Economics of MRI Operations After Implementation of Interpersonal Skills Training

Ladapo, Joseph A.; Spritzer, Charles E.; Nguyen, Xuan V.; Pool, Judy; Lang, Elvira V.

doi:10.1016/j.jacr.2018.01.017

Cited by 17 publications

(4 citation statements)

References 15 publications

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“…The effectiveness of communication approaches was also considered the highest. As well as supported by radiographer views, this has been evidenced in practice and studies have shown positive outcomes as a result of communication training; increased efficiency, less no shows, less scans abandoned, less image degradation from movement and increased patient satisfaction 14,34,42 .…”

Section: Old Designmentioning

confidence: 83%

Radiographer Perspectives on current occurrence and management of claustrophobia in MRI

Hudson¹,

Heales

Vine

2022

Radiography

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Section: Old Designmentioning

confidence: 83%

Radiographer Perspectives on current occurrence and management of claustrophobia in MRI

Hudson¹,

Heales

Vine

2022

Radiography

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“…The efficacy of this processing pipeline can be further improved by reducing the number of quantified brain regions to as little as a single region of interest. The scalability of these quantifications is enabled by the large number of MRI examinations in the United States alone, at 39 million (Ladapo et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

T1 and FLAIR signal intensities are related to tau pathology in dominantly inherited Alzheimer disease

Rahmani,

Brier,

Gordon

et al. 2023

Human Brain Mapping

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Carriers of mutations responsible for dominantly inherited Alzheimer disease provide a unique opportunity to study potential imaging biomarkers. Biomarkers based on routinely acquired clinical MR images, could supplement the extant invasive or logistically challenging) biomarker studies. We used 1104 longitudinal MR, 324 amyloid beta, and 87 tau positron emission tomography imaging sessions from 525 participants enrolled in the Dominantly Inherited Alzheimer Network Observational Study to extract novel imaging metrics representing the mean (μ) and standard deviation (σ) of standardized image intensities of T1‐weighted and Fluid attenuated inversion recovery (FLAIR) MR scans. There was an exponential decrease in FLAIR‐μ in mutation carriers and an increase in FLAIR and T1 signal heterogeneity (T1‐σ and FLAIR‐σ) as participants approached the symptom onset in both supramarginal, the right postcentral and right superior temporal gyri as well as both caudate nuclei, putamina, thalami, and amygdalae. After controlling for the effect of regional atrophy, FLAIR‐μ decreased and T1‐σ and FLAIR‐σ increased with increasing amyloid beta and tau deposition in numerous cortical regions. In symptomatic mutation carriers and independent of the effect of regional atrophy, tau pathology demonstrated a stronger relationship with image intensity metrics, compared with amyloid pathology. We propose novel MR imaging intensity‐based metrics using standard clinical T1 and FLAIR images which strongly associates with the progression of pathology in dominantly inherited Alzheimer disease. We suggest that tau pathology may be a key driver of the observed changes in this cohort of patients.

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“… 39 , 45 Therefore, the training of staff involved in emergency response is essential to improve an organization’s ability to deal with any type of emergency to ensure that staff feels confident and competent in any emergency situation they may encounter during their clinical practice. 46 …”

Section: Discussionmentioning

confidence: 99%

MRI Safety Practice Observations in MRI Facilities Within the Kingdom of Jordan, Compared to the 2020 Manual on MR Safety of the American College of Radiology

Ayasrah¹

2022

MDER

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Purpose The absence of ionizing radiation in MRI applications does not guarantee absolute safety. Implementing of safety guidelines can ensure high-quality practice in the clinical MRI with the minimum risk. For this purpose, this cross-section quantitative study conducted in Jordan Kingdom aimed to assess current MRI safety guidelines in comparison with those of 2020 Manual on MR Safety of the American College of Radiology (ACR). Patients and Methods A site observation study of 38 MRI units was undertaken in June 2021. A well-structured MRI safety questionnaire was the primary data collection method. Data were subjected to a descriptive statistics content analysis by the SPSS version 20. The results were analyzed to yield comprehensive discussions. Results A total of 38 MRI facilities in participated in this study with the responding rate of 44.7%. Patient screening areas and changing rooms were available in about 29% (11/38) of the MRI facilities. Most facilities (55%, 21/38) conducted verbal screening only whereas 21% implemented both written and verbal screening for their patients and companions in zone II, which was present in a percentage of 29% in the approached facilities. Meanwhile, only 13 (43.2%) of 38 facilities used handheld magnets for physical screening, 25 (65.8%) of MRI units did not use any kind of ferromagnetic metal detection systems. Three (7.9%) participating centers had MR-safe wheelchairs, ventilators, anesthesia machines, and stretchers. Most MRI facilities participating in this study (71%) had emergency preparedness plans for alternative power outages. Despite a relatively low number of participating centers having an emergency exit or code (26.3% and 10.5%, respectively), none of them performed practice drills for such scenarios. Conclusion Investing in new MR-safe equipment requires introducing ferromagnetic detecting systems. More research is needed to establish the degree of MRI professional’s safety-related education.

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Economics of MRI Operations After Implementation of Interpersonal Skills Training

Abstract: We found significant improvements in MRI operational efficiency after interpersonal skills team training, which were associated with reductions in costs and growth in revenue.

Cited by 17 publications

References 15 publications

Radiographer Perspectives on current occurrence and management of claustrophobia in MRI

Radiographer Perspectives on current occurrence and management of claustrophobia in MRI

T1 and FLAIR signal intensities are related to tau pathology in dominantly inherited Alzheimer disease

MRI Safety Practice Observations in MRI Facilities Within the Kingdom of Jordan, Compared to the 2020 Manual on MR Safety of the American College of Radiology

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