Individualized Cancer Radiotherapy

High-energy radiation is used to destroy cancer cells in radiotherapy, followed by a treatment plan to minimize the effects of radiation on healthy tissues. It is impossible to predict the immediate effects of treatment (including potential side effects) as each individual is different, and cancer treatment varies.

Associate Professor Teemu Mullyä, from the University of Oulu, Finland, said, “Cancer therapies produce extensive changes in the physiological and morphological properties of tissues, which are also dependent on the individual.”

At Oulu University Hospital, researchers are working to alter cancer treatment by centering it around the patient. In a study published in the Journal of Biomedical Optics (JBO), they report formulating a method to measure specific patients’ biological responses to therapy, allowing them to assess real-time radiotherapy patient effects.

Using a functional Near-Infrared Spectroscopy (fNIRS) device, researchers were able to measure changes in the amount of hemoglobin in the brain while the patient underwent whole-brain radiotherapy using a linear accelerator.

Since hemoglobin levels are a valuable indicator of changes in blood volume and radiotherapy changes blood circulation, fNIRS helps provide insights into the immediate effects of radiation. Blood circulation in the tissues was measured in ten patients via tissue oxygenation.

Mullyä said, “This is the first time human cerebral hemodynamics and cerebral tissue oxygenation changes have been measured during irradiation in clinical radiotherapy. The instantaneous measurement of tissue oxygenation levels during radiotherapy is especially helpful in cases of tumor hypoxia, which is when the oxygen levels in a tumor are low due to certain conditions. Such tumors are particularly resistant to radiotherapy. By instantly measuring tissue oxygenation levels, our proposed method can be used to assess the effectiveness of cancer treatment. This can eventually enable physicians tailor radiation doses to optimize treatment and improve outcomes for their patients.”

In the future, the researchers will apply their technique to more patients, helping to advance personalized cancer treatment.

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RadParts, a TTG Imaging Solutions Company, is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerators and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost components and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Valuing Medical Equipment

Establishing the Fair Market Value (FMV) of heavy medical equipment is a multi-layered process. Linear accelerators accrue many costs when adding up the various parts. To better understand how to form a proper valuation, keep reading to become familiar with commonly used appraisal terms.

Fair Market Value (FMV)
Also known as “retail” value, FMV is the price a buyer should anticipate paying to have the device relocated and installed at their location. Software relicensing, commissioning, and accessories required to operate the equipment are all extra fees.

Orderly Liquidation Value (OLV)
Sometimes referred to as “wholesale” value, OLV is the price a buyer can expect when selling an “as-is, where-is” product.

In Place Value (IPV)
Another name for IPV is “turn-key” or patient-ready value. It takes into account the values associated with the machine, including the cost of installation, commissioning, software licensing, regulation, accessories, and residual warranty coverage.

Some factors that impact the medical equipment’s valuation include:

  • Age
  • Configuration
  • Physical condition
  • Useful life left
  • Software version
  • Functionality
  • Removal path
  • Resale market demand
  • Wear and tear
  • Geography

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RadParts, a TTG Imaging Solutions Company, is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerators and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost components and support for linear accelerators and radiation equipment. Contact RadParts at  877-704-3838 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/ 

Point-of-Care Ultrasound Advancements

Point-of-Care Ultrasound (POCUS) was recently declared by the American Academy of Family Physicians as, “The biggest advance in bedside diagnosis since the advent of the stethoscope 200 years ago.”

Many industry professionals, such as anesthesiologists, internal medicine specialists, family practitioners, and more, already use this technology and believe it is beneficial in widespread application. Ongoing advancements in POCUS technology make it an option for radiologists as well.

