2019 AAPM Annual Meeting
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Session Title: Reject Rate Analysis in the Digital Era
Question 1: From the ASRT, repeat analysis can provide information about which of the following:
Reference:D.N. DeMaio, T. Herrmann, et al. "Best Practices in Digital Radiography," ASRT White Paper, (2012). http://www.asrt.org/docs/whitepapers/asrt12_bstpracdigradwhp_final.pdf
Choice A:overall image quality
Choice B:modification of examination protocols
Choice C:the need for in-service education
Choice D:all of the above
Question 2: Transitioning from computed radiography to direct digital radiography is likely to ___________ reject rates.
Reference:Little et al., "Unified database for rejected image analysis across multiple vendors in radiography," J Am Coll Radiol 14:208-216 (2017).
Choice A:increase
Choice B:decrease
Choice C:not have an effect on
Question 3: The purpose of the IHE Scheduled Workflow integration profile is to:
Reference:"ACR-AAPM-SIIM technical standard for electronic practice of medical imaging," Resolution 41 (2017). Moore S, "Using the IHE scheduled workflow integration profile to drive modality efficiency," RadioGraphics 23:523-529 (2003).
Choice A:Define the format of medical images and the transfer of images between devices
Choice B:Describe a communication workflow for ordering/scheduling procedures, acquiring images, and transferring images to PACs that ensures continuity and integrity of imaging data
Choice C:Define a standard for the electronic exchange of alphanumeric medical medical information
Choice D:Establish a framework for storing patient medical histories in a permanent record
Question 4: Which tool best facilitates reject analysis by physicists, managers, lead technologists, and radiologists?
Reference:Little et al., "Unified database for rejected image analysis across multiple vendors in radiography," J Am Coll Radiol 14:208-216 (2017).
Choice A:An interactive dashboard/scorecard.
Choice B:A shared Excel file with the exported acquisitions and rejects.
Choice C:An SQL search interface.
Choice D:A reject report on the modality system.
Question 5: According to Rosenkrantz et al, at least 50% of all repeat musculoskeletal and chest radiographs (additional acquisitions) were useful in providing additional information to address the clinical indication of the examination.
Reference:Rosenkrantz AB, Jacobs JE, Jain N, et al. Technologist-directed repeat musculoskeletal and chest radiographs: How often do they impact diagnosis? AJR. 2017;209(6):1297-1301.
Choice A:True
Choice B:False
Question 6: Select the statement about Exposure Indices which is most accurate:
Reference:A. Jamil, M.I. Mohd, N.M. Zain, THE CONSISTENCY OF EXPOSURE INDICATOR VALUES IN DIGITAL RADIOGRAPHY SYSTEMS, Radiation Protection Dosimetry (2018), Vol. 182, No. 4, pp. 413-418; S. Lewis, T. Pieterse, H. Lawrence. Retrospective evaluation of exposure in digital radiography, J Med Radiat Sci 66 (2019) 38–43.
Choice A:Exposure indices provide clear and robust feedback to technologists about the appropriateness of an exposure.
Choice B:For many body parts, appropriately acquired images may show high variability in their exposure index.
Choice C:Images should be repeated if they show an exposure index of less than 1/2 the target EI.
Choice D:Images should be repeated if they show an exposure index of less than 1/2 or greater than twice the target EI.
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