one highly skilled worker who could potentially ease the IV
placement in difficult to canalize patients, thereby decreasing the
overall IV placement delay as well as the need of an IV nurse.
In addition, a department-wide initiative has taken place, focusing on the improvement of all potential delays perceived. This includes continuous education of staff on scheduling and booking
processes, including a thorough review of all fluoroscopy and MRI
scans for the identification and resolution of potential conflicts, and
patient scheduling review 3 days in advance to identify potential
issues (i.e., protocol, incorrect scanner booking, identification of
claustrophobic patients, addressing patient needs, etc.).
Implant concerns are now reviewed along with scheduling,
with the purchase and addition of a new MR safety database
that provides comprehensive and prompt implant safety information. The MRI manager is currently also working alongside
interpreters to successfully map the exact arrival and required
time for interpreters across all protocols, improving their overall time management, as well as implementing a three-way conversation line to aid in diminishing travel time and delays.
Optimizing MRI Logistics continued from p. 4
Ongoing continuous improvement, if applied
systematically, can potentially cut costs and
increase efficiency and patient satisfaction.
This focused study demonstrates how a third party of experienced clinicians can apply lean principles and tools to analyze
MRI workflow simply by following the process as it occurs.
Dissecting its components can give tremendous insight on possible inefficiencies, imperceptible to the regular staff during
the process, and can pinpoint issues, where delays and clusters
can alter the process, resulting in variable quality and occasionally wasteful imaging.
Our study provides evidence on how systematic implementation of process analysis can significantly aid in streamlining
patient throughput and imaging volume. Ongoing continuous
improvement, if applied systematically, can potentially cut
costs and increase efficiency and patient satisfaction.n
80–90% accuracy as compared to the 11% accuracy of the old conventional bone scan and 50% sensitivity of CT scans. This improved
accuracy of detecting the early recurrence of the prostate cancer is
allowing for early detection of solitary or oligometastases (three or
less) lesions that can be more effectively treated with focal radiation or thermal ablation. This allows the patient to avoid the unnecessary early introduction of androgen deprivation therapy and its
troublesome side effects. Early evidence suggests that directed
therapy (focal radiation or thermal ablation) to solitary and oligometastases may even prolong survival.
National Prostate Health Month occurs every September and
this is a good time to highlight the efforts of the ARRS in providing up-to-date, cutting edge educational opportunities in the diagnosis and treatment of prostate cancer. The ARRS offers enduring
materials from our very popular ARRS Prostate MR Symposium
and is offering the highly anticipated ARRS Symposium on
PET/CT this fall.n
President's Message continued from p. 2
These new PET/CT imaging agents are
detecting precise locations of recurrent
prostate cancer outside the prostate bed
with 80–90% accuracy as compared to the
11% accuracy of the old conventional bone
scan and 50% sensitivity of CT scans.
What You Need to Know
October 13–14, 2017
It's not too late to register online and gain
practice-based insights into PET/CT.
Learn more about improving protocols and
image production; the role of PET/CT in cancer
diagnosis and treatment; and much more.
• Earn up to 10. 5 CME and SAM credits.
• Learn from national leaders in PET/CT
• Earn credit after the symposium with on-demand session recordings.
• And more!
For more information: www.arrs.org/PETCT