11. Radiological training for tritium facilities



    This program management guide describes a recommended implementation standard for core training as outlined in the DOE Radiological Control Manual (RCM). The standard is to assist those individuals, both within DOE and Managing and Operating contractors, identified as having responsibility for implementing the core training recommended by the RCM. This training may also be given to radiological workers using tritium to assist in meeting their job specific training requirements of 10 CFR 835.

  12. Radiological Control Manual. Revision 0, January 1993


    This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

  13. Radiological assessment. A textbook on environmental dose analysis

    Till, J.E.; Meyer, H.R. (eds.)


    Radiological assessment is the quantitative process of estimating the consequences to humans resulting from the release of radionuclides to the biosphere. It is a multidisciplinary subject requiring the expertise of a number of individuals in order to predict source terms, describe environmental transport, calculate internal and external dose, and extrapolate dose to health effects. Up to this time there has been available no comprehensive book describing, on a uniform and comprehensive level, the techniques and models used in radiological assessment. Radiological Assessment is based on material presented at the 1980 Health Physics Society Summer School held in Seattle, Washington. The material has been expanded and edited to make it comprehensive in scope and useful as a text. Topics covered include (1) source terms for nuclear facilities and Medical and Industrial sites; (2) transport of radionuclides in the atmosphere; (3) transport of radionuclides in surface waters; (4) transport of radionuclides in groundwater; (5) terrestrial and aquatic food chain pathways; (6) reference man; a system for internal dose calculations; (7) internal dosimetry; (8) external dosimetry; (9) models for special-case radionuclides; (10) calculation of health effects in irradiated populations; (11) evaluation of uncertainties in environmental radiological assessment models; (12) regulatory standards for environmental releases of radionuclides; (13) development of computer codes for radiological assessment; and (14) assessment of accidental releases of radionuclides.

  14. Radiologic analysis of amebiasis

    Kim, S. Y.; Lee, Y. H.; Park, C. Y. [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    The amebiasis is a common diseases in Korea as well as worldwide especially frequent in tropical area such as India, Africa and South America. The diagnosis of amebiasis remain difficult and complex, despite of many diagnostic method, for example, direct stool test for ameba, many immunologic studies and biopsy. Authors analyzed radiologically the patient who have had confirmed as a amebiasis from June, 1976 to September, 1979 at Yonsei University, College of Medicine, Severance Hospital. The results as follows: 1. The amebic liver abscess was a most common from of the amebiasis in Korea, which were 40 cases among 56 cases. Plain abdomen showed huge hepatomegaly, compression and displacement in hepatic flexure of colon, and reflex gas distension in almost cases. Chest P-A showed nonspecific right lower lung findings from secondary to right upper abdominal pathology, such as elevated right diaphragm (61.3%), pleural effusion (60.0%), right lower lung consolidation (37.5%) and abscess cavities (5.0%). Liver scan showed large space occupying lesion, most commonly situated in right lobe of liver (68.6%). 2. Among total 15 cases of the amebic colitis, positive findings on barium enema were 80%. Barium enama showed spas and irritability (89.2%), narrowing of lumen and lack of distensibility (71.4%) and deformity of cecum (20.0%). Involved site was cecum, ascending colon, rectosigmoid, transeverse and descending colon in order of frequency. Unusual involvement of terminal ileum was 2 cases. 3. Combined cases of amebic liver abscess and colitis were 4 cases (27.7%)

  15. Clinical radiology of the spine and spinal cord

    Banna, M.


    This book is a source of information about aspects of radiology of the spine and spinal column. It presents coverage of both normal and abnormal conditions. Contents: Spinal fractures and dislocations. Degenerative diseases of the spine. Gross anatomy of the spinal cord and meninges. Intraspinal mass lesions. Spinal dysraphism. Congenital anomalies. Tumors of the vertebral column, and more.

  16. Characterisation of Aerosols from Simulated Radiological Dispersion Events

    Di Lemma, F.G.


    The research described in this thesis aims at improving the evaluation of the radiaoctive aerosol release from different Radiological Dispersion Events (RDE's), such as accidents and sabotage involving radioactive and nuclear materials. These studies help in a better assessment of the source term as

  17. Informatics in radiology: RADTF: a semantic search-enabled, natural language processor-generated radiology teaching file.

    Do, Bao H; Wu, Andrew; Biswal, Sandip; Kamaya, Aya; Rubin, Daniel L


    Storing and retrieving radiology cases is an important activity for education and clinical research, but this process can be time-consuming. In the process of structuring reports and images into organized teaching files, incidental pathologic conditions not pertinent to the primary teaching point can be omitted, as when a user saves images of an aortic dissection case but disregards the incidental osteoid osteoma. An alternate strategy for identifying teaching cases is text search of reports in radiology information systems (RIS), but retrieved reports are unstructured, teaching-related content is not highlighted, and patient identifying information is not removed. Furthermore, searching unstructured reports requires sophisticated retrieval methods to achieve useful results. An open-source, RadLex(®)-compatible teaching file solution called RADTF, which uses natural language processing (NLP) methods to process radiology reports, was developed to create a searchable teaching resource from the RIS and the picture archiving and communication system (PACS). The NLP system extracts and de-identifies teaching-relevant statements from full reports to generate a stand-alone database, thus converting existing RIS archives into an on-demand source of teaching material. Using RADTF, the authors generated a semantic search-enabled, Web-based radiology archive containing over 700,000 cases with millions of images. RADTF combines a compact representation of the teaching-relevant content in radiology reports and a versatile search engine with the scale of the entire RIS-PACS collection of case material.

  18. Radiological impacts of phosphogypsum.

    Al Attar, Lina; Al-Oudat, Mohammad; Kanakri, Salwa; Budeir, Youssef; Khalily, Hussam; Al Hamwi, Ahmad


    This study was carried out to assess the radiological impact of Syrian phosphogypsum (PG) piles in the compartments of the surrounding ecosystem. Estimating the distribution of naturally occurring radionuclides (i.e. (226)Ra, (238)U, (232)Th, (210)Po and (210)Pb) in the raw materials, product and by-product of the Syrian phosphate fertilizer industry was essential. The data revealed that the concentrations of the radionuclides were enhanced in the treated phosphate ore. In PG, (226)Ra content had a mean activity of 318 Bq kg(-1). The uranium content in PG was low, ca. 33 Bq kg(-1), because uranium remained in the phosphoric acid produced. Over 80% of (232)Th, (210)Po and (210)Pb present partitioned in PG. The presence of PG piles did not increase significantly the concentration of (222)Rn or gamma rays exposure dose in the area studied. The annual effective dose was only 0.082 mSv y(-1). The geometric mean of total suspended air particulates (TSP) ca. 85 μg m(-3). The activity concentration of the radionuclides in filtrates and runoff waters were below the detection limits (ca. 0.15 mBq L(-1) for (238)U, 0.1 mBq L(-1) for (232)Th and 0.18 mBq L(-1) for both of (210)Po and (210)Pb); the concentration of the radionuclides in ground water samples and Qattina Lake were less than the permissible limits set for drinking water by the World Health Organisation, WHO, (10, 1 and 0.1 Bq L(-1) for (238)U, (232)Th and both of (210)Po and (210)Pb, respectively). Eastern sites soil samples of PG piles recorded the highest activity concentrations, i.e. 26, 33, 28, 61 and 40 Bq kg(-1) for (226)Ra, (238)U, (232)Th, (210)Po and (210)Pb, respectively, due to the prevailing western and north-western wind in the area, but remained within the natural levels reported in Syrian soil (13-32 Bq kg(-1) for (226)Ra, 24.9-62.2 Bq kg(-1) for (238)U and 10-32 Bq kg(-1) for (232)Th). The impact of PG piles on plants varied upon the plant species. Higher concentrations of the radionuclides were

  19. Hanford Radiological Protection Support Services Annual Report for 1998

    DE Bihl; JA MacLellan; ML Johnson; RK Piper; TP Lynch


    During calendar year (CY) 1998, the Pacific Northwest National Laboratory (PNNL) performed its customary radiological protection support services in support of the U.S. Department of Energy (DOE) Richland Operations OffIce (RL) and the Hanford contractors. These services included: 1) external dosimetry, 2) internal dosimetry, 3) in vivo measurements, 4) radiological records, 5) instrument calibra- tion and evaluation, and 6) calibration of radiation sources traceable to the National Institute of Standards and Technology (MST). The services were provided under a number of projects as summarized here.

  20. Laboratory of environmental radiological surveillance; Laboratorio de vigilancia radiologica ambiental

    Mendez G, A.; Marcial M, F.; Giber F, J.; Montiel R, E.; Leon del V, E.; Rivas C, I.; Leon G, M.V.; Lagunas G, E.; Aragon S, R.; Juarez N, A.; Alfaro L, M.M


    The department of radiological protection of the ININ requests the collaboration of the Engineering Unit for the elaboration of the work project of the laboratory of environmental radiological surveillance. The emission of radioactive substances to the atmosphere like consequence of the normal operation of the Nuclear Center, constitutes an exhibition source from the man to the radiations that it should be appropriately watched over and controlled to be able to determine the population's potential exhibition that it lives in the area of influence of the installation. (Author)

  1. Hanford Radiological Protection Support Services Annual Report for 2000

    Lynch, Timothy P.; Bihl, Donald E.; Johnson, Michelle L.; Maclellan, Jay A.; Piper, Roman K.


    During calendar year 2000, the Pacific Northwest National Laboratory performed its customary radiological protection support services in support of the U.S. Department of Energy Richland Operations Office and the Hanford contractors. These services included: 1) external dosimetry, 2) internal dosimetry, 3) in vivo monitoring, 4) radiological records, 5) instrument calibration and evaluation, and 6) calibration of radiation sources traceable to the National Institute of Standards and Technology. Each program summary describes the routine operations, program changes and improvements, program assessments, supporting technical studies, and professional activities.

  2. Radiological findings in NAO syndrome

    Al-Otaibi, Leftan; Hugosson, Claes O. [Department of Radiology, King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia); Al-Mayouf, Sulalman M.; Majeed, Mahmoud; Al-Eid, Wea' am; Bahabri, Sultan [Department of Paediatrics, King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia)


    Background: Diseases exhibiting osteolysis in children are rare hereditary conditions. Several types have been recognised with different clinical manifestations. One type includes subcutaneous nodules, arthropathy and osteolysis and has been termed NAO syndrome. Previous radiological reports have described the affected bones, usually the carpal and tarsal regions, but a detailed analysis of the radiological findings of both the axial as well as the appendicular skeleton has not been reported. Objectives: To describe the radiological findings in a large group of children with an autosomal recessive disease characterized by nodules, familial arthropathy and osteolysis. Materials and methods: The study comprises 14 patients from 9 families and all patients had the triad of nodulosis, arthropathy and osteolysis (NAO). Results: The most common radiological manifestations were osteopenia, undertubulation of long bones, arthritic changes, sclerotic sutures of the calvaria, osteolysis and muscle contractures. Other common findings were squared vertebrae, broad medial clavicles and brachycephaly. Progress of disease was documented in more than half of the patients. Conclusions: Our study is the first report of the detailed radiological findings of NAO syndrome. In NAO syndrome, both the axial and appendicular skeleton are involved (orig.)

  3. White Paper: Curriculum in Interventional Radiology.

    Mahnken, Andreas H; Bücker, Arno; Hohl, Christian; Berlis, Ansgar


    Purpose Scope and clinical importance of interventional radiology markedly evolved over the last decades. Consequently it was acknowledged as independent subspecialty by the "European Union of Medical Specialists" (UEMS). Based on radiological imaging techniques Interventional Radiology is an integral part of Radiology. Materials und Methods In 2009 the German Society for Interventional Radiology and minimally-invasive therapy (DeGIR) developed a structured training in Interventional Radiology. In cooperation with the German Society of Neuroradiology (DGNR) this training was extended to also cover Interventional Neuroradiology in 2012. Tailored for this training in Interventional Radiology a structured curriculum was developed, covering the scope of this modular training. Results The curriculum is based on the DeGIR/DGNR modular training concept in Interventional Radiology. There is also an European Curriculum and Syllabus for Interventional Radiology developed by the "Cardiovascular and Interventional Radiological Society of Europe" (CIRSE). The presented curriculum in Interventional Radiology is designed to provide a uniform base for the training in Interventional Radiology in Germany, based on the competencies obtained during residency. Conclusion This curriculum can be used as a basis for training in Interventional Radiology by all training sites. Key Points: · Interventional Radiology is an integral part of clinical radiology. · The German Society for Interventional Radiology and minimally-invasive therapy (DeGIR) developed a curriculum in Interventional Radiology. · This curriculum is an integrative basis for the training in interventional. Citation Format · Mahnken AH, Bücker A, Hohl C et al. White Paper: Curriculum in Interventional Radiology. Fortschr Röntgenstr 2017; 189: 309 - 311. © Georg Thieme Verlag KG Stuttgart · New York.

  4. OpenRIMS: An Open Architecture Radiology Informatics Management System

    Langer, Steve


    The benefits of an integrated picture archiving and communication system/radiology information system (PACS/RIS) archive built with open source tools and methods are 2-fold. Open source permits an inexpensive development model where interfaces can be updated as needed, and the code is peer reviewed by many eyes (analogous to the scientific model). Integration of PACS/RIS functionality reduces the risk of inconsistent data by reducing interfaces among databases that contain largely redundant i...

  5. The radiological assessment system for consequence analysis - RASCAL

    Sjoreen, A.L. [Oak Ridge National Lab., TN (United States); Ramsdell, J.V. [Pacific Northwest Lab., Richland, WA (United States); Athey, G.F. [Athey Consulting, Charles Town, WV (United States)] [and others


    The Radiological Assessment System for Consequence Analysis, Version 2.1 (RASCAL 2.1) has been developed for use during a response to radiological emergencies. The model estimates doses for comparison with U.S. Environmental Protection Agency (EPA) Protective Action Guides (PAGs) and thresholds for acute health effects. RASCAL was designed to be used by U.S. Nuclear Regulatory Commission (NRC) personnel who report to the site of a nuclear accident to conduct an independent evaluation of dose and consequence projections and personnel who conduct training and drills on emergency responses. It allows consideration of the dominant aspects of the source term, transport, dose, and consequences. RASCAL consists of three computational tools: ST-DOSE, FM-DOSE, and DECAY. ST-DOSE computes source term, atmospheric transport, and dose to man from accidental airborne releases of radionuclides. The source-term calculations are appropriate for accidents at U.S. power reactors. FM-DOSE computes doses from environmental concentrations of radionuclides in the air and on the ground. DECAY computes radiological decay and daughter in-growth. RASCAL 2.1 is a DOS application that can be run under Windows 3.1 and 95. RASCAL has been the starting point for other accident consequence models, notably INTERRAS, an international version of RASCAL, and HASCAL, an expansion of RASCAL that will model radiological, biological, and chemical accidents.

  6. Radiological control manual. Revision 1

    Kloepping, R.


    This Lawrence Berkeley National Laboratory Radiological Control Manual (LBNL RCM) has been prepared to provide guidance for site-specific additions, supplements and interpretation of the DOE Radiological Control Manual. The guidance provided in this manual is one methodology to implement the requirements given in Title 10 Code of Federal Regulations Part 835 (10 CFR 835) and the DOE Radiological Control Manual. Information given in this manual is also intended to provide demonstration of compliance to specific requirements in 10 CFR 835. The LBNL RCM (Publication 3113) and LBNL Health and Safety Manual Publication-3000 form the technical basis for the LBNL RPP and will be revised as necessary to ensure that current requirements from Rules and Orders are represented. The LBNL RCM will form the standard for excellence in the implementation of the LBNL RPP.

  7. Implications Of Computer Assisted Radiology

    Lemke, Heinz U.


    Within the field of radiology, assistance with computer and communication systems may be applied to generation, storing, transmission, viewing, analyzing and interpreting of images. As a result, digital image management and communication systems will be applied at various levels in the health care system. Four groups of people are somehow involved or affected by this process. These are, first of all, the patients and the medical personnel, but also the scientific-engineering community and the group of professions involved with financing and/or administering these systems. Each group approaches computer assisted radiology from a particular point of view. The paper outlines some aspects as regards the different perceptions of these groups, which need to be clarified in order to successfully realise computer assisted radiology.

  8. Radiology information management system, TOSRIM

    Tani, Yuichiro; Uchiyama, Akira; Kimura, Hirohito (Toshiba Corp., Kawasaki, Kanagawa (Japan))


    This is a report on a new type of distributed computer system for radiology departments named 'TOSRIM' (Toshiba radiology information management system), which is designed to be installed between medical diagnosis equipment and a host computer system in a hospital. Recently, a new type of host computer system has been developed which enables doctors to order any of the hospital's entire activities using terminals. By connecting 'TOSRIM' to this type of host computer system, many of the activities of a radiology department can be carried out via terminals without the use of examination requirement forms. As well as being connected to medical diagnosis equipment, 'TOSRIM' can also be connected to a medical imaging system which stores and displays medical images. By means of these connections, doctors will be able to diagnose medical images using display terminals without the need for films. (author).

  9. Electronic teaching files and continuing professional development in radiology.

    Lim, Cct; Yang, Gl


    Education in diagnostic radiology employs medical images extensively, and case-based teaching files of actual patients are useful to illustrate pertinent teaching points. In the era of digital radiology, there is great potential to use the ready source of patient material from Picture Archive and Communication Systems (PACS) and initiatives such as Medical Imaging Resource Center (MIRC) on the World Wide Web for teaching and for Continuing Professional Development (CPD). As mandatory CPD becomes the reality in medical practice, computerised solutions that support the creation of electronic teaching files in the midst of busy clinical workflow would be very valuable. This paper will explore the features of image-based CPD, the various ways in which medical images can be used for self directed learning and the challenges that face the radiology profession.

  10. Radiological protection in pediatric radiodiagnostic; Proteccion Radiologica en Radiodiagnostico Pediatrico

    Espana Lopez, M. L.; Gomez Mardones, G.; Garcia Gastonon; Bermudez Luna, R.; Garcia Esparza, E.; Solis Muniz, I.


    Diagnostic x-ray examinations remains the most frequent use of ionizing radiation in medicine, and represent the most significant source of medical exposure. Justification and optimization process are worthy of special considerations for the pediatric patient, in view of their longer life expectancy and the increased risk for stochastic effects. the aim of the present study is to review the state of the art of the radiation protection in pediatric radiology. Proper equipment, periodic quality control, pediatric protocols, experienced operator, experienced operator, dosimetric estimations, superficial shielding and evaluation of image quality are required to achieve patient doses. As low As Reasonably Achievable in pediatric radiology. Technical advances haves increased the number of possibilities to reduce patient doses, but their optimal use implies a deep knowledge of the different technology. Practical dosimetry, dose indicators and dose reference levels are essential elements of patient protection, and must be reviewed for the pediatric patient, especially in higher radiation doses procedures, such CT and interventional examinations. Although the most effective way to reduce the radiation dose is to eliminate the unnecessary referrals, Radiology Department and Medical Physics and Radiological Protection Department, must be involved in the optimizations procedures in order to achieve ALARA patients dose in pediatric radiology reflects the reality in our country. (Author) 37 refs.

  11. Radiation protection in pediatric radiology. Strahlenschutz in der Kinderradiologie

    Fendel, H.; Stieve, F.E.


    Because of the high growth rate of cell systems in phases of radiation exposure radiological investigations on children should not be considered unless there is a strong indication. The National Council on Radiation Protection and Measurements has worked out recommendations on radiation protection which have been published as an NCRP report. This report is most important even outside the USA. The present translation is aimed to contribute to better understanding of the bases and aims of radiation protection during radiological investigations on children. It addresses not only those physicians who carry out radiological investigations on children themselves but also all physicians requiring such investigations. For these physicians, but also for parents who are worried about the radiation risk to their children the report should be a useful source of information and decision aid ensuring, on the one hand, that necessary radiological investigations are not shunned for unjustified fear of radiation and that, on the other hand, all unnecessary exposure of children to radiation is avoided. Thus, it is to be hoped, the quality of pediatric radiological diagnostics will be improved.

  12. Managing Generational Differences in Radiology.

    Eastland, Robin; Clark, Kevin R


    Diversity can take many forms. One type of recent focus is generational differences and intergenerational issues. Much research exists regarding generational differences in the workplace and in healthcare as a whole. Very little has been done on generational differences within the field of radiology. An analysis of current research of generational differences within radiology, nursing, and healthcart in general was performed to identify current trends and establish similarities and discordance in available studies. An emphasis was placed on how generational differences influence education, teamwork, and patient care, along with what challenges and opportunities exist for managers, leaders, and organizations.

  13. [Radiological media and modern supporting tools in radiology].

    Sachs, A; Pokieser, P


    Radiology is a field with a high demand on information. Nowadays, a huge variety of electronic media and tools exists in addition to the classical media. Asynchronous and synchronous e-learning are constantly growing and support radiology with case collections, webinars and online textbooks. Various internet resources, social media and online courses have been established. Dynamic websites show a variety of interactive elements and it is easier and faster to access large amounts of data. Social media have an exponentially growing number of users and enable an efficient collaboration as well as forming professional networks. Massive open online courses (MOOCs) complete the offer of education and increase the opportunity to take part in educational activities. Apart from the existing variety of resources it is essential to focus on a critical selection for using these radiological media. It is reasonable to combine classical and electronic media instead of a one-sided use. As dynamic as the progress in the field of radiological media and its tools may be, the personal contact remains and should be maintained.

  14. NLP-based identification of pneumonia cases from free-text radiological reports.

    Elkin, Peter L; Froehling, David; Wahner-Roedler, Dietlind; Trusko, Brett; Welsh, Gail; Ma, Haobo; Asatryan, Armen X; Tokars, Jerome I; Rosenbloom, S Trent; Brown, Steven H


    Radiological reports are a rich source of clinical data which can be mined to assist with biosurveillance of emerging infectious diseases. In addition to biosurveillance, radiological reports are an important source of clinical data for health service research.Pneumonias and other radiological findings on chest x ray or chest computed tomography (CT) are one type of relevant finding to both biosurveillance and health services research. In this study we examined the ability of a Natural Language Processing system to accurately identify pneumonias and other lesions from within free text radiological reports. The system encoded the reports in the SNOMED CT Ontology and then a set of SNOMED CT based rules were created in our Health Archetype Language aimed at the identification of these radiological findings and diagnoses. The encoded rule was executed against the SNOMED CT encodings of the radiological reports. The accuracy of the reports was compared with a Clinician review of the Radiological Reports. The accuracy of the system in the identification of pneumonias was high with a Sensitivity (recall) of 100%, a specificity of 98%, and a positive predictive value (precision) of 97%. We conclude that SNOMED CT based computable rules are accurate enough for the automated biosurveillance of pneumonias from radiological reports.

  15. Radiology in Medical Education: A Pediatric Radiology Elective as a Template for Other Radiology Courses.

    Hilmes, Melissa A; Hyatt, Eddie; Penrod, Cody H; Fleming, Amy E; Singh, Sudha P


    Traditionally, the pediatric radiology elective for medical students and pediatric residents constituted a morning teaching session focused mainly on radiography and fluoroscopy. A more structured elective was desired to broaden the exposure to more imaging modalities, create a more uniform educational experience, and include assessment tools. In 2012, an introductory e-mail and formal syllabus, including required reading assignments, were sent to participants before the start date. A rotating weekly schedule was expanded to include cross-sectional imaging (ultrasound, CT, MR) and nuclear medicine. The schedule could accommodate specific goals of the pediatric resident or medical student, as requested. Starting in 2013, an online pre-test and post-test were developed, as well as an online end-of-rotation survey specific to the pediatric radiology elective. Taking the Image Gently pledge was required. A scavenger hunt tool, cue cards, and electronic modules were added. Pre-test and post-test scores, averaged over 2 years, showed improvement in radiology knowledge, with scores increasing by 27% for medical students and 21% for pediatric residents. Surveys at the end of the elective were overwhelmingly positive, with constructive criticism and complimentary comments. We have successfully created an elective experience in radiology that dedicates time to education while preserving the workflow of radiologists. We have developed tools to provide a customized experience with many self-directed learning opportunities. Our tools and techniques are easily translatable to a general or adult radiology elective. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  16. How to Read Your Radiology Report

    ... Site Index A-Z How to Read Your Radiology Report Imaging studies such as magnetic resonance imaging ( ... this article. top of page Sections of the Radiology Report Type of exam The type of exam ...

  17. Radiologic Technology Occupations. Curriculum Guide.

    Reneau, Fred; And Others

    This guide delineates the tasks and performance standards for radiologic technology occupations. It includes job seeking skills, work attitudes, energy conservation practices, and safety. The guide is centered around the three domains of learning: psychomotor, cognitive, and affective. For each duty, the following are provided: task, standard of…

  18. 10 CFR 835.501 - Radiological areas.


    ... 10 Energy 4 2010-01-01 2010-01-01 false Radiological areas. 835.501 Section 835.501 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Entry Control Program § 835.501 Radiological areas. (a) Personnel entry control shall be maintained for each radiological area. (b) The degree of control shall...

  19. Women in Radiology: Exploring the Gender Disparity.

    Zener, Rebecca; Lee, Stefanie Y; Visscher, Kari L; Ricketts, Michelle; Speer, Stacey; Wiseman, Daniele


    In 2015, only 1.5% of female Canadian medical students pursued radiology as a specialty, versus 5.6% of men. The aim of this study was to determine what factors attract and deter Canadian medical students from pursuing a career in radiology, and why fewer women than men pursue radiology as a specialty. An anonymous online survey was e-mailed to English-speaking Canadian medical schools, and 12 of 14 schools participated. Subgroup analyses for gender and radiology interest were performed using the Fisher exact test (P Physics deterred more women (47%) than it did men (21%), despite similar educational backgrounds for the two gender groups in physical sciences (P < .0001). More women who were considering radiology as a specialty rated intellectual stimulation as being important to their career choice (93%), compared with women who were not (80%; P = .002). Fewer women who were not interested in radiology had done preclinical observerships in radiology (20%), compared with men who were not interested in radiology (28%; P = .04). A perceived lack of direct patient contact dissuades medical students from pursuing radiology as a career. Women have less preclinical radiology exposure than do men. Programs that increase preclinical exposure to radiology subspecialties that have greater patient contact should be initiated, and an effort to actively recruit women to such programs should be made. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  20. WMAP: A Radiological Analysis

    Robitaille P.-M.


    Full Text Available In this work, results obtained by the WMAP satellite are analyzed by invoking established practices for signal acquisition and processing in nuclear magnetic resonance (NMR and magnetic resonance imaging (MRI. Dynamic range, image reconstruction, signal to noise, resolution, contrast, and reproducibility are specifically discussed. WMAP images do not meet accepted standards in medical imaging research. WMAP images are obtained by attempting to remove a galactic foreground contamination which is 1,000 times more intense than the desired signal. Unlike water suppression in biological NMR, this is accomplished without the ability to affect the signal at the source and without a priori knowledge. Resulting WMAP images have an exceedingly low signal to noise (maximum 1–2 and are heavily governed by data processing. Final WMAP internal linear combination (ILC images are made from 12 section images. Each of these, in turn, is processed using a separate linear combination of data. The WMAP team extracts cosmological implications from their data, while ignoring that the ILC coefficients do not remain constant from year to year. In contrast to standard practices in medicine, difference images utilized to test reproducibility are presented at substantially reduced resolution. ILC images are not presented for year two and three. Rather, year-1 data is signal averaged in a combined 3-year data set. Proper tests of reproducibility require viewing separate yearly ILC images. Fluctuations in the WMAP images arise from the inability to remove the galactic foreground, and in the significant yearly variations in the foreground itself. Variations in the map outside the galactic plane are significant, preventing any cosmological analysis due to yearly changes. This occurs despite the masking of more than 300 image locations. It will be advanced that any “signal” observed by WMAP is the result of foreground effects, not only from our galaxy, but indeed yearly

  1. Classification system of radioactive sources to attend radiological emergencies, the last three cases of theft in Mexico; Sistema de clasificacion fuentes radiactivas para atender emergencias radiologicas, los tres ultimos casos de robo en Mexico

    Ruiz C, M. A.; Garcia M, T., E-mail: [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)


    Following last three cases of theft of radioactive material in Mexico is convenient to describe how to classify radioactive sources and make decisions to confront the emergency. For this there are IAEA publications, which determine the Dangerous values or value D, for different radionuclides and activity values usually used in practice, and employees in industry, medicine and research. The literature also describes the different scenarios to determine the activity of different radioisotopes that can cause deterministic effects to workers or the population and thus classify the degree of relative risk that these sources may be involved in an accident. Defined the classification of sources, we can make decisions to respond to emergencies in their proper perspective also alert the public to the description of the risks associated with the sources in question, without this leading to a situation of greater crisis. (Author)

  2. Pediatric radiology for medical-technical radiology assistants/radiologists; Paediatrische Radiologie fuer MTRA/RT

    Oppelt, Birgit


    The book on pediatric radiology includes the following chapter: differences between adults and children; psycho-social aspects concerning the patient child in radiology; relevant radiation doses in radiology; help for self-help: simple phantoms for image quality estimation in pediatric radiology; general information; immobilization of the patient; pediatric features for radiological settings; traumatology; contrast agents; biomedical radiography; computerized tomography; NMR imaging; diagnostic ultrasonography; handling of stress practical recommendations; medical displays.

  3. Radiology and social media: are private practice radiology groups more social than academic radiology departments?

    Glover, McKinley; Choy, Garry; Boland, Giles W; Saini, Sanjay; Prabhakar, Anand M


    This study assesses the prevalence of use of the most commonly used social media sites among private radiology groups (PRGs) and academic radiology departments (ARDs). The 50 largest PRGs and the 50 ARDs with the highest level of funding from the National Institutes of Health were assessed for presence of a radiology-specific social media account on Facebook, Twitter, Instagram, Pinterest, YouTube, and LinkedIn. Measures of organizational activity and end-user activity were collected, including the number of posts and followers, as appropriate; between-group comparisons were performed. PRGs adopted Facebook 12 months earlier (P = .02) and Twitter 18 months earlier (P = .02) than did ARDs. A total of 76% of PRGs maintained ≥1 account on the social media sites included in the study, compared with 28% of ARDs (P social media sites for PRGs was: Facebook, 66%; LinkedIn, 56%; Twitter, 42%; YouTube, 20%; Pinterest, 4%; and Instagram, 2%. The prevalence of radiology-specific social media accounts for ARDs was: Facebook, 18%; LinkedIn, 0%; Twitter, 24%; YouTube, 6%; Pinterest, 0%; and Instagram, 0%. There was no significant difference between ARDs and PRGs in measures of end-user or organizational activity on Facebook or Twitter. Use of social media in health care is emerging as mainstream, with PRGs being early adopters of Facebook and Twitter in comparison with ARDs. Competitive environments and institutional policies may be strong factors that influence how social media is used by radiologists at the group and department levels. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  4. Radiology education: a glimpse into the future

    Scarsbrook, A.F. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)]. E-mail:; Graham, R.N.J. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom); Perriss, R.W. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)


    The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training.

  5. Informatics in radiology: web-based preliminary reporting system for radiology residents with PACS integration.

    O'Connell, Timothy; Chang, Debra


    While on call, radiology residents review imaging studies and issue preliminary reports to referring clinicians. In the absence of an integrated reporting system at the training sites of the authors' institution, residents were typing and faxing preliminary reports. To partially automate the on-call resident workflow, a Web-based system for resident reporting was developed by using the free open-source xAMP Web application framework and an open-source DICOM (Digital Imaging and Communications in Medicine) software toolkit, with the goals of reducing errors and lowering barriers to education. This reporting system integrates with the picture archiving and communication system to display a worklist of studies. Patient data are automatically entered in the preliminary report to prevent identification errors and simplify the report creation process. When the final report for a resident's on-call study is available, the reporting system queries the report broker for the final report, and then displays the preliminary report side by side with the final report, thus simplifying the review process and encouraging review of all of the resident's reports. The xAMP Web application framework should be considered for development of radiology department informatics projects owing to its zero cost, minimal hardware requirements, ease of programming, and large support community.

  6. A hypermedia radiological reporting system.

    De Simone, M; Drudi, F M; Lalle, C; Poggi, R; Ricci, F L


    Report is the main phase of a diagnostic process by images. The product of the process is the diagnostic report. We are proposing an hypermedia structure of diagnostic report in radiology, in order to facilitate exchange between radiologist and clinician (specialist in internal medicine or surgeon) on a clinical case, without anymore charge on the side of the radiologist but with an 'off-line' consultation. An hypermedia radiological report software will produce further advantages in many aspects: radiologist and clinician could access patient's data directly from DB on patients; radiologist could check DB on exemplary cases real-time; clinician could read preliminary and final reports available in network and make requests online. The proposed hyper-report system is modular. Starting from the 'report text' writing, edited by the radiologist on the basis of most significative images, it is possible to insert comments in text, drawing and 'external' images form.

  7. Radiologic findings of neonatal sepsis

    Kim, Sam Soo; Han, Dae Hee; Choi, Guk Myeong; Jung, Hye Won [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of); Yoon, Hye Kyung; Han, Bokyung Kim; Lee, Nam Yong [Sansung Medical Center, Seoul (Korea, Republic of)


    To review the simple radiographic and sonographic findings in infants with neonatal sepsis. We retrospectively analyzed simple chest and abdominal radiographs, and brain sonograms in 36 newborn infants (preterm : term=23 :13). With neonatal sepsis diagnosed by blood culture and clinical manifestations. Pulmonary parenchymal infiltrate excluding respiratory distress syndrome and pulmonary edema or atelectasis was found in 22 infants (61%). Paralytic ileus, hepatosplenomegaly, and necrotizing enterocolitis were present in 18(50%), 9(25%), and 1(3%) infants, respectively, while skeletal changes suggesting osteomyelitis were found in three. Brain sonography was performed in 29 infants and in four, abnormalities were seen ; these comprised three germinal matrix hemorrhages and one intraparenchymal hemorrhage. In six patients(17%) radiologic examinations revealed no abnormality. In patients with neonatal sepsis, pulmonary infiltrates and paralytic ileus were common abnormalities. Although these were nonspecific, radiologic findings may be used to supplement clinical and laboratory findings in diagnosing neonatal sepsis and planning its treatment.

  8. Radiology applications of financial accounting.

    Leibenhaut, Mark H


    A basic knowledge of financial accounting can help radiologists analyze business opportunities and examine the potential impacts of new technology or predict the adverse consequences of new competitors entering their service area. The income statement, balance sheet, and cash flow statement are the three basic financial statements that document the current financial position of the radiology practice and allow managers to monitor the ongoing financial operations of the enterprise. Pro forma, or hypothetical, financial statements can be generated to predict the financial impact of specific business decisions or investments on the profitability of the practice. Sensitivity analysis, or what-if scenarios, can be performed to determine the potential impact of changing key revenue, investment, operating cost or financial assumptions. By viewing radiology as both a profession and a business, radiologists can optimize their use of scarce economic resources and maximize the return on their financial investments.

  9. Thalamic Lesions: A Radiological Review

    Dimitri Renard


    Full Text Available Background. Thalamic lesions are seen in a multitude of disorders including vascular diseases, metabolic disorders, inflammatory diseases, trauma, tumours, and infections. In some diseases, thalamic involvement is typical and sometimes isolated, while in other diseases thalamic lesions are observed only occasionally (often in the presence of other typical extrathalamic lesions. Summary. In this review, we will mainly discuss the MRI characteristics of thalamic lesions. Identification of the origin of the thalamic lesion depends on the exact localisation inside the thalamus, the presence of extrathalamic lesions, the signal changes on different MRI sequences, the evolution of the radiological abnormalities over time, the history and clinical state of the patient, and other radiological and nonradiological examinations.

  10. Computational radiology for orthopaedic interventions

    Li, Shuo


    This book provides a cohesive overview of the current technological advances in computational radiology, and their applications in orthopaedic interventions. Contributed by the leading researchers in the field, this volume covers not only basic computational radiology techniques such as statistical shape modeling, CT/MRI segmentation, augmented reality and micro-CT image processing, but also the applications of these techniques to various orthopaedic interventional tasks. Details about following important state-of-the-art development are featured: 3D preoperative planning and patient-specific instrumentation for surgical treatment of long-bone deformities, computer assisted diagnosis and planning of periacetabular osteotomy and femoroacetabular impingement, 2D-3D reconstruction-based planning of total hip arthroplasty, image fusion for  computer-assisted bone tumor surgery, intra-operative three-dimensional imaging in fracture treatment, augmented reality based orthopaedic interventions and education, medica...

  11. Radiology of the resurfaced hip

    Rahman, Luthfur [The London Hip Unit, London (United Kingdom); Hall-Craggs, Margaret [University College London Hospital, London (United Kingdom); Muirhead-Allwood, Sarah K. [The London Hip Unit, London (United Kingdom); The Royal National Orthopaedic Hospital, Middlesex (United Kingdom)


    Hip resurfacing arthroplasty is an increasingly common procedure for osteoarthritis. Conventional radiographs are used routinely for follow-up assessment, however they only provide limited information on the radiological outcome. Various complications have been reported in the scientific literature although not all are fully understood. In an effort to investigate problematic or failing hip resurfacings, various radiological methods have been utilized. These methods can be used to help make a diagnosis and guide management. This paper aims to review and illustrate the radiographic findings in the form of radiography, computerized tomography (CT), magnetic resonance imaging (MRI), and ultrasound of both normal and abnormal findings in hip resurfacing arthroplasty. However, imaging around a metal prosthesis with CT and MRI is particularly challenging and therefore the potential techniques used to overcome this are discussed. (orig.)

  12. Increasing diversity in radiologic technology.

    Carwile, Laura


    Diversity is increasingly important in the radiologic technology workplace. For significant changes to occur in work force diversity, educators must first recruit and retain students from a wide variety of backgrounds. This article examines personality, race and gender as factors affecting career choice and how educators can use these factors to increase diversity in their programs. An overview of the ASRT's efforts to improve diversity within the profession is presented, along with suggestions for developing effective recruitment and retention plans to increase diversity.

  13. Otologic radiology with clinical correlations

    Ruenes, R.; De la Cruz, A.


    This manual covers developments in the radiologic diagnosis of otologic problems. To demonstrate the appearance of each disorder comprehensively, a large number of radiographs are included, many of them annotated to highlight both diagnostic signs and the subtle aspects of normal pathologic anatomy. Contents: X-ray and Imaging Techniques and Anatomy. Congenital Malformations. Middle and External Ear Infections. Otosclerosis and Otospongiosis. Temporal Bone Fractures. The Facial Nerve. Tumors of the Temporal Bone and Skull Base. Tumors of the Cerebellopontine Angle. Cochlear Implants.

  14. Radiological diagnosis of aggressive fibromatosis

    Wiesmann, W.; Galanski, M.; Peters, P.E.; Timm, C.


    Aggressive fibromatosis (desmoid, desmoid tumour) resembles, in its infiltrating and destructive growth, a fibrosarcoma, but does not metastasise. Because of its high recurrence rate, the tumour remains a surgical problem. Various imaging methods were evaluated retrospectively in 23 patients with histologically confirmed aggressive fibromatosis. Conventional radiological procedures are poor at demonstrating the extent and type of tumour. Modern tomographic methods are more able to determine the size of the lesion and a combination of angiography and CT can frequently provide a definite diagnosis.

  15. Frontiers in European radiology 9

    Baert, A.L. (ed.) (Leuven Univ. (Belgium)); Heuck, F.H.W. (ed.) (Katharinenhospital, Stuttgart (Germany))


    The twelve chapters of the book - which were not prepared for separate retrieval from the database - deal with recent enhancements in equipment or technique, or novel applications, of existing diagnostic medical radiology methods such as magnetic resonance angiography, magnetic resonance spectroscopy, magnetic resonance imaging, Doppler sonography, digital subtraction angiography, and non-invasive thermometry. Possible side effects of the methods covered are also discussed, as e.g. nephropathy induced by contrast media, or artifacts involved in MRI. (UWA). 182 figs., 26 tabs.

  16. Benign chondroblastoma - malignant radiological appearances

    Schulze, K.; Treugut, H.; Mueller, G.E.


    The very rare benign chondroblastoma occasionally invades soft tissues and may grow beyond the epiphysis into the metaphysis. In the present case such a tumour did not show the typical radiological appearances, but presented malignant features both on plain films and on the angiogram. The importance of biopsy of tumours which cannot be identified with certainty must be stressed before radical surgery is carried out.

