Image Quality Review Third Quarter 2012 Thursday December 6 th 2012 IIBC Lower Level Conference Rooms 5:30-7:00 PM John Crowley, RDMS-RVT.

Image Quality ReviewThird Quarter 2012

Thursday December 6th 2012IIBC Lower Level Conference Rooms

5:30-7:00 PMJohn Crowley, RDMS-RVT

RWF report for third quarter.

ACR accreditation report.

SFU pediatric hydro criteria.

Solid epididymal masses.

Customer service report. Delivering on the promise…. presented by Valerie and Lynnette.

Agenda

RWF REPORT 3RD QUARTER 2012

No Cine-loops (4) Protocol errors (10) ViewPoint Errors (3) Not Tech ready (8) Wanted 3D reconstruct in GYN case

(3) Good Compliments (2)

I'm down here!

REMINDERS

Cine-loops…Uterus sagittal and transverse and one of each ovary….PLUS any pathology.

Is ViewPoint assigned ? LOOK at the report. (F5).

Color on Thyroid nodules will be discussed at next section meeting.

3D reconstructs for IUD’s. Bill for it if we

have the ok. Continue to practice on all other cases as time permits, but we don’t need to bill for these.

REMINDERS CONTINUED…

Does Radiologist need a call ? Document on the on-line form what your actions are….

Remember if we do twins and only one twin remains, we need to change billing to singleton, otherwise the patient gets billed for two exams.

Review downtime procedures for all locations.

Split screen measurements.

New pregnancy line.

“Thanks for getting a surface contour image with the linear probe in a patient with suspected Cirrhosis.

ACR Accreditation Report

Try to type less and use the touchscreen

more for consistency on images…

16 year old with palpable non- tender

scrotal mass for 4 years

Patient claims that the lump has

slightly increased in size

Mass (located in the body of the Epididymis) measured

1.9 x 1.5 x 1.5 cm and demonstrated internal flow

Normal testicles bilaterally

• http://www.jultrasoundmed.org/content/27/8/1195.abstract

Infant Hydronephrosis• 50% of congenital anomalies.• Most common causes are transient and

physiologic accounting for 60% of cases.• Society of Fetal Urology (SFU) developed grading

system 1-4.• Only grades 3 and 4 are thought to be clinically

significant postnatally.• Renal pelvic diameter (RPV) is another method of

measurement.• UPJ Obstruction 10%. Male to female 3-1. Bilateral

20-25% of cases.

Infant Hydronephrosis• Vesicoureteral reflux 33%

• Ureterovesical reflux .4%

• Clinical dilemma becomes which patients would best be operated on and which can be observed.

Infant Hydronephrosis

Normal Kidney

SFU Grade 1

SFU Grade 2

SFU Grade 3

SFU Grade 4

Use Color Doppler