Einführungsstrategie für ein Dosismanagementsystem

Stamm, Georg; Rübel, Hans-Werner

doi:10.1007/s00117-020-00789-w

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“…Dose information varies with the imaging technique and may be encoded in different formats for this purpose: DICOM Radiation-Dose-Structured Report (RDSR), optical character recognition (OCR), DICOM-modality performed procedure steps (MPPS) or in DICOM header data 6 . RDSR was introduced as an international standard in 1993 to facilitate the exchange and comparability of dose information between different manufacturers and centers 7 . It is therefore advisable to switch to uniform coding at the very beginning of the DMS acquisition process.…”

Section: Methodsmentioning

confidence: 99%

“…Dosisinformationen variieren mit dem bildgebenden Verfahren und können dazu in unterschiedlichen Formaten codiert sein: DICOM Radiation-Dose-Structured Report (RDSR), optische Erkennung (Optical character recognition, OCR), DICOM-Modality performed procedure steps (MPPS) oder in DICOM-Headerdaten 6 . Der RDSR wurde 1993 als internationaler Standard eingeführt und soll den Austausch und Abgleichbarkeit von Dosisinformationen zwischen den verschiedenen Herstellern und Zentren erleichtern 7 . Daher ist es empfehlenswert, bereits am Anfang des DMS-Akquisitionsprozesses auf eine einheitliche Codierung umzustellen.…”

Section: Methodeunclassified

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Acquisition of a Dose Management System with Consideration of Medico-Legal and Economic Aspects

Melzig

Kauczor

et al. 2021

Rofo

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Background New radiation protection regulation encompassing additional obligations for monitoring, reporting and recording of radiation exposure, was enacted on December 31, 2018. As a consequence, dose management systems (DMS) are necessary to fulfill the requirements. The process of selection, acquisition and implementation of a suitable IT solution for this purpose is a challenge that all X-ray-applying facilities, including hospitals and private practices, are currently facing. Method A target/actual-analysis as well as a cost-utility analysis is presented for this specific case as a foundation for the acquisition decision-making process. Result An actual analysis is necessary in order to record the current status of dose documentation. An interdivisional approach is recommended to include all imaging modalities and devices. An interdisciplinary steering committee can be helpful in enabling consensus and rapid action. A target analysis includes additional criteria with respect to ease of operation, technical feasibility, process optimization and research opportunities to consider in addition to the statutory requirements. By means of a cost-benefit analysis, considerations between costs and the individually weighted advantages and disadvantages of eligible DMS result in a ranking of preference for the available solutions. Conclusion Requirements of a DMS can be summarized in a specification sheet. Deploying an actual condition analysis, target state analysis and cost-utility analysis can help to identify a suitable DMS to achieve rapid commissioning and highest possible user acceptance while optimizing costs at the same time. Key Points: Citation Format

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Section: Methodsmentioning

confidence: 99%

Section: Methodeunclassified