  17. Understanding Mechanisms of Radiological Contamination

    Rick Demmer; John Drake; Ryan James, PhD


    Over the last 50 years, the study of radiological contamination and decontamination has expanded significantly. This paper addresses the mechanisms of radiological contamination that have been reported and then discusses which methods have recently been used during performance testing of several different decontamination technologies. About twenty years ago the Idaho Nuclear Technology Engineering Center (INTEC) at the INL began a search for decontamination processes which could minimize secondary waste. In order to test the effectiveness of these decontamination technologies, a new simulated contamination, termed SIMCON, was developed. SIMCON was designed to replicate the types of contamination found on stainless steel, spent fuel processing equipment. Ten years later, the INL began research into methods for simulating urban contamination resulting from a radiological dispersal device (RDD). This work was sponsored by the Defense Advanced Research Projects Agency (DARPA) and included the initial development an aqueous application of contaminant to substrate. Since 2007, research sponsored by the US Environmental Protection Agency (EPA) has advanced that effort and led to the development of a contamination method that simulates particulate fallout from an Improvised Nuclear Device (IND). The IND method diverges from previous efforts to create tenacious contamination by simulating a reproducible “loose” contamination. Examining these different types of contamination (and subsequent decontamination processes), which have included several different radionuclides and substrates, sheds light on contamination processes that occur throughout the nuclear industry and in the urban environment.

  18. Quality management systems in radiology

    Geoffrey K. Korir


    Full Text Available Background: The use of X-ray imaging is ever increasing in proportion to the need for radiological services and technological capabilities. Quality management that includes patient radiation dose monitoring is fundamental to safety and quality improvement of radiological services.Objective: To assess the level of quality management systems in X-ray medical facilities in Kenya.Methods: Quality management inspection, quality control performance tests and patient radiation exposure were assessed in 54 representative X-ray medical facilities. Additionally, a survey of X-ray examination frequency was conducted in 140 hospitals across the country.Results: The overall findings placed the country’s X-ray imaging quality management systems at 61±3% out of a possible 100%. The most and the least quality assurance performance indicators were general radiography X-ray equipment quality control tests at 88±4%, and the interventional cardiology adult examinations below diagnostic reference level at 25±1%, respectively.Conclusions: The study used a systematic evidence-based approach for the assessment of national quality management systems in radiological practice in clinical application, technical conduct of the procedure, image quality criteria, and patient characteristics as part of the quality management programme.

  19. Radiologic evaluation of os odontoideum

    Lee, Eun Ju; Chung, Tae Sub; Suh, Jung Ho; Kim, Dong Ik; Kim, Yong Soo; Park, Hyoung Chun; Oh, Soung Hoon [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    We took an analysis on the clinical and radiologic findings of os odontoideum, which had been regarded as relatively uncommon disease, on 5 patients whom we have recently experienced. Our results were as follows: 1. Os odontoideums were incidentally discovered during the radiologic evaluation of traumatised 4 cases, who had been well being. Another one case of os odontoideum was associated with multiple epiphyseal dysplasia. 2. General radiologic findings of os odontoideum were a round or oval and hypoplastic ossicle separated from the base of odontoid process by wise gap. 3. Alanto-Axial instability was developed in 5 cases of os odontoideum by flexion and extension stress view of lateral cervical spine. 4. Flexion views of lateral cervical spine showed narrowing of anteroposterior diameter of spinal canal which were available at atlantoaxial level on 5 cases of os odontoidum. 5. CT myelogram and cervical myelogram showed anteriorly compressed dural sac and deformed spinal cord by body of axis at the atlanto-axial level.

  20. Telemetry of Aerial Radiological Measurements

    H. W. Clark, Jr.


    Telemetry has been added to National Nuclear Security Administration's (NNSA's) Aerial Measuring System (AMS) Incident Response aircraft to accelerate availability of aerial radiological mapping data. Rapid aerial radiological mapping is promptly performed by AMS Incident Response aircraft in the event of a major radiological dispersal. The AMS airplane flies the entire potentially affected area, plus a generous margin, to provide a quick look at the extent and severity of the event. The primary result of the AMS Incident Response over flight is a map of estimated exposure rate on the ground along the flight path. Formerly, it was necessary to wait for the airplane to land before the map could be seen. Now, while the flight is still in progress, data are relayed via satellite directly from the aircraft to an operations center, where they are displayed and disseminated. This permits more timely utilization of results by decision makers and redirection of the mission to optimize its value. The current telemetry capability can cover all of North America. Extension to a global capability is under consideration.

  1. CP-50 calibration facility radiological safety assessment document

    Chilton, M.W.; Hill, R.L.; Eubank, B.F.


    The CP-50 Calibration Facility Radiological Safety Assessment document, prepared at the request of the Nevada Operations Office of the US Department of Energy to satisfy provisions of ERDA Manual Chapter 0531, presents design features, systems controls, and procedures used in the operation of the calibration facility. Site and facility characteristics and routine and non-routine operations, including hypothetical incidents or accidents are discussed and design factors, source control systems, and radiation monitoring considerations are described.

  2. Nucleating emergency radiology specialization in India.

    Agrawal, Anjali; Khandelwal, Niranjan


    Emergency radiology is being recognized as an important and distinct specialty of radiology which merits utmost attention of educators, radiology program curricula committees, and radiology practices in India. Providing an accurate but timely diagnosis requires a skilled judgement and a strong process framework, particularly in acute trauma setting or a life-threatening acute illness. However, due to a shortage of radiologists in India and lack of awareness and suitable opportunities, there has been no concerted movement towards emergency radiology subspecialty training or dedicated emergency radiology positions. It was with these gaps in mind that the Society for Emergency Radiology was envisioned in 2012 and formulated in 2013. The proposed role of the Society for Emergency Radiology is to identify deficiencies in the field, namely, lack of adequate exposure, lack of mentorship by experienced emergency radiologists, lack of suitable opportunities for emergency radiologists; establish standards of practice; and promote education and implementation research to bridge the gaps. Through collaboration with other societies and partnership with the journal Emergency Radiology, the Society for Emergency Radiology hopes to promote a free exchange of ideas, protocols, and multi-institutional trials across continents.

  3. Assessment of Safety Parameters for Radiological Explosion Based on Gaussian Dispersion Model

    Pandey, Alok [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Yu, Hyungjoon; Kim, Hong Suk [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)


    These sources if used with explosive (called RDD - radiological dispersion device), can cause dispersion of radioactive material resulting in public exposure and contamination of the environment. Radiological explosion devices are not weapons for the mass destruction like atom bombs, but can cause the death of few persons and contamination of large areas. The reduction of the threat of radiological weapon attack by terrorist groups causing dispersion of radioactive material is one of the priority tasks of the IAEA Nuclear Safety and Security Program.Emergency preparedness is an essential part for reducing and mitigating radiological weapon threat. Preliminary assessment of dispersion study followed by radiological explosion and its quantitative effect will be helpful for the emergency preparedness team for an early response. The effect of the radiological dispersion depends on various factors like radioisotope, its activity, physical form, amount of explosive used and meteorological factors at the time of an explosion. This study aim to determine the area affected by the radiological explosion as pre assessment to provide feedback to emergency management teams for handling and mitigation the situation after an explosion. Most practical scenarios of radiological explosion are considered with conservative approach for the assessment of the area under a threat for emergency handling and management purpose. Radioisotopes under weak security controls can be used for a radiological explosion to create terror and socioeconomic threat for the public. Prior assessment of radiological threats is helpful for emergency management teams to take prompt decision about evacuation of the affected area and other emergency handling actions. Comparable activities of Co-60 source used in radiotherapy and Sr-90 source of disused and orphaned RTGs with two different quantities of TNT were used for the scenario development of radiological explosion. In the Basic Safety Standard (BSS

  4. [European curriculum for further education in radiology].

    Ertl-Wagner, B


    The European training curriculum for radiology of the European Society of Radiology (ESR) aims to harmonize training in radiology in Europe. Levels I and II constitute the centerpiece of the curriculum. The ESR recommends a 5-year training period in radiology with 3 years of level I and 2 years of level II training. The undergraduate (U) level curriculum is conceived as a basis for teaching radiology in medical schools and consists of a modality-oriented U1 level and an organ-based U2 level. Level III curricula provide contents for subspecialty and fellowship training after board certification in radiology. The curricular contents of all parts of the European Training Curriculum are divided into the sections knowledge, skills as well as competences and attitudes. The European training curriculum is meant to be a recommendation and a basis for the development of national curricula, but is not meant to replace existing national regulations.

  5. Radiological protection and calibration of an activity meter with cesium and barium sources in a nuclear medicine center; Proteccion radiologica y calibracion de un activimetro con fuentes de cesio y bario en un centro de medicina nuclear

    Morales L, M.E. [IPEN INEN Centro de Medicina Nuclear, Av. Aviacion 3799, Lima 34 (Peru)


    Presently work is shown the results when gauging a team Deluxe Isotope (Caliper 11) with some sources of Cesium 137 and Barium 133, in a Center of Medicine Nuclear that operates from the anus 1983 in a modern building inside the one Institute of Illnesses Neoplasia (Inn). This Center was equipped initially with teams donated by the International Organism of Atomic Energy (Oa) with those that it develops assistance, educational works and of investigation, giving services to patient of the Inn and other public and private medical centers. (Author)

  6. Radiology.

    Patel, Ketan; Wallace, Roxanne; Busconi, Brian D


    Hip and groin pain are a common complaint among athletes of all ages, and may result from an acute injury or from chronic, repetitive trauma. Hip injuries can be intraarticular, extraarticular, or both. Labral abnormalities may occur in asymptomatic patients as well as in those with incapacitating symptoms and signs. Athletic hip injury leading to disabling intraarticular hip pain most commonly involves labral tear. The extraarticular causes are usually the result of overuse activity, leading to inflammation, tendonitis, or bursitis. In clinical practice, the term athletic pubalgia is used to describe exertional pubic or groin pain.

  7. Radiological findings of pulmonary aspergillosis

    Song, Kounn Sik; Im, Chung Kie [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    The pulmonary aspergillosis is a group of three separate disease, comprising invasive aspergillosis, aspergilloma, and allergic bronchopulmonary aspergillosis, or a disease process in which one of three entities overlap with another process such as mucoid impaction, pulmonary infiltration with eosinophilia, bronchocentric granulomatosis, microgranulomatous hypersensitivity, or asthma. The radiological findings of 24 cases of pulmonary aspergillosis diagnosed and treated at Seoul National University Hospital during the past 7 years were analyzed retrospectively. The results were as follows: 1. Final diagnosis of 24 cases of pulmonary aspergillosis was aspergilloma in 16 cases, invasive aspergillosis in 2 cases, variant form of allergic bronchopulmonary aspergillosis in 3 cases, and endobronchial aspergillosis in 3 cases. 2. The underlying causes of the aspergilloma were healed tuberculous cavity in 6 cases, bronchiectasis in 8 cases, and no underlying cause were found in 2 cases. All the 16 cases of aspergilloma were correctly diagnosed without difficultly by demonstrating the intracavitary mass or air meniscus. 3. Radiological findings of the invasive aspergillosis in kidney transplant patients were multiple round nodules with early cavitation and formation of aspergilloma which shows slowly progressive cavitation over 13 months in one case, and diffusely scattered miliary nodules with occasional cavitation in the other case. 4. Classic allergic bronchopulmonary aspergillosis were not found in our series but variant form of ABPA was found in 3 young female patients. All the three patients shows some degree of central bronchiectasis and combined aspergilloma was found in 2 cases. 5. Three patients diagnosed as endobronchial aspergillosis-saprophytic infection of aspergillus in the bronchial tree-by bronchoscopic biopsy shows nonspecific radiological findings.

  8. [Interventional radiology: current problems and new directions].

    Santos Martín, E; Crespo Vallejo, E


    In recent years, vascular and interventional radiology has become one of the fastest growing diagnostic and therapeutic specialties. This growth has been based on a fundamental concept: performing minimally invasive procedures under imaging guidance. This attractive combination has led to the interest of professionals from other clinical specialties outside radiology in performing this type of intervention. The future of vascular and interventional radiology, although uncertain, must be linked to clinical practice and multidisciplinary teamwork.

  9. Ebola virus disease: radiology preparedness.

    Bluemke, David A; Meltzer, Carolyn C


    At present, there is a major emphasis on Ebola virus disease (EVD) preparedness training at medical facilities throughout the United States. Failure to have proper EVD procedures in place was cited as a major reason for infection of medical personnel in the United States. Medical imaging does not provide diagnosis of EVD, but patient assessment in the emergency department and treatment isolation care unit is likely to require imaging services. The purpose of this article is to present an overview of relevant aspects of EVD disease and preparedness relevant to the radiologic community. © RSNA, 2014.

  10. Computational radiology in skeletal radiography

    Peloschek, Ph.; Nemec, S. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Widhalm, P. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Pattern Recognition and Image Processing Group, Department of Computer Aided Automation, Vienna University of Technology, Wiedner Hauptstrasse 8-10/020, A-1040 Vienna (Austria); Donner, R. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Pattern Recognition and Image Processing Group, Department of Computer Aided Automation, Vienna University of Technology, Wiedner Hauptstrasse 8-10/020, A-1040 Vienna (Austria); Institute for Computer Graphics and Vision, Graz University of Technology, Inffeldgasse 16, A-8010 Graz (Austria); Birngruber, E. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Thodberg, H.H. [Visiana Aps, Sollerodvej 57C, DK-2840 Holte (Denmark); Kainberger, F. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Langs, G. [Computational Image Analysis and Radiology Lab (CIR), Department of Radiology, Medical University Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria)], E-mail:


    Recent years have brought rapid developments in computational image analysis in musculo-skeletal radiology. Meanwhile the algorithms have reached a maturity that makes initial clinical use feasible. Applications range from joint space measurement to erosion quantification, and from fracture detection to the assessment of alignment angles. Current results of computational image analysis in radiography are very promising, but some fundamental issues remain to be clarified, among which the definition of the optimal trade off between automatization and operator-dependency, the integration of these tools into clinical work flow and last not least the proof of incremental clinical benefit of these methods.

  11. Schneckenbecken dysplasia, radiology, and histology

    Nikkels, P.G. [Rijksuniversiteit Utrecht (Netherlands). Dept. of Pathology; Stigter, R.H. [Div. of Neonatology and Obstetrics, University Medical Centre Utrecht (Netherlands); Knol, I.E. [Div. of Medical Genetics, University Medical Centre Utrecht (Netherlands); Harten, H.J. van der [Dept. of Pathology, Free University Amsterdam (Netherlands)


    To our knowledge this is the first report of Schneckenbecken dysplasia with the development of hydrops early in the second trimester. The radiological findings showed the typical hypoplastic iliac bones with medial extension and very flattened, on lateral view, oval-shaped vertebral bodies and short long bones. The histology showed hypercellular and hypervascular cartilage with chondrocytes with centrally located nucleus. The absence of the lacunar space as described before was also observed in some chondrocytes in our case. This male fetus was the product of consanguineous parents of Mediterranean origin compatible with autosomal recessive inheritance. (orig.)

  12. Radiology of total hip replacement

    Griffiths, H.J.; Lovelock, J.E.; McCollister Evarts, C.; Geyer, D.


    The radiology of total hip replacement (THR) and its complications is reviewed in conjunction with a long-term follow-up study on 402 patients with 501 prostheses. The indications, contraindications, biomechanics, and operative management of these patients is discussed. Clinical complications such as deep vein thrombosis, pulmonary embolism, and hemorrhage are mentioned. Postoperative infections including granulomatous pseudotumors, dislocations and fractures, true loosening of the prosthesis, and heterotopic bone formation (HBF) are discussed and illustrated. The importance of differentiating the lucent line from true loosening is stressed. Mechanical and other clinical complications which are largely ignored by radiologists are also discussed. The uses of arthrography and bone scanning are included.

  13. Online social networking for radiology.

    Auffermann, William F; Chetlen, Alison L; Colucci, Andrew T; DeQuesada, Ivan M; Grajo, Joseph R; Heller, Matthew T; Nowitzki, Kristina M; Sherry, Steven J; Tillack, Allison A


    Online social networking services have changed the way we interact as a society and offer many opportunities to improve the way we practice radiology and medicine in general. This article begins with an introduction to social networking. Next, the latest advances in online social networking are reviewed, and areas where radiologists and clinicians may benefit from these new tools are discussed. This article concludes with several steps that the interested reader can take to become more involved in online social networking. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

  14. Retracted Publications Within Radiology Journals.

    Rosenkrantz, Andrew B


    The purpose of this study was to characterize trends related to retracted publications within radiology journals. PubMed was queried to identify all articles with the publication type "retracted publication" or "notification of retraction." Articles published within radiology journals were identified using Journal Citation Reports' journal categories. Available versions of original articles and publication notices were accessed from journal websites. Citations to retracted publications were identified using Web of Science. Overall trends were assessed. Forty-eight retracted original research articles were identified within radiology journals since 1983, which included 1.1% of all PubMed "retracted publication" entries. Distinct PubMed entries were available for the retracted publication and retraction notification in 39 of 48 articles. The original PDF was available for 37 articles, although the articles were not watermarked as retracted in 23 cases. In six cases with a watermarked PDF, further searches identified nonwatermarked versions. Original HTML versions were available for 13 articles but 11 were not watermarked. The mean (± SD) delay between publication and retraction was 2.7 ± 2.8 years (range, 0-16 years). The mean number of citations to retracted articles was 10.9 ± 17.1 (range, 0-94 citations). Reasons for retraction included problematic or incorrect methods or results (although it typically was unclear whether these represented honest errors or misconduct) in 33.3% of cases, complete or partial duplicate publication in 33.3% of cases, plagiarism in 14.6% of cases, a permission issue in 8.3% of cases, the publisher's error in 6.3% of cases, and no identified reason in 6.3% of cases. One or no retractions occurred annually from 1986 to 2001, although two or more retractions occurred annually in nine of the 12 years from 2002 through 2013. Retraction represents an uncommon, yet potentially increasing, issue within radiology journals that publishers

  15. Radiological diagnosis of Brodie's abscess.

    Kowalewski, Michał; Swiatkowski, Jan; Michałowska, Ilona; Swiecicka, Dorota


    Background. Brodie's abscess is a kind of rare subacute or chronic osteitis. It is probably caused by mistreated or non-treated osteitis, or by bacteria of low virulence. Material and methods. In the Orthopedic and Traumatology Clinic of our medical school 5 patients were diagnosed with Brodie's obsecess between 1999 and 2002. all the patients had conventional x-rays, while one also had CT and MRI. Results and conclusions. The typical x-ray image shows an osteolytic lesion with sclerotic margin in the diametophysis. Each of the 5 patients had surgery. In 4 cases the histopatological results confirmed the radiological diagnosis. In one case fibrous dysplasia was found.

  16. Emergency department musculoskeletal radiological requests abuse and patients attitude toward radiological exposure in Saudi Arabia

    T. Montaser*


    Conclusion: People in Saudi Arabia expose to huge amount of radiological hazardous with a common believe that radiology is essential for diagnosis all musculoskeletal injuries. Wealthy medical system does not always lead to competent practice.

  17. The role of radiology in Campylobacter enterocolitis

    Demaerel, P.; Ponette, E.; Baert, A.L. (Leuven Univ. (Belgium). Dept. of Radiology); Lacquet, F.; Verbist, L. (Leuven Univ. (Belgium). Dept. of Microbiology); Rutgeerts, A.L. (Leuven Univ. (Belgium). Dept. of Internal Medicine)


    A series of 18 patients with diarrhoea and positive stool cultures for Campylobacter jejuni is presented. The most important radiological features were thickening of ileal mucosal folds, of interhaustral indentations and of the ileocaecal valve, lymphoid hyperplasia and microulcerations. Radiology, as well as endoscopy, are both non-specific in Campylobacter jejuni enterocolitis. The importance of radiology is to exclude more typical features of other causes of inflammatory bowel diseases. Moreover, before the result of the stool culture is available, the radiological features should suggest the suspicion of an acute infectious enterocolitis by Campylobacter jejuni as possible diagnosis. (orig.).

  18. Radiological Features and Postoperative Histopathologic Diagnosis ...

    Radiological Features and Postoperative Histopathologic Diagnosis of Intracranial Masses at Tikur Anbessa ... East and Central African Journal of Surgery ... features and postoperative histopathology diagnosis of intracranial mass lesions.

  19. Implementation of a Radiological Safety Coach program

    Konzen, K.K. [Safe Sites of Colorado, Golden, CO (United States). Rocky Flats Environmental Technology Site; Langsted, J.M. [M.H. Chew and Associates, Golden, CO (United States)


    The Safe Sites of Colorado Radiological Safety program has implemented a Safety Coach position, responsible for mentoring workers and line management by providing effective on-the-job radiological skills training and explanation of the rational for radiological safety requirements. This position is significantly different from a traditional classroom instructor or a facility health physicist, and provides workers with a level of radiological safety guidance not routinely provided by typical training programs. Implementation of this position presents a challenge in providing effective instruction, requiring rapport with the radiological worker not typically developed in the routine radiological training environment. The value of this unique training is discussed in perspective with cost-savings through better radiological control. Measures of success were developed to quantify program performance and providing a realistic picture of the benefits of providing one-on-one or small group training. This paper provides a description of the unique features of the program, measures of success for the program, a formula for implementing this program at other facilities, and a strong argument for the success (or failure) of the program in a time of increased radiological safety emphasis and reduced radiological safety budgets.

  20. Radiology education in 2005: world wide web practice patterns, perceptions, and preferences of radiologists.

    Rowell, Melissa R; Johnson, Pamela T; Fishman, Elliot K


    Internet use has increased greatly in the past decade across all demographic sectors in the United States, and the World Wide Web currently serves as a valuable informational resource for physicians. A study was conducted in 2005 to evaluate the role of the Web in radiology education. A 28-question multiple-choice survey was administered during two institutionally run continuing medical education (CME) conferences. Questions addressed perceptions and use of the Web, as well as preferred resources for radiologic information and radiology education. Surveys were submitted by 92 radiologists, 97% of whom use the Web for radiology education. The reliability of information on the Web was deemed equal to that of information from traditional sources by 69% of respondents. Forty-five percent use the Web for CME; however, an institutionally run course was selected most frequently as the preferred method of CME, as well as the most effective and efficient. The search engine used by the largest number of participants to identify radiologic information is Google. For reading journal articles, 67% of respondents prefer hard copy. Monthly review of publications made available online before the print version is performed by only 26%. The results of the survey indicate that, despite an increase in Internet use and the perception that Web-based information is reliable, most practicing radiologists still prefer traditional educational resources for radiologic information and radiology education.

  1. Bony sequestrum: A radiologic review

    Jennin, Felicie; Bousson, Valerie; Parlier, Caroline; Jomaah, Nabil; Khanine, Vanessa; Laredo, Jean-Denis [Lariboisiere Hospital, Department of Radiology, Paris (France)


    According to a pathological definition, a bony sequestrum is defined as a piece of devitalized bone that has been separated from the surrounding bone during the process of necrosis. However, the radiological definition of a sequestrum is different and refers to an image of calcification visible within a lucent lesion, completely separated from the surrounding bone, without referring to the vascular status and histological nature of the calcified tissue. The term ''button sequestrum'' has been used in calvarial lesions. The prototype conditions that may present with a bony sequestrum are osteomyelitis and skeletal tuberculosis. Other conditions such as radiation necrosis, eosinophilic granuloma, metastatic carcinoma, primary lymphoma of bone, aggressive fibrous tumors may also manifest as osteolytic lesions containing a sequestrum. In addition, some primary bone tumors produce a matrix that may mineralize and sometimes simulate a bone sequestrum. These include osteoid tumors (osteoid osteoma, osteoblastoma), cartilaginous tumors (chondroma and chondroblastoma), lipomatous tumors (lipoma), and benign fibrous tumors (fibromyxoma, myxoma, and desmoplastic fibroma). Therefore, various conditions may present at imaging as a small area of osteolysis containing central calcifications. However, a careful analysis of the sequestrum as well as the associated clinical and radiological findings often enables to point toward a limited number of conditions. (orig.)

  2. Hanford radiological protection support services annual report for 1987

    Lyon, M.; Fix, J.J.; Kenoyer, J.L.; Leonowich, J.A.; Palmer, H.E.; Sula, M.J.


    This report documents the performance of certain radiological protection sitewide services during calendar year (CY) 1987 by Pacific Northwest Laboratory in support of the US Department of Energy-Richland Operations Office (DOE-RL) and contractor activities on the Hanford Site. The routine program for each service is discussed along with any significant program changes and tasks, investigations, and studies performed in support of each program. Other related activities such as publications, presentations, and memberships on standards or industry committees are also discussed. The programs covered provide services in the areas of: external dosimetry, internal dosimetry, in vivo measurements, instrument calibration and evaluation, calibration of radiation sources traceable to the National Bureau of Standards, and radiological records. 21 refs., 10 figs., 12 tabs.

  3. 2015 RAD-AID Conference on International Radiology for Developing Countries: The Evolving Global Radiology Landscape.

    Kesselman, Andrew; Soroosh, Garshasb; Mollura, Daniel J


    Radiology in low- and middle-income (developing) countries continues to make progress. Research and international outreach projects presented at the 2015 annual RAD-AID conference emphasize important global themes, including (1) recent slowing of emerging market growth that threatens to constrain the advance of radiology, (2) increasing global noncommunicable diseases (such as cancer and cardiovascular disease) needing radiology for detection and management, (3) strategic prioritization for pediatric radiology in global public health initiatives, (4) continuous expansion of global health curricula at radiology residencies and the RAD-AID Chapter Network's participating institutions, and (5) technologic innovation for recently accelerated implementation of PACS in low-resource countries. Published by Elsevier Inc.

  4. Radiological-dose assessments of atolls in the northern Marshall Islands

    Robison, W.L.


    The Marshall Islands in the Equatorial Pacific, specifically Enewetak and Bikini Atolls, were the site of US nuclear testing from 1946 through 1958. In 1978, the Northern Marshall Islands Radiological Survey was conducted to evaluate the radiological conditions of two islands and ten atolls downwind of the proving grounds. The survey included aerial external gamma measurements and collection of soil, terrestrial, and marine samples for radionuclide analysis to determine the radiological dose from all exposure pathways. The methods and models used to estimate doses to a population in an environment where natural processes have acted on the source-term radionuclides for nearly 30 y, data bases developed for the models, and results of the radiological dose analyses are described.

  5. Curricular Guidelines for Dental Auxiliary Radiology.

    Journal of Dental Education, 1981


    AADS curricular guidelines suggest objectives for these areas of dental auxiliary radiology: physical principles of X-radiation in dentistry, related radiobiological concepts, principles of radiologic health, radiographic technique, x-ray films and intensifying screens, factors contributing to film quality, darkroom, and normal variations in…

  6. Radiology Aide. Instructor Key [and] Student Manual.

    Hartwein, Jon; Dunham, John

    This manual can be used independently by students in secondary health occupations programs or by persons receiving on-the-job training in a radiology department. The manual includes an instructor's key that provides answers to the activity sheets and unit evaluations. The manual consists of the following five units: (1) orientation to radiology;…

  7. Curricular Guidelines for Dental Auxiliary Radiology.

    Journal of Dental Education, 1981


    AADS curricular guidelines suggest objectives for these areas of dental auxiliary radiology: physical principles of X-radiation in dentistry, related radiobiological concepts, principles of radiologic health, radiographic technique, x-ray films and intensifying screens, factors contributing to film quality, darkroom, and normal variations in…

  8. Radiology Aide. Instructor Key [and] Student Manual.

    Hartwein, Jon; Dunham, John

    This manual can be used independently by students in secondary health occupations programs or by persons receiving on-the-job training in a radiology department. The manual includes an instructor's key that provides answers to the activity sheets and unit evaluations. The manual consists of the following five units: (1) orientation to radiology;…

  9. Nevada Test Site Radiological Control Manual

    Radiological Control Managers' Council - Nevada Test Site


    This document supersedes DOE/NV/11718--079, “NV/YMP Radiological Control Manual,” Revision 5 issued in November 2004. Brief Description of Revision: A complete revision to reflect the recent changes in compliance requirements with 10 CFR 835, and for use as a reference document for Tenant Organization Radiological Protection Programs.

  10. Mucocele of the appendix. Radiological findings

    Inoue, Shingo; Satani, Kenichiro; Ozuki, Taizo [Tokyo Medical Coll. (Japan); Shindou, Hiroaki; Saguchi, Toru; Koizumi, Kiyoshi; Katsumata, Kenji [Tokyo Medical Coll. (Japan). Hachioji Medical Center; Kotake, Fumio [Tokyo Medical Coll., Ami, Ibaraki (Japan). Kasumigaura Hospital


    Radiological findings of CT and MRI were evaluated in 11 cases of mucocele of the appendix. Mucocele is a rare disease entity and preoperative diagnosis is very important. The radiological findings were a well defined cystic mass with a wall of variable thickness. Nodular lesion in the wall of the mucocele may be a suggestive finding of malignant case of mucocele. (author)

  11. New trends in radiology workstation design

    Moise, Adrian; Atkins, M. Stella


    In the radiology workstation design, the race for adding more features is now morphing into an iterative user centric design with the focus on ergonomics and usability. The extent of the list of features for the radiology workstation used to be one of the most significant factors for a Picture Archiving and Communication System (PACS) vendor's ability to sell the radiology workstation. Not anymore is now very much the same between the major players in the PACS market. How these features work together distinguishes different radiology workstations. Integration (with the PACS/Radiology Information System (RIS) systems, with the 3D tool, Reporting Tool etc.), usability (user specific preferences, advanced display protocols, smart activation of tools etc.) and efficiency (what is the output a radiologist can generate with the workstation) are now core factors for selecting a workstation. This paper discusses these new trends in radiology workstation design. We demonstrate the importance of the interaction between the PACS vendor (software engineers) and the customer (radiologists) during the radiology workstation design. We focus on iterative aspects of the workstation development, such as the presentation of early prototypes to as many representative users as possible during the software development cycle and present the results of a survey of 8 radiologists on designing a radiology workstation.

  12. Radiological health aspects of uranium milling

    Fisher, D.R.; Stoetzel, G.A.


    This report describes the operation of conventional and unconventional uranium milling processes, the potential for occupational exposure to ionizing radiation at the mill, methods for radiological safety, methods of evaluating occupational radiation exposures, and current government regulations for protecting workers and ensuring that standards for radiation protection are adhered to. In addition, a survey of current radiological health practices is summarized.

  13. Bridging radiology and public health: the emerging field of radiologic public health informatics.

    Mollura, Daniel J; Carrino, John A; Matuszak, Diane L; Mnatsakanyan, Zaruhi R; Eng, John; Cutchis, Protagoras; Babin, Steven M; Sniegoski, Carol; Lombardo, Joseph S


    Radiology and public health have an emerging opportunity to collaborate, in which radiology's vast supply of imaging data can be integrated into public health information systems for epidemiologic assessments and responses to population health problems. Fueling the linkage of radiology and public health include (i) the transition from analog film to digital formats, enabling flexible use of radiologic data; (ii) radiology's role in imaging across nearly all medical and surgical subspecialties, which establishes a foundation for a consolidated and uniform database of images and reports for public health use; and (iii) the use of radiologic data to characterize disease patterns in a population occupying a geographic area at one time and to characterize disease progression over time via follow-up examinations. The backbone for this integration is through informatics projects such as Systematized Nomenclature of Medicine Clinical Terms and RadLex constructing terminology libraries and ontologies, as well as algorithms integrating data from the electronic health record and Digital Imaging and Communications in Medicine Structured Reporting. Radiology's role in public health is being tested in disease surveillance systems for outbreak detection and bioterrorism, such as the Electronic Surveillance System for the Early Notification of Community-based Epidemics. Challenges for radiologic public health informatics include refining the systems and user interfaces, adhering to privacy regulations, and strengthening collaborative relations among stakeholders, including radiologists and public health officials. Linking radiology with public health, radiologic public health informatics is a promising avenue through which radiology can contribute to public health decision making and health policy.

  14. Radiology illustrated. Uroradiology. 2. ed.

    Kim, Seung Hyup (ed.) [Seoul National University Hospital, Seoul (Korea, Republic of). Dept. of Radiology


    Uroradiology is an up-to-date, image-oriented reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. All aspects of the imaging of urologic diseases are covered, and case studies illustrate the findings obtained with the relevant imaging modalities in both common and uncommon conditions. Most chapters focus on a particular clinical problem, but normal findings, congenital anomalies, and interventions are also discussed and illustrated. In this second edition, the range and quality of the illustrations have been enhanced, and many schematic drawings have been added to help readers memorize characteristic imaging findings through pattern recognition. The accompanying text is concise and informative. Besides serving as an outstanding aid to differential diagnosis, this book will provide a user-friendly review tool for certification or recertification in radiology. (orig.)

  15. Radiological protection in veterinary practice

    Konishi, Emiko; Tabara, Takashi (Tokyo Univ. (Japan). Research Center for Nuclear Engineering and Technology); Kusama, Tomoko


    To propose measures for radiological protection of veterinary workers in Japan, X-ray exposure of workers in typical conditions in veterinary clinics was assessed. Dose rates of useful beam and scattered radiation, worker exposure doses at different stations, and effectiveness of protective clothing were determined using TLD and ion chambers. As precausions against radiation, the following practices are important: (1) use of suitable and properly maintained X-ray equipment, (2) proper selection of safe working stations, (3) use of protective clothing. Regulations are necessary to restrict the use of X-rays in the veterinary field. Because the use of X-rays in the veterinary field is not currently controlled by law, the above precautions are essential for minimizing exposure of veterinary staff. (author).

  16. Radiological aspects of psoriatic osteoarthropathia

    Ellegast, H.H.; Haydl, H.; Petershofer, H.; Prohaska, E.


    Psoriatic osteoarthropathia is a disease of the joints, spine, and bones. It belongs to the category of ''seronegative spondarthritis'', the prototype of which is ankylosing spondylitis. Contrary to earlier assumptions, morphological changes in the X-ray picture are frequent if the joints (psoriatic arthritis) or axial skeleton (psoriatic spondylitis) are affected. Radiographic signs are listed and scintigraphic findings discussed. The morphological changes in the X-ray picture are characteristic, even without psoriatic lesions of the skin. Sacro-iliac changes in the axial skeleton are frequent. In other parts of the skeleton, typical parasyndesmophytes are slightly less frequent, and changes as in ankylosing spondylitis may occur. The diagnosis is easier with whole-body scintiscanning as this technique is able to detect early changes which are not noticeable clinically or radiologically.

  17. Radiologic Imaging of Diaphragmatic Pathologies

    Hatice Öztürkmen Akay


    Full Text Available We researched the images methods in the evaluation of diaphragmaticpathologies. The study was done with 30 patients (21 males, 9 females. Themedian age of the patients was 36.1 years (Range 1-74 years. Firstly,lateraly and posteroanterior chest X-Ray were done in all patients the otherradiological images were the Barium examination, ultrasonography,computerized tomography and magnetic rezonans imaging. We determineddiaphragmatic pseudotumour in 4 patients, congenital diaphragmatichernia in 6 patients, diaphragmatic paralysis in 2 patients, diaphragmaticelevation in 8 patients, hiatal hernia in 5 patients, and diaphragmaticrupture in 5 patients.Although radiological images were developed all, we believe that thediaphragmatic pathologies should be evaluated with both clinically andradiologically in all patients.

  18. Radiology of gestational trophoblastic neoplasia

    Allen, S.D. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Lim, A.K. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Seckl, M.J. [Department of Medical Oncology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Blunt, D.M. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom); Mitchell, A.W. [Department of Radiology, Charing Cross Hospital, Hammersmith Hospitals NHS Trust, London (United Kingdom)]. E-mail:


    Gestational trophoblastic neoplasia (GTN) encompasses a broad spectrum of placental lesions from the pre-malignant hydatidiform mole (complete and partial) through to the malignant invasive mole, choriocarcinoma and rare placental site trophoblastic tumour (PSTT). Ultrasound remains the radiological investigation of choice for initial diagnosis, and it can also predict invasive and recurrent disease. Magnetic resonance imaging is of invaluable use in assessing extra-uterine tumour spread, tumour vascularity, and overall staging. Positron emission tomography and computed tomography undoubtedly have a role in recurrent and metastatic disease, while angiography has a place in disease and complication management. This review will describe the relevant pathophysiology and natural history of GTN, and the use of imaging techniques in the diagnosis and management of these conditions.

  19. The interventional radiology business plan.

    Beheshti, Michael V; Meek, Mary E; Kaufman, John A


    Strategic planning and business planning are processes commonly employed by organizations that exist in competitive environments. Although it is difficult to prove a causal relationship between formal strategic/business planning and positive organizational performance, there is broad agreement that formal strategic and business plans are components of successful organizations. The various elements of strategic plans and business plans are not common in the vernacular of practicing physicians. As health care becomes more competitive, familiarity with these tools may grow in importance. Herein we provide an overview of formal strategic and business planning, and offer a roadmap for an interventional radiology-specific plan that may be useful for organizations confronting competitive and financial threats.


    Rade R. Babic


    Full Text Available Renal papylar necrosis is rare disease. It is diagnosed by intravenous urography. Radio-logical presentation is patognomonical: necrotis focus of the papila, on the urogram is visualised as a punctiformne, blot spot of the iodine contrast, or the depots of the iodine contrast are spread from the edge of fornix to the renal medulla as a ribbon-like or needle-shaped formations, apear-ing in a late phase of illness like a crebs legs or feeler, sometimes convergning in the oreol or in ring-shaped formation, while necrotic sequestar is resorbed formating the cavity filled by iodine contrast, which has trigonal shape with the lateral basis, or necrotican sequestar can be removed with the channel system obstruction, presenting with the picture of ureterohydronephrosis, caused by the organic concrement. In the late stadium of the desease necrotic cavity can present with calcified wall and it can be diagnoses also at the native radiogram of the urotract.

  1. Evidence-based practice in radiology: Knowledge, attitude and perceived barriers to practice among residents in radiology

    Anuradha, Chandramohan, E-mail: [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Jacob, K.S., E-mail: [Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Specialist Mental Health Service for Older People, Suite 106, 64–68 Derby Street, Kingswood, Penrith 2750 (Australia); Shyamkumar, N.K., E-mail: [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Sridhar, Gibikote, E-mail: [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India)


    Aim: We examinted the attitude, knowledge and perceived barriers to evidence-based practice of radiology (EBPR) among residents in radiology. Study design and setting: We used the McColl questionnaire (1) and the BARRIERS scale (2) to assess the issues among radiology trainees attending an annual refresher course. Ninety six residents from 32 medical colleges from Southern India attended the course. Results: Eighty (83.3%) residents, 55 male and 25 female of age range 24–34 years, consented and returned the questionnaire. The majority of the participants had a positive attitude towards EBPR. However, 45% were unaware of sources for evidence based literature although many had access to Medline (45%) and the internet (80%). The majority (70%) were aware of the common technical terms (e.g. odds ratio, absolute and relative risk) but other complex details (e.g. meta-analysis, clinical effectiveness, confidence interval, publication bias and number needed to treat) were poorly understood. Though majority of residents (59%) were currently following guidelines and protocols laid by colleagues within their departments, 70% of residents were interested in learning the skills of EBPR and were willing to appraise primary literature or systematic reviews by themselves. Insufficient time on the job to implement new ideas (70.1%); relevant literature is not being complied in one place (68.9%); not being able to understand statistical methods (68.5%) were considered to be the major barriers to EBPR. Training in critical appraisal significantly influence usage of bibliographic databases (p < 0.0001). Attitude of collegues (p = 0.006) influenced attitude of the trainees towards EBPR. Those with higher knowledge scores (p = 0.02) and a greater awareness of sources for seeking evidence based literature (p = 0.05) held stronger beliefs that EBPR significantly improved patient care. Conclusions: The large knowledge gap related to EBPR suggests the need to incorporate structured

  2. American diagnostic radiology residency and fellowship programmes.

    Rumack, Carol Masters


    American Diagnostic Radiology Residency and Fellowship programmes are Graduate Medical Education programmes in the United States (US) equivalent to the Postgraduate Medical Education programmes in Singapore. Accreditation Council for Graduate Medical Education (ACGME) accredited diagnostic radiology residency programmes require 5 years total with Post Graduate Year (PGY) 1 year internship in a clinical specialty, e.g. Internal Medicine following medical school. PGY Years 2 to 5 are the core years which must include Radiology Physics, Radiation Biology and rotations in 9 required subspecialty rotations: Abdominal, Breast, Cardiothoracic, Musculoskeletal, Neuroradiology, Nuclear and Paediatric Radiology, Obstetric & Vascular Ultrasound and Vascular Interventional Radiology. A core curriculum of lectures must be organised by the required 9 core subspecialty faculty. All residents (PGY 2 to 4) take a yearly American College of Radiology Diagnostic In-Training Examination based on national benchmarks of medical knowledge in each subspecialty. Because the American Board of Radiology (ABR) examinations are changing, until 2012, residents have to take 3 ABR examinations: (i) ABR physics examination in the PGY 2 to 3 years, (ii) a written examination at the start of the PGY 5 year and (iii) an oral exam at the end of the PGY 5 year. Beginning in 2013, there will be only 2 examinations: (i) the physics and written examinations after PGY 4 will become a combined core radiology examination. Beginning in 2015, the final certifying examination will be given 15 months after the completion of residency. After residency, ACGME fellowships in PGY 6 are all one-year optional programmes which focus on only one subspecialty discipline. There are 4 ACGME accredited fellowships which have a Board Certifi cation Examination: Neuroradiology, Nuclear, Paediatric and Vascular Interventional Radiology. Some ACGME fellowships do not have a certifying examination: Abdominal, Endovascular

  3. Radiological maps for Trabzon, Turkey

    Kurnaz, A., E-mail: [Karadeniz Technical University, Department of Physics, 61080 Trabzon (Turkey); Kucukomeroglu, B. [Karadeniz Technical University, Department of Physics, 61080 Trabzon (Turkey); Damla, N. [Batman University, Department of Physics, 72060 Batman (Turkey); Cevik, U. [Karadeniz Technical University, Department of Physics, 61080 Trabzon (Turkey)


    The activity concentrations and absorbed gamma dose rates due to primordial radionuclides and {sup 137}Cs have been ascertained in 222 soil samples in 18 counties of the Trabzon province of Turkey using a HPGe detector. The mean activity concentrations of {sup 238}U, {sup 232}Th, {sup 40}K and {sup 137}Cs in soil samples were 41, 35, 437 and 21 Bq kg{sup -1}, respectively. Based on the measured concentrations of these radionuclides, the mean absorbed gamma dose in air was calculated as 59 nGy h{sup -1} and hence, the mean annual effective dose due to terrestrial gamma radiation was calculated as 72 {mu}Sv y{sup -1}. In addition, outdoor in situ gamma dose rate (D) measurements were performed in the same 222 locations using a portable NaI detector and the annual effective dose was calculated to be 66 {mu}Sv y{sup -1} from these results. The results presented in this study are compared with other parts of Turkey. Radiological maps of the Trabzon province were composed using the results obtained from the study. - Highlights: {yields} {yields}The study highlights activity concentrations of {sup 238}U, {sup 232}Th, {sup 40}K and {sup 137}Cs in soil. {yields} The absorbed gamma dose in air and the mean annual effective dose were calculated. {yields} The calculated results compared with outdoor in situ gamma dose measurements. {yields} Radiological maps of the Trabzon province were created using ArcGIS applications. {yields} The results will be valuable data for future estimations of radioactive pollution.