Thanks to POCUS’ ability to rule out suspended pathology at the bedside, Rami Zebian, MD, CMO with Florence Medical Center and Marion Medical Center, said, “The best care is local care. There’s a lot of talk about how to do more care locally. While you can have the best technology, a huge hospital setting, and people can travel, the best option is having options locally at the point of care and getting results or answers faster. For example, emergency medicine physicians who graduate from an emergency medicine residency nowadays have ultrasound as part of their training. If we’re concerned about bleeding, they do the fast scan to quickly identify an area of concern, and then you go after it. There are a lot of conditions where time is very important.”

Ernesto Brauer, MD, RDMS, RDCS, ASCeXAM, FACP, FCCP, ABSM, council chair with the Point-of-Care Ultrasound Certification Academy, says, “A significant number of ultrasound studies are reported as normal studies. This will avoid the unnecessary burden on radiologists.”

POCUS offers lower-cost imaging devices that allow organizations to scale their use, enabling high-powered image insights to be at their fingertips. Regarding health care, the impact of POCUS will continue to be substantial, as it has unlimited potential in patient diagnosis.

Physicians use specific tools to understand the complex physiology presented by patients with complicated conditions. POCUS is now being used as an extension of a physical exam.

Ohad Zrazi, president and CEO of Clarius Mobile Health, said, “The emergence of high-quality handheld ultrasound systems that are even more portable, affordable, and easier to use is enabling physicians from diverse specialties to use ultrasound for diagnosis and treatment, often during first visits. As more physicians become proficient with using ultrasound to diagnose simple cases at the bedside, radiologists will have more time to focus on complex cases that require high level expertise.”

Brauer said, “So, in a nutshell, the POCUS community is using POCUS in ways that have never been used conventionally by radiologists or sonographers. We are just in the early phase of the evolution of POCUS.”

RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 to learn more.

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

Radiotherapy Equipment to Last a Lifetime

Medical equipment professionals often debate whether machines are useful past their “expiration” date. Newer radiation therapy equipment is touted to last seven or eight years, noting that it took roughly seven years to design and program before its release, doubling its age instantaneously. Therefore, the technology, software, and knowledge associated with a 14-year-old device is severely outdated.

However, this thinking is not necessarily true, as there are machines over 20 years old that are operating safely and reliably. In Latin America, a Varian 6X linear accelerator has been treating patients for more than 40 years.

Since 1953, a GE MaximaR 100 X-Ray Device (also known as a Superficial Unit) has been working at a hospital in the United States. For almost 70 years, this unit has helped treat skin cancer patients by producing mild doses of radiation to destroy cancer cells while preserving the surrounding healthy tissue. This machine is still being manufactured for use in dermatology and radiation oncology clinics.

In the Caribbean, a physician at a radiation oncology center said, “Our 2003 Varian 21EX linear accelerator treats over 50 patients per day. It has all the features we want including RapidArc. The 21EX has successfully treated thousands of patients.”

These machines are well-built and are fully capable of lasting longer than seven or eight years. Certain companies purposefully underestimate the life of their linear accelerators to drive sales and increase new model usage. Also, many refurbished linear accelerators use the exact same technology as the current market models.

Are you looking to purchase a refurbished linear accelerator or have yours repaired? Contact RadParts today.

RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 to learn more.

 

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/ 

 

Deciphering the Difference Between Critical and Mundane Tasks in Radiology

Successful people who thrive in their careers are typically engaged in their workload and manage responsibilities well, with a keen focus uninterrupted by distractions. Generally, it isn’t too difficult to decipher actual “work” from mundane tasks that are counterproductive or irrelevant, yet many people are guilty of partaking in the latter more often than not.

Diagnostic radiologists are typically responsible for interpreting images and providing reports outlining the findings. Whether certain clinical questions, managerial roles, or imaging protocols are involved, the overall group functions more efficiently when everyone is equally engaged.

Once in a while, radiologists might feel like they are partaking in mundane activities; for example, if a reporting template doesn’t match their personal style or search pattern. Another scenario might include defending one’s reporting language against a hypercritical QA reviewer.

Based on what the radiologist believes their work should encompass, one radiologist’s critical tasks are another’s.

