Appropriate Utilization of Imaging project in the Japan Safe Radiology

Congress:

EuroSafe Imaging 2017

Poster Number:

ESI-0035

Type:

EuroSafe Imaging

Keywords:

MR, CT, Management, Action 13 - Stakeholder engagement and collaboration, Action 1 - Guidelines, implementation policies, and Clinical Decision Support (ESR iGuide), Action 12 - Cooperation with international radiation protection initiatives and other stakeholders including IAEA, WHO, ICRP, HERCA, European Commission, Action 1 - Clinical decision support, clinical imaging guidelines, Diagnostic procedure, Education and training

Authors:

K. Kumamaru, S. Aoki, S. Murayama, M. Okada, E. Maeda, T. Kubo, A. Machitori, Y. Watanabe, H. Honda

DOI:

10.1594/esi2017/ESI-0035

DOI-Link:

https://dx.doi.org/10.1594/esi2017/ESI-0035

Fig. 2: A part of the results of the survey showing top 9 imaging studies that are not...

Fig. 3: An example view of the clinical decision support for VTE-CT introduced at the...

Background/Introduction

The Japan Radiological Society (JRS) recently launched the “Japan Safe Radiology” committee to achieve safer and more efficient medical imaging in Japan (Fig. 1.Please also refer to the EPOS #7496 which explains the overview of the Japan Safe Radiology project).The project targets a variety of topics related to safety and efficiency of medical imaging: equipment/scanner distribution, radiation dose management, standardization and optimization of image quality and radiology report, and “Appropriate Utilization” of imaging. Japan has the highest number of CT and MR scanners per population...

Description of activity and work performed

1. Imaging referral guidelines The JRS and JCR jointly developed the imaging referral guidelines for diagnostic imaging in 2013 which covered 152 clinical questions (CQs), 9 areas of imaging techniques, and 7 reviews(Jpn J Radiol. 2016 Jan;34(1):43-79).During the 2016 revision, the CQs increased to 171. The revised guideline was written by a total of 176 radiologists and was externally validated by experts in other academic societies. The recommendation grades in the guideline were determined according to the Minds Guide for developing Clinical Practice Guidelines 2007...

Conclusion and Recommendations

Appropriate utilization of imaging is an important factor for improving patient safety, healthcare quality and overall healthcare outcomes in Japan The survey suggested the possible priority areas where any intervention, including CDS, may be effective The development of clinical decision support incorporating the evidence-based guidelines is being tested at some institutions and is warranted for more broad use

Personal/Organisational information

School of Medicine, Juntendo University Tokyo

References

1) OECD Health Statistics 2016 http://www.oecd.org/els/health-systems/health-data.htm 2) European Society of Radiology (ESR).Summary of the proceedings of the international forum 2016:“Imaging referral guidelines and clinical decision support - how can radiologists implement imaging referral guidelines in clinical routine?”Insights Imaging (2017). doi:10.1007/s13244-016-0523-4 3) Yamashita Y et al. The essence of the Japan Radiological Society/Japanese College of Radiology Imaging Guideline. Jpn J Radiol. 2016 Jan;34(1):43-79 4)Japan NBD opendata: http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000139390.html 5)Naess IA et al.Incidence and mortality of venous thrombosis: a population-based study.J Thromb Haemost.2007 Apr;5(4):692-9. 6) Raja AS, et...