  4. Bacteriological Monitoring of Radiology Room Apparatus in the Department of Radiological Technology and Contamination on Hands of Radiological Technologists

    Kim, Seon Chil [Dept. of Radiologic Technology, Daegu Health College, Daegu (Korea, Republic of)


    Distribution of microorganisms were examined for the bucky tables in the radiology rooms of the department of radiological technology, the aprons, handles of various apparatus, handles of mobile radiological apparatus, and hands of the radiological technologists. As a result, relatively larger amounts of bacteria were found on the handles of the mobile radiological apparatus and the aprons. Among the isolated bacteria, Acinetobacter baumanni (7.3%), Klebsiella pneumoniae (6.7%), Staphylococcus aureus (3.9%), Serratia liquefaciens (1.7%), Enterobacter cloaceae (0.6%), Providenica rettgeri (0.6%) are known as the cause of nosocomial infection (hospital acquired infection). In addition, similar colonies were also found on the hands of the radiological technologists such as microorganisms of Klebsiella pneumoniae (8.4%), Staphylococcus aureus (6.6%), Yersinia enterocolotica (5.4%), Acinetobacter baumanni (4.2%), Enterobacter cloaceae (2.4%), Serratia liquefaciens (1.8%), Yersinia pseuotuberculosis (18%), Enterobacter sakazakii (1.2%), and Escherichia coli (0.6%). In particular, this result indicates clinical significance since Staphylococcus aureus and Escherichia coli show strong pathogenicity. Therefore, a continuous education is essential for the radiological technologists to prevent the nosocomial infection.

  5. Radiological Impact Assessment within the IAEA Arctic Assessment Project (IASAP)

    Scott, E.M.; Gurbutt, P.; Harms, I.; Heling, R.; Kinehara, Y.; Nielsen, S.P.; Osvath, I.; Preller, R.; Sazykina, T.; Wada, A.; Sjoeblom, L


    As part of the International Arctic Seas Assessment Project (IASAP) of IAEA, a working group was created to model the dispersal and transfer of radionuclides released from radioactive waste disposed of in the Kara Sea and bays of Novaya Zemlya and to assess the radiological impact. Existing models were extended, and new models developed to incorporate several features of the area (including ice formation and transport) which present modelling challenges. An extensive inter-model comparison involving both compartmental and 3-D hydrodynamic models was then carried out. Finally, the radiological impact was assessed based on several release scenarios prepared by the IASAP Sources working group. These included 'best estimate' release, 'plausible worst case' and 'worst case' scenarios. Collective dose as well as individual dose to identified populations were calculated. This paper reviews the models developed, highlights the general features of the inter-comparison and discusses the radiological impact assessment and conclusions based on it. (author)

  6. Estimating radiological background using imaging spectroscopy

    Bernacki, Bruce E.; Schweppe, John E.; Stave, Sean C.; Jordan, David V.; Kulisek, Jonathan A.; Stewart, Trevor N.; Seifert, Carolyn E.


    Optical imaging spectroscopy is investigated as a method to estimate radiological background by spectral identification of soils, sediments, rocks, minerals and building materials derived from natural materials and assigning tabulated radiological emission values to these materials. Radiological airborne surveys are undertaken by local, state and federal agencies to identify the presence of radiological materials out of regulatory compliance. Detection performance in such surveys is determined by (among other factors) the uncertainty in the radiation background; increased knowledge of the expected radiation background will improve the ability to detect low-activity radiological materials. Radiological background due to naturally occurring radiological materials (NORM) can be estimated by reference to previous survey results, use of global 40K, 238U, and 232Th (KUT) values, reference to existing USGS radiation background maps, or by a moving average of the data as it is acquired. Each of these methods has its drawbacks: previous survey results may not include recent changes, the global average provides only a zero-order estimate, the USGS background radiation map resolutions are coarse and are accurate only to 1 km – 25 km sampling intervals depending on locale, and a moving average may essentially low pass filter the data to obscure small changes in radiation counts. Imaging spectroscopy from airborne or spaceborne platforms can offer higher resolution identification of materials and background, as well as provide imaging context information. AVIRIS hyperspectral image data is analyzed using commercial exploitation software to determine the usefulness of imaging spectroscopy to identify qualitative radiological background emissions when compared to airborne radiological survey data.

  7. Radiologic diagnosis of a newborn with cloaca.

    Kraus, Steven J


    When a female is born and has only a single perineal orifice on the newborn clinical examination, a diagnosis of cloaca type of anorectal malformation is made. Along with associated malformations which may initiate the ordering of radiologic imaging, there are a finite number of radiologic tests that are performed to help in the immediate management of the patient with cloaca. The following discussion will outline the most important radiologic tests and demonstrate examples of images from newborn females with cloaca. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Justification and radiology: some ethical considerations.

    Sia, Santiago


    This paper, which seeks to address the issue of justification in radiology, intends firstly to comment on the current discussion of the ethical foundation of radiological practice that focuses on the move from utilitarianism to the rights-centred criterion. Secondly, and this constitutes the bulk of the paper, it aims to offer a philosophical perspective, which is hoped will lead to a consideration of certain specific areas in ethical decision-making in the attempts here to deal with the main issue of justification in radiology.

  9. Evidence-Based Radiology (EBR

    Mansoor Fatehi


    Full Text Available   "nRecent increase in scientific advancements has led to inability to cover many scientific data and remain “up-to-date”. Nowadays doubling time of scientific data production is remarkably reduced, so that there is no adequate time to find this information and it seems inevitable to use resources which periodically assess most published papers or web-based data in that particular field to finally provide evidence-based knowledge, namely “Evidence-Based Medicine (EBM” in medical sciences. EBM is the systematic, scientific and explicit use of current best evidence in making decisions about the care of individual patients. Medical practice is largely based on clinical anecdotes, uncontrolled investigations and expert opinion. In radiology, the situation is especially problematic. "nRadiologists require to be able to evaluate studies in the literature, i.e., how reliable is this information and does it apply to patients in the radiologist’s practice? "nWe may find that our textbooks are out of date, guidelines are non-specific and there are conflicting "nor unreliable reports in the literature. Expert opinions vary from centre to centre. "nWhen we go to the literature ourselves, the first problem we encounter is the volume of literature being published and the next (at least for most of us is lack of training in how to separate good studies from weak ones. Evidence-based radiology (EBR can be a solution. "nThere are 5 steps in applying an approach as a solution: "n1. Ask - Information needs relevant to individual patients are converted into ‘answerable’ or ‘focused’ questions. "n2. Search - A comprehensive literature search is performed to find the best evidence to help answer these questions. "n3. Appraise - The evidence must then be critically appraised, in an explicit and structured manner, in order to establish its validity, reliability and usefulness in practice. "n4. Apply - The results of this critical appraisal are then

  10. Radiologic findings of thoracic trauma

    Akgul Ozmen C


    Full Text Available Cihan Akgul Ozmen,1 Serdar Onat,2 Delal Aycicek3 1Department of Radiology, 2Department of Chest Surgery, Dicle University School of Medicine, Diyarbakir, 3Radiology Unit, Siirt State Hospital, Siirt, Turkey Introduction: Chest trauma may be blunt or penetrating and the chest is the third most common trauma region. It is a significant cause of mortality. Multidetector computed tomography (MDCT has been an increasingly used method to evaluate chest trauma because of its high success in detecting tissue and organ injuries. Herein, we aimed to present MDCT findings in patients with blunt and penetrating chest trauma admitted to our department. Methods: A total of 240 patients admitted to the emergency department of our hospital between April 2012 and July 2013 with a diagnosis of chest trauma who underwent MDCT evaluations were included. Most of the patients were male (83.3% and victims of a blunt chest trauma. The images were analyzed with respect to the presence of fractures of bony structures, hemothorax, pneumothorax, mediastinal organ injury, and pulmonary and vascular injuries. Results: MDCT images of the 240 patients yielded a prevalence of 41.7% rib fractures, 11.2% scapular fractures, and 7.5% clavicle fractures. The prevalence of thoracic vertebral fracture was 13.8% and that of sternal fracture was 3.8%. The prevalence of hemothorax, pneumothorax, pneumomediastinum, and subcutaneous emphysema was 34.6%, 62.1%, 9.6%, and 35.4%, respectively. The prevalence of rib, clavicle, and thoracic vertebral fractures and pulmonary contusion was higher in the blunt trauma group, whereas the prevalence of hemothorax, subcutaneous emphysema, diaphragmatic injury, and other vascular lacerations was significantly higher in the penetrating trauma group than in the blunt trauma group (p<0.05. Conclusion: MDCT images may yield a high prevalence of fracture of bony structures, soft tissue lacerations, and vascular lesions, which should be well understood by

  11. National entrepreneurial radiology initiatives: what are they, and what can they do to and for you?

    Muroff, Lawrence R


    National entrepreneurial radiology companies have evolved over the past 3 decades. In the 1990s, a few initiatives were established to implement business principles and reward shareholders with gains derived from management expertise, practice efficiencies, and economies of scale. The next decade saw the emergence of night call coverage and "specialty read" companies. As the market for these services became saturated, the established corporate entities scrambled to find new revenue streams. Hospital radiology contracts were the obvious source for this needed capital. The pursuit of these contracts led to aggressive, nontraditional competition. If radiologists are to respond appropriately, they must understand the reasons behind the strategies used by these national entrepreneurial radiology companies. The author explores the goals and actions of these entities and describes why hospitals may find these national companies to be an attractive alternative to their incumbent radiology practices. Both the benefits and the problems associated with entrepreneurial companies are covered, and concepts such as disintermediation are discussed. Finally, the author suggests appropriate actions for radiologists seeking to retain their hospital contracts. Nontraditional competition is now a way of life for many radiology practices. Relationships, subspecialization, service, and measurable quality indicators are the foundation for the maintenance of tenure at hospitals. Copyright © 2013 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  12. Hanford radiological protection support services annual report for 1991

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Piper, R.K.; Froelich, T.J.; Leonwich, J.A.; Lynch, T.P.


    Various Hanford sitewide radiation protection services provided by the Pacific Northwest Laboratory for the US Department of Energy, Richland Field Office and Hanford contractors are described In this annual report for calendar year 1991. These activities include internal dosimetry measurements and evaluations, in vivo measurements, external dosimetry measurements and evaluations, instrument calibration and evaluation, radiation source calibration, and radiological records keeping. For each of these activities, the routine program, program changes and enhancements, associated tasks, investigations and studies, and related publications, presentations, and other staff professional activities are discussed as applicable.

  13. Hanford radiological protection support services annual report for 1997

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Johnson, M.L.; Lynch, T.P.; Piper, R.K.


    Various Hanford Site radiation protection services provided by the Pacific Northwest National Laboratory for the US Department of Energy Richland Operations Office and Hanford contractors are described in this annual report for calendar year 1997. These activities include external dosimetry measurements and evaluations, internal dosimetry measurements and evaluations, in vivo measurements, radiological exposure record keeping, radiation source calibration, and instrument calibration and evaluation. For each of these activities, the routine program and any program changes or enhancements are described as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  14. Hanford radiological protection support services. Annual report for 1995

    Lyon, M.; Bihl, D.E.; Carbaugh, E.H. [and others


    Various Hanford Site radiation protection services provided by the Pacific Northwest National Laboratory for the U.S. Department of Energy Richland Operations Office and Hanford contractors are described in this annual report for calendar year 1995. These activities include external dosimetry measurements and evaluations, internal dosimetry measurements and evaluations, in vivo measurements, radiological record keeping, radiation source calibration, and instrument calibration and evaluation. For each of these activities, the routine program and any program changes or enhancements are described, as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  15. Hanford radiological protection support services annual report for 1989

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Kenoyer, J.L.; Leonowich, J.A.; Palmer, H.E.


    Certain sitewide radiation protection services operated by Pacific Northwest Laboratory for the US Department of Energy-Richland Operations office and Hanford contractor are documented in this annual report on these services provided during calendar year 1989. These activities include internal dosimetry, in vivo measurements, external dosimetry, instrument calibration and evaluation, radiation source calibration, and radiological records keeping. In each case the routine program, program changes, associated tasks, investigations, and studies, as well as related publications, presentations, and other professional activities are discussed as applicable. 26 refs., 19 figs., 18 tabs.

  16. Hanford Radiological Protection Support Services annual report for 1992

    Lyon, M; Bihl, D E; Fix, J J; Piper, R K; Froelich, T J; Lynch, T P


    Various Hanford Site radiation protection services provided by the Pacific Northwest Laboratory for the US Department of Energy Richland Field Office and Hanford contractors are described in this annual report of calendar year 1992. These activities include internal dosimetry measurements and evaluations, in vivo measurements, external dosimetry measurements and evaluations, instrument calibration and evaluation, radiation source calibration, and radiological record keeping. For each of these activities, the routine program and any program changes or enhancements are described, as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  17. Hanford radiological protection support services annual report for 1996

    Lyon, M.; Bihl, D.E.; Fix, J.J.; Froelich, T.J.; Piper, R.K.; Schulze, S.A.


    Various Hanford Site radiation protection services provided by the Pacific Northwest National Laboratory for the US Department of Energy Richland Operations Office and Hanford contractors are described in this annual report for calendar year 1996. These activities include external dosimetry measurements and evaluations, internal dosimetry measurements and evaluations, in vivo measurements, radiological exposure record keeping, radiation source calibration, and instrument calibration and evaluation. For each of these activities, the routine program and any program changes or enhancements are described, as well as associated tasks, investigations, and studies. Program-related publications, presentations, and other staff professional activities are also described.

  18. A data-driven approach for quality assessment of radiologic interpretations.

    Hsu, William; Han, Simon X; Arnold, Corey W; Bui, Alex At; Enzmann, Dieter R


    Given the increasing emphasis on delivering high-quality, cost-efficient healthcare, improved methodologies are needed to measure the accuracy and utility of ordered diagnostic examinations in achieving the appropriate diagnosis. Here, we present a data-driven approach for performing automated quality assessment of radiologic interpretations using other clinical information (e.g., pathology) as a reference standard for individual radiologists, subspecialty sections, imaging modalities, and entire departments. Downstream diagnostic conclusions from the electronic medical record are utilized as "truth" to which upstream diagnoses generated by radiology are compared. The described system automatically extracts and compares patient medical data to characterize concordance between clinical sources. Initial results are presented in the context of breast imaging, matching 18 101 radiologic interpretations with 301 pathology diagnoses and achieving a precision and recall of 84% and 92%, respectively. The presented data-driven method highlights the challenges of integrating multiple data sources and the application of information extraction tools to facilitate healthcare quality improvement.

  19. Diagnostic errors in pediatric radiology

    Taylor, George A.; Voss, Stephan D. [Children' s Hospital Boston, Department of Radiology, Harvard Medical School, Boston, MA (United States); Melvin, Patrice R. [Children' s Hospital Boston, The Program for Patient Safety and Quality, Boston, MA (United States); Graham, Dionne A. [Children' s Hospital Boston, The Program for Patient Safety and Quality, Boston, MA (United States); Harvard Medical School, The Department of Pediatrics, Boston, MA (United States)


    Little information is known about the frequency, types and causes of diagnostic errors in imaging children. Our goals were to describe the patterns and potential etiologies of diagnostic error in our subspecialty. We reviewed 265 cases with clinically significant diagnostic errors identified during a 10-year period. Errors were defined as a diagnosis that was delayed, wrong or missed; they were classified as perceptual, cognitive, system-related or unavoidable; and they were evaluated by imaging modality and level of training of the physician involved. We identified 484 specific errors in the 265 cases reviewed (mean:1.8 errors/case). Most discrepancies involved staff (45.5%). Two hundred fifty-eight individual cognitive errors were identified in 151 cases (mean = 1.7 errors/case). Of these, 83 cases (55%) had additional perceptual or system-related errors. One hundred sixty-five perceptual errors were identified in 165 cases. Of these, 68 cases (41%) also had cognitive or system-related errors. Fifty-four system-related errors were identified in 46 cases (mean = 1.2 errors/case) of which all were multi-factorial. Seven cases were unavoidable. Our study defines a taxonomy of diagnostic errors in a large academic pediatric radiology practice and suggests that most are multi-factorial in etiology. Further study is needed to define effective strategies for improvement. (orig.)

  20. Radiologic features of granulomatous mastitis.

    Al-Khawari, Hanaa A T; Al-Manfouhi, Huda A; Madda, John P; Kovacs, Agnes; Sheikh, Mehraj; Roberts, Omolara


    Granulomatous mastitis (GM) is a recognized, but an uncommon cause of breast mass. Awareness of this condition is important, because it can clinically as well as radiologically mimic breast carcinoma. In this study, we present the imaging features of a series of 10 cases with proved diagnosis of granulomatous mastitis with emphasis on magnetic resonance (MR) findings. All those patients who were histologically proven to have GM of the breast were analyzed. Their files were reviewed and data recorded for demographic, clinical presentation and imaging appearances. The imaging features of the lesions by mammography, ultrasound, and magnetic resonance imaging were analyzed. Of the 305 patients who were surgically treated, 10 (3%) cases proved to have GM. All the patients were females with age ranging from 27 to 53 years (average 38 years and median age 36 years). Guided core biopsy was performed in all cases for confirmation of diagnosis followed by either excision biopsy (in five cases) or lumpectomy (in five cases). The final histopathologic results were chronic granulomatous inflammation consistent with tuberculosis in four cases and GM with acute inflammation, but unknown etiology in four cases and GM due to duct ectasia in two cases. GM, a rare breast condition, should be considered in the differential diagnosis of patients with a breast mass associated with inflammatory change. Routine breast imaging with US, MG, or MRI, the condition from malignant lesions and biopsy, still remains the only method of definite diagnosis. © 2011 Wiley Periodicals, Inc.

  1. Radiologic findings of granulomatous mastitis

    Kim, Tae Gyu; Kim, Ji Young; Jeong, Myeong Ja; Kim, Jae Hyung; Kim, Soung Hee; Kim, Soo Hyun; Jun, Woo Sun; Park, Kyeong Mee; Han, Se Hwan [Paik Hospital, Inje University College of Medicine, Seoul (Korea, Republic of)


    The describe the radiologic findings of granulomatous mastitis of the breast. This study included 19 patients (age range: 22 to 56 years; mean 37 years) with 22 lesions that were pathologically confirmed as having granulomatous mastitis. All the patients underwent a breast ultrasonography and 13 patients underwent a mammography. The results of the mammography revealed focal asymmetry (n = 9), multiple ill-defined isodense nodules (n 2), ill-defined nodular density on craniocaudal view (n = 1), and unremarkable finding (n = 1). The sonographic findings included continuous or discontinuous multiple tubular and nodular low echoic lesions (n = 7), ill-defined heterogeneously low echoic lesion (n = 5), irregular-shaped, ill-defined low echoic mass (n = 4), fluid collection with internal floating materials suggesting the presence of an abscess (n = 4), ill-defined heterogeneously low echoic lesion and abscess (n = 1), and multiple ill-defined nodules (n = 1). In the case of granulomatous mastitis, the mammography results indicate a lack of specificity between normal findings and focal asymmetry. The sonographic findings indicate that ill-defined heterogeneously low echoic lesions or irregular shaped, ill-defined low echoic masses are difficult to differentiate from breast cancer. The sonographic findings of abscesses indicate a difficulty in differentiating them from cases of pyogenic mastitis. However, multiple tubular and nodular low echoic lesions, especially with a continuous appearance, should point to granulomatous mastitis, and is helpful in its differential diagnosis and treatment.

  2. Patient dosimetry in diagnostic radiology

    Ciraj-Bjelac Olivera F.


    Full Text Available The objective of this work is to assess patient organ doses, effective doses and entrance surface doses in conventional diagnostic radiology procedures for standard adult patient. The survey consists of measurements of doses delivered to 239 patients in nine types of X-ray examinations. Three types of data were collected: X-ray machine data, patient data, and output measurements. Entrance surface dose was assessed based on the survey data and subsequently, using conversion coefficients, the organ doses and effective doses were calculated. Values of the entrance surface dose and the effective dose were estimated to be 0.4 to 5.8 mGy and 0.03 to 3.00 mSv for different examinations. Derived doses were compared with recommended general diagnostic reference levels. The impact of examination parameters on dose values was discussed. Except for posterior-anterior chest examination, all estimated doses are lower than stated reference levels. Survey data are aimed at helping development of national quality control and radiation protection programmed for medical exposures.

  3. Multilingual retrieval of radiology images.

    Kahn, Charles E


    The multilingual search engine ARRS GoldMiner Global was created to facilitate broad international access to a richly indexed collection of more than 200,000 radiologic images. Images are indexed according to key-words and medical concepts that appear in the unstructured text of their English-language image captions. GoldMiner Global exploits the Unicode standard, which allows the accurate representation of characters and ideographs from virtually any language and which supports both left-to-right and right-to-left text directions. The user interface supports queries in Arabic, Chinese, French, German, Italian, Japanese, Korean, Portuguese, Russian, or Spanish. GoldMiner Global incorporates an interface to the United States National Library of Medicine that translates queries into English-language Medical Subject Headings (MeSH) terms. The translated MeSH terms are then used to search the image index and retrieve relevant images. Explanatory text, pull-down menu choices, and navigational guides are displayed in the selected language; search results are displayed in English. GoldMiner Global is freely available on the World Wide Web.

  4. Complications of pneumoconiosis: Radiologic overview

    Jun, Jae Sup [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Jung, Jung Im, E-mail: [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Kim, Hyo Rim [Department of Radiology, Yeouido St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Ahn, Myeong Im; Han, Dae Hee [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Ko, Jeong Min [Department of Radiology, St. Vincent Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Park, Seog Hee; Lee, Hae Giu [Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea (Korea, Republic of); Arakawa, Hiroaki [Department of Radiology, Dokkyo University School of Medicine (Japan); Koo, Jung-Wan [Department of Occupational and Environmental Medicine, Seoul St. Mary' s Hospital, The Catholic University of Korea (Korea, Republic of)


    A wide spectrum of pulmonary complications occurs in patients with pneumoconiosis. Those complications include chronic obstructive pulmonary disease, hemoptysis, pneumothorax, pleural disease, tuberculosis, autoimmune disease, anthracofibrosis, chronic interstitial pneumonia, and malignancy. Generally, imaging workup starts with plain chest radiography. However, sometimes, plain radiography has limited role in the diagnosis of pulmonary complications of pneumoconiosis because of overlapping pneumoconiotic infiltration. Computed tomography (CT), ultrasonography (US), and magnetic resonance imaging (MRI) are potentially helpful for the detection of pulmonary complications in patients with pneumoconiosis. CT, with its excellent contrast resolution, is more sensitive and specific method than plain radiograph in the evaluation of pulmonary abnormalities. CT is useful in detecting lung parenchymal abnormalities caused by infection, anthracofibrosis, and chronic interstitial pneumonia. Also, CT is valuable in distinguishing localized pneumothorax from bullae and aiding the identification of multiloculated effusions. US can be used in detection of complicated pleural effusions and guidance of the thoracentesis procedure. MRI is useful for differentiating between progressive massive fibrosis and lung cancer. Radiologists need to be familiar with the radiologic and clinical manifestations of, as well as diagnostic approaches to, complications associated with pneumoconiosis. Knowledge of the various imaging features of pulmonary complications of pneumoconiosis can enhance early diagnosis and improve the chance to cure.

  5. Interventional radiology in pediatric oncology

    Hoffer, Fredric A. [Division of Diagnostic Imaging, Department of Radiological Sciences, St. Jude Children' s Research Hospital, 332 N. Lauderdale St., Memphis, TN 38105 (United States)]. E-mail:


    There are many radiological interventions necessary for pediatric oncology patients, some of which may be covered in other articles in this publication. I will discuss a number of interventions including percutaneous biopsy for solid tumor and hematological malignancy diagnosis or recurrence, for the diagnosis of graft versus host disease after stem cell or bone marrow transplantation, and for the diagnosis of complications of immunosuppression such as invasive pulmonary aspergillosis. In the past, tumor localization techniques have been necessary to biopsy or resect small lesions. However improved guidance techniques have allowed for more precise biopsy and the use of thermal ablation instead of excision for local tumor control. A percutaneously placed radio frequency, microwave, laser or cryogen probe can ablate the primary and metastatic tumors of the liver, lung, bone, kidney and other structures in children. This is an alternative treatment for the local control of tumors that may not be amenable to surgery, chemotherapy or radiotherapy. I will also describe how chemoembolization can be used to treat primary or metastatic tumors of the liver that have failed other therapies. This treatment delivers chemotherapy in the hepatic artery infused with emboli to increase the dwell time and concentration of the agents.

  6. Workshop Sciences and values in radiological protection; Atelier 'Sciences and values in radiological protection

    Lebaron-Jacobs, L. [CEA Cadarache (DSV/DIR/CARMIN), 13 - Saint-Paul-lez-Durance (France); Gaillard-Lecanu, E. [CEA Cadarache (DSV/DIR/CARMIN), 92 - Fontenay-aux-Roses (France)


    The Nea (Nuclear Energy Agency) organized a workshop entitled 'Sciences and values in radiological protection' in order to identify the possible ways of integration of results, coming from scientific research on the biological and health effects of ionizing radiation, in radiological protection. Three current topics were addressed: non-targeted effects, individual radiosensitivity and cardiovascular diseases. At the end of this workshop, recommendations towards scientists, radiological protection practitioners and stakeholders were expressed. (authors)

  7. Radiological changes and complications associated with nasal ...

    Radiological changes and complications associated with nasal polyposis. *A.().A. Ogunleye and ... polyposis patients seen at the department of Otorhin0- llaryngology of .... Long-standing nasasl polyps can enlarge to such a degree that they ...

  8. Radiological dose assessment for vault storage concepts

    Richard, R.F.


    This radiological dose assessment presents neutron and photon dose rates in support of project W-460. Dose rates are provided for a single 3013 container, the ``infloor`` storage vault concept, and the ``cubicle`` storage vault concept.

  9. Diagnostic radiology in paediatric palliative care

    Patel, Preena; Koh, Michelle; Carr, Lucinda; McHugh, Kieran [Great Ormond Street Hospital, Radiology Department, London (United Kingdom)


    Palliative care is an expanding specialty within paediatrics, which has attracted little attention in the paediatric radiological literature. Paediatric patients under a palliative care team will have numerous radiological tests which we traditionally categorise under organ systems rather than under the umbrella of palliative medicine. The prevalence of children with life-limiting illness is significant. It has been estimated to be one per thousand, and this may be an underestimate. In this review, we will focus on our experience at one institution, where radiology has proven to be an invaluable partner to palliative care. We will discuss examples of conditions commonly referred to our palliative care team and delineate the crucial role of diagnostic radiology in determining treatment options. (orig.)

  10. Role of Radiology in Forensic Dentistry

    T Chandrasekhar


    Full Text Available Forensic radiology is a specialized area of medical imaging utilizing radiological techniques to assist physicians and pathologists in matter pertaining to the law. Postmortem dental radiographs are the most consistent part of the antemortem records that can be transmitted during the forensic examination procedures. Pathologists regularly use radiographic images during the course of autopsy to assist them in identification of foreign bodies or determination of death. Forensic radiology can be used in suspicious death or murder, in analysis of adverse medical events, solving legal matters, to detect child abuse, drug trafficking, body identification and disease identification. Using the possibilities of radiology, special characteristics of the internal structures of the dentomaxillofacial region can be revealed. We can also detect endodontic treatments, healing extraction sockets, implants or even tooth colored restoration. Therefore, we can give answers to problems dealing with identification procedures, mass disaster and dental age estimation.

  11. ORIGINAL ARTICLE Quality management systems in radiology

    performance and financial circumstances of radiology departments in the healthcare ... institution, requesting them to participate and also to complete a QA questionnaire. ..... risks and benefits, all in a consistent database format. According to.

  12. Radiological emergency: Malaysian preparedness and response.

    Yusof, Mohd Abd Wahab; Ali, Hamrah Mohd


    Planning and preparation in advance for radiological emergencies can help to minimise potential public health and environmental threats if and when an actual emergency occurs. During the planning process, emergency response organisations think through how they would respond to each type of incident and the resources that will be needed. In Malaysia, planning, preparation for and response to radiological emergencies involve many parties. In the event of a radiological emergency and if it is considered a disaster, the National Security Council, the Atomic Energy Licensing Board and the Malaysian Nuclear Agency (Nuclear Malaysia) will work together with other federal agencies, state and local governments, first responders and international organisations to monitor the situation, contain the release, and clean up the contaminated site. Throughout the response, these agencies use their protective action guidelines. This paper discusses Malaysian preparedness for, and response to, any potential radiological emergency.

  13. How to Read Your Radiology Report

    ... pelvis. Impression In the impression section, the radiologist combines the findings, patient clinical history and indication for ... radiology report. View full size with caption Related Articles and Media What does a radiologist do? Sponsored ...


    Laszlo, A.; Elpeleg, On; Horvath, K.; Jakobs, C.; Kobor, J.; Gal, A.; Barsi, P.; Kelemen, A.; Saracz, J.; Svekus, A.; Tegzes, A.; Voeroes, E.


    The authors summarize the pathomechanism of the myelination process, the clinical, radiological and the genetical aspects of the leukodystrophies, as in 18q deletion syndrome, adrenoleukodysrtophy, metachromatic leukodystrophy, Pelizaeus-Merzbacher leukodystrophy, Alexander disease and olivo-ponto-c

  15. Corporate social responsibility of future radiology professionals.

    Collins, Sandra K; Collins, Kevin S


    Plagued by difficult economic times, many radiology managers may find themselves faced with ethical dilemmas surrounding ongoing organizational pressures to maintain high levels of productivity with restricted resources. This often times tests the level of moral resilience and corporate social consciousness of even the most experienced radiology professionals. A study was conducted to determine what Corporate Social Responsibility (CSR) orientation and viewpoint future radiology professionals may have. The results of the study indicate that these study participants may initially consider patient care more important than profit maximization. Study results indicate that these specific future radiology professionals will not need laws, legal sanctions, and intensified rules to force them to act ethically. However,they may need ongoing training as to the necessity of profit maximization if they seek the highest quality of care possible for their patients.

  16. Radiological safety training for uranium facilities



    This handbook contains recommended training materials consistent with DOE standardized core radiological training material. These materials consist of a program management guide, instructor`s guide, student guide, and overhead transparencies.

  17. 42 CFR 482.26 - Condition of participation: Radiologic services.


    ... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated...

  18. VIA-RAD: a blackboard-based system for diagnostic radiology. Visual Interaction Assistant for Radiology.

    Rogers, E


    The work described in this article presents an approach to the integration of computer-displayed radiological images with cooperative computerized assistance for decision-making. The VIA-RAD system (Visual Interaction Assistant for Radiology) is a blackboard-based architecture, founded on extensive data collection and analysis in the domain of diagnostic radiology, together with cognitive modeling of the interaction between perception and problem-solving. The details of this system are presented in terms of domain knowledge representation and domain knowledge mapping. A small prototype of the system has been implemented and tested with radiology subjects, and the results of this study are also described.

  19. Review of Radioisotopes as Radiological Weapons


    Device (RED)  The simplest radiological threat would be the placement of unshielded radio- active material in a heavily trafficked area as an RED...10 U.S. Department of Health and Human Services, “Radiological Dispersal Device Playbook: Introduc- tion,” last updated July 2, 2015, http...contaminated and will not require decontamination. 12 U.S. Department of Health and Human Services

  20. Current status of radiology in China

    Meng Su Zeng; Kang Rong Zhou; Zhi Yong Zhang; Wei Jun Peng; Fu Hua Yang; Jiang Lin; Jun Yang; Xin Ye Han


    @@INTRODUCTION Radiology has been greatly advanced in China since its founding in 1949 and has been developed faster and further more since China adopted the policy of socioeconomic reform in 1978. It plays an increasingly important role in the medical health care and treatment in the country and has reached the world′s advanced level in certain fields. We now briefly review the history of China′s radiology so as to give a clear picture of its development.

  1. Radiological interventions in malignant biliary obstruction

    Kumble Seetharama Madhusudhan; Shivanand Gamanagatti; Deep Narayan Srivastava; Arun Kumar Gupta


    Malignant biliary obstruction is commonly caused by gall bladder carcinoma, cholangiocarcinoma and metastatic nodes. Percutaneous interventions play an important role in managing these patients. Biliary drainage, which forms the major bulk of radiological interventions, can be pal iative in inoperable patients or pre-operative to improve liver function prior to surgery. Other interventions include cholecystostomy and radiofrequency ablation. We present here the indications, contraindications, technique and complications of the radiological interventions performed in patients with malignant biliary obstruction.

  2. Radiologic Professionalism in Modern Health Care.

    Hryhorczuk, Anastasia L; Hanneman, Kate; Eisenberg, Ronald L; Meyer, Elaine C; Brown, Stephen D


    Modern radiology is at the forefront of technological progress in medicine, a position that often places unique challenges on its professional character. This article uses "Medical Professionalism in the New Millennium: A Physician Charter," a document published in 2002 and endorsed by several major radiology organizations, as a lens for exploring professional challenges in modern radiology. The three main tenets of the Charter emphasize patient welfare, patient autonomy, and the reduction of disparities in health care distribution. This article reviews the ways in which modern technology and financial structures potentially create stressors on professionalism in radiology, while highlighting the opportunities they provide for radiologists seeking to fulfill the professional goals articulated in the Charter. Picture archiving and communication systems (PACS) and voice recognition systems have transformed the speed of radiology and enhanced the ability of radiologists to improve patient care but also have brought new tensions to the workplace. Although teleradiology may improve global access to radiologists, it may also promote the commoditization of radiology, which diminishes the professional stature of radiologists. Social media and patient portals provide radiologists with new forums for interacting with the public and patients, potentially promoting patient welfare. However, patient privacy and autonomy are important considerations. Finally, modern financial structures provide radiologists with both entrepreneurial opportunities as well as the temptation for unprofessional conduct. Each of these advances carries the potential for professional growth while testing the professional stature of radiology. By considering the risks and benefits of emerging technologies in the modern radiology world, radiologists can chart an ethical and professional future path.

  3. A digital library of radiology images.

    Kahn, Charles E


    A web-based virtual library of peer-reviewed radiological images was created for use in education and clinical decision support. Images were obtained from open-access content of five online radiology journals and one e-learning web site. Figure captions were indexed by Medical Subject Heading (MeSH) codes, imaging modality, and patient age and sex. This digital library provides a new, valuable online resource.

  4. Objective structured clinical examination in radiology

    Agarwal Anurag


    Full Text Available There is a growing need for introducing objective structured clinical examination (OSCE as a part of radiology practical examinations in India. OSCE is an established, reliable, and effective multistation test for the assessment of practical professional skills in an objective and a transparent manner. In India, it has been successfully initiated and implemented in specialties like pediatrics, ophthalmology, and otolaryngology. Each OSCE station needs to have a pre-agreed "key-list" that contains a list of objective steps prepared for uniformly assessing the tasks given to students. Broadly, OSCE stations are classified as "manned" or "unmanned" stations. These stations may include procedure or pictorial or theory stations with clinical oriented contents. This article is one of a series of measures to initiate OSCE in radiology; it analyzes the attributes of OSCE stations and outlines the steps for implementing OSCE. Furthermore, important issues like the advantages of OSCE, its limitations, a strengths, weaknesses, opportunities, and threats (SWOT analysis, and the timing of introduction of OSCE in radiology are also covered. The OSCE format in radiology and its stations needs to be validated, certified, and finalized before its use in examinations. This will need active participation and contribution from the academic radiology fraternity and inputs from faculty members of leading teaching institutions. Many workshops/meetings need to be conducted. Indeed, these collaborative measures will effectively sensitize universities, examiners, organizers, faculty, and students across India to OSCE and help successfully usher in this new format in radiology practical examinations.

  5. Objective structured clinical examination in radiology.

    Agarwal, Anurag; Batra, Bipin; Sood, Ak; Ramakantan, Ravi; Bhargava, Satish K; Chidambaranathan, N; Indrajit, Ik


    There is a growing need for introducing objective structured clinical examination (OSCE) as a part of radiology practical examinations in India. OSCE is an established, reliable, and effective multistation test for the assessment of practical professional skills in an objective and a transparent manner. In India, it has been successfully initiated and implemented in specialties like pediatrics, ophthalmology, and otolaryngology. Each OSCE station needs to have a pre-agreed "key-list" that contains a list of objective steps prepared for uniformly assessing the tasks given to students. Broadly, OSCE stations are classified as "manned" or "unmanned" stations. These stations may include procedure or pictorial or theory stations with clinical oriented contents. This article is one of a series of measures to initiate OSCE in radiology; it analyzes the attributes of OSCE stations and outlines the steps for implementing OSCE. Furthermore, important issues like the advantages of OSCE, its limitations, a strengths, weaknesses, opportunities, and threats (SWOT) analysis, and the timing of introduction of OSCE in radiology are also covered. The OSCE format in radiology and its stations needs to be validated, certified, and finalized before its use in examinations. This will need active participation and contribution from the academic radiology fraternity and inputs from faculty members of leading teaching institutions. Many workshops/meetings need to be conducted. Indeed, these collaborative measures will effectively sensitize universities, examiners, organizers, faculty, and students across India to OSCE and help successfully usher in this new format in radiology practical examinations.

  6. Objective structured clinical examination in radiology

    Agarwal, Anurag; Batra, Bipin; Sood, AK; Ramakantan, Ravi; Bhargava, Satish K; Chidambaranathan, N; Indrajit, IK


    There is a growing need for introducing objective structured clinical examination (OSCE) as a part of radiology practical examinations in India. OSCE is an established, reliable, and effective multistation test for the assessment of practical professional skills in an objective and a transparent manner. In India, it has been successfully initiated and implemented in specialties like pediatrics, ophthalmology, and otolaryngology. Each OSCE station needs to have a pre-agreed “key-list” that contains a list of objective steps prepared for uniformly assessing the tasks given to students. Broadly, OSCE stations are classified as “manned” or “unmanned” stations. These stations may include procedure or pictorial or theory stations with clinical oriented contents. This article is one of a series of measures to initiate OSCE in radiology; it analyzes the attributes of OSCE stations and outlines the steps for implementing OSCE. Furthermore, important issues like the advantages of OSCE, its limitations, a strengths, weaknesses, opportunities, and threats (SWOT) analysis, and the timing of introduction of OSCE in radiology are also covered. The OSCE format in radiology and its stations needs to be validated, certified, and finalized before its use in examinations. This will need active participation and contribution from the academic radiology fraternity and inputs from faculty members of leading teaching institutions. Many workshops/meetings need to be conducted. Indeed, these collaborative measures will effectively sensitize universities, examiners, organizers, faculty, and students across India to OSCE and help successfully usher in this new format in radiology practical examinations. PMID:20607015

  7. Radiological Worker II Training, Course 20301 (Live), Course 12909 (Test)

    Harris, Jimmy D. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    Radiological worker training is the basic building block for any additional radiological training you may receive. Upon completing radiological worker training, you will have the basic knowledge needed to work safely, using proper radiological practices, in areas where radiological hazards exist. You will also have a better understanding of the hazards and responsibilities associated with radiological work to help prevent the carelessness that can occur when working continually with or around radioactive material. This course does not qualify you for any specific radiological work. You may be required to take additional training at individual facilities to address facility- and job-specific hazards and procedures.

