Japan Safe Radiology 2017

Congress:

EuroSafe Imaging 2017

Poster Number:

ESI-0014

Type:

EuroSafe Imaging

Keywords:

Safety, PACS, MR, CT, Radioprotection / Radiation dose, Management, Computer applications, Action 10 - EuroSafe Imaging Stars, Action 2 - Clinical diagnostic reference levels (DRLs), Action 1 - Guidelines, implementation policies, and Clinical Decision Support (ESR iGuide), Action 8 - EuroSafe Imaging Stars network and data collection, Action 3 - Optimisation, diagnostic reference levels, image quality, Action 1 - Clinical decision support, clinical imaging guidelines, Economics, Education and training, Image registration

Authors:

A. Nishie, H. Honda, A. Machitori, S. Baba, S. Aoki, S. Kanazawa, N. Tomiyama, M. Jinzaki

DOI:

10.1594/esi2017/ESI-0014

DOI-Link:

https://dx.doi.org/10.1594/esi2017/ESI-0014

Fig. 1: The overall structure of "Japan Safe Radiology"

Fig. 2: Japan Medical Imaging database (J-MID) under consideration

Fig. 3: Transition in number of CT scanners

Fig. 4: Transition in number of MRI units

Fig. 5: The perspective of diagnostic radiology in Japan

Fig. 6: CTDIvol of coronary CT in Japanese national universities

Fig. 7: DLP of coronary CT in Japanese national universities

Background/Introduction

Diagnostic imaging has progressed very quickly and has greatly contributed to clinical medicine. Large-sized medical imaging systems including CT and MRI have become common in our country, and patients can undergo such examinations everywhere. On the other hand, it is difficult to utilize the imaging data obtained at individual hospitals on a nationwide basis. Several problems remain to be solved, including poor efficiency in clinical practices, overly high medical bills and concerns about medical safety. We believe that the advance of Information and Communication Technology...

Description of activity and work performed

The overall structure of "Japan Safe Radiology" is shown in Fig. 1. The first goal at which "Japan Safe Radiology" is aimed is unified management of medical resources: i.e., the establishment of a national database of diagnostic imaging (Japan Medical Imaging database: J-MID). The database will be generated by collecting CT and MRI images from medical institutions all over the country. Collected data will be shared, analyzed and utilized as big data. We have already started to design and develop a small-sized system using data...

Conclusion and Recommendations

In this presentation we have outlined a future view of "Japan Safe Radiology". We have clarified the problems that Japan faces with advanced medical imaging at the present time and have started to address them by imagining the establishment of a new system for diagnostic imaging. Various hurdles remain. However, our aim is to use cutting-edge data processing systems to develop a system in Japan that can serve as a model for other countries worldwide. Acknowledgements This project is supported by a Grant from Japan...

Personal/Organisational information

Akihiro Nishie; Kyushu University Hiroshi Honda; Kyushu University Akihiro Machitori; Kohnodai hospital, National center of global health and medicine Shingo Baba; Kyushu University Shigeki Aoki; Juntendo University Susumu Kanazawa; Okayama University Noriyuki Tomiyama; Osaka University Masahiro Jinzaki; Keio University

References

[1]Bhargavan-Chatfield M, Morin RL.The ACR Computed Tomography Dose Index Registry: The 5 Million Examination Update. J Am Coll Radiol 10(12): 980-983, 2013. [2] Nishie A, Kakihara D, Nojo T, et al. Current radiologist workload and the shortages in Japan: how many full-time radiologists are required? Jpn J Radiol 33(5):266-72, 2015.