To bridge the gap between critical and mundane tasks, one must note the subtle perverse incentives that might be happening in the workplace. Government, regulatory, and academic fields all succumb to these inadequacies when someone is rewarded for bad behavior or punished for good.

Common issues in radiology include no reward for productivity or no survey of who is contributing to the overall team effort. Radiologists who produce more RVUs might be extra stressed, which increases malpractice liability, both of which are perverse disincentives. To regain equilibrium, the radiologist can reduce their efforts or take more breaks, for example.

When certain team members become more aware of their performance impediments, better tools, more personnel, etc., are appointed. Once leadership is alerted, staff surveys are performed, which could lead to new hardware, software, coworkers, and more.

Without any sign of stress in the system, those who rank higher on the totem pole are unable to specifically outline any issues or provide support. However, with help from other team members through surveys and the like, leadership can improve the situation based on feedback.

Constructive evaluation and prevention is key in reducing perverse incentives and increasing overall morale.

RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 to learn more.

 

Written by the digital marketing team at Creative Programs & Systems: https://www.cpsmi.com/

 

Video Radiology Helps Patients Better Understand Test Results

Video radiology reports are made for specific patients using simplified language and clearly annotated images to help them better understand test results, according to a novel study published by the American Journal of Roentgenology.

Radiologists at NYU Grossman School of Medicine lead the study in collaboration with Visage Imaging GmbH and Siemens Healthineers. The study outlines how radiologists can create these patient-focused videos in under four minutes, delivering the results directly to patients and referring partners through an integrated patient portal.

Lead author of the study, Michael P. Recht, MD, the Louis Marx Professor of Radiology and chair of the Department of Radiology at NYU Langone Health, said, “For decades radiologists have provided traditional radiology reports that are full of medical jargon and extremely difficult for patients to understand and decipher. Our findings demonstrate that when radiologists take a more active role in patient-centered care and provide helpful information about a particular diagnosis in an easy-to-comprehend manner, both the patient and clinician benefit.”

More than 100 radiologists at NYU Langone Health generated more than 3,500 video radiology reports during a four-month span between September 2021 and January 2022. All imaging modalities were used in the reports, such as MRIs, mammograms, X-rays, CT scans, ultrasounds, etc.

The average length of each video report was 55 seconds. In a survey, 91 percent of patients reported they preferred both a written and video radiology report, suggesting it was helpful at showcasing the most imperative aspects of the overall report.

Researchers created the video radiology reports with Visage Imaging GmbH to integrate and build a tool inside the Picture Archiving and Communication System (PACS), which is used by radiologists to read imaging studies.

After a series of images were identified, they were brought into the diagnostic viewer screen and recorded with audio while a mouse was used to identify notable anatomical anomalies.

The NYU Langone Health MyChart housed the video radiology reports on the patient portal, with personalized clinical notes and a complete written report.

Dr. Recht said, “Our study disrupts the old adage that radiologists ‘sit in a dark reading room all day’ and are invisible to patients. Through projects and research like this, our radiologists take a more active approach to patient-centered care that allows our department to provide exceptional, world-class care.”

RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 or visit us on the web: https://www.radparts.com.

Written by the digital marketing team at Creative Programs & Systems: www.cpsmi.com.

Managing Health through Technology

The healthcare industry was forced to quickly lean more into technological thanks to the pandemic. Patient images have not changed, but modifications have made it possible to use consumer technology in new, unexpected ways. What are some of the novel workflow efficiencies and patient experiences that have cropped up since 2020? Here are some examples:


Smartphones and Tablets


Providers can access images and reports virtually anywhere, thanks to smartphones or tablets. When it comes to commonplace technology, phones are ubiquitous. By using secure apps to access reports and images from anywhere, data breaches are not an issue since no information is stored on the device. Previously, physicians needed to sign in each time they wanted to check an imaging report. Now, these newer advancements allow the provider to sign in automatically. Text messages and alerts can be set up to notify the physician when reports are complete. With minimal effort, physicians can now transfer information to each other accordingly, seeing data in real-time.