  8. Investigation of TLD-700 energy response to low energy x-ray encountered in diagnostic radiology

    Herrati Ammar


    Full Text Available The aim of thiswork is to study the energy dependence of thermoluminescent dosimeter (TLD-700 for low energy X-ray beams encountered in conventional diagnostic radiology. In the first step, we studied some characteristics (reproducibility and linearity of TLD-700 chips using a 137Cs source, and selected TLD chips with reproducibility better than 2.5%. Then we determined TLD-700 energy response for diagnostic radiology X-ray qualities, and investigated its influence on air kerma estimate. A maximum deviation of 60% can be obtained if TLDs are calibrated for 137Cs radiation source and used in diagnostic radiology fields. However, this deviation became less than 20% if TLDs chips are calibrated for the reference x-ray radiation quality RQR5 (recommended by the IEC 61267 standard. Consequently, we recommend calibrating this kind of TLDdetector with RQR5 diagnostic radiology X-ray quality. This method permits to obtain a good accuracy when assessing the entrance dose in diagnostic radiology procedures.

  9. A critical synopsis of the diagnostic and screening radiology outcomes literature.

    Blackmore, C C; Black, W C; Jarvik, J G; Langlotz, C P


    In summary, the radiology outcomes research literature is both extensive and broad. The methodologic quality, however, is quite variable. Overall, this quality could be improved by intervention in two areas: methodologic dissemination and development. The number of researchers investigating radiology-related outcomes is high, and presently there are over 20 journals devoted exclusively to radiology research. Even with a relatively narrow definition of "outcomes," we identified over 200 radiology outcomes studies, most from the past few years. However, the methodologic quality of most of these articles was relatively low, with important design flaws and biases. Nonetheless, a substantial number of radiology publications do employ state-of-the-art research methods and innovative approaches to methodologic challenges. The quality of radiology outcomes research overall would benefit tremendously from dissemination of such research methods. Instruction in outcomes research methods is accessible to radiologists. For example, there have been several recent articles and series of articles on outcomes research methods in JAMA, including guidelines for the performance and reporting of cost-effectiveness analyses (38-40) and for developing clinical prediction rules (57). Within radiology, several recent articles have appeared on, among other things, cost-effectiveness analysis (34,59,60), assessing quality of life (43), screening for disease (53), and defining the study population (61). The research compendium compiled for the GERRAF (General Electric-Association of University Radiologists Radiology Research Academic Fellowships) program remains a comprehensive methodologic source for many of the issues in radiology outcomes research, and outcomes research methods courses are offered every year at the Society for Health Services Research in Radiology and Society for Medical Decision Making meetings, as well as at the meeting of the Radiological Society of North America. Even

  10. Computer assisted tutoring in radiology

    Jeffery, N


    The computer-based tutoring of visual concepts such as radiological images is a largely unexplored area. A review of the literature highlights limited use of computers as a means of radiological education, with the majority of systems being little more than hypermedia prototypes, on-line teaching files, and passive CD-Roms. Very few of the systems discussed in the research literature draw on the work from cognitive science and educational psychology for tutoring visual concepts. This thesis details and evaluates a method for indexing and retrieving images from large image databases via a cognitively informed graphical representation of visual concepts. This representation is derived using Multiple Correspondence Analysis from a statistical analysis of features present in the images. It is intended that this representation be used to assist in the computer based teaching of any discipline that requires the tutoring of visual concepts. The domain used as a test bed for this research is Magnetic Resonance Imaging in neuroradiology. Tutoring the interpretation of MR scans of the head represents a real practical problem due to the inherent complexity of the brain and variations in tissue contrast within image sequence and disease/pathology. The literature of concept categorisation and representation is critically reviewed to inform the design of a graphical representation of a concept (a pathology in the application domain). A specification for the design of an explicit representation of visual concepts is drawn from this literature review, together with methods of tutoring based around this model. A methodology for producing this representation is described, and implemented in the development of an overview plot for the concept of a disease of the brain, with associated statistical measures derived and operationalised for typicality and similarity of cases within a disease. These measures are precursors to the development of computer based tutoring strategies for image

  11. Assessment of radiological protection systems among diagnostic radiology facilities in North East India.

    Singh, Thokchom Dewan; Jayaraman, T; Arunkumar Sharma, B


    This study aims to assess the adequacy level of radiological protection systems available in the diagnostic radiology facilities located in three capital cities of North East (NE) India. It further attempts to understand, using a multi-disciplinary approach, how the safety codes/standards in diagnostic radiology framed by the Atomic Energy Regulatory Board (AERB) and the International Atomic Energy Agency (IAEA) to achieve adequate radiological protection in facilities, have been perceived, conceptualized, and applied accordingly in these facilities. About 30 diagnostic radiology facilities were randomly selected from three capitals of states in NE India; namely Imphal (Manipur), Shillong (Meghalaya) and Guwahati (Assam). A semi-structured questionnaire developed based on a multi-disciplinary approach was used for this study. It was observed that radiological practices undertaken in these facilities were not exactly in line with safety codes/standards in diagnostic radiology of the AERB and the IAEA. About 50% of the facilities had registered/licensed x-ray equipment with the AERB. More than 80% of the workers did not use radiation protective devices, although these devices were available in the facilities. About 85% of facilities had no institutional risk management system. About 70% of the facilities did not carry out periodic quality assurance testing of their x-ray equipment or surveys of radiation leakage around the x-ray room, and did not display radiation safety indicators in the x-ray rooms. Workers in these facilities exhibited low risk perception about the risks associated with these practices. The majority of diagnostic radiology facilities in NE India did not comply with the radiological safety codes/standards framed by the AERB and IAEA. The study found inadequate levels of radiological protection systems in the majority of facilities. This study suggests a need to establish firm measures that comply with the radiological safety codes/standards of the

  12. Specific gamma-ray dose constants for nuclides important to dosimetry and radiological assessment

    Unger, L.M.; Trubey, D.K.


    Tables of specific gamma-ray dose constants (the unshielded gamma-ray dose equivalent rate at 1 m from a point source) have been computed for approximately 500 nuclides important to dosimetry and radiological assessment. The half life, the mean attenuation coefficient, and thickness for a lead shield providing 95% dose equivalent attenuation are also listed.

  13. Specific gamma-ray dose constants for nuclides important to dosimetry and radiological assessment

    Unger, L.M.; Trubey, D.K.


    Tables of specific gamma-ray dose constants (the unshielded gamma-ray dose equivalent rate at 1 m from a point source) have been computed for approximately 500 nuclides important to dosimetry and radiological assessment. The half life, the mean attenuation coefficient, and thickness for a lead shield providing 95% dose equivalent attenuation are also listed.

  14. Intelligent image retrieval based on radiology reports.

    Gerstmair, Axel; Daumke, Philipp; Simon, Kai; Langer, Mathias; Kotter, Elmar


    To create an advanced image retrieval and data-mining system based on in-house radiology reports. Radiology reports are semantically analysed using natural language processing (NLP) techniques and stored in a state-of-the-art search engine. Images referenced by sequence and image number in the reports are retrieved from the picture archiving and communication system (PACS) and stored for later viewing. A web-based front end is used as an interface to query for images and show the results with the retrieved images and report text. Using a comprehensive radiological lexicon for the underlying terminology, the search algorithm also finds results for synonyms, abbreviations and related topics. The test set was 108 manually annotated reports analysed by different system configurations. Best results were achieved using full syntactic and semantic analysis with a precision of 0.929 and recall of 0.952. Operating successfully since October 2010, 258,824 reports have been indexed and a total of 405,146 preview images are stored in the database. Data-mining and NLP techniques provide quick access to a vast repository of images and radiology reports with both high precision and recall values. Consequently, the system has become a valuable tool in daily clinical routine, education and research. Radiology reports can now be analysed using sophisticated natural language-processing techniques. Semantic text analysis is backed by terminology of a radiological lexicon. The search engine includes results for synonyms, abbreviations and compositions. Key images are automatically extracted from radiology reports and fetched from PACS. Such systems help to find diagnoses, improve report quality and save time.

  15. Synchrotron radiation shielding design and ICRP radiological protection quantities.

    Bassey, Bassey; Moreno, Beatriz; Chapman, Dean


    Protection and operational quantities as defined by the International Commission on Radiological Protection (ICRP) and the International Commission on Radiation Units and Measurements (ICRU) are the two sets of quantities recommended for use in radiological protection for external radiation. Since the '80s, the protection quantities have evolved from the concept of dose equivalent to effective dose equivalent to effective dose, and the associated conversion coefficients have undergone changes. In this work, the influence of three different versions of ICRP photon dose conversion coefficients in the synchrotron radiation shielding calculations of an experimental enclosure has been examined. The versions are effective dose equivalent (ICRP Publication 51), effective dose (ICRP Publication 74), and effective dose (ICRP Publication 116) conversion coefficients. The sources of the synchrotron radiation white beam into the enclosure were a bending magnet, an undulator and a wiggler. The ranges of photons energy from these sources were 10-200 keV for the bending magnet and undulator, and 10-500 keV for the wiggler. The design criterion aimed a radiation leakage less than 0.5 µSv h(-1) from the enclosure. As expected, larger conversion coefficients in ICRP Publication 51 lead to higher calculated dose rates. However, the percentage differences among the calculated dose rates get smaller once shielding is added, and the choice of conversion coefficients set did not affect the final shielding decision.

  16. Pregnancy screening of adolescents and women before radiologic testing: does radiology need a national guideline?

    Applegate, Kimberly


    Ionizing radiation has known teratogenic and cancer risks to fetuses. Policies for radiation exposure of pregnant patients during imaging tests in radiology departments vary widely and may or may not be in fully written form. No national guideline exists for how individual radiologists or radiology departments should protect fetuses from ionizing radiation exposure. With the rapid increase in the use of radiologic testing in general, particularly computed tomography, more adolescents and women undergo computed tomographic imaging and may unintentionally expose their fetuses. A national discussion within radiology organizations is needed to understand the advantages and disadvantages in the development of a national guideline for screening women of childbearing age for pregnancy before any procedures using ionizing radiation are performed. Given the increased public concern and increased use of radiologic testing, such a national guideline would improve consumer satisfaction and safety.

  17. Health Economics in Radiology Departments

    Shahram Tofighi


    Full Text Available Economics and management are disciplines which are theoretically interdependent and highly intercalated in practice. The manager develops main policies, values, goals and guidelines and at the same time suggests different ways achieving the objectives. The economist suggests the most efficient and effective way. As a matter of fact, there is no institution, for- or non-for-profit, in the world having no concern on economic and financial issues. While all institutions consider cost containment and revenue increase approaches, employing rational and mathematical techniques would be inevitable; systematic and approved tools and logics, undoubtedly would lead better results. The economics, having structured and logical framework, can handle these issues properly. In the economics, providers' and consumers' behaviors are analyzed, seeking the optimum points for demand and supply, and price. The health sector's leaders and policy makers are supposed to develop a situation appropriate for resource-directed and needs-driven behaviors, using legal, financial and other control knobs, the behaviors that eventually end distributive and utility equity in health services. "nAchieving equity in distribution of facilities concomitant with equity in availability and equity in utility are the main concerns of the people and the leaders of the societies. In addition, affordability of the health costs for the majority of the community, and financing for supposed services have led the policy makers to search for cost containment approaches, and some kind of rationing of the services. "nHealth economist deals with applying the two level economics in radiology departments. Micro-economics at the level of institutions, which discusses regulating processes and decisions in order to minimize the expenditures and maximize the revenues via a variety of initiatives, such as customer satisfaction and motivated staff, improving the processes, and reducing the

  18. The Development of Radiology among Slovenes

    Zvonka Zupanič Slavec


    Full Text Available Few discoveries in the history of science brought such significant progress as did the discovery of X-rays by the German physicist Wilhelm Conrad Röntgen in 1895. The finding did not only bring a revolution to the field of medicine but also to many other technical branches. With technological progress in the 20th century, medical roentgenology swiftly developed. The first significant step forward was the introduction of contrast media followed by others including computerised image data management and digital techniques. Medical diagnostics embraced other imaging methods based on other types of energy such as ultrasound and magnetic resonance imaging. The beginnings of roentgenology in the Slovene Lands go back to the year 1900. Bone fractures were the first to be imaged, followed by thoracic imaging and contrast imaging of the gastrointestinal tract. The use of roentgenology spread significantly after World War I, with the implementation in the following years of X-ray machines in all Slovenian hospitals, some spas and sanatoria. Gradually the need for an independent scientific institution emerged, which led to the establishment of the Roentgenological Institute for Slovenia and Istria in Ljubljana in 1923. At the same time radiology was developing also by other Slovenian hospitals.In the 1950s, Slovenian roentgenology increasingly stayed in touch with contemporary international development, updated its equipment and introduced new methods. The modern concept of centralised radiological management, comparable with that of modern European institutions, was realised in Ljubljana in 1973 after the relocation of the Radiological Institute to the new facilities at the Ljubljana University Medical Centre. The first computer tomography machine was installed in 1980, the first ultrasound machine was acquired in 1981, the first digital subtraction angiography (DSA machine was introduced in 1986 and the first magnetic resonance machine was installed in

  19. Eponyms in cardiothoracic radiology: Part I. Neoplasms.

    Mohammed, Tan-Lucien H; Saettele, Megan R; Saettele, Timothy; Patel, Vikas; Kanne, Jeffrey P


    Eponyms serve the purpose of honoring individuals who have made important observations and discoveries. As with other fields of medicine, eponyms are frequently encountered in radiology, particularly in chest radiology. However, inappropriate use of an eponym may lead to potentially dangerous miscommunication. Moreover, an eponym may honor the incorrect person or a person who falls into disrepute. Despite their limitations, eponyms are still widespread in medical literature. Furthermore, in some circumstances, more than one individual may have contributed to the description or discovery of a particular anatomical structure or disease, whereas in others, an eponym may have been incorrectly applied initially and propagated for years in medical literature. Nevertheless, radiologic eponyms are a means of honoring those who have made lasting contributions to the field of radiology, and familiarity with these eponyms is critical for proper reporting and accurate communication. In addition, the acquisition of some historical knowledge about those whose names are associated with various structures or pathologic conditions conveys a sense of humanity in the field of medicine. In this article, the first of a multipart series, the authors discuss a number of chest radiology eponyms as they relate to neoplasms, including relevant clinical and imaging features, as well biographic information of the respective eponym׳s namesake. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Resources planning for radiological incidents management

    Hamid, Amy Hamijah binti Ab.; Rozan, Mohd Zaidi Abd; Ibrahim, Roliana; Deris, Safaai; Yunus, Muhd. Noor Muhd.


    Disastrous radiation and nuclear meltdown require an intricate scale of emergency health and social care capacity planning framework. In Malaysia, multiple agencies are responsible for implementing radiological and nuclear safety and security. This research project focused on the Radiological Trauma Triage (RTT) System. This system applies patient's classification based on their injury and level of radiation sickness. This classification prioritizes on the diagnostic and treatment of the casualties which include resources estimation of the medical delivery system supply and demand. Also, this system consists of the leading rescue agency organization and disaster coordinator, as well as the technical support and radiological medical response teams. This research implemented and developed the resources planning simulator for radiological incidents management. The objective of the simulator is to assist the authorities in planning their resources while managing the radiological incidents within the Internal Treatment Area (ITA), Reception Area Treatment (RAT) and Hospital Care Treatment (HCT) phases. The majority (75%) of the stakeholders and experts, who had been interviewed, witnessed and accepted that the simulator would be effective to resolve various types of disaster and resources management issues.

  1. Conventional dental radiology; Konventionelle Dentalradiologie und Zukunftsperspektiven

    Youssefzadeh, S.; Gahleitner, A. [Universitaetsklinik fuer Radiodiagnostik, Wien (Austria); Bernhart, D.; Bernhart, T. [Universitaetsklinik fuer Zahnheilkunde, Wien (Austria)


    Until recently, conventional dental radiology was performed by dentists and orofacial surgeons. Due to the rapid development of radiological technique, the demand of radiological advice is increasing. The radiologists see more and more dental patients in their daily routine. The aim of this article is to give an overview on established dental radiology and a glimpse into the future. Conventional dental radiology and digital radiography are presently in use. Intraoral technique comprises dental films, bite-wing views and occlusal radiographs. Panoramic views and cephalometric radiographs are done with extraoral technique. Digital radiography lacks all processes in behalf of film development. It leads to dose reduction and enables image manipulation. (orig.) [German] Die konventionelle Radiologie in der Zahnheilkunde (Dentalradiologie) wurde hauptsaechlich von den niedergelassenen Zahnaerzten und Mund-, Kiefer- und Gesichtschirurgen betrieben. Aufgrund der rasanten Entwicklung in der radiologischen Methodik wird die fachaerztliche Unterstuetzung durch den Radiologen immer notwendiger, und die raschen Fortschritte erfordern eine zunehmende Zusammenarbeit dieser medizinischen Faecher. Die fachspezifische Anforderung an den Radiologen tritt immer haeufiger im Routinebetrieb auf. Ziel dieses Artikels ist die Aufstellung der derzeit eingesetzten Technik sowie ein Ausblick in die nahe Zukunft. Prinzipiell wird zwischen der konventionellen Dentalradiologie und der digitalen Radiographie unterschieden. Die Dentalradiologie setzt sich aus der intraoralen Technik (Zahnfilme, Bissfluegelaufnahmen, Aufbissaufnahme) und der extraoralen Technik (Panoramaaufnahmen, Panoramaschichtaufnahmen, Fernroentgen) zusammen. Die digitale Radiographie ermoeglicht die Umgehung der konventionellen Entwicklungsverfahren, eine Strahlendosisreduktion und bietet die Moeglichkeit der Bildverarbeitung. (orig.)

  2. Welcome to the Journal of Global Radiology

    Sarwat Hussain


    Full Text Available ‘Global radiology’ is a new concept – a subspecialty of radiology that includes much more than diagnosticians and interventionists. It consists of an international community of individuals, groups and organizations working to improve access to and quality of medical imaging around the globe, and address universal shortages of equipment, infrastructure, trained personnel, education, and research opportunities in underdeveloped countries. Currently, articles on global radiology are scattered throughout various radiology journals. The Journal of Global Radiology (JGR, an open-access, peer-reviewed journal, seeks to counteract this fragmentation of information by publishing content pertaining exclusively to improving access to medical imaging on an international scale and addressing global health disparities. In addition to original research articles, JGR will invite book and literature reviews, commentary, state of radiology reports, technical notes, editorials and other articles that fit with the publication's mission of encouraging communication, collaboration, education and advocacy. Additionally, JGR will facilitate collaboration on publications between researchers in developed and underdeveloped programs through a Scholar Twinning program.

  3. Radiological response of ceramic and polymeric devices for breast brachytherapy

    Batista Nogueira, Luciana, E-mail: [Departamento de Propedeutica Complementar, Faculdade de Medicina, Universidade Federal de Minas Gerais, Av. Antonio Carlos, 6627, Pampulha 31270901, BH/MG (Brazil); Passos Ribeiro de Campos, Tarcisio, E-mail: [Departamento de Engenharia Nuclear, Programa de Pos Graduacao em Ciencias e Tecnicas Nucleares, Universidade Federal de Minas Gerais, Av. Antonio Carlos, 6627, Pampulha 31270901, BH/MG (Brazil)


    In the present study, the radiological visibility of ceramic and polymeric devices implanted in breast phantom was investigated for future applications in brachytherapy. The main goal was to determine the radiological viability of ceramic and polymeric devices in vitro by performing simple radiological diagnostic methods such as conventional X-ray analysis and mammography due to its easy access to the population. The radiological response of ceramic and polymeric devices implanted in breast phantom was determined using conventional X-ray, mammography and CT analysis. - Highlights: Black-Right-Pointing-Pointer Radiological visibility of ceramic and polymeric devices implanted in breast phantom. Black-Right-Pointing-Pointer The barium incorporation in the seed improves the radiological contrast. Black-Right-Pointing-Pointer Radiological monitoring shows the position, orientation and degradation of devices. Black-Right-Pointing-Pointer Simple radiological methods such as X-ray and mammography were used for radiological monitoring.

  4. Magnetic resonance angiography in potential live renal donors: a joint radiological and surgical evaluation

    Subramaniam, M.; Mizzi, A.; Roditi, G. E-mail:


    AIM: To assess the impact of a joint surgical and radiological audit on the accuracy of contrast-enhanced magnetic resonance angiography (MRA) reports in the evaluation of potential renal donors. MATERIALS AND METHODS: We analysed the records of live renal donors who underwent gadolinium-enhanced MRA as part of the pre-operative evaluation to assess renal vasculature between August 1999 and July 2002 when feedback from surgical findings to radiology had been available. In cases of discrepancy between MRA reports and surgical findings, studies were retrieved from the magnetic resonance imaging (MRI) workstation and subjected to detailed joint clinical and radiological review. Scan quality was assessed and sources of discrepancy were identified. RESULTS: There were 45 donors, 23 men and 22 women with a mean age of 41 years. Reported MRA findings were fully confirmed at surgery in 38 of 45 cases. These images were not analysed further. In seven donors the findings at surgery were discrepant with the radiological reports: there were four cases of 'missed' early branches and three cases of 'missed' accessory arteries. In the first year of the audit there were four discrepant cases out of 18 (22%), all of which were radiological reporting errors. The number of discrepant cases in the second year was two out of 19 cases (11%). Neither of these was a radiological reporting error. There was one 'missed' early renal artery branch in the third year of audit, which was identified on MRA review. CONCLUSION: The study highlights the importance of detecting and clearly reporting not only accessory renal arteries, but also early renal arterial branches in the pre-operative evaluation of renal donors. The accuracy of pre-operative MRA in potential renal donors is high, but radiological reporting of MRA examinations is improved through careful clinical feedback, audit and interdisciplinary co-operation.

  5. Portrayal of radiology in a major medical television series: How does it influence the perception of radiology among patients and radiology professionals?

    Heye, T; Merkle, E M; Leyendecker, J R; Boll, D T; Gupta, R T


    To assess how the portrayal of Radiology on medical TV shows is perceived by patients and radiology professionals. In this IRB-approved study with patient consent waived, surveys were conducted among adult patients scheduled for radiological examinations and radiology professionals. The questionnaire investigated medical TV watching habits including interest in medical TV shows, appearance of radiological examination/staff, radiology's role in diagnosis-making, and rating of the shows' accuracy in portraying radiology relative to reality. One hundred and twenty-six patients and 240 professionals (133 technologists, 107 radiologists) participated. 63.5 % patients and 63.2 % technologists rated interest in medical TV shows ≥5 (scale 1-10) versus 38.3 % of radiologists. All groups noted regular (every 2nd/3rd show) to >1/show appearance of radiological examinations in 58.5-88.2 % compared to 21.0-46.2 % for radiological staff appearance. Radiology played a role in diagnosis-making regularly to >1/show in 45.3-52.6 %. There is a positive correlation for interest in medical TV and the perception that radiology is accurately portrayed for patients (r = 0.49; P = 0.001) and technologists (r = 0.38; P = 0.001) but not for radiologists (r = 0.01). The majority of patients perceive the portrayed content as accurate. Radiologists should be aware of this cultivation effect to understand their patients' behaviour which may create false expectations towards radiological examinations and potential safety hazards. • Radiology in medical TV shows is conveyed as important in diagnosis making • Presence of radiological staff is less frequent compared to examinations shown • Positive correlation for interest in medical TV and radiology perceived as accurate • TV experience may create false expectations and potential safety hazards.

  6. The quantum X-ray radiology apparatus

    Hilt, B; Prevot, G


    The paper entitled 'New Quantum Detection System for Very Low Dose X-ray Radiology', presented at the talk session, discusses the preliminary data obtained using a new quantum X-ray radiology system with a high-efficiency solid-state detector and highly sensitive electronics, making it possible to reduce significantly the dose administered to a patient in X-ray radiology examinations. The present paper focuses more on the technological aspects of the apparatus, such as the integration of the detector with the two Asics, and the computer system. Namely, it is shown how the computer system calibrates the detection system, acquires the data in real time, and controls the scan parameters and image filtering process.

  7. Autoimmune pancreatitis mimicking Klatskin tumour on radiology.

    Hadi, Yousaf Bashir; Sohail, Abdul Malik Amir Humza; Haider, Zishan


    Autoimmune pancreatitis (AIP) is categorised into two distinct types, AIP type 1 and 2. Although there can be multisystem involvement, rarely, the cholangitis associated with AIP can present radiologically in a manner similar to that of Klatskin tumour. We present the case of a 65-year-old man who was almost misdiagnosed with a Klatskin tumour because of the similarity in radiological features of the two aforementioned clinical entities. The patient presented with a history of jaundice, pruritus and abdominal pain, and work up showed deranged liver function tests, elevated cancer antigen 19-9 levels and positive antinuclear antibodies. CT scan of the abdomen showed findings suggestive of Klatskin tumour but due to diffuse enlargement of the pancreas and surrounding low-attenuation halo found on a closer review, a diagnosis of AIP was performed. The patient was started on standard corticosteroid therapy and responded well, with complete resolution of the radiological findings.

  8. Routine Radiological Environmental Monitoring Plan. Volume 1

    Bechtel Nevada


    The U.S. Department of Energy manages the Nevada Test Site in a manner that meets evolving DOE Missions and responds to the concerns of affected and interested individuals and agencies. This Routine Radiological Monitoring Plan addressess complicance with DOE Orders 5400.1 and 5400.5 and other drivers requiring routine effluent monitoring and environmental surveillance on the Nevada Test Site. This monitoring plan, prepared in 1998, addresses the activities conducted onsite NTS under the Final Environmental Impact Statement and Record of Decision. This radiological monitoring plan, prepared on behalf of the Nevada Test Site Landlord, brings together sitewide environmental surveillance; site-specific effluent monitoring; and operational monitoring conducted by various missions, programs, and projects on the NTS. The plan provides an approach to identifying and conducting routine radiological monitoring at the NTS, based on integrated technical, scientific, and regulatory complicance data needs.

  9. Research in forensic radiology and imaging

    Aalders, M. C.; Adolphi, N. L.; Daly, B.


    This paper presents the outcome of the first international forensic radiology and imaging research summit, organized by the International Society of Forensic Radiology and Imaging, the International Association of Forensic Radiographers, the National Institute of Justice of the United States...... of America, and the Netherlands Forensic Institute. During this meeting, an international and multidisciplinary panel of forensic scientists discussed the current state of science in forensic radiology, and drafted a research agenda to further advance the field. Four groups for further research focus were...... identified: big data and statistics, identification and biological profiling, multimodal imaging, and visualization and presentation. This paper describes each of these research topics and thereby hopes to contribute to the development of this exciting new field of forensic medical science....

  10. Interventional Radiology of Male Varicocele: Current Status

    Iaccarino, Vittorio, E-mail:; Venetucci, Pietro [University of Naples ' Federico II' , Diagnostic Imaging Department-Cardiovascular and Interventional Radiology, School of Medicine (Italy)


    Varicocele is a fairly common condition in male individuals. Although a minor disease, it may cause infertility and testicular pain. Consequently, it has high health and social impact. Here we review the current status of interventional radiology of male varicocele. We describe the radiological anatomy of gonadal veins and the clinical aspects of male varicocele, particularly the physical examination, which includes a new clinical and ultrasound Doppler maneuver. The surgical and radiological treatment options are also described with the focus on retrograde and antegrade sclerotherapy, together with our long experience with these procedures. Last, we compare the outcomes, recurrence and persistence rates, complications, procedure time and cost-effectiveness of each method. It clearly emerges from this analysis that there is a need for randomized multicentre trials designed to compare the various surgical and percutaneous techniques, all of which are aimed at occlusion of the anterior pampiniform plexus.

  11. Science and Values in Radiological Protection

    Lochard, J. [Centre d' Etude sur l' Evaluation de la Protection dans le Domaine Nucleaire (CEPN), 92 - Fontenay-aux-Roses (France); Eggermont, G. [Belgian Association of Radiation Protection (Belgium); Britt-Marie, Drottz Sjoberg [Norwegian University of Science and Technology (Norway); Tirmarche, M. [Institut de radioprotection et de surete nucleaire (IRSN), 92 - Fontenay-aux-Roses (France); Geard, Ch.R. [Center for Radiological Research of Columbia University (United States); Atkinson, M. [Institute of Radiation Biology, Helmholtz Zentrum Munich (Germany); Murith, Ch. [Federal Office of Public Health (Switzerland); Grant, K.G. [RESOLVE (United States); Luccioni, C. [Conservatoire National des Arts et Metiers (CNAM), 75 - Paris (France); Mays, C. [NEA, 75 - Paris (France); Sisko, Salomaa [Finnish Centre for Radiation and Nuclear Safety (STUK), Helsinki (Finland); Kelly, N.G.; Oughton, D. [Norwegian University of Life Sciences (Norway); Shannoun, F. [WHO, Geneva (Switzerland); Grant, K.G. [RESOLVE (United States); Cooper, J. [Health Protection Agency (United Kingdom); Mays, C. [NEA, 75 - Paris (France); Weiss, V. [Bundesamt fur Strahlenschutz (Germany); Oughton, D. [Norwegian University of Life Sciences (Norway); Kazuo, Sakai [National Institute of Radiological Science (Japan); Carroll, S. [Swedish Biodiversity Centre, University of Agricultural Sciences and Uppsala University (Sweden)


    The workshop provides a forum for exchange of information and experience among regulators, scientists and governmental and non-governmental organisations in the areas of radiological protection and public health. This is the second in the series of NEA workshops on this subject. The first Science and Values in Radiological Protection workshop was held in Helsinki in January 2008 and hosted by the Radiation and Nuclear Safety Authority of Finland (STUK). The workshop focussed on developing a shared understanding between various stakeholders and identifying the elements of a framework more suited to the integration of new scientific and technological developments and socio-political considerations in radiological protection. This second workshop focusses on radiological protection issues that are currently facing us, and that continue to pose challenges to our world today. This document gathers the available slides of the presentations given at the workshop: - Science and Values in Radiological Protection: Towards a Framework (Jacques Lochard): This talk makes the link with the Science and Values in Radiological Protection workshop in Helsinki, and lay out the overall goals of the present workshop. It explains the format of plenary/break-out sessions. - Public Health Perspective in Radiological Protection in Challenging Topical Areas (Gilbert Eggermont): This talk gives more detail on the choice of the three case topics and the linkage to public health concerns in radiological protection. It makes a specific link with Helsinki workshop findings and the CRPPH Expert Group on the Public Health. Perspective in Radiological Protection work. - Civil Society Needs (Britt-Marie Drottz Sjoeberg): This talk briefly reviews the radiation protection concerns and communication needs of civil society. It points out different categories of stakeholders and their understanding of radiation risks implied by the three case topics. It addresses the question of how radiological

  12. Radiologic investigation after laparoscopic inguinal hernia repair

    Larmark, Martin; Ekberg, Olle [Department of Diagnostic Radiology, Malmoe University Hospital, 205 02, Malmoe (Sweden); Montgomery, Agneta [Department of Surgery, Malmoe University Hospital, 205 02, Malmoe (Sweden)


    Laparoscopic instead of open surgical repair of inguinal hernias is becoming more frequent. Radiologists may expect different postoperative findings depending on the technique used. We studied how radiology had been used postoperatively and what findings were encountered after laparoscopic herniorraphy. Postoperative radiologic examinations related to hernia repair of all consecutive patients that had had laparoscopic herniorraphy in Malmoe University hospital between 1992 and 1998 were retrospectively evaluated. A total of 538 groins were included, 3.9% (n=21) of these were postoperatively examined with ultrasound (n=10), herniography (n=7), plain abdominal films (n=2), CT (n=1), or fistulography (n=1). Significant findings were found in five groins, namely, one sinus tract, two hematomas, one small bowel obstruction, and one recurrence of hernia. Four insignificant seromas were found. The characteristics of the findings and pitfalls are described. Symptoms resulting in radiologic examination are rare after laparoscopic herniorraphy. The radiologist must be familiar with the spectrum of such findings. (orig.)

  13. Image Sharing in Radiology-A Primer.

    Chatterjee, Arindam R; Stalcup, Seth; Sharma, Arjun; Sato, T Shawn; Gupta, Pushpender; Lee, Yueh Z; Malone, Christopher; McBee, Morgan; Hotaling, Elise L; Kansagra, Akash P


    By virtue of its information technology-oriented infrastructure, the specialty of radiology is uniquely positioned to be at the forefront of efforts to promote data sharing across the healthcare enterprise, including particularly image sharing. The potential benefits of image sharing for clinical, research, and educational applications in radiology are immense. In this work, our group-the Association of University Radiologists (AUR) Radiology Research Alliance Task Force on Image Sharing-reviews the benefits of implementing image sharing capability, introduces current image sharing platforms and details their unique requirements, and presents emerging platforms that may see greater adoption in the future. By understanding this complex ecosystem of image sharing solutions, radiologists can become important advocates for the successful implementation of these powerful image sharing resources.

  14. Radiologic Imaging in Meckel Diverticulum Complications

    Erin Leslee Dames


    Full Text Available In 1809, Johann Friedrich Meckel the Younger described the most common congenital small bowel anomaly, which was named after him; however, the radiologic manifestations and interventional guidelines related to this entity are still limited to a few large-scale case series as well as proposed therapeutic protocols for the general population. Despite the fact that this entity is more commonly found within the first decade of life, imaging and management protocols remain controversial in the pediatric population, particularly within the asymptomatic group. We present an article depicting the radiologic and histologic findings in a series of Meckel's diverticulum within the pediatric population seen within our institution. We present this series to underscore the importance of high clinical suspicion in the early diagnosis and management of Meckel's diverticulum and to examine further the radiologic and therapeutic protocols within the pediatric population based on our local experience.

  15. Role of interventional radiology in the management of acute gastrointestinal bleeding

    Ramaswamy, Raja S; Choi, Hyung Won; Mouser, Hans C; Narsinh, Kazim H; McCammack, Kevin C; Treesit, Tharintorn; Kinney, Thomas B


    Acute gastrointestinal bleeding (GIB) can lead to significant morbidity and mortality without appropriate treatment. There are numerous causes of acute GIB including but not limited to infection, vascular anomalies, inflammatory diseases, trauma, and malignancy. The diagnostic and therapeutic approach of GIB depends on its location, severity, and etiology. The role of interventional radiology becomes vital in patients whose GIB remains resistant to medical and endoscopic treatment. Radiology offers diagnostic imaging studies and endovascular therapeutic interventions that can be performed promptly and effectively with successful outcomes. Computed tomography angiography and nuclear scintigraphy can localize the source of bleeding and provide essential information for the interventional radiologist to guide therapeutic management with endovascular angiography and transcatheter embolization. This review article provides insight into the essential role of Interventional Radiology in the management of acute GIB. PMID:24778770

  16. Natural radiation - a perspective to radiological risk factors of nuclear energy production

    Mustonen, R.; Christensen, T.; Stranden, E.


    Radiation doses from natural radiation and from man-made modifications on natural radiation, and different natural radiological environments in the Nordic countries are summarized and used as a perspective for the radiological consequences of nuclear energy production. The significance of different...... radiation sources can be judged against the total collective effective dose equivalent from natural radiation in the Nordic countries, 92 000 manSv per year. The collective dose from nuclear energy production during normal operation is estimated to 20 manSv per year and from non-nuclear energy production...... to 80 manSv per year. The increase in collective dose due to the conservation of heating energy in Nordic dwellings is estimated to 23 000 manSv per year, from 1973 to 1984. An indirect radiological danger index is defined in order to be able to compare the significance of estimated future releases...

  17. ICRP PUBLICATION 120: Radiological protection in cardiology.

    Cousins, C; Miller, D L; Bernardi, G; Rehani, M M; Schofield, P; Vañó, E; Einstein, A J; Geiger, B; Heintz, P; Padovani, R; Sim, K-H


    Cardiac nuclear medicine, cardiac computed tomography (CT), interventional cardiology procedures, and electrophysiology procedures are increasing in number and account for an important share of patient radiation exposure in medicine. Complex percutaneous coronary interventions and cardiac electrophysiology procedures are associated with high radiation doses. These procedures can result in patient skin doses that are high enough to cause radiation injury and an increased risk of cancer. Treatment of congenital heart disease in children is of particular concern. Additionally, staff(1) in cardiac catheterisation laboratories may receive high doses of radiation if radiological protection tools are not used properly. The Commission provided recommendations for radiological protection during fluoroscopically guided interventions in Publication 85, for radiological protection in CT in Publications 87 and 102, and for training in radiological protection in Publication 113 (ICRP, 2000b,c, 2007a, 2009). This report is focused specifically on cardiology, and brings together information relevant to cardiology from the Commission's published documents. There is emphasis on those imaging procedures and interventions specific to cardiology. The material and recommendations in the current document have been updated to reflect the most recent recommendations of the Commission. This report provides guidance to assist the cardiologist with justification procedures and optimisation of protection in cardiac CT studies, cardiac nuclear medicine studies, and fluoroscopically guided cardiac interventions. It includes discussions of the biological effects of radiation, principles of radiological protection, protection of staff during fluoroscopically guided interventions, radiological protection training, and establishment of a quality assurance programme for cardiac imaging and intervention. As tissue injury, principally skin injury, is a risk for fluoroscopically guided interventions

  18. Quality management in a radiological practice

    Kirsch, Michael, E-mail: kirschm@uni-greifswald.d [Department of Radiology, Universitaetsklinikum Greifswald der Ernst-Moritz-Arndt-Universitaet Greifswald AOR, Ferdinand-Sauerbruch-Strasse, 17487 Greifswald (Germany); Vogg, Ingrid, E-mail: ivmobil2@medimpuls.d [Stapelfelder Strasse 84, 22143 Hamburg (Germany); Hosten, Norbert, E-mail: hosten@uni-greifswald.d [Department of Radiology, Universitaetsklinikum Greifswald der Ernst-Moritz-Arndt-Universitaet Greifswald AOR, Ferdinand-Sauerbruch-Strasse, 17487 Greifswald (Germany); Flessa, Steffen, E-mail: Steffen.Flessa@uni-greifswald.d [General Business Studies and Health Management, Friedrich-Loeffler-Strasse 70, 17487 Greifswald (Germany)


    This paper describes the introduction of a total quality management system in a radiological practice. Certification was based on DIN EN ISO 9001:2000. The implementation of the quality management system had to overcome a number of barriers, for instance, legal obligations of a partnership association, leadership problems, and the fear to loose all hindered implementation. The knowledge of these barriers induces a faster and cheaper implementation of a quality management system in a radiological practice as a foundation of improved quality and competitiveness.

  19. Sponastrime dysplasia. A radiologic-pathologic correlation

    Lachman, R.S.; Stoss, H.; Spranger, J.


    The 2nd family with Sponastrime Dysplasia is described. The clinical, radiologic and chondro-osseous morphology of boy and girl siblings are presented. The facial appearance is an 'oriental look' with midface hypoplasia and a saddle nose. The radiological findings include the spinal changes of lordosis, osteoporosis and pear-shaped vertebrae, as well as striated metaphyses (osteopathia striata). The morphological findings suggest a disturbance in the formation of cartilage, with a defect in collagen and proteoglycans synthesis in this rare autosomal recessive skeletal dysplasia. (orig.).

  20. Dento-maxillofacial radiology as a specialty

    K?van?; Kamburo?lu


    This editorial discusses a relatively new specialty in dental and medical field namely dentomaxillofacial radiology. As a relatively newborn specialty it is obvious that there is a long way to go before dentomaxillofacial radiology is commonly known and respected by the society. All over the world, assigned committees work on the development of the training curriculum, determination of scientific and physical standards for institutions offering specialty training and arrangement of dental codes for reimbursement issues. Furthermore, adjustment of educational, scientific and legal regulations and prospective benefits are expected to boost this specialty’s attractiveness to colleagues’ worldwide.

  1. A Lean Six Sigma journey in radiology.

    Bucci, Ronald V; Musitano, Anne


    The department of radiology at Akron Children's Hospital embarked on a Lean Six Sigma mission as part of a hospital wide initiative to show increased customer satisfaction, reduce employee dissatisfaction and frustration, and decrease costs. Three processes that were addressed were reducing the MRI scheduling back-log, reconciling discrepancies in billing radiology procedures, and implementing a daily management system. Keys to success is that managers provide opportunities to openly communicate between department sections to break down barriers. Executive leaders must be engaged in Lean Six Sigma for the company to be successful.

  2. Medical Ethics and Law in Radiologic Technology.

    Matthews, Eric P; Matthews, Tracy M


    At every stage of their careers, radiologic technologists and student technologists must adhere to high ethical standards, obey the law, and consistently conduct themselves with professionalism. This article explains how modern health care ethics evolved, focusing on 8 important theorists. It also describes the ethical responsibilities of health care providers and the rights of patients. Important civil rights laws are discussed, focusing on the rights of health care workers as employees. A brief overview of the U.S. legal system follows, including the causes of action that most commonly involve health care professionals. Finally, this article discusses professionalism and its implications for radiologic technologists.

