Congress:
EuroSafe Imaging 2018
Keywords:
Computer Applications-Detection, diagnosis, CT, Radiographers, 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, Safety, Image registration, Quality assurance
Authors:
D. Kakihara, H. Honda, A. Nishie, A. Machitori, S. Aoki, S. Kanazawa, N. Tomiyama, M. Jinzaki
DOI:
10.1594/esi2018/ESI-0060
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 (ICT) may enable us to use “big data” to solve some of these problems.
The Japanese Radiological Society (JRS) is advocating the development of so-called "Japan Safe Radiology." The aim of this project is to construct a system for network-type management of diagnostic imaging nationwide.
Concretely,
we aim to generate,
analyze and utilize a national database of diagnostic imaging and thereby to improve medical techniques in terms of safety,
standardization and optimization of image scanning,
and also to apply it to medical policy.
The characteristic of this project is to carry out an “all Japan” organization under the auspices of the largest society related to diagnostic imaging in our country (JRS) in cooperation with JIRA (Japan Medical Imaging and Radiological Systems Industries Association).
This attempt is the first in the world and wholly original.
A structure that collects information on radiation doses and utilizes it has been partially constructed in the United States [1].
However,
there is no management system that integrates medical imaging data on the national level.
In this project a storage server and registry server will be newly established.
Information on medical imaging data collected all over the country will be integrated in the servers.
By utilizing this imaging data,
new medical technology may be developed,
and multi-center collaboration studies may also be designed with ease,
resulting in the promotion of clinical study.
Specific items to be carried out include (1) proper distribution of medical equipment and radiologists,
(2) development of a Clinical Decision Support (CDS) system for proper utilization of medical equipment,
(3) network-type management of radiation exposure doses (Dose Index Registry: DIR),
(4) proper quantitation of medical imaging data based on the establishment of Japan’s Quantitative Imaging Biomarker Alliance (J-QIBA) and (5) unification of diagnostic reports.
The final goal of our project is the clinical application of artificial intelligence (A.I.).
In the next section we present describe in greater detail the activities to be advanced in Japan Safe Radiology.