QR Codes


First developed in 1994, these codes have made a comeback during the pandemic. Whether it’s for a restaurant menu, contactless payment, or essential information sharing, these scannable codes are seemingly everywhere. Now, physicians can use these codes to send reports to patients and providers instead of burning images to a Compact Disc (CD) or printout. QR codes allow for a more effective, efficient workflow. Patients can get images with ease, on their device of choice, without remembering usernames or passwords.


Web-based Viewer


Cloud technology allows web-based viewers to take a patient-focused methodology. It not only makes the Electronic Health Record (EHR) more effective, but it also consolidates information from different parts and gives a more holistic view of the patient’s record. Patients can also enjoy a web-based universal viewer to track their entire health story on a mobile device.


Old technology can be used in new ways. Today, imaging groups are using consumer-based technology to facilitate physician-patient relationships. COVID-19 accelerated the process; the innovations of the future might be the technology of today.


RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 or visit us on the web: https://www.radparts.com.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Five Tips for Radiology Fundraising

A growing number of academic institutions are relying on the generosity of others to implement otherwise too-expensive ideas or changes. Fundraising is an imperative aspect of many organizations, including the radiology field. Having a basic knowledge of fundraising is essential to your success.


President of Johns Hopkins University from 1996 to 2009 and radiologist William Brody, M.D., Ph.D., laid out some guidelines for successful fundraising in the April edition of the Journal of the American College of Radiology.


“Whether you are a newly-appointed assistant professor of radiology, a dean of the medical school, CEO of a health system, or a university president, knowing how to raise funds is critical to your success and the success of the department or organization you represent. Fundamentally, fundraising is selling. I am not talking about your grandfather’s used car salesman. Selling is a universal skill that can be learned,” Brody said.


Relationships: Fundraising is also called friend-raising for a reason. To develop long-term relationships, make meaningful connections with donors who will support your departments or institution for the long haul. It is perfectly acceptable to return to donors who have contributed in the past, as they are most likely to donate again.
Trust the process: Whether you seek a research grant, new building, or an endowed professorship, there are four key steps to achieve success: attention, interest, desire, and finalizing. Ensure you are following the process to attract donors.


Invest wisely: Use your own money to contribute to staff who can help cultivate donors, conduct background research, investigate prospects, develop brochures and other media, demonstrate, advertise, etc.


Speak out: When donors are looking to donate to a cause, radiology isn’t always top of mind. The lack of face-to-face contact radiologists have with patients makes it essential to be proactive. Don’t be intimidated – fundraising isn’t necessarily effortless. It is critical for your career, so try to learn the best you can.


Embrace technology: Artificial Intelligence (AI) is an integral part of radiology. Many tech donors are drawn to the AI sector, so be sure to entice prospects from a wide range of fields, including other areas of medicine, technology leaders, venture capitalists, and even patients with relevant interests.


RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 or visit us on the web: https://www.radparts.com.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Disney and Philips Partner to Improve MRI Exams for Children

For the first time in its history, Disney will collaborate as part of a clinical research project. Children who undergo MRI might soon experience custom-made animation, including specially made Disney stories within Philips Ambient Experience. This solution integrates architecture and design to enable technologies such as dynamic lighting, video projections, and sound to create a relaxing atmosphere.


Six hospitals across Europe have been selected to begin trials this summer; the results will be compiled and released in the fall or winter. Philips will test its Ambient Experience program using animated stories showcasing some of Disney’s most beloved characters. Disney animators will create six pieces of original, stylized Disney animation for use in hospitals. The idea is aimed at reducing fear and anxiety often felt by children who undergo MRI.


Well-known characters such as Mickey Mouse, Ariel, and those from Marvel’s Avengers, Star Wars, and others will appear in a diagnostic setting for the first time. The results from the six leading hospitals in Europe will be analyzed to alleviate children’s anxiety, create bonds, and improve staff’s ability to carry out their MRI-related tasks.