  3. Radiological information management system SRIM-10

    Shibata, Koichi; Goto, Yoshihisa


    A radiological information management system, SRIM-10, has been developed using a personal computer, in order to smoothly manage routine works in radiological division of hospitals. Data base is constructed with radiographic data acuqired directly from x-ray apparatus and patient information acquired using ID card. It is possible to record patient information of about 10,000 patients and radiographic data of about 120,000 exposures. This system can be made up as a multi work station system using a local area network. (author).

  4. Review on radiation protection in diagnostic radiology

    Vahid Karami


    Full Text Available Discovery of x-ray and using of it for medical imaging have produced tremendous outcomes for diagnosis and treatment of diseases. More than 10 million diagnostic radiological procedures and 100,000 nuclear medicine exams are being performed daily around the world. According to the national commission on radiological protection and measurements (NCRP-report 160, medical x-ray is contribute to approximately 95% of all radiological examinations that is responsible for 74% of the collective dose to the US population. Despite of unique benefits of ionizing radiations, in the field of radiation protection, they are associated with potential risks such as cancer and genetically abnormalities. The cancer risk attributable to diagnostic radiology is estimated about 0.6% to 3%. It is estimated that the radiation dose from diagnostic x-ray procedures are annually responsible for 7,587 and 5,695 cases of radiation induced cancer in the population of Japan and US, respectively. Although the radiation dose associated with most radiological procedures are very low, but rapid increasing use of radiography procedures during two past decades have been concerned due to the cancer risk associated with ionizing radiations. On the base of linear no-threshold (LNT model of dose-response curve, any level of exposure is dangerous. Deoxyribonucleic acid (DNA is the main target of ionizing radiation. For radiological exposure with low dose, the stochastic effects such as genetic damages and leukemia are concerned. According to the recommendations of the radiation protection regulatory organizations, radiological procedure must be done with respect to social and economic factors in which exposure of patient and population kept as low as reasonable and achievable. Hence, prescription of a radiological test is acceptable only when its advantages are higher than its damages. Optimizing the different parameters such as: collimating the primary beam field to the area of

  5. Extracting diagnosis from Japanese radiological report.

    Imai, Takeshi; Onogi, Yuzo


    This study is aimed at extracting diagnosis with positive or negative assertion from radiological report written in Japanese Natural Language. We get frequency of verb patterns that indicate pos/neg assertion, and extract a rule in order of the occurrence. We made customized dictionary of 36,152 terms relating to disease names or radiological findings, and tried to extract pairs of (pos/neg, disease and verb pattern ) by using rules according to the most frequent pattern from 1,524/5,000 CT reports (each report consists of 15.1 words on the average). We tried only a few rules so far, and continue to find other rules.

  6. Early radiology and the National Medical Association.

    Oestreich, Alan E


    Both the discovery of the x-ray and the founding of the National Medical Association (NMA) occurred in 1895. Radiologists have participated importantly in the NMA since the lecture of Dr Marcus F. Wheatland at the 1909 Annual Meeting in Boston, Massachusetts, which led to his election as president of the NMA for the following year. More recently, Dr Tracy M. Walton was president of the NMA in its centennial year. This article details early and continued participation in the NMA by radiologists, including the founding of the Section on Radiology in 1949, with its first chairman, Dr William E. Allen, Jr, longtime leader in radiology, the section, and the NMA.

  7. Virtual radiology rounds: adding value in the digital era.

    Fefferman, Nancy R; Strubel, Naomi A; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P


    To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

  8. Virtual radiology rounds: adding value in the digital era

    Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P. [New York University School of Medicine, Department of Radiology, New York, NY (United States)


    To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

  9. Radiological Characterization and Final Facility Status Report Tritium Research Laboratory

    Garcia, T.B.; Gorman, T.P.


    This document contains the specific radiological characterization information on Building 968, the Tritium Research Laboratory (TRL) Complex and Facility. We performed the characterization as outlined in its Radiological Characterization Plan. The Radiological Characterization and Final Facility Status Report (RC&FFSR) provides historic background information on each laboratory within the TRL complex as related to its original and present radiological condition. Along with the work outlined in the Radiological Characterization Plan (RCP), we performed a Radiological Soils Characterization, Radiological and Chemical Characterization of the Waste Water Hold-up System including all drains, and a Radiological Characterization of the Building 968 roof ventilation system. These characterizations will provide the basis for the Sandia National Laboratory, California (SNL/CA) Site Termination Survey .Plan, when appropriate.

  10. Childhood hydrocephalus – is radiological morphology associated with etiology

    Foss-Skiftesvik, Jon; Andresen, Morten; Juhler, Marianne


    Clinicians use a non-standardized, intuitive approach when correlating radiological morphology and etiology of hydrocephalus.......Clinicians use a non-standardized, intuitive approach when correlating radiological morphology and etiology of hydrocephalus....

  11. Comparison of toxicological and radiological aspects of K basins sludge



    The composition of various K Basins sludge is evaluated for its toxicological and radiological impacts downwind from accidents. It is shown that the radiological risk evaluation guidelines are always more limiting than the toxicological risk evaluation guidelines.

  12. NV/YMP radiological control manual, Revision 2

    Gile, A.L. [comp.


    The Nevada Test Site (NTS) and the adjacent Yucca Mountain Project (YMP) are located in Nye County, Nevada. The NTS has been the primary location for testing nuclear explosives in the continental US since 1951. Current activities include operating low-level radioactive and mixed waste disposal facilities for US defense-generated waste, assembly/disassembly of special experiments, surface cleanup and site characterization of contaminated land areas, and non-nuclear test operations such as controlled spills of hazardous materials at the hazardous Materials (HAZMAT) Spill Center (HSC). Currently, the major potential for occupational radiation exposure is associated with the burial of low-level nuclear waste and the handling of radioactive sources. Planned future remediation of contaminated land areas may also result in radiological exposures. The NV/YMP Radiological Control Manual, Revision 2, represents DOE-accepted guidelines and best practices for implementing Nevada Test Site and Yucca Mountain Project Radiation Protection Programs in accordance with the requirements of Title 10 Code of Federal Regulations Part 835, Occupational Radiation Protection. These programs provide protection for approximately 3,000 employees and visitors annually and include coverage for the on-site activities for both personnel and the environment. The personnel protection effort includes a DOE Laboratory Accreditation Program accredited dosimetry and personnel bioassay programs including in-vivo counting, routine workplace air sampling, personnel monitoring, and programmatic and job-specific As Low as Reasonably Achievable considerations.

  13. iPad: Semantic annotation and markup of radiological images.

    Rubin, Daniel L; Rodriguez, Cesar; Shah, Priyanka; Beaulieu, Chris


    Radiological images contain a wealth of information,such as anatomy and pathology, which is often not explicit and computationally accessible. Information schemes are being developed to describe the semantic content of images, but such schemes can be unwieldy to operationalize because there are few tools to enable users to capture structured information easily as part of the routine research workflow. We have created iPad, an open source tool enabling researchers and clinicians to create semantic annotations on radiological images. iPad hides the complexity of the underlying image annotation information model from users, permitting them to describe images and image regions using a graphical interface that maps their descriptions to structured ontologies semi-automatically. Image annotations are saved in a variety of formats,enabling interoperability among medical records systems, image archives in hospitals, and the Semantic Web. Tools such as iPad can help reduce the burden of collecting structured information from images, and it could ultimately enable researchers and physicians to exploit images on a very large scale and glean the biological and physiological significance of image content.

  14. Vascular interventional radiology. Current evidence in endovascular surgery. 2. ed.

    Cowling, Mark G. (ed.) [Univ. Hospital North Staffordshire, Stoke-on-Trent (United Kingdom). Dept. of Radiology


    Succinct chapters that will allow readers to identify quickly the information that they need. Ideally sized book for storage and use in the interventional suite. Contains sufficient detail for trainees in endovascular therapy/interventional radiology to gain a thorough grasp of the relevant issues. Fully updated to reflect recent advances. This new edition of Vascular Interventional Radiology: Current Evidence in Endovascular Surgery provides a thorough yet succinct and accessible review of the latest knowledge in the field of endovascular surgery. All chapters have been updated to reflect the advances that have occurred during the past five years, and new chapters are included on carotid artery stenting and day case intervention. The chapter on lower limb veno-occlusive disease has been expanded to include management of deep venous thrombosis. Among the other topics considered are the endovascular treatment options in different arterial territories, aneurysm repair techniques, and the management of venous stenosis and venous insufficiency. The aim throughout is to tackle issues of evidence-based practice in order to assist trainees and experienced practitioners in making and implementing treatment decisions. This book will be an invaluable source of information for both interventional radiologists and vascular surgeons with an interest in endovascular techniques.

  15. Geographical variation in radiological services: a nationwide survey

    Børretzen Ingelin


    Full Text Available Abstract Background Geographical variation in health care services challenges the basic principle of fair allocation of health care resources. This study aimed to investigate geographical variation in the use of X-ray, CT, MRI and Ultrasound examinations in Norway, the contribution from public and private institutions, and the impact of accessibility and socioeconomic factors on variation in examination rates. Methods A nationwide survey of activity in all radiological institutions for the year 2002 was used to compare the rates per thousand of examinations in the counties. The data format was files/printouts where the examinations were recorded according to a code system. Results Overall rates per thousand of radiological examinations varied by a factor of 2.4. The use of MRI varied from 170 to 2, and CT from 216 to 56 examinations per 1000 inhabitants. Single MRI examinations (knee, cervical spine and head/brain ranged high in variation, as did certain other spine examinations. For examination of specific organs, the counties' use of one modality was positively correlated with the use of other modalities. Private institutions accounted for 28% of all examinations, and tended towards performing a higher proportion of single examinations with high variability. Indicators of accessibility correlated positively to variation in examination rates, partly due to the figures from the county of Oslo. Correlations between examination rates and socioeconomic factors were also highly influenced by the figures from this county. Conclusion The counties use of radiological services varied substantially, especially CT and MRI examinations. A likely cause of the variation is differences in accessibility. The coexistence of public and private institutions may be a source of variability, along with socioeconomic factors. The findings represent a challenge to the objective of equality in access to health care services, and indicate a potential for better

  16. Status of SRNL radiological field lysimeter experiment-Year 1

    Kaplan, D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Roberts, K. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Bagwell, L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)


    The Savannah River National Laboratory (SRNL) Radiological Field Lysimeter Experiment is a one-of-a-kind field facility designed to study radionuclide geochemical processes at a larger spatial scale (from grams to tens of kilograms sediment) and temporal scale (from months to 10 years) than is readily afforded through laboratory studies. The lysimeter facility is intended to capture the natural heterogeneity of moisture and temperature regimes in the vadose zone, the unsaturated subsurface region between the surface soil and the underlying aquifer. The 48 lysimeter columns, which contain various radionuclides (and stable iodine), were opened to rainfall infiltration on July 5, 2012. The objective of this report is to provide a status of the lysimeter facility operations and to compile data collected during FY13, including leachate volume, rainfall, and soil moisture and temperature in situ probe data. Radiological leachate data are not presented in this document but will be the subject of a separate document.1 Leachate samples were collected quarterly and shipped to Clemson University for radiological analyses. Rainfall, leachate volume, moisture and temperature probe data were collected continuously. During operations of the facility this year, there were four safety or technical concerns that required additional maintenance: 1) radioactivity was detected in one of the overflow bottles (captured water collected from the secondary containment that does not come in contact with the radiological source material); 2) rainwater accumulated within the sample-bottle storage sheds; 3) overflow containers collected more liquid than anticipated; and 4) significant spider infestation occurred in the sample-bottle storage sheds. To address the first three concerns, each of the lysimeter columns was re-plumbed to improve and to minimize the number of joint unions. To address the fourth concern regarding spiders, new sample-bottle water sheds were purchased and a pest control

  17. Radiological aspects of sprained ankle syndrome

    Sijbrandij, E.S.


    This thesis addresses several problems related to sprained ankle syndrome. The purpose of this thesis is to evaluate the imaging features of sprained ankles, found on new radiological modalities, and to assess the additional diagnostic understanding and treatment planning of helical CT as well as M

  18. Intelligent image retrieval based on radiology reports

    Gerstmair, Axel; Langer, Mathias; Kotter, Elmar [University Medical Center Freiburg, Department of Diagnostic Radiology, Freiburg (Germany); Daumke, Philipp; Simon, Kai [Averbis GmbH, Freiburg (Germany)


    To create an advanced image retrieval and data-mining system based on in-house radiology reports. Radiology reports are semantically analysed using natural language processing (NLP) techniques and stored in a state-of-the-art search engine. Images referenced by sequence and image number in the reports are retrieved from the picture archiving and communication system (PACS) and stored for later viewing. A web-based front end is used as an interface to query for images and show the results with the retrieved images and report text. Using a comprehensive radiological lexicon for the underlying terminology, the search algorithm also finds results for synonyms, abbreviations and related topics. The test set was 108 manually annotated reports analysed by different system configurations. Best results were achieved using full syntactic and semantic analysis with a precision of 0.929 and recall of 0.952. Operating successfully since October 2010, 258,824 reports have been indexed and a total of 405,146 preview images are stored in the database. Data-mining and NLP techniques provide quick access to a vast repository of images and radiology reports with both high precision and recall values. Consequently, the system has become a valuable tool in daily clinical routine, education and research. (orig.)

  19. Curriculum Guidelines for Predoctoral Oral Radiology.

    Journal of Dental Education, 1987


    The American Association of Dental Schools' guidelines for oral radiology curricula give an overview of the field and its interrelationships with other fields and outline the primary educational objectives, prerequisites, core content, specific behavioral objectives, sequencing, faculty, facilities, and occupational hazards to be considered in…

  20. Radiology residents' experience with intussusception reduction.

    Bateni, Cyrus; Stein-Wexler, Rebecca; Wootton-Gorges, Sandra L; Li, Chin-Shang


    Residents should be exposed to adequate procedural volume to act independently upon completion of training. Informal inquiry led us to question whether residents encounter enough intussusception reductions to become comfortable with the procedure. We sought to determine radiology residents' exposure to intussusception reductions, and whether their experiences vary by region or institution. U.S. radiology residency program directors were asked to encourage their residents to complete a 12-question online survey describing characteristics of their pediatric radiology department, experiences with intussusception reduction, and confidence in their own ability to perform the procedure. Six hundred sixty-four residents responded during the study period. Of those, 308 (46.4%) had not experienced an intussusception reduction, and 228 (34%) had experienced only one or two. Twenty-two percent of fourth-year residents had never experienced an intussusception reduction, and 21% had experienced only one. Among second- through fourth-year residents, only 99 (18.3%) felt confident that they could competently reduce an intussusception (P Radiology residents have limited opportunity to learn intussusception reduction and therefore lack confidence. Most think they would benefit from additional training with a computer-simulation model.

  1. Historical Outline of Radiology in Cienfuegos

    Clara Hilda Vega Blanco


    Full Text Available La elevada importancia que ha tenido el desarrollo y utilización adecuada de la radiología (actualmente imagenología para el diagnóstico de diversas afecciones médicas en el presente siglo, especialmente en las últimas décadas, unida a la ausencia de investigaciones relacionadas con el surgimiento y evolución de dicha especialidad en nuestra localidad, sustenta la necesidad de brindar un mayor conocimiento de la historia de la Radiología en Cienfuegos. El objetivo de este estudio es exponer los elementos relacionados con el surgimiento y desarrollo de la Radiología en Cuba, particularmente en Cienfuegos, así como los beneficios que ha traído a la población de esta ciudad. Para ello se realizó un estudio cualitativo, de perfil histórico y descriptivo. Se exponen aspectos relacionados con la asistencia y la docencia del personal no médico y se hace alusión a diversas personalidades relevantes vinculadas a esta actividad. El surgimiento de la Radiología en la provincia se remonta a los primeros años de la segunda década del 1900, sin embargo, no fue hasta después del triunfo de la revolución en 1959, que experimentó un verdadero avance tecnológico.

  2. Interventional neuroradiology techniques in interventional radiology

    Murphy, Kieran; Robertson, Fergus; Watkinson, Anthony


    This book provides accessible technique-specific information on interventional radiology procedures, in a format suitable for reference in the IR treatment room or as a carry-around guide. Offers step-by-step points, key point summaries and illustrations.

  3. Acute radiologic intervention in gastrointestinal bleeding

    Lesak, F.


    A case of embolization of the gastroduodenal artery in a 38-year old man with chronic pancreatitis and uncontrollable bleeding is presented. The advantage of this interventional radiologic procedure is discussed and in selective cases it seems to be the choice of treatment.

  4. Radiological Dispersion Devices and Basic Radiation Science

    Bevelacqua, Joseph John


    Introductory physics courses present the basic concepts of radioactivity and an overview of nuclear physics that emphasizes the basic decay relationship and the various types of emitted radiation. Although this presentation provides insight into radiological science, it often fails to interest students to explore these concepts in a more rigorous…

  5. Curriculum Guidelines for Predoctoral Oral Radiology.

    Journal of Dental Education, 1987


    The American Association of Dental Schools' guidelines for oral radiology curricula give an overview of the field and its interrelationships with other fields and outline the primary educational objectives, prerequisites, core content, specific behavioral objectives, sequencing, faculty, facilities, and occupational hazards to be considered in…

  6. Adult Education in Radiologic Technology: A Review.

    Dowd, Steven B.

    In almost all its aspects, radiologic technology education is adult education. Boyle's (1981) adult learning model has four components: (1) the learner in terms of motivation; (2) learning as a change process; (3) the experiential role of education; and (4) the facilitative role of the educator. Andragogy, as defined by Knowles (1977, 1980), is a…

  7. Curriculum Development and Alignment in Radiologic Technology.

    Dowd, Steven B.

    Before developing a curriculum for radiologic technology, one must first attempt to define the term "curriculum." The term is not easy to define precisely, although it does imply the necessity of a master plan that outlines institutional philosophy and goals, course descriptions, description of competency-based evaluation, performance objectives,…

  8. Recommendations for Radiologic Technology Workforce Development.

    Collins, Dale E.

    A literature review was conducted to establish criteria for the development and establishment of an associate degree program in radiologic technology in Alaska, where traditional education programs had been slow to respond to the current personnel shortage. The information was obtained from a variety of state, regional, and national organizations…

  9. Ethics and law for the radiologic technologist.

    Lynn, S D


    Radiologic technologists face daily decisions based on both ethics and law. Ethics has a long history in medicine and includes biomedical, professional and personal ethics. Health care professionals also must be aware of administrative, constitutional, civil and criminal law. They are subject to both criminal and civil penalties for misconduct in the course of carrying out professional duties.

  10. Study on Application of Mobile Radiological Monitor


    The mobile radiological monitor has been applied for the radiation level of a nuclear facility in 2011. Based on the requirement, the monitor had been improved, it can measure and save the data of gamma-ray and neutron radiation level, the dose rate and the

  11. Interventional radiology in the lacrimal drainage system

    Ilgit, Erhan T. [Department of Radiology, School of Medicine, Gazi University, Besevler 06510, Ankara (Turkey)]. E-mail:; Oenal, Baran [Department of Radiology, School of Medicine, Gazi University, Besevler 06510, Ankara (Turkey); Coskun, Bilgen [Department of Radiology, School of Medicine, Gazi University, Besevler 06510, Ankara (Turkey)


    This article presents a review of the interventional radiological procedures in the lacrimal drainage system. Balloon dacryocystoplasty and nasolacrimal polyurethane stent placement are the main fluoroscopically guided interventions for the treatment of epiphora by recanalizing the obstructed LDS. These procedures can also be used for dacryolith removal and lacrimal sac abscess treatment.

  12. User questionnaire to evaluate the radiological workspace

    van Ooijen, Peter M. A.; Koesoema, Allya P.; Oudkerk, Matthijs


    Over the past few years, an increase in digitalization of radiology departments can be seen, which has a large impact on the work of the radiologists. This impact is not only demonstrated by the increased use of digital images but also by changing demands on the whole reading environment. In this st

  13. Poland's syndrome: radiologic findings

    Bazzi Junior, Joao Lourenco, E-mail: [Clinica Via Imagem, Xanxere, SC (Brazil); Matta, Eduardo Simoes da [Pro Circulacao - Clinica de Angiologia, Cirurgia Vascular e Ecografia Vascular, Xanxere, SC (Brazil); De Bortoli, Luciano [Materclinica Materno Infantil, Xanxere, SC (Brazil); De Bortoli, Felipe Raasch [Universidade Catolica de Pelotas (UCPel), Pelotas, RS (Brazil). Fac. of Medicine


    Poland's syndrome is a rare non-inherited congenital anomaly. The authors describe the classic radiologic findings of Poland's syndrome by reporting the case of a male four-year old patient with asymmetry of hands and chest, illustrating the fundamental imaging criteria for a conclusive diagnosis. (author)

  14. [Calcifying periarthropathy (radiologic-histological synopsis, terminology)].

    Dihlmann, W


    On the basis of a case of radiologically and histologically investigated calcifying periarthropathy in the tendon of the glutaeus medius muscle the histological appearance and the pathogenesis of pain associated with this process is considered. The transformation of tendon tissue into fibrous cartilage is emphasized.


    Watson, Elizabeth; Heng, Hock Gan


    Imaging studies are often of evidentiary value in medicolegal investigations involving animals and the role of the veterinary radiologist is to interpret those images for courts as an expert or opinion witness. With progressing interest in prosecuting animal crimes and strengthening of penalties for crimes against animals, the participation of veterinary radiologists in medicolegal investigations is expected to increase. Veterinary radiologists who are aware of radiographic and imaging signs that result in animal suffering, abuse, or neglect; knowledgeable in ways radiology and imaging may support cause of death determinations; conversant in postmortem imaging; comfortable discussing mechanisms and timing of blunt or sharp force and projectile trauma in imaging; and prepared to identify mimics of abuse can assist court participants in understanding imaging evidence. The goal of this commentary review is to familiarize veterinary radiologists with the forensic radiology and imaging literature and with the advantages and disadvantages of various imaging modalities utilized in forensic investigations. Another goal is to provide background information for future research studies in veterinary forensic radiology and imaging. © 2017 American College of Veterinary Radiology.

  16. Computer assisted radiology and surgery. CARS 2010



    The conference proceedings include contributions to the following topics: (1) CARS Clinical Day: minimally invasive spiral surgery, interventional radiology; (2) CARS - computer assisted radiology and surgery: ophthalmology, stimulation methods, new approaches to diagnosis and therapy; (3) Computer assisted radiology 24th International congress and exhibition: computer tomography and magnetic resonance, digital angiographic imaging, digital radiography, ultrasound, computer assisted radiation therapy, medical workstations, image processing and display; (4) 14th Annual conference of the International Society for computer aided surgery; ENT-CMF head and neck surgery computer-assisted neurosurgery, cardiovascular surgery, image guided liver surgery, abdominal and laparoscopic surgery, computer-assisted orthopedic surgery, image processing and visualization, surgical robotics and instrumentation, surgical modeling, simulation and education; (5) 28th International EuroPACS meeting: image distribution and integration strategies, planning and evaluation, telemedicine and standards, workflow and data flow in radiology; (6) 11th CARS/SPIE/EuroPACS joint workshop on surgical PACS and the digital operating, management and assessment of OR systems and integration; (7) 12th International workshop on computer-aided diagnosis: special session on breast CAD, special session on thoracic CAD, special session on abdominal brain, lumbar spine CAD; (8) 16th computed Maxillofacial imaging congress: computed maxillofacial imaging in dental implantology, orthodontics and dentofacial orthopedics; approaches to 3D maxillofacial imaging; surgical navigation; (9) 2nd EuroNOTES/CARS workshop on NOTES: an interdisciplinary challenge; (10) 2nd EPMA/CARS workshop on personalized medicine and ICT.; (11)poster sessions.

  17. User interface prototyping to understand radiology thinking

    Varga, E.; Freudenthal, A.


    Recent technological solutions for image-guided therapies focus on replacing the cognitive processes of physicians. However, there is a lack of knowledge in the field of cognitive ergonomics regarding radiology image thinking, such as image interpretation and 3D navigation. This paper addresses the

  18. Radiological Consequence Analyses Following a Hypothetical Severe Accident in Japan

    Kim, Juyub; Kim, Juyoul [FNC Technology Co., Yongin (Korea, Republic of)


    In order to reflect the lessons learned from the Fukushima Daiichi nuclear power plant accident, a simulator which is named NANAS (Northeast Asia Nuclear Accident Simulator) for overseas nuclear accident has been developed. It is composed of three modules: source-term estimation, atmospheric dispersion prediction and dose assessment. For the source-term estimation module, the representative reactor types were selected as CPR1000, BWR5 and BWR6 for China, Japan and Taiwan, respectively. Considering the design characteristics of each reactor type, the source-term estimation module simulates the transient of design basis accident and severe accident. The atmospheric dispersion prediction module analyzes the transport and dispersion of radioactive materials and prints out the air and ground concentration. Using the concentration result, the dose assessment module calculates effective dose and thyroid dose in the Korean Peninsula region. In this study, a hypothetical severe accident in Japan was simulated to demonstrate the function of NANAS. As a result, the radiological consequence to Korea was estimated from the accident. PC-based nuclear accident simulator, NANAS, has been developed. NANAS contains three modules: source-term estimation, atmospheric dispersion prediction and dose assessment. The source-term estimation module simulates a nuclear accident for the representative reactor types in China, Japan and Taiwan. Since the maximum calculation speed is 16 times than real time, it is possible to estimate the source-term release swiftly in case of the emergency. The atmospheric dispersion prediction module analyzes the transport and dispersion of radioactive materials in wide range including the Northeast Asia. Final results of the dose assessment module are a map projection and time chart of effective dose and thyroid dose. A hypothetical accident in Japan was simulated by NANAS. The radioactive materials were released during the first 24 hours and the source

  19. [Legal aspects of post-mortem radiology in the Netherlands

    Venderink, W.; Dute, J.C.


    In the Netherlands, the application of post-mortem radiology (virtual autopsy) is on the rise. Contrary to conventional autopsy, with post-mortem radiology the body remains intact. There is uncertainty concerning the legal admissibility of post-mortem radiology, since the Dutch Corpse Disposal Act

  20. 76 FR 49458 - TRICARE; Hospital Outpatient Radiology Discretionary Appeal Adjustments


    ... of the Secretary TRICARE; Hospital Outpatient Radiology Discretionary Appeal Adjustments AGENCY... hospitals of an opportunity for net adjusted payments for radiology services for which TRICARE payments were... radiology services specified in the regulation as being reimbursed under the allowable charge methodology...

  1. Medical Student Perceptions of Radiology Use in Anatomy Teaching

    Murphy, Kevin P.; Crush, Lee; O'Malley, Eoin; Daly, Fergus E.; Twomey, Maria; O'Tuathaigh, Colm M. P.; Maher, Michael M.; Cryan, John F.; O'Connor, Owen J.


    The use of radiology in the teaching of anatomy to medical students is gaining in popularity; however, there is wide variation in how and when radiology is introduced into the curriculum. The authors sought to investigate students' perceptions regarding methods used to depict and teach anatomy and effects of integrated radiology instruction on…

  2. 42 CFR 415.120 - Conditions for payment: Radiology services.


    ... 42 Public Health 3 2010-10-01 2010-10-01 false Conditions for payment: Radiology services. 415.120... Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to a beneficiary...

  3. An Overview of Dental Radiology. NCHCT Monograph Series.

    Manny, Edward F.; And Others

    This overview of dental radiology contains sections on demographics, equipment, dental radiology quality assurance, efficacy, dental radiology education curricula, professional organizations' guidelines for training and use, and state activities. In section 1 dental personnel, population of dental personnel, employment and earning prospects,…

  4. Neurosyphilis: A Clinico- Radiological Study | Patel | African Journal ...

    Our series of patients were reviewed to describe the clinical and radiological findings. ... demographic, clinical, laboratory and radiological findings were extracted. Patients HIV status was also recorded. ... Thirty-nine of these had radiological data. ... has protean manifestations and can affect any central neurological system.

  5. 21 CFR 892.1830 - Radiologic patient cradle.


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiologic patient cradle. 892.1830 Section 892.1830 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1830 Radiologic patient cradle....

  6. 21 CFR 892.1940 - Radiologic quality assurance instrument.


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiologic quality assurance instrument. 892.1940 Section 892.1940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1940 Radiologic quality...

  7. Medical Student Perceptions of Radiology Use in Anatomy Teaching

    Murphy, Kevin P.; Crush, Lee; O'Malley, Eoin; Daly, Fergus E.; Twomey, Maria; O'Tuathaigh, Colm M. P.; Maher, Michael M.; Cryan, John F.; O'Connor, Owen J.


    The use of radiology in the teaching of anatomy to medical students is gaining in popularity; however, there is wide variation in how and when radiology is introduced into the curriculum. The authors sought to investigate students' perceptions regarding methods used to depict and teach anatomy and effects of integrated radiology instruction on…

  8. A New Role for Local Police in Radiological Security


    ORGANIZATIONAL STRUCTURE ..................18 J. THREATENED USES OF RADIOLOGICAL WEAPONS......................20 K. GOIANIA , BRAZIL... GOIANIA , BRAZIL There have been no documented explosions of a radiological dispersal device by terrorists. A radiological incident in Gioania...Accident in Goiania (Vienna, Austria: IAEC, 1988), 13. 22 avoided the region. The total economic damages were estimated to be in the hundreds of

  9. Chance findings in skeletal radiology; Zufallsbefunde in der Skelettradiologie

    Freyschmidt, Juergen [Beratungsstelle und Referenzzentrum fuer Osteoradiologie, Bremen (Germany)


    The book on chance findings in skeletal radiology covers the following issues: Part (I): Introduction - what are chance findings? Part (II); change findings under different radiological modalities: most frequent skeletal radiological change findings: scintiscanning, radiography and CT, MRT, PET and PET/CT. Part (III): case studies: skull; spinal cord; shoulder/pectoral girdle, chest; pelvis and hip joints; upper extremities; lower extremities.

  10. Post-deployment usability evaluation of a radiology workstation

    Jorritsma, Wiard; Cnossen, Fokie; Dierckx, Rudi; Oudkerk, Matthijs; van Ooijen, Peter


    Objective To evaluate the usability of a radiology workstation after deployment in a hospital. Significance In radiology, it is difficult to perform valid pre-deployment usability evaluations due to the heterogeneity of the user group, the complexity of the radiological workflow, and the complexity

  11. Activity-based costing in radiology. Application in a pediatric radiological unit.

    Laurila, J; Suramo, I; Brommels, M; Tolppanen, E M; Koivukangas, P; Lanning, P; Standertskjöld-Nordenstam, G


    To get an informative and detailed picture of the resource utilization in a radiology department in order to support its pricing and management. A system based mainly on the theoretical foundations of activity-based costing (ABC) was designed, tested and compared with conventional costing. The study was performed at the Pediatric Unit of the Department of Radiology, Oulu University Hospital. The material consisted of all the 7,452 radiological procedures done in the unit during the first half of 1994, when both methods of costing where in use. Detailed cost data were obtained from the hospital financial and personnel systems and then related to activity data captured in the radiology information system. The allocation of overhead costs was greatly reduced by the introduction of ABC compared to conventional costing. The overhead cost as a percentage of total costs dropped to one-fourth of total costs, from 57% to 16%. The change of unit costs of radiological procedures varied from -42% to +82%. Costing is much more detailed and precise, and the percentage of unspecified allocated overhead costs diminishes drastically when ABC is used. The new information enhances effective departmental management, as the whole process of radiological procedures is identifiable by single activities, amenable to corrective actions and process improvement.

  12. Segmental odontomaxillary dysplasia: clinical, radiological and histological aspects of four cases

    Becktor, K.B.; Reibel, J.; Vedel, B.;


    Segmental odontomaxillary dysplasia, hemimaxillofacial dysplasia, histological and radiological findings......Segmental odontomaxillary dysplasia, hemimaxillofacial dysplasia, histological and radiological findings...

  13. Radiology – Changing Role in Healthcare

    Md Khalilur Rahman


    Full Text Available In November 1895, X-rays were inadvertently discovered by the German physicist Wilhelm Conrad Roentgen. Roentgen provisionally named the new rays as X-rays using the mathematical label for something unidentified. Roentgen's initial manuscript, "On A New Kind of Rays" (άber eine neue Art von Strahlen, was published two months later and in 1901, he received the first ever Nobel Prize in Physics “in recognition of the extraordinary services he has rendered by the discovery of the remarkable rays" subsequently named after him. He himself refused to take out patents, intending to the free use of X-rays for the benefit of mankind. Today, Wilhelm Conrad Roentgen is honoured as the father of diagnostic radiology.1,2 Since the inadvertent discovery of X-rays, conventional radiography has developed greatly and mostly has been replaced by digital radiography equipments which convert X-ray images to electronic data that can be studied using a monitor and archived on a computer disk. Digital techniques permit the radiographs to be viewed instantaneously, additionally allow specific areas of the image to be enlarged, and the contrast of the images can be manipulated to provide greater visibility of the abnormality.1 The anatomical details and sensitivity of the newer modalities is now of a high order and the use of imaging for ultrastructural diagnostics nanotechnology, functional and quantitative diagnostics and molecular medicine is steadily increasing. Most recently the improved imaging clarity and tissue differentiation in a number of clinical situations has dramatically increased the spectrum of the diagnostic information and even in many cases revealing the pathology without the requirement of invasive tissue sampling.3 Eventually radiology is now the prime diagnostic aid for many diseases and also has a vital role in monitoring treatment and predicting outcome. Recent advancements in this field bring a number of imaging modalities which have

  14. Effective dose delivered by conventional radiology to Aosta Valley population between 2002 and 2009

    Zenone, F; Aimonetto, S; Catuzzo, P; Peruzzo Cornetto, A; Marchisio, P; Natrella, M; Rosanò, A M; Meloni, T; Pasquino, M; Tofani, S


    Objective Medical diagnostic procedures can be considered the main man-made source of ionising radiation exposure for the population. Conventional radiography still represents the largest contribution to examination frequency. The present work evaluates procedure frequency and effective dose from the majority of conventional radiology examinations performed at the Radiological Department of Aosta Hospital from 2002 to 2009. Method Effective dose to the patient was evaluated by means of the software PCXMC. Data provided by the radiological information system allowed us to obtain collective effective and per caput dose. Results The biggest contributors to per caput effective dose from conventional radiology are vertebral column, abdomen, chest, pelvis and (limited to females) breast. Vertebral column, pelvis and breast procedures show a significant dose increment in the period of the study. The mean effective dose per inhabitant from conventional radiology increased from 0.131 mSv in 2002 to 0.156 mSv in 2009. Combining these figures with those from our study of effective dose from CT (0.55 mSv in 2002 to 1.03 mSv in 2009), the total mean effective dose per inhabitant increased from 0.68 mSv to 1.19 mSv. The contribution of CT increased from 81% to 87% of the total. In contrast, conventional radiology accounts for 85% of the total number of procedures, but only 13% of the effective dose. Conclusion The study has demonstrated that conventional radiography still represents the biggest contributor to examination frequency in Aosta Valley in 2009. However, the frequency of the main procedures did not change significantly between 2002 and 2009. PMID:21937611

  15. Development of RAD-Score: A Tool to Assess the Procedural Competence of Diagnostic Radiology Residents.

    Isupov, Inga; McInnes, Matthew D F; Hamstra, Stan J; Doherty, Geoffrey; Gupta, Ashish; Peddle, Susan; Jibri, Zaid; Rakhra, Kawan; Hibbert, Rebecca M


    The purpose of this study is to develop a tool to assess the procedural competence of radiology trainees, with sources of evidence gathered from five categories to support the construct validity of tool: content, response process, internal structure, relations to other variables, and consequences. A pilot form for assessing procedural competence among radiology residents, known as the RAD-Score tool, was developed by evaluating published literature and using a modified Delphi procedure involving a group of local content experts. The pilot version of the tool was tested by seven radiology department faculty members who evaluated procedures performed by 25 residents at one institution between October 2014 and June 2015. Residents were evaluated while performing multiple procedures in both clinical and simulation settings. The main outcome measure was the percentage of residents who were considered ready to perform procedures independently, with testing conducted to determine differences between levels of training. A total of 105 forms (for 52 procedures performed in a clinical setting and 53 procedures performed in a simulation setting) were collected for a variety of procedures (eight vascular or interventional, 42 body, 12 musculoskeletal, 23 chest, and 20 breast procedures). A statistically significant difference was noted in the percentage of trainees who were rated as being ready to perform a procedure independently (in postgraduate year [PGY] 2, 12% of residents; in PGY3, 61%; in PGY4, 85%; and in PGY5, 88%; p radiology trainees with high levels of construct validity in multiple domains. Implementation of the tool in the radiology residency curriculum is planned and can play an instrumental role in the transition to competency-based radiology training.

  16. Radiological informed consent in cardiovascular imaging: towards the medico-legal perfect storm?

    Loré Cosimo


    Full Text Available Abstract Use of radiation for medical examinations and tests is the largest manmade source of radiation exposure. No one can doubt the immense clinical and scientific benefits of imaging to the modern practice of medicine. Every radiological and nuclear medicine examination confers a definite (albeit low long-term risk of cancer, but patients undergoing such examinations often receive no or inaccurate information about radiological dose exposure and corresponding risk directly related to the radiological dose received. Too detailed information on radiological dose and risk may result in undue anxiety, but information "economical with the truth" may violate basic patients' rights well embedded in ethics (Oviedo convention 1997 and law (97/43 Euratom Directive 1997. Informed consent is a procedure needed to establish a respectful and ethical relation between doctors and patients. Nevertheless, in an "ideal" consent process, the principle of patient autonomy in current radiological practice might be reinforced by making it mandatory to obtain explicit and transparent informed consent form for radiological examination with high exposure (≥ 500 chest x-rays. The form may spell-out the type of examination, the exposure in effective dose (mSv, derived from reference values in guidelines or – better – from actual values from their department. The dose equivalent might be also expressed in number of chest radiographs and the risk of cancer as number of extra cases in the exposed population, derived from most recent and authorative guidelines (e.g., BEIR VII Committee, release 2006. Common sense, deontological code, patients'rights, medical imaging guidelines, Euratom law, all coherently and concordantly encourage and recommend a justified, optimized, responsible and informed use of testing with ionizing radiation. Although the idea of informed consent for radiation dose does not seem to be on the immediate radar screen at least in the US, the

  17. Collision and composite tumors; radiologic and pathologic correlation.

    Sung, Calvin T; Shetty, Anup; Menias, Christine O; Houshyar, Roozbeh; Chatterjee, Shreya; Lee, Thomas K; Tung, Paul; Helmy, Mohammed; Lall, Chandana


    The terms composite and collision tumors have been used interchangeably throughout radiological literature. Both composite and collision tumors involve two morphologically and immunohistochemically distinct neoplasms coexisting within a single organ. However, collision tumors lack the histological cellular intermingling seen in composite tumors. Composite tumors often arise from a common driver mutation that induces a divergent histology from a common neoplastic source while collision tumors may arise from coincidental neoplastic change. The purpose of this review is to provide an overview of abdominal composite and collision tumors by discussing hallmark radiographic and pathological presentations of rare hepatic, renal, and adrenal case studies. A better understanding of the presentation of each lesion is imperative for proper recognition, diagnosis, and management of these unique tumor presentations.

  18. ARAC's radiological support of the Cassini Launch

    Baskett, R L; Pace, J C


    The Atmospheric Release Advisory Capability (ARAC) program at the Lawrence Livermore National Laboratory (LLNL) was the U.S. Department of Energy atmospheric modeling resource used for the contingency of potential radiological releases during the launch of the Cassini mission. Having the ARAC system up and running was one of the launch criteria during the countdown. The ARAC Center at LLNL forecasted detailed weather conditions and delivered consequence assessments for potential accident scenarios to NASA before and during launch operations. A key aspect of ARAC's support was to acquire a variety of meteorological data for use in both forecast and real-time model calculations. ARAC acquired electronically two types of real-time observed meteorological data: 1) the set of on-site tower and profiler data via the Cape Canaveral Air Station (CCAS) Meteorological Interactive Data Display System (MIDDS), and 2) routine regional airport observations delivered to the ARAC Center from the Air Force Weather Agency. We also used two forecasted data sources: 1) the U.S. Air Force 45th Weather Squadron at CCAS forecasted soundings for launch time, and 2) the Navy Operational Regional Atmospheric Prediction System (NORAPS) prognostic model which ARAC ran over the Cape. The NORAPS runs produced detailed 24-hr forecasts of 3-D wind fields. ARAC used default radiological accident source terms involving the potential destruction of Cassini's Radioisotope Thermoelectric Generators (RTGs) during 3 phases: 1) before the launch, 2) during the first 5 sec after ignition, and 3) from 5 to 143 sec after ignition. ARAC successfully developed and delivered dose and deposition plots at 24 hours, 3 hours, and 30 minutes before each of the launch windows.

  19. Radiological accidents balance in medicine; Bilan des accidents radiologiques en medecine

    Nenot, J.C.


    This work deals with the radiological accidents in medicine. In medicine, the radiation accidents on medical personnel and patients can be the result of over dosage and bad focusing of radiotherapy sealed sources. Sometimes, the accidents, if they are unknown during a time enough for the source to be spread and to expose a lot of persons (in the case of source dismantling for instance) can take considerable dimensions. Others accidents can come from bad handling of linear accelerators and from radionuclide kinetics in some therapies. Some examples of accidents are given. (O.L.). 11 refs.

