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JournalISSN: 0198-7097

Radiology management 

American Healthcare Radiology Administrators
About: Radiology management is an academic journal. The journal publishes majorly in the area(s): Health care & Job satisfaction. It has an ISSN identifier of 0198-7097. Over the lifetime, 512 publications have been published receiving 2422 citations.


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Journal Article
Jason C Theadore1
TL;DR: Energy, not time, can help create encouraging time management skills and appropriate work life balance and once a leader understands that time should be spent on things that are important instead of everything that is urgent, you can begin to develop a balance that will support your values, your family, and your organization.
Abstract: The most important organizational resource is energy. The most important resource in time management is energy. Managing energy, not time, can help create encouraging time management skills and appropriate work life balance. Once a leader understands that time should be spent on things that are important instead of everything that is urgent, you can begin to develop a balance that will support your values, your family, and your organization. When leaders find meaningful ways to add a sense of purpose to their work they can personally improve themselves and their organizations. If your personal values do not align with the values of your organization you will never work with a true sense of purpose. Make the time to manage your energy. You will be surprised how much free time you find.

111 citations

Journal Article
TL;DR: The goal of IHE is to provide end-users improved access to critical patient and clinical information across all systems within the healthcare delivery network, and several vendors have begun to offer consolidated RIS/PACS solutions and/or HIS/RIS/ PACS solutions.
Abstract: The technology for acquiring, storing, retrieving, displaying, and distributing images has advanced dramatically in recent years. The push is toward enterprise-wide image management solutions, where digital images from radiology, cardiology, and other "ologies" are seamlessly linked with information from clinical information systems and other databases, and they are accessed seamlessly from a single point of end-user interaction. The "gold standard" of system integration would provide the platform for improved workflow, patient throughput and patient safety, as well as decreased cost. Unfortunately, the gold standard remains elusive in most healthcare environments, even those with new systems. One of the earliest issues that plagued the progress of hospital information system/radiology information systems/picture archiving and communication systems (HIS/RIS/PACS) integration was a matter of language between Health Level-7 (HL7) and DICOM. This barrier was solved by the broker--a software and hardware device that accepts HL7 messages from the RIS then translates, or maps, the data to produce DICOM messages for transmission to the PACS. Technologist workflow requires patient and exam information from the RIS to flow to the modality. The broker provides support for this by taking advantage of the DICOM Modality Worklist (DMWL). Two primary problems are inherent in most brokered configurations. Workflow is driven by paper, and RIS information flows in 1 direction only, which leads to duplicative databases. Overcoming the limitations of HIS/RIS/PACS connectivity requires industry accepted communication protocols/rules. To facilitate this, the Integrating the Health Care Enterprise (IHE) initiative was developed. The goal of IHE is to provide end-users improved access to critical patient and clinical information across all systems within the healthcare delivery network. While the IHE initiative began to facilitate more efficient, predictable, and functional integration between disparate systems, vendors still had technology hurdles to overcome. System integration continues to be significantly hampered, not by technology limitations, but instead by business and political issues. In response to these challenges, several vendors have begun to offer consolidated RIS/PACS solutions and/or HIS/RIS/PACS solutions. Consequently, the prospect of the gold standard appears to be on the horizon. Single vendor consolidated systems are not, however, feasible for deployment in many healthcare organizations, and they are not necessarily the panacea.

86 citations

Journal Article
TL;DR: This site is one of the on-line library in which you can find your chosen one to read, the presented decade of change, a book that will give you new inspirations.
Abstract: However, this era also allow you to get the book from many sources. The off line book store may be a common place to visit to get the book. But now, you can also find it in the on-line library. This site is one of the on-line library in which you can find your chosen one to read. Now, the presented decade of change is a book that you can find here. This book tends to be the book that will give you new inspirations.

77 citations

Journal Article
Andrew P. Smith1
TL;DR: Tomosynthesis could resolve many of the tissue overlap reading problems that are a major source of the need for recalls and additional imaging in 2-D mammography exams.
Abstract: Breast tomosynthesis is a 3-dimensional (3-D) imaging technology that involves acquiring images of a stationary compressed breast at multiple angles during a short scan. The individual images are then reconstructed into a series of thin high-resolution slices that displayed individually or in a dynamic cine mode. Tomosynthesis can reduce or eliminate the tissue overlap effect. While holding the breast stationary, images are acquired at a nsumber of different x-ray source angles. Objects at different heights in the breast project differently for each angle. The final step in the tomosynthesis procedure is reconstructing the data to generate images that enhance objects from a given height by appropriate shifting of the projections relative to one another. There are 3 specific areas in tomosynthesis system requirements that warrant a closer review: detector efficiency and dose, field of view, and equipment geometry. The breast is compressed in a standard way. While holding the breast stationary, the x-ray tube is rotated over a limited angular range. A series of low dose exposures are made every few degrees, creating a series of digital images. Typically, the tuben is rotated about +/-15 degrees, and 11 exposures are made every 3 degrees during a total scan of a few seconds. The individual images are projections through the breast at different angles and these arewhat are reconstructed into slices. There are 2 basic tomosynthesis system designs that diiffer in the motion of the detector during acquisition. One method moves the detector in concert with the x-ray tube so as to maintain the shadow of the breast on the detector. An altemate method is to keep the detector stationary relative to the breast platform. The tomosynthesis reconstruction process consists of computing high-resolution images whose planes are parallel to the breast support plates. Typically, these images are reconstructed with slice separation of 1 mm; thus, a 5 cm compressed breast tomosynthesis study will have 50 reconstructed slices. The reconstructed tomosynthesis slices can be displayed similarly to computed tomography (CT) reconstructed slices. Tomosynthesis could resolve many of the tissue overlap reading problems that are a major source of the need for recalls and additional imaging in 2-D mammography exams.

62 citations

Journal Article
Andrew P. Smith1
TL;DR: The technical basis for current and future advances in mammographic detector technology is described, including all of the following: lower dose • Improved image quality • Computer-aided diagnosis • Softcopy review and digital archiving • Tomosynthesis and other three-dimensional visualization techniques.
Abstract: Screen-film image receptors have been the standard detector used in conventional mammography. New developments in detector technology and computers are altering the landscape of mammography imaging. Full Field Digital Mammography (FFDM) offers the promise of revolutionizing the practice of mammography through its superior dose and contrast performance. Advanced applications made possible through digital imaging, such as automated computer-aided diagnosis, dualenergy and 3D tomosynthesis are expected to further improve diagnostic sensitivity and specificity. This primer describes the technical basis for current and future advances in mammographic detector technology. These include all of the following: • Lower dose • Improved image quality • Computer-aided diagnosis • Softcopy review and digital archiving • Tomosynthesis and other three-dimensional visualization techniques • Reduction in breast compression pressure

61 citations

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Performance
Metrics
No. of papers from the Journal in previous years
YearPapers
20172
201613
201521
201417
201323
201221