MRI scans and other medical exams can be challenging for some adults, and especially for children who are anxious, claustrophobic, or naturally wiggly. The Philips Ambient Experience currently has 2,000 installations worldwide. Its goal is to mitigate those difficulties by creating an engaging, multi-sensory imaging environment that is welcoming and relaxing for children and adults alike.


Patients can select a theme of their choice, personalizing the room’s lighting, video, and sound. Ambient Experience Patient In-bore Connect supports feelings of empowerment and control, as it lets patients relax, follow directions, and minimize motion once they are within the MRI. For younger pediatric patients, this is important to explain scan duration, helping them remain still, and reduces the need for repeat scans.


This new collaboration unifies Philips’ vast clinical knowledge and expertise with Disney’s masterful, engaging storytelling. A sense of familiarity, control, and comfort will surely result from the joint effort.


Jan Koeppen, President, The Walt Disney Company, EMEA, said, “At Disney, we look forward to complementing Philips’ MRI experience with our stories and characters. We are excited to see the results of the clinical research and to quantify the impact our characters can have in this environment.”


Through Aladdin and Jasmine on a magical carpet ride or Spiderman carefully swinging through skyscrapers, each story is customized and designed to support children in their MRI experience.


RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 or visit us on the web: https://www.radparts.com.


 
Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Problematic Body MRI Discrepancy Rates and Errors

Previous studies have outlined disagreement between radiologists and inconsistent secondary interpretations of MRI scans. Researchers at the University of Vermont and the University of Southern California Medical Center have recently published the first study to focus on secondary interpretations of body MRI evaluated by type of likely error. According to the journal article, up to 70 percent of body MRI interpretations have at least one discrepancy. Since most of these errors are cognitive, a push for sub-specialty trained providers to read these studies is crucial.
Interpretation errors, especially those in radiology, are particularly common with MRI scans. Pelvic and abdominal imaging are the most easily misread. These mistakes commonly lead to delayed or improper treatment plans. Discrepancy rates can range from two percent to six percent. Secondary interpretations can be as high as 56 percent, according to existing research.


Researchers retrospectively reviewed 357 secondary body MRI reports captured between January 2015 and December 2018 to determine the actual discrepancy rate. Initial reports were analyzed, and those with discrepancies were divided.


At least one discrepancy was identified in 246 cases, or 68.9 percent. A secondary discrepancy was found in 54 of those cases. Most differences were attributed to cognitive errors (68.8 percent), and secondary discrepancies, considered perceptual errors, accounted for 59.3 percent.
To thoroughly examine the reasons behind these discrepancies, researchers found that faulty reasoning (misclassification of the abnormality) was responsible for 34.3 percent of all instances, including 37.8 percent of primary discrepancies. Additionally, search satisfaction occurred with 37 percent of second discrepancies and 15 percent of overall discrepancies.


The team hypothesized that MRI scans were ordered to answer a specific question. Once that question was answered, the radiologist likely did not examine the rest of the scan for other abnormalities. The discrepancy rates are higher than what was previously reported due to several factors. General radiologists might be unaware of the MRI’s high sensitivity and ability to determine specific diagnoses. Body imaging frequently has the highest error rates, and double-reading by sub-specialists also increases the discrepancy rate.


Read the full article in the American Journal of Roentgenology for more information regarding discrepancy rates and errors. For all your radiation equipment repair needs, contact RadParts today. We have a vast selection of innovative repair solutions that can save you up to 50 percent or more.


RadParts is the world’s largest independent distributor of OEM replacement parts. We specialize in low-cost parts for repairing linear accelerator and radiation equipment. Our mission is to provide high-quality, user-friendly, low-cost parts and support for linear accelerators and radiation equipment. Contact RadParts at 877-704-3838 or visit us on the web: https://www.radparts.com.


Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.