  20. Knee bone tumors: findings on conventional radiology*

    Andrade Neto, Francisco; Teixeira, Manuel Joaquim Diógenes; Araújo, Leonardo Heráclio do Carmo; Ponte, Carlos Eduardo Barbosa


    The knee is a common site for bone tumors, whether clinically painful or not. Conventional radiology has been established as the first line of investigation in patients with knee pain and can reveal lesions that often generate questions not only for the generalist physician but also for the radiologist or general orthopedist. History, image examination, and histopathological analysis compose the essential tripod of the diagnosis of bone tumors, and conventional radiology is an essential diagnostic tool in patients with knee pain. This pictorial essay proposes to depict the main conventional radiography findings of the most common bone tumors around the knee, including benign and malignant tumors, as well as pseudo-tumors. PMID:27403019

  1. Interventional radiology: a half century of innovation.

    Baum, Richard A; Baum, Stanley


    The evolution of modern interventional radiology began over half century ago with a simple question. Was it possible to use the same diagnostic imaging tools that had revolutionized the practice of medicine to guide the real-time treatment of disease? This disruptive concept led to rapid treatment advances in every organ system of the body. It became clear that by utilizing imaging some patients could undergo targeted procedures, eliminating the need for major surgery, while others could undergo procedures for previously unsolvable problems. The breadth of these changes now encompasses all of medicine and has forever changed the way we think about disease. In this brief review article, major advances in the field, as chronicled in the pages of Radiology, will be described.

  2. User questionnaire to evaluate the radiological workspace.

    van Ooijen, Peter M A; Koesoema, Allya P; Oudkerk, Matthijs


    Over the past few years, an increase in digitalization of radiology departments can be seen, which has a large impact on the work of the radiologists. This impact is not only demonstrated by the increased use of digital images but also by changing demands on the whole reading environment. In this study, we evaluated the satisfaction of our radiologists with our digital Picture Archival and Communication System environment and their workspace. This evaluation was performed by distribution of a questionnaire consisting of a score sheet and some open questions to all radiologists and residents. Out of 25 questionnaires, 12 were adequately answered and returned. Results clearly showed that most problems were present in the area of reading room design and layout and comfort and ergonomics. Based on the results from this study, adaptations were made and the results were also used in the planning of the redesign of the entire department of radiology.

  3. Radiological impact of oil/gas industry

    Botezatu, E.; Grecea, C. [Institute of Public Health, Iasi (Romania)


    The objective of this study was to assess the radiological impact on the environment and population of the oil/gas industry that is non-nuclear industry but uses and can produce materials, with an enhanced content of naturally occurring radionuclides. The natural radioactivity levels in the oil field environmental media, which could represent a risk for the people living in the areas influenced by this non-nar industry, do not indicate an increase in the natural radiation background. From a radiological point of view, the situation does not pose any immediate concern. Some places however need further investigations, with special emphasis on the control of 226 Ra releases to prevent from polluting the environment with this radionuclide. The growing concern amongst the population about the quality of their environment increases the significance of impact assessment of radioactive releases into the environment even if natural radionuclides occur. (N.C.)




    This manual contains the radiological control requirements to be used for all radiological activities conducted by programs under the purview of the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) and the Yucca Mountain Office of Repository Development (YMORD). Compliance with these requirements will ensure compliance with Title 10 Code of Federal Regulations Part 835 (10 CFR 835), Occupational Radiation Protection. Programs covered by this manual are located at the Nevada Test Site (NTS); Nellis Air Force Base and North Las Vegas, Nevada; Santa Barbara and Pleasanton, California; and at Andrews Air Force Base, Maryland. In addition, field work by NNSA/NSO at other locations is also covered by this manual.

  5. Internal Controlling of a Radiology Department.

    Frewer, W; Busch, H P


    Caused by legal reform initiatives there is a continuous need to increase effectiveness and efficiency in hospitals and surgeries, and thus to improve processes.Consequently the successful management of radiological departments and surgeries requires suitable structures and optimization processes to make optimization in the fields of medical quality, service quality and efficiency possible.In future in the DRG System it is necessary that the organisation of processes must focus on the whole clinical treatment of the patients (Clinical Pathways). Therefore the functions of controlling must be more established and adjusted. On the basis of select Controlling instruments like budgeting, performance indicators, process optimization, staff controlling and benchmarking the target-based and efficient control of radiological surgeries and departments is shown. © Georg Thieme Verlag KG Stuttgart · New York.

  6. Algorithms in radiology and medical imaging.

    Athanasoulis, C A; Lee, A K


    As a tool in clinical decision making, algorithms deserve careful consideration. The potential use or abuse of algorithms in rationing health care renders such consideration essential. In radiology and medical imaging, algorithms have been applied as teaching tools in the conference room setting. These teaching decision trees, however, may not be applicable in the clinical situation. If an algorithmic approach to clinical radiology is pursued, several issues should be considered. Specifically, the application, design, designer, economics, and universality of the algorithms must be addressed. As an alternative to the wide dissemination of clinical algorithms, the authors propose the development of consensus opinions among specialists and the promulgation of the principle of radiologist-consultant-decision maker. A decision team is preferable to a decision tree.

  7. Peritoneal mesothelioma; Radiologic appearances correlated with histology

    Ros, P.R.; Yuschok, T.J.; Buck, J.L.; Shekitka, K.M.; Kaude, J.V. (Florida Univ. Coll. of Medicine, Gainesville, FL (United States). Dept. of Radiology Armed Forces Inst. of Pathology, Washington, DC (United States). Depts. of Radiologic Pathology and Gastrointestinal Pathology)


    Previous imaging reports of peritoneal mesothelioma have described a variety of radiologic appearances, but have not included its pathologic classification. We retrospectively reviewed 10 cases of peritoneal mesothelioma representing the following histologic categories: 7 epithelial, 2 sarcomatoid, and one biphasic. By imaging, epithelial mesotheliomas demonstrated diffuse thickening of the peritoneum and mesentery and/or multiple small nodules. The sarcomatoid-type appeared as a mass and the biphasic-type had radiologic and gross pathologic features of both sarcomatoid and epithelial types. We conclude that peritoneal mesothelioma presents with a wide spectrum of radiographic appearances and should therefore be included in the differential diagnoses of diffuse as well as localized peritoneal processes. (orig.).

  8. Radiological protection report 2007; Strahlenschutzbericht 2007



    This annual report issued by the Swiss Federal Nuclear Inspectorate (HSK) reports on the work carried out by the Inspectorate in 2007. It provides comprehensive data on radiation protection activities in Switzerland during 2007. This is the fourth annual summary report on the radiological protection issues regulated by the Inspectorate. It provides comprehensive data on doses for the staff and for individual jobs. It also includes year-to-year comparisons and comments on the continuing decline in collective and average doses for persons exposed to radiation in the course of their work. Radiation doses are commented on. Radiation in the four Swiss nuclear power stations and in four further nuclear installations in various Swiss research facilities is commented on. The Swiss radiation measurement network is commented on and the results obtained are discussed. The Inspectorate concludes that radiological protection in Swiss nuclear facilities is carried out consistently and in compliance with existing legislation.

  9. Radiologic aspects of epiphysial dysplasia in adults

    Andreeva, V.F. (Leningradskij Inst. Usovershenstvovaniya Vrachej (USSR))

    The results of radiologic examination of 40 patients aged 15 to 64 years with epiphysial (spondyloepiphysial) displasia, adequate in manifestness to developmental anomaly are analyzed. The radiologic examination involved standard radiographs in standard and atypical projections, radiography with direct enlargement of X-ray appearance, and tomography. Various types of epiphysial deformation have been distinguished as a manifest feature of the above-mentioned dysplastic process. Possible combinations of the tubular bones epiphysial hypoplasia with the damage of other articular components are pointed out. Concomitant degenerative-dystrophic processes are characterized as deforming arthrosis, degenerative-dystrophic lesions with cystoid reconstruction of the articulating bones, and aseptic epiphysial necrosis. X-ray picture of the degenerative-dystrophic lesion with cystoid reconstruction of the hinging bones is disclosed most comprehensively.

  10. [Ergonomics of the workplace in radiology].

    García-Lallana, A; Viteri-Ramírez, G; Saiz-Mendiguren, R; Broncano, J; Dámaso Aquerreta, J


    The replacement of conventional films and view boxes with digital images and computer monitors managed by PACS has clearly improved the diagnostic imaging workplace. The new setup has many advantages, including increased productivity brought about by decreased overall time required for image interpretation. On the other hand, the implementation of the digital workplace has increased the importance of factors like background lighting and the position of the chair, work table, mouse, keyboard, and monitor to prevent lesions that can disable the radiologist. The influence of these factors is often undervalued in the design and implementation of the radiological workplace. This article provides recommendations for the design of the radiological workplace based on ergonomics, which is the science that studies interactions among humans and other elements of a system.

  11. [Clinical or radiological diagnosis of impingement].

    Kloth, J K; Zeifang, F; Weber, M-A


    Shoulder impingement syndrome is a clinically common entity involving trapping of tendons or bursa with typical clinical findings. Important radiological procedures are ultrasound, magnetic resonance imaging (MRI) and MR arthrography. Projection radiography and computed tomography (CT) are ideal to identify bony changes and CT arthrography also serves as an alternative method in cases of contraindications for MRI. These modalities support the clinically suspected diagnosis of impingement syndrome and may identify its cause in primary diagnosis. In addition, effects of impingement are determined by imaging. Therapy decisions are based on a synopsis of radiological and clinical findings. The sensitivity and specificity of these imaging modalities with regard to the diagnostics of a clinically evident impingement syndrome are given in this review article. Orthopedic and trauma surgeons express the suspicion of an impingement syndrome based on patient history and physical examination and radiologists confirm structural changes and damage of intra-articular structures using dedicated imaging techniques.

  12. Radiology and Enterprise Medical Imaging Extensions (REMIX).

    Erdal, Barbaros S; Prevedello, Luciano M; Qian, Songyue; Demirer, Mutlu; Little, Kevin; Ryu, John; O'Donnell, Thomas; White, Richard D


    Radiology and Enterprise Medical Imaging Extensions (REMIX) is a platform originally designed to both support the medical imaging-driven clinical and clinical research operational needs of Department of Radiology of The Ohio State University Wexner Medical Center. REMIX accommodates the storage and handling of "big imaging data," as needed for large multi-disciplinary cancer-focused programs. The evolving REMIX platform contains an array of integrated tools/software packages for the following: (1) server and storage management; (2) image reconstruction; (3) digital pathology; (4) de-identification; (5) business intelligence; (6) texture analysis; and (7) artificial intelligence. These capabilities, along with documentation and guidance, explaining how to interact with a commercial system (e.g., PACS, EHR, commercial database) that currently exists in clinical environments, are to be made freely available.

  13. Cost-efficient Transition to Digital Radiology

    M. F. Dhaenens


    Full Text Available Introduction & Background: The transition to digital radiology is a very natural and slow process driven by internal and environmental forces, like mobile phone, personal computer, DVD and satellite tech-nology. Radiology as a high technical supporting ser-vice in the hospital is changing by new imaging mo-dalities and the surrounding informatics. Nowadays all CT, ultrasound and MRI equipment is digital and forces radiologists to live with digital images. Even the policy-makers in healthcare see that the success-ful way to organize healthcare and certainly screen-ing programs is along informatics. Patients draw also benefits from digital images, as the quality of care improves. What is the right attitude of a radiologist in this evolution; is this a threat or an opportunity? What steps and decisions have to be made? One has to consider that this evolution to digital is unavoid-able and a way of no return, so it is better to join carefully and to invest in a progressive and clever way. Of course there are several manners to arrive at the digital radiology depending on your needs and the situation where you live. Full digital radiology requires some infrastructures like communication networks (telephone, fiber-optics, and satellite, the availability of digital modalities and detectors, local networks, digital archives, displays. Most of the nec-essary components are available on the market, but are still expensive (like high-resolution displays, digi-tal archives, and solid state detectors. Other invest-ments (like telecommunication are in the hands of the government. Historically most of PACS (Picture Archiving & Communications Systems are grown around a hardcopy network for CT, MRI and Ultra-sound, sharing a high throughput, high quality wet or dry laser printer. Other digital radiology solutions stem from HIS (Hospital Information Systems or CIS (Clinical Information Systems linked by a typical RIS (Radiological Information Systems. There are

  14. Radiology Information Systems: DREAM. patient management.

    Bucci, C; Scorretti, D; Floris, E; Capocasa, G


    Until recently Radiology Information Systems (RISs) were considered a set of separate, often heterogeneous applications at the functional, technological and architectural level. In last years, the need for an integrated methodological approach and an engineering vision of the system design has become the most important aspect in the implementation of RISs. Based on this approach, the fundamental organizational, operational and clinical objectives of an advanced RIS together with the major critical factors of success, are presented. Such objectives and requirements have constituted the starting basis for the implementation of the DREAM (Distributed radiological environment advanced and multimedia) system, the result of the collaboration of the "Università Cattolica del S. Cuore, Policlinico A. Gemelli" of Rome and "GESI-Gestione Sistemi per l'Informatica". An overview of the main functional characteristics, the most qualifying aspects of the system and the methodological approach followed in its implementation, are reported.

  15. Gestalt theory: implications for radiology education.

    Koontz, Nicholas A; Gunderman, Richard B


    The Gestalt theory of modern psychology is grounded in the ideas that holistic rather than atomistic approaches are necessary to understand the mind, and that the mental whole is greater than the sum of its component parts. Although the Gestalt school fell out of favor due to its descriptive rather than explanatory nature, it permanently changed our understanding of perception. For the radiologist, such fundamental Gestalt concepts as figure-ground relationships and a variety of "grouping principles" (the laws of closure, proximity, similarity, common region, continuity, and symmetry) are ubiquitous in daily work, not to mention in art and personal life. By considering the applications of these principles and the stereotypical ways in which humans perceive visual stimuli, a radiology learner may incur fewer errors of diagnosis. This article serves to introduce several important principles of Gestalt theory, identify examples of these principles in widely recognizable fine art, and highlight their implications for radiology education.

  16. Current radiological status of Utirik Atoll

    Robison, W L


    A preliminary radiological survey was conducted at Utirik Atoll in 1978 as part of the Northern Marshall Islands Radiological Survey (NMIRS). A dose assessment based on these limited data indicated a relatively low dose of about 0.12 mSv to people living on Utirik in 1978 (Robison et al., 1982). A much more detailed radiological survey was conducted in April of both 1993 and 1994. Aerial photos of the islands of Utirik Atoll were taken as part of the 1978 NMIRS. The sampling grids for the 1993 and 1994 surveys are shown overlaid on these aerial photos in Figures 1, 2, 3, and 4. External gamma measurements and a collection of either drinking coconuts or copra coconuts were made at each location. Pandanus, breadfruit, lime, and banana were collected where available. Ground water was collected in 1993/94 from four wells on Utirik Island and two wells on Aon Island. Surface soil and soil profiles were collected at some of the grid points on each of the islands at the atoll in 1993/94. A comparison of the number of samples collected in 1978 and 1993/94 are shown in Table 1. A detailed listing of the samples collected in the 1993/94 radiological survey at Utirik Atoll is given in Table 2. The number of vegetation samples collected in 1993/94 is nearly a factor of 7 greater than in 1978. Soil samples collected in 1993/94 exceeded the number collected in 1978 by more than a factor of 4. Consequently, extensive data are now available for the islands at Utirik Atoll and form the basis for the current dose assessment for the atoll.

  17. Preoperative radiological approach for hilar lung cancer

    Ohno, Yoshiharu; Higashino, Takanori; Watanabe, Hirokazu; Yoshimura, Masahiro; Sugimura, Kazuro [Kobe Univ. (Japan). Graduate School of Medicine; Takenaka, Daisuke [Kobe Ekisaikai Hospital (Japan)


    Recent advances in CT, MR, and nuclear medicine have made it possible to evaluate morphological and functional information in hilar lung cancer patients more accurately and quantitatively. In this review, we describe recent advances in the radiological approach to hilar lung cancer, focusing on mediastinal invasion, lymph node metastasis, and pulmonary functional imaging. We believe that further basic studies as well as clinical applications of newer MR techniques will play an important role in the management of patients with lung cancer. (author)

  18. Breast radiological cases: training with BIRADS classification.

    Balleyguier, C; Vanel, D; Athanasiou, A; Mathieu, M C; Sigal, R


    The American College of Radiology has established guidelines for outcomes monitoring known as the Breast Imaging Reporting and Data System. The last edition of the BIRADS classification includes mammography, but also ultrasonography and MRI. Radiologists must be used to the BIRADS lexicon and the BIRADS assessment, in order to clarify mammography reports and to facilitate communication with the other physicians. This work is a training on 20 mammography cases to be familiar with the BIRADS classification.

  19. Radiologic findings and follow-up evaluation

    Kim, Young Tong; Kim, Cheol Hyun; Kim, Hyung Hwan; Shin, Hyeong Cheol; Bae, Won Kyung; Kim, Il Young [Soonchunhyang University, Chonan (Korea, Republic of)


    In esophageal perforation, fistulous tracts commonly occur between the esophagus and mediastinal or pleural spaces, but rarely between the esophagus and bronchi. The clinical manifestations and radiologic findings of esophageal perforation are nonspecfic, and diagnosis is the often delayed; esophagography is the standard technique for evaluation of its location and degree. CT is useful in demonstrating the extraluminal manifestations of esophageal perforation and for follow-up after medical treatment, and may depict the various manifestations of perforation, according to the causes.

  20. Fixation of Radiological Contamination; International Collaborative Development

    Rick Demmer


    A cooperative international project was conducted by the Idaho National Laboratory (INL) and the United Kingdom’s National Nuclear Laboratory (NNL) to integrate a capture coating with a high performance atomizing process. The initial results were promising, and lead to further trials. The somewhat longer testing and optimization process has resulted in a product that could be demonstrated in the field to reduce airborne radiological dust and contamination.

  1. Outcome of radiologically placed tunneled haemodialysis catheters.

    Sayani, Raza; Anwar, Muhammad; Tanveer-ul-Haq; Al-Qamari, Nauman; Bilal, Muhammad Asif


    To study the outcome of radiologically placed double lumen tunneled haemodialysis catheters for the management of renal failure. Case series. Interventional Suite of Radiology Department at the Aga Khan University Hospital, Karachi, from April 2010 to June 2011. All consecutive patients who were referred to the department of radiology by the nephrologists for double lumen tunneled haemodialysis catheter (Permacath) placement during the study period were included. Patients with septicemia, those for whom follow-up was not available, those coming for catheter exchange or who died due to a noncatheter related condition were excluded. A radio-opaque, soft silicone double lumen catheter was inserted through a subcutaneous tunnel created over the anterior chest wall. The catheter tip was placed in the right atrium via the internal jugular vein. Ultrasound guidance was used for initial venous puncture. The rest of the procedure was carried out under fluoroscopic guidance. Technical success, catheter related bacteremia rates, adequacy of dialysis, patency, and adverse events were analyzed. Overall 88 tunneled haemodialysis catheters were placed in 87 patients. Patients were followed-up for duration of 1 - 307 days with mean follow-up period of 4 months. Immediate technical success was 100%. The procedural complication rate was 5.6% (5 catheters). Eight patients died during the study period, seven from causes unrelated to the procedure. One patient died due to septicemia secondary to catheter related infection. Of the remaining 69 patients, 50 (72.4%) predominantly had uneventful course during the study period. Twelve patients developed infection (17.3%); two were successfully treated conservatively while in 10 patients catheter had to be removed. Seven catheters (10.1%) failed due to mechanical problems. In 3 patients the internal jugular veins got partially thrombosed. One catheter was accidentally damaged in the ward and had to be removed. Radiological guided tunneled

  2. Use of Process Improvement Tools in Radiology.

    Rawson, James V; Kannan, Amogha; Furman, Melissa


    Process improvement techniques are common in manufacturing and industry. Over the past few decades these principles have been slowly introduced in select health care settings. This article reviews the Plan, Do, Study, and Act cycle, Six Sigma, the System of Profound Knowledge, Lean, and the theory of constraints. Specific process improvement tools in health care and radiology are presented in the order the radiologist is likely to encounter them in an improvement project.

  3. Radiological features of mucocele of the appendix

    Skaane, P.


    The clinical features of mucocele of the appendix are nonspecific, and a correct preoperative diagnosis based on abdominal pain, a palpable mass in the right lower quadrant, and conventional radiography is rare. The diagnosis of appendiceal mucocele has become easier with the utilisation of the recent imaging techniques ultrasonography and computed tomography. Six patients with mucocele of the appendix are presented, and the characteristic radiological features and differential diagnosis are discussed.

  4. The radiological manifestations of sickle cell disease

    Madani, G. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom)]. E-mail:; Papadopoulou, A.M. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Holloway, B. [Department of Radiology, Royal Free Hospital NHS Trust, London (United Kingdom); Robins, A. [Department of Paediatrics, Whittington Hospital NHS Trust, London (United Kingdom); Davis, J. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom); Murray, D. [Department of Radiology, Whittington Hospital NHS Trust, London (United Kingdom)


    Sickle cell disease (SCD) is an inherited abnormality of the ss-globin chain, which causes a spectrum of haemolytic anaemias. Clinical manifestations in SCD include anaemia, jaundice, recurrent vaso-occlusive crises, and infections (particularly by encapsulated bacteria) due to functional asplenia and cerebrovascular accidents. Radiological investigations play a critical role both in the diagnosis and in the primary prevention of the complications of SCD.

  5. The role of interventional radiology in trauma

    Douglas M. Coldwell


    @@ Introduction Interventional Radiology has evolved into a specialty having enormous input into the care of the traumatized patient. In all hospitals, regardless of size, the Interventional Radiologist must consider their relationships with the trauma service in order to quickly and efficiently render aid to the trauma victim. Such consideration should take place in the light of day as it seems that most trauma occurs in the middle of the night or another inconvenient time. The watchwords of trauma IR are speed and efficiency.

  6. Radiological diagnostics of birth trauma in newborns

    Юрій Анатолійович Коломійченко


    Full Text Available Aim of the work. To analyze indices of the different radiological methods and to compare it.Materials and methods. The newborns with spinal trauma (n=33 were analyzed, the children who have been excluded this diagnosis (n=27 formed the control group. All children underwent the radiography of cervical spine, the part of them – MRT and USG. There was carried out the visual assessment and analysis of metrical indices.Results. Patients were separated into groups of heaviness, 16 patients with slight degree, 10 with middle one and 7 with heavy degree of injury. At all methods the width of the Cruveilhier joint fissure in children with an injury of upper cervical spine reliably (р<0,001 differs from the one in the control group, and was detected the moderate correlation (r>0,4.When using radiology and MRT in children with traumatic injures the width of prevertebral soft tissues was reliably more and the degree of reliability was higher at radiology (р<0,001, than at MRT (р<0,01. The correlations between the width of soft tissues and the degree of heaviness were detected at all levels at radiography and only at the level C1 at MRT.Conclusions. An analysis demonstrated the different degree of importance of some indices for detecting injuries of the upper cervical spine in newborns. There was also proved that the metrical data of the different methods not reliably differ

  7. Training in Radiation Protection for Interventional Radiology

    Vano, E.; Guibelalde, E.


    Several potential problems have been detected in the safety aspects for the practice of interventional radiology procedures: a) An important increase in the number cases and their complexity and the corresponding increase of installations and specialists involved; b) New X ray systems more sophisticated, with advanced operational possibilities, requiring special skills in the operators to obtain the expected benefits;c) New medical specialists arriving to the interventional arena to profit the benefits of the interventional techniques without previous experience in radiation protection. For that reason, education and training is one of the basic areas in any optimisation programme in radiation protection (RP). the medical field and especially interventional radiology requires actions to promote and to profit the benefit of the new emerging technologies for training (Internet, electronic books, etc). The EC has recently sponsored the MARTIR programme (Multimedia and Audio-visual Radiation Protection Training in Interventional Radiology) with the production of two videos on basic aspects of RP and quality control and one interactive CD-ROM to allow tailored individual training programmes. those educational tools are being distributed cost free in the main European languages. To go ahead with these actions, the EC has decided to promote during 2002, a forum with the main Medical European Societies involved in these interventional procedures. (Author)

  8. Measuring radiology's value in time saved.

    Lee, Christoph I; Enzmann, Dieter R


    Because radiology has historically not measured its added value to patient care and thus not communicated it in easily understood terms to all stakeholders, the specialty must correct this to prepare for the eventual transition from the current fee-for-service payment schedule to new value-based reimbursement systems. Given the increasing risk for marginalization, radiologists need to engage clinicians and managers to map the processes and associated costs of episodes of patient care to identify areas for providing and improving integrated diagnostic information and to measure the value thereof. In such time-driven, activity-based costing practices, radiologists should highlight how proper investments in the information generated by imaging and how radiologists' associated consultative and coordination of services can save greater resources downstream, especially in the nonrenewable resource of physician time, an increasingly scarce health care resource. Using physician time in the most efficient way will be a key element for decreasing health care costs at the aggregate level. Therefore, expressing radiology's contribution in terms of downstream physician time saved is a metric that can be easily understood by all stakeholders. In a conceptual framework centered on value, the specialty of radiology must focus more on its most important product, actionable information, rather than on imaging technologies themselves. Information, unlike imaging technologies, does not depreciate with time but rather increases in value the more it is used.

  9. Contemporary medico-legal dental radiology.

    Wright, Brad


    The advent of extraoral radiology in general dental practice has become more widespread since 2000, particularly with digital systems. With this comes a range of medico-legal risks for dentists not adverted to previously. These risks include a higher than expected radiation dose for some surveys, and the risk of a 'loss of a chance' for a patient whereby the images may disclose pathology not diagnosed by general dental practitioners using OPG and CBVT radiology. Practitioners need to apply relevant legal principles in deciding which surveys to order and record, and also need to explain to patients the dosages of the radiation that they will likely receive. Practitioners also need to assess whether the resultant survey ought to be interpreted by a radiologist to diagnose any wider pathology with which a general practitioner may not be familiar. Extra caution needs to be used in ordering high dose radiology in paediatric patients. Dentists should not assume patients fully understand the nature of CBVT and MCT, and its risks and benefits. Consideration ought to be given to the volume of CBVT ordered dependent on factors such as patient age, symptoms, history and procedural intent. © 2012 Australian Dental Association.

  10. Radiology employees' quality of work life.

    Dargahi, Hussein; Changizi, Vahid; Jazayeri Gharabagh, Elaheh


    Quality of work Life (QWL) originates from interactions between employees' needs and relative organizational resources. QWL is aimed to improve and retain employees' satisfaction, productivity and effectiveness of all organizations. A cross-sectional descriptive study was conducted among 15 Tehran University of Medical Sciences. A Cross-Sectional, descriptive study was conducted among 15 Tehran University of Medical Sciences' Hospitals' Radiology Departments' Employees by QWL questionnaire. Respondents were asked to express their attitudes about a range of key factors as the most important issues impacting their QWL. The data was collected and analyzed by SPSS version 15 software. Most of the respondents indicated that they were unsatisfied and very unsatisfied with key factors of their QWL. Comparison of QWL key factors of TUMS radiology employees with the other countries indicated that most of the employees are unsatisfied with their poor QWL factors. We hope, the implications of these findings deliberate to improve QWL within each of TUMS hospitals radiology departments and also be relevant and value to policymakers of healthcare organizations in Iran.

  11. Coauthorship trends in the leading radiological journals.

    Mussurakis, S


    Coauthorship trends have received limited attention in radiology. This paper examines the author inflation phenomenon in 12 leading radiological peer-reviewed journals and seeks explanations for the rise in multiple authorship. MEDLINE was searched from 1966 through 1991, and the indexed scientific material (67,758 articles) of the eligible core journals was analysed. During this 26-year period the average number of authors per original article (including case reports) doubled, increasing from 2.2 in 1966 to 4.4 in 1991. The linear regression model fitting the data was strongly significant, although since the late 1980s the rate of the coauthorship rise started to decrease. There was considerable variation in coauthorship patterns between journals. Other factors, such as the contributors' country, were also noted to influence coauthorship. The increasing complexity of radiological research explains in part the rise in multiple-author papers, but the main cause must undoubtedly be the excessive pressure to publish. Among the topics discussed are the incentives that stimulate radiologists to write, the dynamics of coauthorship, and the proposals made to standardize the requirements for authorship and to shift the emphasis from quantity of publication to quality.

  12. The radiological diagnosis of pneumonia in children

    Kerry-Ann F O'Grady


    Full Text Available Despite the importance of paediatric pneumonia as a cause of short and long-term morbidity and mortality worldwide, a reliable gold standard for its diagnosis remains elusive. The utility of clinical, microbiological and radiological diagnostic approaches varies widely within and between populations and is heavily dependent on the expertise and resources available in various settings. Here we review the role of radiology in the diagnosis of paediatric pneumonia. Chest radiographs (CXRs are the most widely employed test, however, they are not indicated in ambulatory settings, cannot distinguish between viral and bacterial infections and have a limited role in the ongoing management of disease. A standardised definition of alveolar pneumonia on a CXR exists for epidemiological studies targeting bacterial pneumonias but it should not be extrapolated to clinical settings. Radiography, computed tomography and to a lesser extent ultrasonography and magnetic resonance imaging play an important role in complicated pneumonias but there are limitations that preclude their use as routine diagnostic tools. Large population-based studies are needed in different populations to address many of the knowledge gaps in the radiological diagnosis of pneumonia in children, however, the feasibility of such studies is an important barrier.

  13. Bronchiolar disease: spectrum and radiological findings

    Takahashi, Masashi; Murata, Kiyoshi; Takazakura, Ryutaro; Nakahara, Tetsuro; Shimizu, Kentaro; Minese, Mariko; Itoh, Harumi


    Two types of bronchiole, the terminal bronchiole and the respiratory bronchiole, have structural and functional differences. The former is characterized as a conducting airway and the latter is closely related to a gas-exchange function as it has numerous alveoli on the wall. Therefore, the diseases occurring at bronchiole demonstrate different pathological, radiological and clinical pictures depending on which bronchiole is mainly involved. The disease that mainly involves the conducting airway is appreciated as a small airway disease. Constrictive bronchiolitis is a well-recognized entity classified in this category. Whereas the disease mainly involves the respiratory bronchiole and distal alveolar space, it is recognized as an interstitial and parenchymal disease. BOOP or RB-ILD is classified in this category. These two types of bronchiolar diseases reveal the contrast clinical pictures, including incidence, causative disease, response to the treatment, prognosis, respiratory function test as well as the radiological findings. This pictorial essay will illustrate the radiological features of the varieties of bronchiolitis.

  14. The Radiology Resident iPad Toolbox: an educational and clinical tool for radiology residents.

    Sharpe, Emerson E; Kendrick, Michael; Strickland, Colin; Dodd, Gerald D


    Tablet computing and mobile resources are the hot topics in technology today, with that interest spilling into the medical field. To improve resident education, a fully configured iPad, referred to as the "Radiology Resident iPad Toolbox," was created and implemented at the University of Colorado. The goal was to create a portable device with comprehensive educational, clinical, and communication tools that would contain all necessary resources for an entire 4-year radiology residency. The device was distributed to a total of 34 radiology residents (8 first-year residents, 8 second-year residents, 9 third-year residents, and 9 fourth-year residents). This article describes the process used to develop and deploy the device, provides a distillation of useful applications and resources decided upon after extensive evaluation, and assesses the impact this device had on resident education. The Radiology Resident iPad Toolbox is a cost-effective, portable, educational instrument that has increased studying efficiency; improved access to study materials such as books, radiology cases, lectures, and web-based resources; and increased interactivity in educational conferences and lectures through the use of audience-response software, with questions geared toward the new ABR board format. This preconfigured tablet fully embraces the technology shift into mobile computing and represents a paradigm shift in educational strategy.

  15. Picture archiving and communication in radiology.

    Napoli, Marzia; Nanni, Marinella; Cimarra, Stefania; Crisafulli, Letizia; Campioni, Paolo; Marano, Pasquale


    After over 80 years of exclusive archiving of radiologic films, at present, in Radiology, digital archiving is increasingly gaining ground. Digital archiving allows a considerable reduction in costs and space saving, but most importantly, immediate or remote consultation of all examinations and reports in the hospital clinical wards, is feasible. The RIS system, in this case, is the starting point of the process of electronic archiving which however is the task of PACS. The latter can be used as radiologic archive in accordance with the law provided that it is in conformance with some specifications as the use of optical long-term storage media or with electronic track of change. PACS archives, in a hierarchical system, all digital images produced by each diagnostic imaging modality. Images and patient data can be retrieved and used for consultation or remote consultation by the reporting radiologist who requires images and reports of previous radiologic examinations or by the referring physician of the ward. Modern PACS owing to the WEB server allow remote access to extremely simplified images and data however ensuring the due regulations and access protections. Since the PACS enables a simpler data communication within the hospital, security and patient privacy should be protected. A secure and reliable PACS should be able to minimize the risk of accidental data destruction, and should prevent non authorized access to the archive with adequate security measures in relation to the acquired knowledge and based on the technological advances. Archiving of data produced by modern digital imaging is a problem now present also in small Radiology services. The technology is able to readily solve problems which were extremely complex up to some years ago as the connection between equipment and archiving system owing also to the universalization of the DICOM 3.0 standard. The evolution of communication networks and the use of standard protocols as TCP/IP can minimize

  16. Radiology system evolution in the new millennium.

    Nauert, R C


    For many decades the practice of radiology grew slowly in America and was largely a secondary function under the control of hospitals. In more recent times it has vastly expanded its array of diagnostic, interventional, and therapeutic abilities. There is increasing consumer logic for direct access. Motivations have grown to create large independent entities with broadly diverse capabilities in order to succeed in the new millennium. Most regional markets are evolving rapidly in terms of managed care penetration, health system formation, physician practice consolidation and aggressive purchaser behavior by employers and consumers. To understand the enormity of healthcare evolution, it is useful to look at the industry's paradigm shifts in recent decades. Virtually every aspect of organizational infrastructure, delivery approaches, and the business environment has evolved markedly during the past fifty years. These changes will accelerate. To succeed financially, radiology groups must strengthen their market positions, technical capabilities, continuums of care and geographic dominance. Equally important is the wisdom of diversifying incomes into related services and businesses that provide additional related revenues. Key factors for successful development include facility market growth, full coverage of managed care contracts, high efficiency and aggressive diversification. A fully evolved system generates significant revenues and profitability by protecting and strengthening its financial position in this environment. That is accomplished through the development of strategically located radiology groups, aggressive alliances with medical practices in allied disciplines, and managed radiology departments and facilities for partner health systems. Organizational success ultimately depends on the ability to accept capitated payments under risk-bearing arrangements. The strategic business plan should be organized with the appropriate levels of detail needed to

  17. ICRP PUBLICATION 122: radiological protection in geological disposal of long-lived solid radioactive waste.

    Weiss, W; Larsson, C-M; McKenney, C; Minon, J-P; Mobbs, S; Schneider, T; Umeki, H; Hilden, W; Pescatore, C; Vesterlind, M


    This report updates and consolidates previous recommendations of the International Commission on Radiological Protection (ICRP) related to solid waste disposal (ICRP, 1985, 1997b, 1998). The recommendations given apply specifically to geological disposal of long-lived solid radioactive waste. The report explains how the ICRP system of radiological protection described in Publication 103 (ICRP, 2007) can be applied in the context of the geological disposal of long-lived solid radioactive waste. Although the report is written as a standalone document, previous ICRP recommendations not dealt with in depth in the report are still valid. The 2007 ICRP system of radiological protection evolves from the previous process-based protection approach relying on the distinction between practices and interventions by moving to an approach based on the distinction between three types of exposure situation: planned, emergency and existing. The Recommendations maintains the Commission's three fundamental principles of radiological protection namely: justification, optimisation of protection and the application of dose limits. They also maintain the current individual dose limits for effective dose and equivalent dose from all regulated sources in planned exposure situations. They re-enforce the principle of optimisation of radiological protection, which applies in a similar way to all exposure situations, subject to restrictions on individual doses: constraints for planned exposure situations, and reference levels for emergency and existing exposure situations. The Recommendations also include an approach for developing a framework to demonstrate radiological protection of the environment. This report describes the different stages in the life time of a geological disposal facility, and addresses the application of relevant radiological protection principles for each stage depending on the various exposure situations that can be encountered. In particular, the crucial factor that

  18. Radiological Protection Plan an ethic responsibility; Plano de protecao radiologica e responsabilidade etica

    Huhn, Andrea, E-mail: [Instituto Federal de Santa Catarina (IFSC), Florianopolis, SC (Brazil); Vargas, Mara Ambrosina de Oliveira, E-mail: [Universidade Federal de Santa Catarina (UFSC), Florianopolis, SC (Brazil)


    The Radiological Protection Plan - PPR, quoted by the Regulatory Standard 32, requires to be maintained at the workplace and at the disposal of the worker's inspection the PPR, for it to be aware of their work environment and the damage that can be caused by misuse of ionizing radiation. Objective: to discuss the interface between PPR and ethical reflection. Method: this is a reflective study. Discussion and results: regulatory norm 32 points out that the worker who conducts activities in areas where there are sources of ionizing radiation should know the risks associated with their work. However, it is considered that the sectors of hospital radiology the multidisciplinary health team is exposed to ionizing radiation and has not always aware of the harm caused by it, so end up unprotected conduct their activities. Concomitantly, recent studies emphasize the radiological protection and concern for the dangers of radiation on humans, but rather refer to the legislation about the radiological protection. In this context an ethical reflection is necessary, seeking to combine work ethics liability to care in protecting themselves and the other with the institutional conditions for this protection becomes effective.

  19. [Bibliometric study of the activity, structure, and evolution of radiology in Spain].

    Miguel-Dasit, A


    From a bibliometric perspective, we reviewed: 1) the scientific activity in the field of diagnostic imaging in Spain, based on the percentage of presentations at the SERAM congresses (1994-1998) later published as articles in scientific journals. The value obtained (15%) is low in comparison with other international congresses, although similar to values for other national congresses in radiology. Both in national and international congresses, collaboration among radiologists from different institutions or countries and between radiologists and clinicians increases the percentage of publications, thus confirming the positive correlation between collaboration and scientific productivity. 2) We also examined the relationship between scientific productivity and the hierarchical structure of Spanish radiology departments (resident, associate, section chief, and department chief). Hierarchical groupings with the participation of residents were found to be more stable from year to year in scientific production, and the group residents + associates had the highest percentage of authorship (21%). 3) Finally, we reviewed the literature to assess the visibility and dissemination of the journal Radiología, estimating the impact factor that the journal would obtain if it were included in the Journal Citation Reports (JRC) database. We emphasize the importance of the inclusion of Radiología both in Medline, the best known and most widely used source of information in the health sciences, and in the JCR.

  20. Understanding and Confronting Our Mistakes: The Epidemiology of Error in Radiology and Strategies for Error Reduction.

    Bruno, Michael A; Walker, Eric A; Abujudeh, Hani H


    Arriving at a medical diagnosis is a highly complex process that is extremely error prone. Missed or delayed diagnoses often lead to patient harm and missed opportunities for treatment. Since medical imaging is a major contributor to the overall diagnostic process, it is also a major potential source of diagnostic error. Although some diagnoses may be missed because of the technical or physical limitations of the imaging modality, including image resolution, intrinsic or extrinsic contrast, and signal-to-noise ratio, most missed radiologic diagnoses are attributable to image interpretation errors by radiologists. Radiologic interpretation cannot be mechanized or automated; it is a human enterprise based on complex psychophysiologic and cognitive processes and is itself subject to a wide variety of error types, including perceptual errors (those in which an important abnormality is simply not seen on the images) and cognitive errors (those in which the abnormality is visually detected but the meaning or importance of the finding is not correctly understood or appreciated). The overall prevalence of radiologists' errors in practice does not appear to have changed since it was first estimated in the 1960s. The authors review the epidemiology of errors in diagnostic radiology, including a recently proposed taxonomy of radiologists' errors, as well as research findings, in an attempt to elucidate possible underlying causes of these errors. The authors also propose strategies for error reduction in radiology. On the basis of current understanding, specific suggestions are offered as to how radiologists can improve their performance in practice.

  1. Digital case library: a resource for teaching, learning, and diagnosis support in radiology.

    Macura, K J; Macura, R T; Morstad, B D


    The authors compiled a digital case library, a database of cases for intracranial masses, that can be used as an electronic teaching file and image source for case-based teaching applications, electronic textbooks, and diagnosis support tools. The library is a relational database with a feature-coded image archive that is structured around relevant radiologic findings. Its index for coding image content is structured as a hierarchical image description index that uses the relational format. Rules that control the search direction within the library and that generate lists of diagnostic hypotheses for decision support tools are embedded within the database structure. Currently, the library consists of 200 cases and 1,100 images that present intracranial masses on radiographs, computed tomograms, magnetic resonance images, and angiograms. Each image in the library is indexed according to its radiologic content. The user may search for reference images that contain particular radiologic features by formulating image content-based queries. The hierarchical index of radiologic findings allows multilevel query formulation that depends on the user's level of experience.

  2. Radiological Impacts Assessment during Normal Decommissioning Operation for EU-APR

    Hwang, Do Hyun; Lee, Keun Sung [KHNP CRI, Daejeon (Korea, Republic of); Lee, ChongHui [KEPCO Engineering and Construction, Gimcheon (Korea, Republic of)


    In this paper, radiological impacts on human beings during normal execution of the decommissioning operations from the current standard design of EU-APR which has been modified and improved from its original design of APR1400 to comply with EUR, are evaluated. Decommissioning is the final phase in the life cycle of a nuclear installation, covering all activities from shutdown and removal of fissile material to environmental restoration of the site. According to article 5.4 specified in chapter 2.20 of European Utility Requirements (EUR), all relevant radiological impacts on human being should be considered during the environmental assessment of decommissioning, including external exposure from direct radiation of plant and other radiation sources, and internal exposure due to inhalation and ingestion. In this paper, radiological impacts on human beings during normal circumstances of the decommissioning operation were evaluated from the current standard design of EU-APR based on the simple transport model and practical generic methodology for assessing the radiological impact provided by IAEA. The results of dose assessment fulfilled the dose limit for all scenarios.

  3. Radiology Resident Supply and Demand: A Regional Perspective.

    Pfeifer, Cory M


    Radiology was subject to crippling deficits in the number of jobs available to graduates of training programs from 2012 through 2015. As the specialty transitions to the assimilation of osteopathic training programs and the welcoming of direct competition from new integrated interventional radiology programs, the assessment of growth in radiology training positions over the 10 years preceding this pivotal time will serve to characterize the genesis of the crisis while inspiring stakeholders to avoid similar negative fluctuations in the future. The number of per capita radiology trainees in each region was derived from data published by the National Resident Matching Program, as were annual match statistics over the years 2012 through 2016. Data regarding new interventional radiology and diagnostic radiology enrollees were also obtained from the National Resident Matching Program. The seven states with the most per capita radiology residents were in the Mid-Atlantic and Northeastern United States in both 2006 and 2016, and three of these seven also showed the greatest per capita growth over the course of the 10 years studied. New radiology programs were accredited during the peak of the job shortage. Integrated interventional radiology training created 24 de novo radiology residents in the 2017 match. Fill rates are weakly positively correlated with program size. Unregulated radiology program growth persisted during the decade leading up to 2016. The region with the fewest jobs available since 2012 is also home to the greatest number of per capita radiology residents. Numerous published opinions during the crisis did not result in enforced policy change. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  4. Critical evaluation of German regulatory specifications for calculating radiological exposure

    Koenig, Claudia; Walther, Clemens [Hannover Univ. (Germany). Inst. of Radioecology; Smeddinck, Ulrich [Technische Univ. Braunschweig (Germany). Inst. of Law


    The assessment of radiological exposure of the public is an issue at the interface between scientific findings, juridical standard setting and political decision. The present work revisits the German regulatory specifications for calculating radiological exposure, like the already existing calculation model General Administrative Provision (AVV) for planning and monitoring nuclear facilities. We address the calculation models for the recent risk assessment regarding the final disposal of radioactive waste in Germany. To do so, a two-pronged approach is pursued. One part deals with radiological examinations of the groundwater-soil-transfer path of radionuclides into the biosphere. Processes at the so-called geosphere-biosphere-interface are examined, especially migration of I-129 in the unsaturated zone. This is necessary, since the German General Administrative Provision does not consider radionuclide transport via groundwater from an underground disposal facility yet. Especially data with regard to processes in the vadose zone are scarce. Therefore, using I-125 as a tracer, immobilization and mobilization of iodine is investigated in two reference soils from the German Federal Environment Agency. The second part of this study examines how scientific findings but also measures and activities of stakeholders and concerned parties influence juridical standard setting, which is necessary for risk management. Risk assessment, which is a scientific task, includes identification and investigation of relevant sources of radiation, possible pathways to humans, and maximum extent and duration of exposure based on dose-response functions. Risk characterization identifies probability and severity of health effects. These findings have to be communicated to authorities, who have to deal with the risk management. Risk management includes, for instance, taking into account acceptability of the risk, actions to reduce, mitigate, substitute or monitor the hazard, the setting of

  5. Radiological Contingency Planning for the Mars Science Laboratory Launch

    Paul Guss


    The U.S. Department of Energy (DOE) provides technical support to the requesting federal agency such as the Federal Bureau of Investigation, Department of Defense, the National Space and Aeronautics and Space Administration (NASA), or a state agency to address the radiological consequences of an event. These activities include measures to alleviate damage, loss, hardship, or suffering caused by the incident; protect public health and safety; restore essential government services; and provide emergency assistance to those affected. Scheduled to launch in the fall of 2009, Mars Science Laboratory is part of NASA's Mars Exploration Program, a long-term effort of robotic exploration of the red planet. Mars Science Laboratory is a rover that will assess whether Mars ever was, or is still today, an environment able to support microbial life. In other words, its mission is to determine the planet's "habitability." The Mars Science Laboratory rover will carry a radioisotope power system that generates electricity from the heat of plutonium's radioactive decay. This power source gives the mission an operating lifespan on Mars' surface of a full Martian year (687 Earth days) or more, while also providing significantly greater mobility and operational flexibility, enhanced science payload capability, and exploration of a much larger range of latitudes and altitudes than was possible on previous missions to Mars. National Security Technologies, LLC (NSTec), based in Las Vegas, Nevada, will support the DOE in its role for managing the overall radiological contingency planning support effort. This paper will focus on new technologies that NSTec is developing to enhance the overall response capability that would be required for a highly unlikely anomaly. This paper presents recent advances in collecting and collating data transmitted from deployed teams and sensors. NSTec is responsible to prepare the contingency planning for a range of areas from monitoring

  6. ICRP publication 121: radiological protection in paediatric diagnostic and interventional radiology.

    Khong, P-L; Ringertz, H; Donoghue, V; Frush, D; Rehani, M; Appelgate, K; Sanchez, R


    Paediatric patients have a higher average risk of developing cancer compared with adults receiving the same dose. The longer life expectancy in children allows more time for any harmful effects of radiation to manifest, and developing organs and tissues are more sensitive to the effects of radiation. This publication aims to provide guiding principles of radiological protection for referring clinicians and clinical staff performing diagnostic imaging and interventional procedures for paediatric patients. It begins with a brief description of the basic concepts of radiological protection, followed by the general aspects of radiological protection, including principles of justification and optimisation. Guidelines and suggestions for radiological protection in specific modalities - radiography and fluoroscopy, interventional radiology, and computed tomography - are subsequently covered in depth. The report concludes with a summary and recommendations. The importance of rigorous justification of radiological procedures is emphasised for every procedure involving ionising radiation, and the use of imaging modalities that are non-ionising should always be considered. The basic aim of optimisation of radiological protection is to adjust imaging parameters and institute protective measures such that the required image is obtained with the lowest possible dose of radiation, and that net benefit is maximised to maintain sufficient quality for diagnostic interpretation. Special consideration should be given to the availability of dose reduction measures when purchasing new imaging equipment for paediatric use. One of the unique aspects of paediatric imaging is with regards to the wide range in patient size (and weight), therefore requiring special attention to optimisation and modification of equipment, technique, and imaging parameters. Examples of good radiographic and fluoroscopic technique include attention to patient positioning, field size and adequate collimation, use

  7. Quantitative computed tomography (QCT) as a radiology reporting tool by using optical character recognition (OCR) and macro program.

    Lee, Young Han; Song, Ho-Taek; Suh, Jin-Suck


    The objectives are (1) to introduce a new concept of making a quantitative computed tomography (QCT) reporting system by using optical character recognition (OCR) and macro program and (2) to illustrate the practical usages of the QCT reporting system in radiology reading environment. This reporting system was created as a development tool by using an open-source OCR software and an open-source macro program. The main module was designed for OCR to report QCT images in radiology reading process. The principal processes are as follows: (1) to save a QCT report as a graphic file, (2) to recognize the characters from an image as a text, (3) to extract the T scores from the text, (4) to perform error correction, (5) to reformat the values into QCT radiology reporting template, and (6) to paste the reports into the electronic medical record (EMR) or picture archiving and communicating system (PACS). The accuracy test of OCR was performed on randomly selected QCTs. QCT as a radiology reporting tool successfully acted as OCR of QCT. The diagnosis of normal, osteopenia, or osteoporosis is also determined. Error correction of OCR is done with AutoHotkey-coded module. The results of T scores of femoral neck and lumbar vertebrae had an accuracy of 100 and 95.4 %, respectively. A convenient QCT reporting system could be established by utilizing open-source OCR software and open-source macro program. This method can be easily adapted for other QCT applications and PACS/EMR.

  8. EURANOS. Generic handbook for assisting in the management of contaminated food production systems in Europe following a radiological emergency

    Nisbet, A.F.; Howard, B.J.; Jones, A.;

    for application in the pre-release, emergency and longer term phases of an incident. Sources of contamination considered in the handbook are nuclear accidents, radiological dispersion devices and satellite accidents. Agricultural and domestic food production systems are considered, including the gathering of free...

  9. Radiological and chemical assessment of phosphate rocks in some countries

    Cevik, U., E-mail: [Karadeniz Technical University, Department of Physics, Trabzon (Turkey); Baltas, H. [Rize University, Department of Physics, Rize (Turkey); Tabak, A. [Rize University, Department of Chemistry, Rize (Turkey); Damla, N. [Batman University, Department of Physics, Batman (Turkey)


    In this study, the radiological, structural and chemical characterizations of Mardin-Mazidagi phosphate rock, which is an important phosphate fertilizer source in Turkey were investigated and compared to those of several different phosphate rocks of Tunisia, Egypt, Morocco, Algeria and Syria using gamma spectrometry, X-ray diffraction (XRD) and X-ray fluorescence (XRF) measurement techniques. Elemental analysis results of phosphate samples showed that they were mainly composed of CaO, P{sub 2}O{sub 5}, SiO{sub 2}, Al{sub 2}O{sub 3}, SO{sub 3} and Fe{sub 2}O{sub 3}. Elemental concentrations of U and Th were calculated using {sup 226}Ra and {sup 232}Th activity concentrations, respectively. As a result of XRD analysis, the main peaks of the samples were found to be Fluorapatite (Ca{sub 5}(PO{sub 4}){sub 3}F). The radioactivity concentration levels for {sup 226}Ra, {sup 232}Th and {sup 40}K in all phosphate samples ranged from 250 to 1029 Bq kg{sup -1} with a mean of 535 Bq kg{sup -1}, from 5 to 50 Bq kg{sup -1} with a mean of 20 Bq kg{sup -1} and from 117 to 186 Bq kg{sup -1} with a mean of 148 Bq kg{sup -1}, respectively. The computed values of annual effective doses ranged from 0.17 to 0.59 mSv, with a mean value of 0.33 mSv, which is lower than the recommended limit of 1 mSv y{sup -1} by the International Commission on Radiological Protection.

  10. The pioneering steps of radiology in Turkey (1896-1923)

    Ulman, Yesim Isil [Department of Medical History and Ethics, Cerrahpasa Medical Faculty, Istanbul University, Kalamis, Tevfik Pasa Sok. Cigdem Apt. 6/7, 81030 Fenerbahce-Istanbul (Turkey)]. E-mail:; Livadas, Gerry [A and L Medical Supplies Ltd., Athens (Greece); Yildirim, Nuran [Department of Medical History and Ethics, Istanbul Medical Faculty, Istanbul University, Istanbul (Turkey)


    The discovery of X-rays (1895) by W.C. Roentgen has been a very important step of the modern civilization as a revolutionary technique for scientists all around the world and it has immediately been applied in medical field. The aim of this study is to search the start of radiology in Turkey on the basis of archival and first hand sources. This study shows that Roentgen apparatus was first installed in Turkey by an intern doctor Esad Feyzi who took the first radiographies at the Imperial Medical School (Istanbul) in 1896. He made use of X-ray method for medical diagnosis later on when Turkish-Greek war broke out in 1897. Esad Feyzi worked in the clinical team led by professor Salih Effendi, MD, at the Yildiz Temporary Military Hospital in Istanbul to take radiographies of soldiers wounded at war in cooperation with the German Red Cross medical delegation. This event is most probably the earliest examples of the application of X-ray technique into military surgery all over the world. Researches have also proven that medical radiography technique was also applied in Greece by Greek and English doctors during that war. This war gave the opportunity to German and British medical teams to use X-ray as a radiographic imaging technique at the two confronting sides that was used in consequent wars in other parts of the world, later on. The paper deals with the progress of clinical radiology in Turkey until the foundation of the Turkish Republic in 1923.

  11. A Brief Overview of Early History of Iranian Radiology

    Akbar Bonakdarpour


    Full Text Available "nThis article, related to the history of Iranian radiology, is based on my personal limited information gained at the time I practiced radiology in Tehran from 1958 to 1963. The late Dr. Habib Adl (was the uncle of the late Professor Yahya Adl, a pioneer of modern surgery in Iran. I did not know Dr. Habib Adl, but he was the first Iranian radiation therapist in Tehran and probably he also practiced diagnostic radiology as well.The late Dr. Mohammad Hessabi held the Chair of radiology at Tehran University Medical School. He was also Chairman of Radiology at Sina Hospital of Tehran University, as well as a private practitioner. He was not too active when I was in Tehran.The late Dr. Ahmad Farhad held the Chair of the Department of Medical Physics at Tehran University Medical School for many years. Later on he became the first chairman of radiology at the former Tehran University's "500 beds Hospital" currently called the "Imam Khomeini Hospital". Dr. Farhad was a highly successful private practitioner of radiology and extremely powerful in Iranian radiological affairs. He also was the Dean of Tehran University Medical School as well as the president of Tehran University for several years.Dr. Massih was an associate professor of radiology at the "500 beds Hospital" and he was also a private practitioner. He is in California now.The Late Dr. Pezeshkmehr was an associate professor at Sina Hospital and he was also a private practitioner. Dr. Pezeshkmehr was a true gentleman. His son is now a radiologist in Tehran.Dr. Atri was an associate professor at Sina Hospital and a he is a very good private practitioner.The late Dr. Manouchehrian was an associate professor of medical physics and he was also a private practitioner of radiology.The late Professor Abbass Maleki was Chairman of diagnostic radiology at Tehran Cancer Institute and probably a professor of radiology at Tehran University. He was a successful private practitioner.The late Dr

  12. [The editorial process for Radiología].

    Corral de la Calle, M A


    Radiología is the official journal of the Spanish Society of Diagnostic Imaging. It aims to contribute to the education of Spanish-speaking radiologists and to disseminate radiological research and knowledge in Spanish. The journal has an Editorial Board organized into areas or sections, and material published in the journal is chosen and improved through peer review. This article discusses the model of the scientific journal Radiología and the characteristics of its Editorial Board, comparing Radiología with official general radiology journals of other scientific societies. Moreover, the details of the journal's editorial process are revealed, including the editorial circuit, the reviewers' work, and the technical aspects of the final edition process. Finally, the article lists qualitative and quantitative data about the material that Radiología receives and publishes.

  13. Ireland's recent contribution to the radiological literature; a bibliometric analysis

    Redmond, CE


    The aim of this study was to identify and analyse all articles published by Irish radiology departments in the medical literature since the year 2000. The PubMed database was searched to identify and review all articles published by radiologists based in the Republic of Ireland or Northern Ireland. Citation counts were then obtained and the top ten most cited articles were identified. There were 781 articles published during the study period. Of these, 558 (71%) were published in radiology journals and the remaining 223 (29%) were published in general medical journals. Abdominal radiology was the most represented sub-specialty (33% of all articles). There was a general trend of increased publications per year. Only 75 (9.6%) of articles were collaborative efforts by more than one radiology department. Irish radiology departments have a considerable research output and this has increased since the year 2000. More collaborative research between Irish radiology departments is encouraged

  14. Radiological protection report 2012; Strahlenschutzbericht 2012



    Two years after the massive release of radiation from the nuclear power plants at Fukushima Dai-ichi, the repercussions continue to preoccupy the radiological and emergency protection community, both in Switzerland and internationally. In Switzerland the Swiss Federal Nuclear Safety Inspectorate (ENSI) has initiated measures as part of the European Union Stress Tests and has its own Fukushima Action Plan. In this Annual Report, ENSI focuses on radiological protection in Swiss nuclear facilities. The average individual dose has changed little compared with previous years. At 0.7 mSv, it is significantly below the limit both for persons exposed to radiation during their work (20 mSv) and the annual average rate of exposure for the population in Switzerland as a whole (5.5 mSv). In terms of collective doses, the extensive maintenance work at the Leibstadt power plant (KKL) resulted in a doubling of rates compared with recent years. However, in the remaining nuclear facilities the rates have not changed significantly. The highest individual dose during the year under review was 13 mSv. Exposure rates in 2012 for all those exposed to radiation during work in facilities subject to ENSI surveillance were below the maximum limit. Greater attention is now being given to work in high and variable radiation fields and in difficult conditions. Swiss nuclear facilities continue to operate a consistent radiological protection approach. Measuring equipment plays an important role in radiological protection. Having conducted a range of inspections and comparative measurements of aerosol-iodine filters and waste water sampling together with measurements in the field of personal dosimetry, ENSI has concluded that the required measuring equipment for radiological protection exists, that this equipment is correctly used and provides reliable data. ENSI maintains a test laboratory that analyses samples from nuclear facilities and their immediate vicinity and also conducts field

  15. Malignant Mesothelioma: Clinical, Pathological and Radiological Findings

    Yeşim Yıldırım


    Full Text Available Aim: Malignant pleural mesothelioma is a tumor of locally invasive character and of fatal course, frequently arising following asbest exposure. In the present study we attempted to retrospectively evaluate the clinical, pathological, and radiological findings of 27 cases diagnosed with MPM. Material and Method: 27 cases diagnosed with MPM in our medical facility have been included into the study, 14 females, and 13 males. Of the cases, 4 have been diagnosed based on transthoracic pleural biopsy, and 23 %u2013 using surgical methods (VYTC, thoracotomy. Result: Radiological evaluation revealed pleural thickening in 23 (85.2%, pleural effusion in 20 (74.1%, volume loss in 15 (55.6%, pleural nodulation in 14 (51.9%, mediastinal shift in 4 (14.8%, pneumothorax in 1 (3.7%, and hydropneumothorax in 1 (3.7% of the cases, respectively. Histopathological examination failed to reveal any typing in 17 (63% of the cases. On the other hand, 5 (18.5% of the remainder cases were of the epitheloid type, 4 (14.8% were of the sarcomatoid type, and 1 (3.7% was of the biphasic MPM type. Mean survival rate of the 3 (11.1% Stage I cases was 1449 days, of the 6 (22.2% Stage II cases was 480 days, of the 18 (66.7% Stage III cases was 214 days. We had no Stage IV cases at the time of diagnosis. A statistically significant difference has been established between the Stage and the mean survival rate of the cases. Discussion: In diagnosing MPM, proper histopathological exam followed by proper radiological staging should be carried out. A multimodality approach comprises the present MPM treatment, but total cure cannot be provided.

  16. Review on radiation protection in diagnostic radiology

    vahid karami


    Full Text Available Discovery of x-ray and using of it for medical imaging produce tremendous outcomes in the diagnosis and treatment of diseases. Nowadays, more than 10 million diagnostic radiological procedures are perform around the world. Despite of unique benefits of ionizing radiations, in the field of radiation protection, they are associated with potential risks such as cancer and genetically abnormalities. It is estimated that radiation dose from diagnostic x-ray procedures are annually responsible for 7,587 and 5,695 cases of radiation induced cancer in the population of Japan and united states of America, respectively. Although the radiation dose associated with most radiological procedures are very low, but rapid increasing of x-ray procedures during two past decades and also reports of the substantial fraction of patients undergoing multiple x-ray procedures have been concerned due to the deterministic and stochastic effects of ionizing radiations. According to the recommendations of the radiation protection regulatory organizations, radiological procedure must be done with respect to social and economic factors in which exposure of patient and population kept as low as reasonable and achievable. Obtain to the desirable image quality associated with reduce radiation dose to patients is the aim of any diagnostic x-ray procedure. Correctly use of various factors such as collimating the primary beam to the region of diagnostic interest, optimal exposure parameters (high Kvp and low MAS, using of techniques and views that are desirable to reach higher radiation protection, reducing exposure time and shielding can reduce the patients' exposure besides the saving of image quality. Accurately following of the recommended protection instructions considerably decrease the exposure risks.

  17. Radiological Weapons: How Great Is The Danger?

    Moore, G M


    One of the underlying purposes of this paper is to provoke thinking about the interplay between the regulation of radioactive materials and the risk of their use in an radiological weapon (RW). Also considered in this paper are the types of RWs that a terrorist might use, the nature of the threat and danger posed by the various types of RWs, the essential elements that must be considered in responding to the terrorist use of an RW, and what steps may need to be taken a priori to minimize the consequences of the inevitable use of an RW. Because radiological dispersal devices (RDDs) have been the focus of so much recent concern and because RDDs are arguably the most likely of RWs to be used by a terrorist group, a major focus of this paper will be on RDDs. Radiological weapons are going to be used by some individual or group, if not this year then next year, or at some time in the foreseeable future. A policy of focusing resources solely on prevention of their use would leave any government open to significant economic disruption when the inevitable use occurs. Preplanning can limit the injuries, property damage, and economic losses that might result from the use of an RW. Moreover, a combination of efforts to prevent and to minimize the impact of RWs may significantly discourage potential users. The dangers from RWs can be dealt with while society continues to enjoy the benefits of nuclear technology that were promised under Atoms for Peace. However, some restructuring of our use of radioactive materials is necessary to ensure that the current and future uses of radioactive materials outweigh the potential disruption caused by misuse of the materials in RWs.

  18. Dental radiology instructors in United States dental hygiene programs.

    Farman, A G; Hunter, N; Grammer, S


    A survey of dental radiology instructors in accredited United States dental hygiene programs found the majority of such faculty members to be registered dental hygienists with only very limited formal training in radiology. Most of the radiography faculty had less than 5 years' experience teaching that subject. Most instructors spent less than a quarter of each week teaching radiology. Student: faculty ratios varied considerably from program to program.

  19. Radiological and Nuclear Security in A Global Context

    Jones, Nick


    This paper considers the state of nuclear and radiological security in the UK and abroad and reports on the methods that could be employed by terrorists with radiological or nuclear material to cause destruction. It is shown that despite current safeguards that problems arise due to materials that are unaccounted for and poor implementation of detection regimes in some geographical regions. The prospect of a future terrorist event that involves nuclear or radiological materials seems likely despite best efforts of prevention.

  20. The radiology report - Are we getting the message across?

    Wallis, A. [Southmead Hospital, North Bristol NHS Trust, Bristol (United Kingdom); McCoubrie, P., E-mail: [Southmead Hospital, North Bristol NHS Trust, Bristol (United Kingdom)


    The radiology report is the primary method of communication between radiologist and referrer. Despite this, radiologists receive very little formal training regarding the structure of the radiology report and also its importance as a medico-legal document. We present a review of radiology reporting, highlighting the importance of report structure and language with the purpose of helping radiologists improve the clarity, brevity, pertinence, and readability of reports. We encourage radiologists to avoid hedging and strive to improve communication with referring clinicians.

  1. Diagnostic radiology in nephrodithiasis and nephrocalcinosis

    Kroepelin, T.


    In summary it can be stated that clinically and radiologically, nephrolithiasis and nephrocalcinosis are not uncommonly encountered together. It is the aim of X-ray diagnostic to detect stones and parenchymal calcification, to assess localisation, size and number or extent, to recognise secondary changes in the renal parenchyma and urinary-tract resulting from stones and to aid the search for the primary disease. In addition there are radiographic methods valuable for the intiation of treatment, e.g. percutaneous antegrade pyelography and nephrostomy.

  2. Introduction to radiological physics and radiation dosimetry

    Attix, Frank Herbert


    A straightforward presentation of the broad concepts underlying radiological physics and radiation dosimetry for the graduate-level student. Covers photon and neutron attenuation, radiation and charged particle equilibrium, interactions of photons and charged particles with matter, radiotherapy dosimetry, as well as photographic, calorimetric, chemical, and thermoluminescence dosimetry. Includes many new derivations, such as Kramers X-ray spectrum, as well as topics that have not been thoroughly analyzed in other texts, such as broad-beam attenuation and geometrics, and the reciprocity theorem

  3. Radiologic Diagnosis of Asbestosis in Korea

    Cha, Yoon Ki; Kim, Jeung Sook [Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang 10326 (Korea, Republic of); Kim, Yookyung [Department of Radiology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul 07985 (Korea, Republic of); Kim, Yoon Kyung [Department of Radiology, Gachon University Gil Medical Center, Gachon University, Incheon 21565 (Korea, Republic of)


    Asbestosis is the most important change noted in the lung parenchyma after environmental and occupational exposure to asbestos fibers. It is characterized by diffuse interstitial pulmonary fibrosis. In Korea, the incidence of asbestosis will continue to increase for many years to come and the government enacted the Asbestos Damage Relief Law in 2011 to provide compensation to those suffering from asbestos-related diseases. Radiologic evaluation is necessary for diagnosis of asbestosis, and radiologists play a key role in this process. Therefore, it is important for radiologists to be aware of the various imaging features of asbestosis.

  4. Radiologic diagnosis of asbestosis in Korea

    Cha, Yoon Ki; Kim, Jeung Sook [Dept. of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang (Korea, Republic of); Kim, Yook Kyung [Dept. of Radiology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul (Korea, Republic of); Kim, Yoon Kyung [Dept. of Radiology, Gachon University Gil Medical Center, Gachon University, Incheon (Korea, Republic of)


    Asbestosis is the most important change noted in the lung parenchyma after environmental and occupational exposure to asbestos fibers. It is characterized by diffuse interstitial pulmonary fibrosis. In Korea, the incidence of asbestosis will continue to increase for many years to come and the government enacted the Asbestos Damage Relief Law in 2011 to provide compensation to those suffering from asbestos-related diseases. Radiologic evaluation is necessary for diagnosis of asbestosis, and radiologists play a key role in this process. Therefore, it is important for radiologists to be aware of the various imaging features of asbestosis.

  5. Small bowel imaging - still a radiologic approach?

    Markova, Ingrid; Kluchova, Katerina; Zboril, Radek; Mashlan, Miroslav; Herman, Miroslav


    In recent years, there has been renewed interest in small bowel imaging using a variety of radiologic or endoscopic techniques. This article gives an overview and comparison of old and new techniques used in small bowel imaging. New imaging methods as computed tomography (CT), CT enteroclysis (CTEc), CT enterography (CTEg), ultrasound (US), contrast-enhanced ultrasound (CEUS), US enteroclysis, US enterography, magnetic resonance imaging (MRI), MR enteroclysis (MREc) and MR enterography (MREg) are compared with the older techniques such as small- bowel follow- through (SBFT), conventional enteroclysis (CE) and endoscopic techniques including push enteroscopy, ezofagogastroduodenoscopy (EGD), sonde enteroscopy, ileocolonoscopy, double-balloon enteroscopy, intraoperative enteroscopy and wireless capsule enteroscopy (WCE). Systematic scan of Pubmed, Medline, Ovid, Elsevier search engines was used.. Additional information was found through the bibliographical review of relevant articles. SBFT has only secondary role in small bowel imaging. US is still the method of choice in imaging for pediatric populations. US and CEUS are also accepted as a method of choice especially in inflammatory cases. CE has been replaced by new cross - sectional imaging techniques (CTEc/CTEg or MREc/MREg). CTEc combines the advantages of CT and CE. MREc combines the advantages of MRI and CE. Some authors prefer CTEg or MREg with peroral bowel preparation and they strictly avoid nasojejunal intubation under fluoroscopic control. MREc has better soft tissue contrast, showing it to be more sensitive in detecting mucosal lesions than CTEc in inflammatory diseases. CTEg/MREg are techniques preferred for patients in follow-up of the inflammatory diseases. The radiologic community is not unanimous however about their role in the imaging process. CTEc/MREc as well as CTEg/MREg are superior to endoscopic methods in the investigation of small-bowel tumors. WCE gives unparalleled imaging of the mucosal

  6. Application of MM wave therapy in radiology

    Avakian, R.S. [Inst. of Radio Physics & Electronics, Ashtarack (Argentina); Gasparyan, L.V. [Republican Medical Centre Armenia, Yerevan (Argentina)


    The authors studied the effects of MM wave electromagnetic radiation influence on patients, affected by X-ray radiation during the reparation works after Chernobyl nuclear power plant exposure. They compared results of treatment of two groups of patients: (1) control group patients received only basis therapy; (2) testing group, 10 patients received basis therapy and MM wave influence. The authors used the wide band noise generator `Artsakh - 2` for local irradiation on the acupuncture points. Their data proved that low intensity MM waves have immunocorrective, antioxidant effects, and MM wave therapy is a perspective method for treatment of patients with radiological pathology.

  7. Radiologic findings in the Proteus syndrome

    Azouz, E.M.; Costa, T.; Fitch, N.


    The radiological findings in two patients with the Proteus syndrome are described. Features in our two cases not previously mentioned or stressed include vertebral dysplasia and enlargement (megaspondylodysplasia), bilateral genu valgum, recurrent after surgery and intraabdominal and mesenteric lipomatosis. Emergency laparotomy was performed on the first patient who had a twisted necrotic portion of mesenteric fat. Macrodactyly, skeletal muscle atrophy and subcutaneous fat accumulation in the abdominal wall were present in both. In addition the second patient was mentally retarded and had frontal bony prominence of skull. Computed tomography was used for the specific diagnosis of the lipomatous tissues in both patients.

  8. Systemic lupus erythematosus : abdominal radiologic findings

    Oh, Jae Cheon; Cho, On Koo; Lee, Yong Joo; Bae, Jae Ik; Kim, Yong Soo; Rhim, Hyun Chul; Ko, Byung Hee [Hanyang Univ. College of Medicine, Seoul (Korea, Republic of)


    Systemic lupus erythematosus(SLE) is a systemic disease of unknown etiology. Its main pathology is vasculitis and serositis, due to deposition of the immune complex or antibodies. Most findings are nonspecific ; abdominal manifestations include enteritis, hepatomegaly, pancreatic enlargement, serositis, lymphadenopathy, splenomegaly, nephritis, interstitial cystitis, and thrombophlebitis. We described radiologic findings of various organ involvement of SLE; digestive system, serosa, reticuloendothelial system, urinary system, and venous system. Diagnosis of SLE was done according to the criteria of American Rheumatism Association. Understanding of the variable imaging findings in SLE may be helpful for the early detection of abdominal involvement and complications.

  9. Strategic Expansion Models in Academic Radiology.

    Natesan, Rajni; Yang, Wei T; Tannir, Habib; Parikh, Jay


    In response to economic pressures, academic institutions in the United States and their radiology practices, are expanding into the community to build a larger network, thereby driving growth and achieving economies of scale. These economies of scale are being achieved variously via brick-and-mortar construction, community practice acquisition, and partnership-based network expansion. We describe and compare these three expansion models within a 4-part framework of: (1) upfront investment; (2) profitability impact; (3) brand impact; and (4) risk of execution.

  10. Ureteritis Cystica: A Radiologic Pathologic Correlation

    Jennifer G Rothschild


    Full Text Available Ureteritis cystica (UC is a benign condition that commonly affects the ureter and can mimic other conditions such as transitional cell carcinoma, blood clots, air bubbles, radiolucent stones, fibroepithelial polyps, and sloughed renal papillae. Radiographically, UC is characterized by multiple small, round, lucent defects, which cause scalloping of the ureteral margins when seen in profile. The scalloping is produced by the projection of the submucosal cysts into the lumen and represents an important differential feature of this disease. We present a case of UC with a radiological pathological correlation.

  11. Bi-annual report 1992-1993. Operational and research activities of Central Laboratory for Radiological Protection



    Bi-annual report of Central Laboratory for Radiological Protection, Warsaw shows its activities in 1992-1993. The general information and organization of CLOR have been shown in the first part of the report. The second part contains extended abstracts of scientific activity, especially in: environmental radioactivity monitoring, supervision and control of the users of radioactive sources, personal dosimetry, calibration and periodical control of dosimetric equipment, radiobiology and radiological hazard assessment. The report also includes the full list of publications of scientists of CLOR issued in the period of 1992-1993.

  12. Bi-annual report 1994-1995. Research and operational activities of Central Laboratory for Radiological Protection



    BI-annual report of Central Laboratory for Radiological Protection, Warsaw, shows its activities in 1994-1995. The general information and organization of CLOR have been performed in the opening part of the report. The second part contains extended abstracts of scientific activities especially in: environmental radioactivity monitoring, supervision and control of the users of radioactive sources, dosimetry problems, calibration and standardization of dosimetric equipment, radiobiology and radiological hazard assessment. The report also includes the full list of publications of CLOR scientific staff issued in the period of 1994-1995.

  13. Factors Influencing Radiology Residents' Fellowship Training and Practice Preferences in Canada.

    Mok, Philip S; Probyn, Linda; Finlay, Karen


    The study aimed to examine the postresidency plans of Canadian radiology residents and factors influencing their fellowship choices and practice preferences, including interest in teaching and research. Institutional ethics approval was obtained at McMaster University. Electronic surveys were sent to second to fifth-year residents at all 16 radiology residency programs across Canada. Each survey assessed factors influencing fellowship choices and practice preferences. A total of 103 (31%) Canadian radiology residents responded to the online survey. Over 89% from English-speaking programs intended to pursue fellowship training compared to 55% of residents from French-speaking programs. The most important factors influencing residents' decision to pursue fellowship training were enhanced employability (46%) and personal interest (47%). Top fellowship choices were musculoskeletal imaging (19%), body imaging (17%), vascular or interventional (14%), neuroradiology (8%), and women's imaging (7%). Respondents received the majority of their fellowship information from peers (68%), staff radiologists (61%), and university websites (58%). Approximately 59% planned on practicing at academic institutions and stated that lifestyle (43%), job prospects (29%), and teaching opportunities (27%) were the most important factors influencing their decisions. A total of 89% were interested in teaching but only 46% were interested in incorporating research into their future practice. The majority of radiology residents plan on pursuing fellowship training and often receive their fellowship information from informal sources such as peers and staff radiologists. Fellowship directors can incorporate recruitment strategies such as mentorship programs and improving program websites. There is a need to increase resident participation in research to advance the future of radiology. Copyright © 2016 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

  14. Double Fellowships in Radiology: A Survey of 2014 Graduating Fellows.

    Wong, Thomas Y; Moriarity, Andrew; Lall, Neil; Hoffmann, Jason C; Katz, Douglas S; Flug, Jonathan A

    Radiology fellowship training has evolved from being an uncommon option to being a near requisite for post-training employment in the United States. A subset of fellows elect to pursue second fellowships with potentially substantial implications on both the private sector and academic radiology workforce. The purpose of this study was to assess the proportion of current radiology fellows pursuing multiple years of post-residency fellowship training. After obtaining IRB approval, an anonymous web-based survey was emailed to 1,269 radiology fellows listed as "completing fellowship" in the American College of Radiology database in June 2014. Questions were asked regarding current fellowship training, post-fellowship employment plans, and individual experience pursuing employment. Results were analyzed using the survey analytical software. There were 219 responses received, representing a 17.3% response rate. Ten-percent of respondents were currently completing their second radiology fellowship. Of those completing their first year of fellowship training, 11% indicated plans to complete a second radiology fellowship. This survey provides a snapshot of the percentage of radiology trainees who pursue a second year of fellowship training, currently in the range of 10%. Pursuing a second radiology fellowship may represent a safety net to a substantial subset of fellows who are not able to obtain satisfactory employment following training. Academic programs who rely heavily on fellows should be aware of the proportion of fellows pursuing two fellowships and should be prepared to adapt should this change over time. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. [Integrating information about imaging biomarkers into structured radiology reports].

    Pomar-Nadal, A; Pérez-Castillo, C; Alberich-Bayarri, A; García-Martí, G; Sanz Requena, R; Martí-Bonmatí, L


    Imaging biomarkers describe objective characteristics that are related to normal biological processes, diseases, or the response to treatment. They enable radiologists to incorporate into their reports data about structure, function, and tissue components. With the aim of taking maximum advantage of the quantification of medical images, we present a procedure to integrate imaging biomarkers into radiological reports, bringing the new paradigm of personal medicine closer to radiological workflow. In this manner, the results of quantification can complement traditional radiological diagnosis, improving accuracy and the evaluation of the efficacy of treatments. A more personalized, standardized, structured radiological report should include quantitative analyses to complement conventional qualitative reporting in selected cases.

  16. Radiological diagnostics of muscle diseases; Radiologische Diagnostik von Muskelerkrankungen

    Weber, M.A.; Essig, M.; Kauczor, H.U. [Deutsches Krebsforschungszentrum, Heidelberg (Germany). Abt. Radiologie


    Muscular diseases are a heterogeneous group of diseases with difficult differential diagnosis. This article reviews morphological and functional radiological techniques for assessment of muscular diseases. Morphological techniques can describe edema-like changes, lipomatous and atrophic changes of muscular tissue. However, these imaging signs are often not disease-specific. As a result, clinicians assign radiology a secondary role in the management of muscular diseases. Meanwhile, functional radiological techniques allow the assessment of muscle fiber architecture, skeletal muscle perfusion, myocellular sodium-homoeostasis, lipid- and energy-phosphate metabolism, etc. By detecting and spatially localizing pathophysiological phenomena, these new techniques can increase the role of radiology in muscular diseases. (orig.)

  17. RCT: Module 2.11, Radiological Work Coverage, Course 8777

    Hillmer, Kurt T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)


    Radiological work is usually approved and controlled by radiation protection personnel by using administrative and procedural controls, such as radiological work permits (RWPs). In addition, some jobs will require working in, or will have the potential for creating, very high radiation, contamination, or airborne radioactivity areas. Radiological control technicians (RCTs) providing job coverage have an integral role in controlling radiological hazards. This course will prepare the student with the skills necessary for RCT qualification by passing quizzes, tests, and the RCT Comprehensive Phase 1, Unit 2 Examination (TEST 27566) and will provide in-the-field skills.

  18. Radiological environmental monitoring with LiF-700-H dosemeters

    Scarnichia, E.; Levanon, I.; Andres, P.; Miani, C.; Ramirez, S., E-mail: [Comision Nacional de Energia Atomica, Centro Atomico Bariloche, Grupo Proteccion Radiologica, Exequiel Bustillo 5AV 9500, R8402AGP San Carlos de Bariloche, Rio Negro (Argentina)


    Since 2008 a radiological environmental monitoring with LiF-700-H has been carried out as a result of increasing the Ra-6 research reactor core power. The information obtained is used to evaluate and to quantify analytically the air kerma rate, the fading and the associated uncertainty by developing software tools (deconvolution and uncertainty algorithms). LiF-700-H dosemeters were chosen because of their high sensitivity to low air kerma rates. They show a very good stability and a negligible fading for two-month working periods. The air kerma rate detection limit (based on the 3{sigma} criterion) during these working periods is about 0.4 n Gy/h. Air kerma rates of about 70 n Gy/h are measured with this detection limit. Following the Nist guidelines, an algorithm was developed in order to find the associated uncertainty. It considers several aspects, such as the source activity decay, distance source-dosemeter during the calibration procedure, irradiation time, calibration factor, dosemeter readout, dosemeter sensitivity, TLD reader stability and fading. The associated uncertainty is found to be about 25% for a 95% confidence interval (k = 2.025), which can be considered acceptable when taking into account the very low air kerma rates estimated. The LiF-700-H response to different energies and its relationship with climate changes over the calendar year are planned as future tasks. (Author)

  19. SisRadiologia: a new software tool for analysis of radiological accidents and incidents in industrial radiography

    Lima, Camila M. Araujo; Silva, Francisco C.A. da, E-mail:, E-mail: [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Araujo, Rilton A., E-mail: [Maxim Industrial Assessoria TI, Rio de Janeiro, RJ (Brazil)


    According to the International Atomic Energy Agency (IAEA), many efforts have been made by Member states, aiming a better control of radioactive sources. Accidents mostly happened in practices named as high radiological risk and classified by IAEA in categories 1 and 2, being highlighted those related to radiotherapy, large irradiators and industrial radiography. Worldwide, more than 40 radiological accidents have been recorded in the industrial radiography. Worldwide, more than 40 radiological accidents have been recorded in the industrial radiography area, involving 37 workers, 110 members of the public and 12 fatalities. Records display 5 severe radiological accidents in industrial radiography activities in Brazil, in which 7 workers and 19 members of the public were involved. Such events led to hands and fingers radiodermatitis, but to no death occurrence. The purpose of this study is to present a computational program that allows the data acquisition and recording in the company, in such a way to ease a further detailed analysis of radiological event, besides providing the learning cornerstones aiming the avoidance of future occurrences. After one year of the 'Industrial SisRadiologia' computational program application - and mostly based upon the workshop about Analysis and Dose Calculation of Radiological Accidents in Industrial Radiography (Workshop sobre Analise e Calculo de dose de acidentes Radiologicos em Radiografia Industrial - IRD 2012), in which several Radiation Protection officers took part - it can be concluded that the computational program is a powerful tool to data acquisition, as well as, to accidents and incidents events recording and surveying in Industrial Radiography. The program proved to be efficient in the report elaboration to the Brazilian Regulatory Authority, and very useful in workers training to fix the lessons learned from radiological events.

  20. [Comparison of the scientific quality of spanish radiologists that publish in international radiology journals and in spanish radiology journals].

    Martí-Bonmatí, L; Catalá-Gregori, A I; Miguel-Dasit, A


    To determine that the quality, measured by the Hirsch index, of Spanish authors who publish in international radiology journals with an impact factor (AJR, European Radiology, Investigative Radiology, Radiographics, and Radiology) is higher of those who publish only in Spanish journals or in both types of journals. We analyzed a total of 6 radiology journals, including 5 international journals and one national (Radiología). We selected Spanish authors of original articles published in 2008 and 2009 who were working at Spanish centers when their articles were written. We classified the authors into three categories: a) those who published only in international journals; b) those who published only in Radiología, and c) those who published in Radiología and in an international journal. We calculated the Hirsch index score for each author and analyzed the groups using the Kolmogorov-Smirnov goodness-of-fit test, the Kruskal-Wallis nonparametric test, and the median test to evaluate the differences. Of the 440 identified Spanish authors as having published in the two-year period, 248 (56%) published only in Radiología, 172 (39%) only in international journals, and 20 (5%) in both. The mean Hirsch index score for the group of authors who published only in Radiología (1.15±2.35) was lower than for those who published only in international journals (2.59±3.39). Authors who published in both international journals and Radiología had the highest score on the Hirsch index (4.1±3.89) (P<.001). The Spanish authors with the highest prestige and quality publish both in international journals and in Radiología. Copyright © 2010 SERAM. Published by Elsevier Espana. All rights reserved.

  1. Radiologic findings of osteoarticular infection in paracoccidioidomycosis

    Monsignore, Lucas Moretti; Simao, Marcelo Novelino; Reis Teixeira, Sara; Elias, Jorge Jr.; Nogueira-Barbosa, Marcello Henrique [Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Division of Radiology of the Internal Medicine Department, Ribeirao Preto (Brazil); Martinez, Roberto [Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Division of Infectious Diseases of the Internal Medicine Department, Ribeirao Preto (Brazil)


    To report the radiological abnormalities of osteoarticular involvement in paracoccidioidomycosis (PCM). After institutional board approval, the medical records and conventional radiology findings of 19 patients with osseous PCM were retrospectively reviewed. Number, distribution, and lesion characteristics were evaluated in consensus by two experienced musculoskeletal radiologists. The mean age of patients was 16.1 years (range 4-49 years), 11 male and eight female. MSK involvement was the only or the primary presentation of the disease in eight of 19 patients (42.1%). In total, 51 focal bone lesions were detected, being 41 in long bones. In long bones lesions, 19 of 41 (46.4%) were metaphyseal, 12 of 41 (29.3%) meta-epiphyseal, and 12 of 41 (29.3%) diaphyseal. The most common presentation was a geographic osteolytic bone lesion (62.7%), without marginal sclerosis (82.4%) and without periosteal reaction (90.2%). Articular involvement was present in six of 19 patients (31.6%), being two cases of primary arthritis. All encountered bone lesions were osteolytic. Metaphyseal or meta-epiphyseal osteomyelitis of a long bone was the most prevalent osteoarticular manifestation of paracoccidioidomycosis. PCM osteoarticular involvement could be solitary or multifocal, occurs almost exclusively in the acute/subacute clinical form, and it is more common in children and in juvenile patients. Axial skeleton involvement, arthritis, or a disseminated osseous pattern of infection may occasionally occur in this fungal disease. (orig.)

  2. Feline dental radiography and radiology: A primer.

    Niemiec, Brook A


    Information crucial to the diagnosis and treatment of feline oral diseases can be ascertained using dental radiography and the inclusion of this technology has been shown to be the best way to improve a dental practice. Becoming familar with the techniques required for dental radiology and radiography can, therefore, be greatly beneficial. Novices to dental radiography may need some time to adjust and become comfortable with the techniques. If using dental radiographic film, the generally recommended 'E' or 'F' speeds may be frustrating at first, due to their more specific exposure and image development requirements. Although interpreting dental radiographs is similar to interpreting a standard bony radiograph, there are pathologic states that are unique to the oral cavity and several normal anatomic structures that may mimic pathologic changes. Determining which teeth have been imaged also requires a firm knowledge of oral anatomy as well as the architecture of dental films/digital systems. This article draws on a range of dental radiography and radiology resources, and the benefit of the author's own experience, to review the basics of taking and interpreting intraoral dental radiographs. A simplified method for positioning the tubehead is explained and classic examples of some common oral pathologies are provided. © ISFM and AAFP 2014.

  3. The aplication of teleradiology in dentomaxillofacial radiology

    Fahmi Oscandar


    Full Text Available Radiograph interpretation which is conducted by dentomaxillofacial radiologist has a problem with distance, time and limited number of dental radiologist in Indonesia that it becomes an obstacles to provided expansive and be spread evently radiograph interpretation services. The objective of this review to provide information to general dentist and other dental specialist about teleradiology advantage in dentomaxillofacial radiology as comunication media between dental radiologist and other dental specialist using teleradiology system. Radiographs imaging can be easily sent from dental radiologist to other dental spesialist not only in the sections of the hospital but also other locations throughout the world. The teleradiology system need adequate internet capacity, internet speed and bandwith. Benefits of using teleradiology is able to achieve efectivity dentomaxillofacial radiology services. As conclusion, teleradiology can be used as communication media between dentomaxillofacial radiologist with other dental specialists, especially in providing services radiograph interpretation thus can provide patient services effectively and efficiently, without problem of human resources, time, distance and location.

  4. [Vocal recognition in dental and oral radiology].

    La Fianza, A; Giorgetti, S; Marelli, P; Campani, R


    Speech reporting benefits by units which can recognize sentences in any natural language in real time. The use of this method in the everyday practice of radiology departments shows its possible application fields. We used the speech recognition method to report orthopantomographic exams in order to evaluate the advantages the method offers to the management and quality of reporting the exams which are difficult to fit in other closed computed reporting systems. Both speech recognition and the conventional reporting method (tape recording and typewriting) were used to report 760 orthopantomographs. The average time needed to make the report, the legibility (or Flesch) index, as adapted for the Italian language, and finally a clinical index (the subjective opinion of 4 odontostomatologists) were evaluated for each exam, with both techniques. Moreover, errors in speech reporting (crude, human and overall errors) were also evaluated. The advantages of speech reporting consisted in the shorter time needed for the report to become available (2.24 vs 2.99 minutes) (p < 0.0005), in the improved Flesch index (30.62 vs 28.9) and in the clinical index. The data obtained from speech reporting in odontostomatologic radiology were useful not only to reduce the mean reporting time of orthopantomographic exams but also to improve report quality by reducing both grammar and transmission mistakes. However, the basic condition for such results to be obtained is the speaker's skills to make a good report.

  5. The Radiological Management of Pseudoaneurysms Complicating Pancreatitis

    John G Pollock


    Full Text Available Context Pseudoaneurysms associated with pancreatitis are rare, and bleeding pseudoaneurysms are associated with a high mortality. Objective The aim of this study was to report the outcomes of endovascular and percutaneous therapy in the management of pseudoaneurysms secondary to pancreatitis. Patients Patients who underwent angiography for pseudoaneurysms associated with pancreatitis from 2005 to 2011 were identified from the angiography database. Main outcome measures Patient demographics, clinical presentation, radiological findings, treatment, and outcomes were retrospectively reviewed. Results Nineteen pseudoaneurysms associated with pancreatitis in 13 patients were identified. The diagnosis of a pseudoaneurysm was made by computerised tomography angiography in seven patients, followed by portal venous phase contrast enhanced CT (n=4, duplex ultrasound (n=1 and angiography (n=1. At angiography, coil embolisation was attempted in 11 patients with an initial success rate of 82% (n=9. One patient underwent successful embolisation with percutaneous thrombin injection. The recurrence rate following initial successful embolisation was 11% (n=1. There were no episodes of re-bleeding following embolisation but re-bleeding following thrombin injection was observed in one case. The morbidity and mortality rate in the 12 patients that were successfully treated was 25% (n=3 and 8% (n=1, respectively. All 12 patients that were successfully treated demonstrated radiological resolution of their pseudoaneurysms, with a median follow-up of 20 months. Conclusion Endovascular embolisation is a suitable first-line management strategy associated with low recurrence rates. The role of percutaneous thrombin injection is yet to be defined

  6. Radiologic placement of tunneled central venous catheter

    Hahn, Seong Tae; Yang, Po Song; Yang, Dong Hunn; Kim, Ki Tae; Kim, Choon Yul; Shinn, Kyung Sub [The Catholic Univ. College of Medicine, Seoul (Korea, Republic of); Yun, Eun Joo [Korea Veterans Hospital, Seoul (Korea, Republic of)


    To evaluate the efficacy and safety of fluoroscopy-guided, radiologic placement of a tunneled central venous catheter into the superior vena cava (SVC). Thirty five patients underwent tunneled central venous catheter placement to facilitate long-term chemotherapy. They included 33 leukemic patients, one colon cancer patient, and one multiple myeloma patient. After confirming central venous patency with a injection of contrast media via the peripheral cephalic or basilic vein in the wrist joint, the subclavian vein was punctured under fluoroscopic guidance. A 7F double lumen TPN catheter was placed into the SVC through a subcutaneous tunnel in the anterior chest wall. Catheter placements were successful in all patients. The mean procedure time was 17.2minutes, mean fluooscopy time was 1.3minutes, mean number of punctures was 1.4, and mean volume of injhected contrast media was 43.5cc. Only two of all leukemic patients developed mild hematomas at the puncture site, but these soon resolved themselves. None of the patients developed pneumothorax or hemothorax. But late complications included local infection in two patients (6%) and thrombotic occlusion of the catheter in one (3%). The occluded catheter was successfully recanalized with Urokinase infusion. Fluoroscopy-guided, radiologic placement of a tunneled central venous catheter is an easy and safe method, and useful for patients requiring long-term venous access.

  7. Renal Papillary Necrosis: Role of Radiology

    Pandya, Vaidehi K.


    Renal Papillary Necrosis (RPN) is idefined as Ischemic necrobiosis of the papilla in the medulla of the kidneys. Variety of etiological factors are recognized which cause papillary necrosis, such as analgesic nephropathy, diabetes mellitus, urinary obstruction and sickle cell haemoglobinopathy. The early diagnosis of RPN is important to improve prognosis and reduce morbidity. Radiological Imaging offers early diagnosis and can guide prompt treatment of papillary necrosis and can minimize a decline in renal function. Here we report three cases of RPN with typical imaging findings. One of them was diabetic and hypertensive female with recurrent Urinary tract Infections and other was a male with no known co-morbidity. Both of them were diagnosed to have renal papillary necrosis on CT scan and were managed operatively and conservatively, respectively. Third case was a healthy female being investigated to be renal donor for her son. Here RPN was an incidental finding and was treated conservatively. Thus CT scan could detect it pre-operatively and complications due to transplantation of a kidney with papillary necrosis were avoided. So, we want to emphasize the importance of Radiology, particularly CT scanning in detection of RPN and to guide early and prompt treatment. PMID:26894147

  8. Incorporating intelligence into structured radiology reports

    Kahn, Charles E.


    The new standard for radiology reporting templates being developed through the Integrating the Healthcare Enterprise (IHE) and DICOM organizations defines the storage and exchange of reporting templates as Hypertext Markup Language version 5 (HTML5) documents. The use of HTML5 enables the incorporation of "dynamic HTML," in which documents can be altered in response to their content. HTML5 documents can employ JavaScript, the HTML Document Object Model (DOM), and external web services to create intelligent reporting templates. Several reporting templates were created to demonstrate the use of scripts to perform in-template calculations and decision support. For example, a template for adrenal CT was created to compute contrast washout percentage from input values of precontrast, dynamic postcontrast, and delayed adrenal nodule attenuation values; the washout value can used to classify an adrenal nodule as a benign cortical adenoma. Dynamic templates were developed to compute volumes and apply diagnostic criteria, such as those for determination of internal carotid artery stenosis. Although reporting systems need not use a web browser to render the templates or their contents, the use of JavaScript creates innumerable opportunities to construct highly sophisticated HTML5 reporting templates. This report demonstrates the ability to incorporate dynamic content to enhance the use of radiology reporting templates.

  9. Radiologic findings of abdominal wall endometriosis

    Seo, Jung Wook [Inje Univ. Ilsan Paik Hospital, Goyang (Korea, Republic of)


    To evaluate the imaging findings of abdominal wall endometriosis. In seven of 17 patients with surgically proven endometriosis of the abdominal wall, we retrospectively reviewed the findings of radiologic studies such as abdominal US (n=3), CT (n=4), and MRI (n=1). One patient under went more than one type of imaging, apparently. The surgical history of the seven, and their symptoms and preoperative diagnosis were reviewed, and the size, location, margin and nature of the mass, and the contrast enhancement patterns observed at radiologic studies, were assessed. The chief symptoms were palpable abdominal wall mass (n=5) and lower abdominal pain (n=2) around a surgical scar. Previous surgery included cesarean section (n=5), cesarean section with oophorectomy (n=1) and appendectomy (n=1). Masses were located in the subcutaneous fat layer (n=5) or rectus abdominis muscle (n=2), and their maximum diameter was 2.6 cm. Imaging findings, which correlated closely with the pathologic findings, included a well (n=5) or poorly marginated (n=2) solid mass, with a focal cystic area apparent in two cases. Although imaging findings of abdominal wall endometriosis may not be specific for diagnosis, the presence of a solid abdominal mass in female patients of reproductive age with a history of surgery is a diagnostic pointer.

  10. The new radiology workforce: changing expectations.

    Cronan, John J


    The zeitgeist of the new radiology workforce can best be described by a Bob Dylan song title: "The Times They Are A-Changin'." The new generation of physicians, although embracing the same foundations of medical practice as previous generations, places greater emphasis on personal satisfaction than its predecessors. Gone are the days when physicians operated as sole practitioners; today's workforce member is content to function in the role of "employee" in a trade-off for more lifestyle flexibility. This change has occurred not because of one specific factor but because of a change in the profession of medicine coupled with a combination of factors; familial responsibilities, avocational activities, and personal satisfaction have surfaced as motivating factors in choosing a profession. Today's workforce has a personal perception of success that may not be fulfilled solely by the contemporary practice of medicine. With the radiologist shortages that are now occurring and anticipated increased demand for staff radiologists, today's radiology workforce has helped shape the specialty into one that is altering its structure to attract and retain its workforce.

  11. Persistent carotid-vertebrobasilar anastomosis: radiologic findings

    Park, Sung Il; Kim, Dong Ik; Jun, Pyoung; Yoon, Pyeong Ho; Hwang, Geum Ju; Cheon, Young Jik; Lim, Joon Seok [Yonsei Univ. College of Medicine, Seoul (Korea, Republic of)


    To evaluate the radiologic findings of carotid-vertebrobasilar anastomosis and associated anomalies. Thirteen pateints with fourteen cases of carotid-vertebrobasilar anastomosis collected from January 1992 to December 1997 were reviewed. Clinical diagnosis refered for cerebral angiography were cerebral infarction (n=3D3), intracranial hemorrhage (n=3D2), subarachnoid hemorrhage (n=3D1), brain tumor (n=3D3), arteriovenous malformation (n=3D3) and trigeminal neuralgia (n=3D1). Cerebral angiograms and clinical symptoms were retrospectively analyzed. The fourteen carotid-vertebrobasilar anastomsis consisted of eleven cases of persistent trigeminal artery and three cases of type I proatantal intersegmental artery. Persistent trigeminal arteries were associated with anterior communicating artery aneurysm(n=3D1), posterior fossa arteriovenous malformation(n=3D2) and persistent trigeminal artery variant(n=3D5). Type I proatantal intersegmental arteries were associated with hypoplastic vertebral arteries(n=3D2): only proximal segment in one, and proximal and distal segments in one case. Only one patient had clinical symptom related to the carotid-vertebrobasilar anastomosis which was trigeminal neuralgia. Knowledge of the anatomical and radiologic findings of carotid-vertebrobasilar anastomosis and associated anomalies will aid in the accurate diagnosis of neurovascular disease and prevent possible complications during surgical and interventional procedures.=20.

  12. Ethics in radiology: wait lists queue jumping.

    Cunningham, Natalie; Reid, Lynette; MacSwain, Sarah; Clarke, James R


    Education in ethics is a requirement for all Royal College residency training programs as laid out in the General Standards of Accreditation for residency programs in Canada. The ethical challenges that face radiologists in clinical practice are often different from those that face other physicians, because the nature of the physician-patient interaction is unlike that of many other specialties. Ethics education for radiologists and radiology residents will benefit from the development of teaching materials and resources that focus on the issues that are specific to the specialty. This article is intended to serve as an educational resource for radiology training programs to facilitate teaching ethics to residents and also as a continuing medical education resource for practicing radiologists. In an environment of limited health care resources, radiologists are frequently asked to expedite imaging studies for patients and, in some respects, act as gatekeepers for specialty care. The issues of wait lists, queue jumping, and balancing the needs of individuals and society are explored from the perspective of a radiologist.

  13. Radiologic findings of UTI in children

    Cho, W.Y.; Oh, K. K.; Kim, P. K. [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    Urinary tract infection in children is common and recurrent especially combined with anatomical and functional abnormalities. Radiological analysis of the 68 cases of urinary tract infection who were admitted to the pediatric department of Yong Dong Severance Hospital from Apr. 1983 to Aug. 1985 were subjected in this study. The results were as follows: 1. Urinary tract infection was more common in male under 1 year of age, but increasing with age more prevalent tendency in female. 2. Clinical manifestations on admission were fever, urinary frequency, flank pain, gross hematuria and etc. 3. Urinalysis disclosed pyuria in 60%, hematuria in 47%, and bacteriuria in 7%. Escherichia coli was the most common strain and Klebsiella species, Enterococcus, Proteus species were common in descending order. 4. In the radiologic findings, the patients of refluxed cases showed more changes in the size of kidney and damage of renal parenchyma. And also they were more combined with anatomical abnormalities. 5. VCUG findings according to the grade of reflux showed more extensive changes of kidney itself, ureter and bladder with increasing of the grade of VUR. 6. Over 6 months follow-up, the initial scarring were aggravated and getting worse although treatment.

  14. Radiologic diagnosis of gastro-oesophageal reflux

    Fransson, S.G.; Soekjer, H.; Johansson, K.E.; Tibbling, L.

    In 149 patients, a standardized radiologic method for the detection of gastro-oesophageal reflux was applied and compared with the results obtained at endoscopy and by a manometric reflux test. Radiologic reflux was recorded in 53 patients, of whom 25 had reflux without abdominal compression and 51 with compression. At least one of the other two types of examination disclosed pathologic conditions in all but 2 of 53 patients. Oesophagitis was significantly more severe among the patients with reflux observed at radiography. The presence of hiatal incompetence with reflux only to the hiatal hernia but not to the oesophagus was not a strong indicator of gastro-oesophageal reflux disease. Hiatal hernia was present in a significantly larger number of the patients with reflux at radiography than in those without reflux. Increased width of the hiatus gave stronger evidence for reflux disease than in patients with a normal hiatus. Thus, the width of the hiatus also had a bearing on the diagnosis of gastro-oesophageal reflux disease.

  15. Nuclear and Radiological Forensics and Attribution Overview

    Smith, D K; Niemeyer, S


    The goal of the U.S. Department of Homeland Security (DHS) Nuclear and Radiological Forensics and Attribution Program is to develop the technical capability for the nation to rapidly, accurately, and credibly attribute the origins and pathways of interdicted or collected materials, intact nuclear devices, and radiological dispersal devices. A robust attribution capability contributes to threat assessment, prevention, and deterrence of nuclear terrorism; it also supports the Federal Bureau of Investigation (FBI) in its investigative mission to prevent and respond to nuclear terrorism. Development of the capability involves two major elements: (1) the ability to collect evidence and make forensic measurements, and (2) the ability to interpret the forensic data. The Program leverages the existing capability throughout the U.S. Department of Energy (DOE) national laboratory complex in a way that meets the requirements of the FBI and other government users. At the same time the capability is being developed, the Program also conducts investigations for a variety of sponsors using the current capability. The combination of operations and R&D in one program helps to ensure a strong linkage between the needs of the user community and the scientific development.

  16. [Business intelligence in radiology. Challenges and opportunities].

    Escher, A; Boll, D


    Due to economic pressures and need for higher transparency, a ubiquitous availability of administrative information is needed. Therefore radiology managers should consider implementing business intelligence (BI) solutions. BI is defined as a systemic approach to support decision-making in business administration. It is an important part of the overall strategy of an organization. Implementation and operation is initially associated with costs and for a successful launch important prerequisites must be fulfilled. First, a suitable product must be selected, followed by the technical and organizational implementation. After consideration of the type of data to be collected and a system of key performance indicators must be established. BI replaces classic retrospective business reporting with multidimensional and multifactorial analyses, real-time monitoring, and predictive analyses. The benefits of BI include the rapid availability of important information and the depth of possible data analysis. The simple and intuitive use of modern BI applications by the users themselves (!) combined with a continuous availability of information is the key to success. Professional BI will be an important part of management in radiology in the future.

  17. Radiology illustrated. Gynecologic imaging. 2. ed.

    Kim, Seung Hyup (ed.) [Seoul National Univ. Hospital (Korea, Republic of). Dept. of Radiology


    Up-to-date and image-oriented for use in clinical practice. Chapters are organized by disease entity for quick reference. Includes high-quality images and schematic drawings. Radiology Illustrated: Gynecologic Imaging is an up-to-date, image-oriented reference in the style of a teaching file that has been designed specifically to be of value in clinical practice. Individual chapters focus on the various imaging techniques, normal variants and congenital anomalies, and the full range of pathology. Each chapter starts with a concise overview, and abundant examples of the imaging findings are then presented. In this second edition, the range and quality of the illustrations have been enhanced, and image quality is excellent throughout. Many schematic drawings have been added to help readers memorize characteristic imaging findings through pattern recognition. The organization of chapters by disease entity will enable readers quickly to find the information they seek. Besides serving as an outstanding aid to differential diagnosis, this book will provide a user-friendly review tool for certification or recertification in radiology.

  18. Teaching Communication Skills to Radiology Residents.

    Itri, Jason N; Yacob, Sammy; Mithqal, Ayman


    The transition of health care in the United States from volume to value requires a systems-based approach aligning clinical services across the continuum of care. The ability to communicate effectively and resolve conflict is a critical skill within the systems-based model. Recognizing the essential role of communication in medicine, the Accreditation Council of Graduate Medical Education has designated interpersonal and communication skills a core competency for all residents regardless of specialty. Yet, communication skills are often developed through on-the-job training or not at all. Traditional educational curricula use a predominantly didactic approach without opportunities for trainees to observe, actively experiment, or reflect on what is learned as a part of the learning process. In this article, we describe a 1-day experiential communication skills workshop customized for radiology residents that consists of Myers-Briggs Type Indicator and conflict management sessions designed to develop interpersonal, communication, and conflict management skills through group discussion, role-play, and simulation. The purpose of this educational initiative was to determine the perceived value of an experiential communication skills workshop designed for radiology trainees.

  19. History, heresy and radiology in scientific discovery.

    McCredie, J


    Nowadays, most drugs reach the market after research has established their pharmacology, safety and efficacy. That was not always the case 50 years ago. Thalidomide was used before its target cell or mode of action were known. Commencing with the thalidomide catastrophe--an epidemic of gross birth defects (1958-1962)--thalidomide's origins are revisited to show how this drug came to be made and sold in the 1950s. Thalidomide intersected with Australian radiology in the 1970s. The site and mode of action of the drug was deduced from X-rays of thalidomide-induced bone defects, which have classical radiological signs of sensory neuropathic osteoarthropathy. The longitudinal reduction deformities follow the distribution of segmental sensory innervation of the limb skeleton, indicating neural crest as the target organ. Injury to one level of neural crest halts normal neurotrophism and deletes the dependent segment--a previously unrecognised embryonic mechanism that explains most non-genetic birth defects. The final common pathway is neural crest injury and failure of normal neurotrophism to result in longitudinal reduction deformities, for example, phocomelia.

  20. Radiological incidents. An approach based on system theory; Incidentes radiologicos. Una aproximacion sistemica

    Kunst, J.J.; Rojkind, R.H. [Autoridad Regulatoria Nuclear, Buenos Aires (Argentina)


    An approach based on the theory of systems is presented herein to study some aspects of radiological accidents and incidents in medical and industrial practices with radioactive material an ionizing radiation. These practices are used by human society to obtain information (medical diagnosis, industrial gauges) or to transform the matter (teletherapy, industrial irradiation). Within this approach, the sources of radiation of the practices, the workers, and the members of the public, form part of a system where the benefits from those practices and the deleterious effects of the ionizing radiation are in a permanent balance. It is shown here that the control of radioactive sources involved in radiological emergency situations may be efficiently regained, and that the system may achieve an acceptable state from the standpoint of radiological safety, if suitable techniques derived from the theory of information are used. It is also stressed that the perception of the personnel intervening in such emergencies and their consequent actions are strongly determined by the learning process they have undergone. (author)

  1. Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

    Lorenzini, F.; Rizzati, M.R. [Emergency Hospital of Porto Alegre, HPS (Brazil)


    The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

  2. Radiological research in Europe: a bibliometric study.

    Mela, G S; Martinoli, C; Poggi, E; Derchi, L E


    We performed a bibliometric search to evaluate number and scientific "weight" of papers written by European radiologists, as compared with colleagues from other countries, to measure the contribution of European researchers to radiology journals, and to correlate bibliometric parameters with some socio-economic factors of the different European nations. We considered all peer-reviewed articles published by radiologists in biomedical journals quoted by ISI over the 1995-2000 period. To identify authors as radiologists, the string "radiol" had to appear in the address of the corresponding author, and his country was considered as the country of origin of the paper. The definition of Europe included the 15 countries of the European Union, plus Norway and Switzerland. The scientific "weight" of the paper was assumed to be the impact factor of the journal of the publication in that given year. Then, we considered the annual indexes number of papers/population and number of papers/Gross Domestic Product (GDP) in each country. Data were retrieved from the Eurostat annual statistic reviews. From these bases, we obtained a comparison of the scientific production among European radiologists, those from the U.S. and those from the rest of the world. European radiological research is responsible of almost 40% of the world scientific production in our field, and Germany, UK and France are the leading publishers in Europe. An increase of the number of papers written by European radiologists was noted in the 1995-2000 period, whereas the production from the U.S. had a slight decrease. The mean concentration indexes papers/inhabitants and papers/GDP were significantly lower in Europe than in the U.S., even if some small European countries had higher values than the U.S. As a mean, European research received a lower impact factor than that from the U.S. The assessment of research output has progressively developed as an important issue for the scientific research community

  3. Networking as an efficient, modern way of favouring stakeholders' involvement in implementing good radiological protection

    Lefaure, Ch. [Centre d' etudes sur l' Evaluation de la Protection dans le domaine Nucleaire, 92 - Fontenay aux Roses (France); Janssens, A. [European Commission DGTREN, Luxembourg, Grand Duchy of Luxembourg (Luxembourg); Mrabit, K. [International Atomic Energy Agency, Vienna (Austria); Ahier, B. [Nuclear Energy Agency, Organisation for Economic Cooperation and Development, 75 - Paris (France)


    Since the publication of ICRP 22 and ICRP 26 in 1973 and 1977 respectively, the understanding and practical implementation of the concept of Optimisation of Radiation Protection known as ALARA ('as low as reasonably achievable') has developed considerably globally and particularly in Europe. In the 1990 ICRP 60 publication, ALARA was re-emphasised as the cornerstone of the radiological protection system. This is also an explicit requirement of the International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources (International BSS) and EC Directive laying down the Basic Safety Standards for radiological protection (EURATOM Directive 96/29), as well as of most of the national regulations. Throughout the 1980's and early 1990's ALARA was integrated into many organisations' radiation protection programmes, particularly in the nuclear industry and mainly for managing occupational exposure. One of the main lessons identified from that period was that it was not possible to implement good radiological protection by relying only on technical rules and procedures summarised in the three words: 'Time-Distance-Shielding'. A fourth word, 'Commitment', was to be added as no radiological protection programme would be successful without the commitment of all concerned stakeholders: regulatory bodies, managers, workers, etc. The scope of this presentation is, through different international feedback experiences, to demonstrate how networking is an efficient, modern way of fostering stakeholders involvement in implementing good radiological protection. (authors)

  4. Assessment of the radiological impact of a decommissioning nuclear power plant in Italy

    Petraglia, A; De Cesare, M; De Cesare, N; Quinto, F; Terrasi, F; D'Onofrio, A; Steier, P; Fifield, L K; Esposito, A M; 10.1051/radiopro/2012010


    The assessment of the radiological impact of a decommissioning Nuclear Power Plant is presented here through the results of an environmental monitoring survey carried out in the area surrounding the Garigliano Power Plant. The levels of radioactivity in soil, water, air and other environmental matrices are shown, in which {\\alpha}, {\\beta} and {\\gamma} activity and {\\gamma} equivalent dose rate are measured. Radioactivity levels of the samples from the Garigliano area are analyzed and then compared to those from a control zone situated more than 100 km away. Moreover, a comparison is made with a previous survey held in 2001. The analyses and comparisons show no significant alteration in the radiological characteristics of the area surroundings the plant, with an overall radioactivity depending mainly from the global fallout and natural sources.

  5. Evaluation of radiological dispersion/consequence codes supporting DOE nuclear facility SARs

    O`Kula, K.R.; Paik, I.K. [Westinghouse Savannah River Site, Aiken, SC (United States); Chung, D.Y. [Dept. of Energy, Germantown, MD (United States)


    Since the early 1990s, the authorization basis documentation of many U.S. Department of Energy (DOE) nuclear facilities has been upgraded to comply with DOE orders and standards. In this process, many safety analyses have been revised. Unfortunately, there has been nonuniform application of software, and the most appropriate computer and engineering methodologies often are not applied. A DOE Accident Phenomenology and Consequence (APAC) Methodology Evaluation Program was originated at the request of DOE Defense Programs to evaluate the safety analysis methodologies used in nuclear facility authorization basis documentation and to define future cost-effective support and development initiatives. Six areas, including source term development (fire, spills, and explosion analysis), in-facility transport, and dispersion/ consequence analysis (chemical and radiological) are contained in the APAC program. The evaluation process, codes considered, key results, and recommendations for future model and software development of the Radiological Dispersion/Consequence Working Group are summarized in this paper.

  6. Guide to radiological accident considerations for siting and design of DOE nonreactor nuclear facilities

    Elder, J.C.; Graf, J.M.; Dewart, J.M.; Buhl, T.E.; Wenzel, W.J.; Walker, L.J.; Stoker, A.K.


    This guide was prepared to provide the experienced safety analyst with accident analysis guidance in greater detail than is possible in Department of Energy (DOE) Orders. The guide addresses analysis of postulated serious accidents considered in the siting and selection of major design features of DOE nuclear facilities. Its scope has been limited to radiological accidents at nonreactor nuclear facilities. The analysis steps addressed in the guide lead to evaluation of radiological dose to exposed persons for comparison with siting guideline doses. Other possible consequences considered are environmental contamination, population dose, and public health effects. Choices of models and parameters leading to estimation of source terms, release fractions, reduction and removal factors, dispersion and dose factors are discussed. Although requirements for risk analysis have not been established, risk estimates are finding increased use in siting of major nuclear facilities, and are discussed in the guide. 3 figs., 9 tabs.

  7. Simulation-based computation of dose to humans in radiological environments

    Breazeal, N.L. [Sandia National Labs., Livermore, CA (United States); Davis, K.R.; Watson, R.A. [Sandia National Labs., Albuquerque, NM (United States); Vickers, D.S. [Brigham Young Univ., Provo, UT (United States). Dept. of Electrical and Computer Engineering; Ford, M.S. [Battelle Pantex, Amarillo, TX (United States). Dept. of Radiation Safety


    The Radiological Environment Modeling System (REMS) quantifies dose to humans working in radiological environments using the IGRIP (Interactive Graphical Robot Instruction Program) and Deneb/ERGO simulation software. These commercially available products are augmented with custom C code to provide radiation exposure information to, and collect radiation dose information from, workcell simulations. Through the use of any radiation transport code or measured data, a radiation exposure input database may be formulated. User-specified IGRIP simulations utilize these databases to compute and accumulate dose to programmable human models operating around radiation sources. Timing, distances, shielding, and human activity may be modeled accurately in the simulations. The accumulated dose is recorded in output files, and the user is able to process and view this output. The entire REMS capability can be operated from a single graphical user interface.

  8. Forensic pediatric radiology: studies in living and deceased children

    Hoogendoorn, T.


    Radiology is an important tool in establishing the diagnosis of physical abuse, as one can objectively depict fractures or internal injuries. In this thesis we have tried to provide some insight into the possibilities and impossibilities of (forensic) pediatric radiology in establishing a diagnosis

  9. American Association of Dental Schools Curricular Guidelines for Oral Radiology.

    Journal of Dental Education, 1980


    Oral radiology curricular guidelines developed by the American Association of Dental Schools are provided. The guidelines describe minimal conditions under which a satisfactory educational experience can be offered. Principles of x-radiation, radiobiological concepts, radiological health, radiographic technique, radiographic quality, and darkroom…

  10. Radiological Scoping Survey of the Scotia Depot Scotia, New York

    E. N. Bailey


    At the request of the Defense Logistics Agency, the Oak Ridge Institute for Science and Education conducted radiological scoping surveys of the Scotia Depot during the period of September 24 through 27, 2007. The scoping survey included visual inspections and limited radiological surveys performed in accordance with area classification that included surface scans, total and removable activity measurements, and soil sampling.

  11. The Pathology of Infection in the Department of Radiology

    Shin, Seong Gyu [Dept. of Radiology, Dong a University Medical Center, Pusan (Korea, Republic of); Lee, Hyo Yeong [Dept. of Nuclear Medicine, Pusan National University Hospital, Pusan (Korea, Republic of)


    This study was performed to understand the bacteriologic contamination level of radiological equipment which have frequent contacts with patients in the Department of Radiology of an university hospital in Busan area. Before sterilizing in-patient of the radiology rooms, MRSA, VRE, acinetobacter baumannii, candida albicans, and enterococcus sp. were detected. After sterilization, all the bacteria were not found. As examine times become longer, more bacteria were detected and after 7 hours, bacillus sp.(GPR), CNS, acinetobacter baumannii, and Enterococcus sp. were detected. After examining infected patients, bacillus sp.(GPR), VRE, enterococcus sp. CNS, and micrococcus sp. were detected and on the hands of radiological technologists, CNS, enterococcus sp. escherichia coli, and enterobacter sp. were detected. Similar species of bacteria were detected from each radiology room, but pseudomonas aeruginosa was detected on the handles of portable radiological equipment and the chair in the waiting room. Therefore, it is the most important to regularly sterilize radiological equipment and devices which have frequent contacts with patients and to sterilize them right after the use of infected patients in order to prevent the spread of infection. Also, thorough hand washing, education on infection and management for the characteristics of Department of Radiology should be performed for the systematic prevention of infection.

  12. American Association of Dental Schools Curricular Guidelines for Oral Radiology.

    Journal of Dental Education, 1980


    Oral radiology curricular guidelines developed by the American Association of Dental Schools are provided. The guidelines describe minimal conditions under which a satisfactory educational experience can be offered. Principles of x-radiation, radiobiological concepts, radiological health, radiographic technique, radiographic quality, and darkroom…

  13. Radiological findings in the diagnosis of genitourinary candidiasis

    Erden, A. [Dept. of Radiology, Univ. of Ankara (Turkey); Hafta Sokak, Ankara (Turkey); Fitoz, S.; Karaguelle, T.; Tuekel, S.; Akyar, S. [Dept. of Radiology, Univ. of Ankara (Turkey)


    The presence of fungus balls within the collecting system is an important clue to the radiological diagnosis of genitourinary candidiasis. In this report, an 8-month-old infant with this opportunistic infection is described. Emphasis is placed on the radiological findings of renal candidiasis, including previously unreported MR appearances. Sonographic and Doppler findings of accompanying Candida epididymitis are also described. (orig.)

  14. Nevada Test Site Radiological Control Manual. Revision 1

    None, None


    This document supersedes DOE/NV/25946--801, “Nevada Test Site Radiological Control Manual,” Revision 0 issued in October 2009. Brief Description of Revision: A minor revision to correct oversights made during revision to incorporate the 10 CFR 835 Update; and for use as a reference document for Tenant Organization Radiological Protection Programs.

  15. Radiologic science for technologists: physics, biology, and protection. [Textbook

    Bushong, S.C.


    The second edition of a textbook primarily for students in radiologic technology is presented. Separate chapters discuss mammography, computed tomography, diagnostic ultrasound, and design of radiologic physics. Radiation protection is specifically presented in two chapters as well as being integrated throughout the text. The fundamentals of radiobiology, molecular and cellular effects of irradiation, and early and late radiation effects comprise four chapters. (JMT)

  16. Radiological characteristics of the knee joint in nail patella syndrome

    Tigchelaar, S.J.; Rooy, J.W. de; Hannink, G.J.; Koeter, S.; Kampen, A. van; Bongers, E.M.


    AIM: Nail patella syndrome (NPS) is a skeletal dysplasia with patellofemoral dysfunction as a key symptom. We present the first in-depth radiological evaluation of the knee in a large series of NPS patients and describe the typical malformations. PATIENTS AND METHODS: Conventional radiological

  17. The Economic Impact of a Radiological Dispersal Device (RDE)


    7 MANMADE RADIOLOGICAL INCIDENT - GOIANIA , BRAZIL ......................................................................... 8 MANMADE...illustrated in the Goiania , Brazil scenario, Rosoff validates the notion of how businesses within the port area could possibly suffer economic losses due to...the area and not return, thus directly causing the economic effects of the RDE. Manmade Radiological Incident - Goiania , Brazil The contamination

  18. Radiology trainer. Muskuloskeletal system. 2. ed.; Radiologie-Trainer. Bewegungsapparat

    Staebler, Axel [Orthopaedische Klinik Harlaching, Muenchen (Germany). Radiologische Praxis; Erlt-Wagner, Birgit (eds.) [Klinikum der Universitaet Muenchen (Germany). Inst. fuer Klinische Radiologie


    The radiology training textbook is based on case studies of the clinical experience, including radiological imaging and differential diagnostic discussion. The scope of this volume is the musculoskeletal system; the following issues are covered: shoulder, upper arms: elbows, lower arms; wrist; spinal cord; pelvis; knee; feet.

  19. Radiological contribution to skeletal changes in systemic mastocytosis - urticaria pigmentosa

    Schratter, M.; Canigiani, G.; Schoenbauer, C.; Mach, K.


    Three patients are demonstrated suffering from systemic mastocytosis with skin and skeletal involvement. History, clinical and radiological results are reported. After a brief analysis of the pathogenetic mechanism, the radiological findings on the skeletal system in systemic mastocytosis are discussed. Finally, roentgenological differential diagnosis of the osseous lesions is explained.

  20. Evaluation of Stress Scores Throughout Radiological Biopsies



    Full Text Available Background Ultrasound-guided biopsy procedures are the most prominent methods that increase the trauma, stress and anxiety experienced by the patients. Objectives Our goal was to examine the level of stress in patients waiting for radiologic biopsy procedures and determine the stress and anxiety level arising from waiting for a biopsy procedure. Patients and Methods This prospective study included 35 female and 65 male patients who were admitted to the interventional radiology department of Kartal Dr. Lütfi Kirdar training and research hospital, Istanbul between the years 2014 and 2015. They filled out the adult resilience scale consisting of 33 items. Patients who were undergoing invasive radiologic interventions were grouped according to their phenotypic characteristics, education level (low, intermediate, and high, and biopsy features (including biopsy localization: neck, thorax, abdomen, and bone; and the number of procedures performed, 1 or more than 1. Before the biopsy, they were also asked to complete the depression-anxiety-stress scale (DASS 42, state-trait anxiety inventory scale (STAI-I, and continuous anxiety scale STAI-II. A total of 80 patients were biopsied (20 thyroid and parathyroid, 20 thorax, 20 liver and kidney, and 20 bone biopsies. The association between education levels (primary- secondary, high school and postgraduate and the number of biopsies (1 and more than 1 with the level of anxiety and stress were evaluated using the above-mentioned scales. Results Evaluation of sociodemographic and statistical characteristics of the patients showed that patients with biopsy in the neck region were moderately and severely depressed and stressed. In addition, the ratio of severe and extremely severe anxiety scores was significantly high. While the STAI-I and II scores were lined up as neck > bone > thorax > abdomen, STAI-I was higher in neck biopsies compared to thorax and abdomen biopsies. Regarding STAI-I and II scales, patients