- Email: [email protected]
357. iQA: Quality assurance management software in hospital radiology
276
Abstracts / Physica Medica 56 (2018) 133–278
reporting to a RIS system. We choose Conquest as DICOM server since our division has over 15-years’ experience on its use for the transfer and analysis of images. https://doi.org/10.1016/j.ejmp.2018.04.364
357. iQA: Quality assurance management software in hospital radiology L. Manco a, S. Fabbri a, E. Tonini a, D. De Metrio b, F. Gulinati a, A. Turra a a b
Sant’Anna University Hospital, Ferrara, Italy A.U.S.L., Ferrara, Italy
Purpose. iQA takes its bases on the necessity to share QA (Quality Assurance) radiologic information among different professionals such as physician as responsible of technology, technicians and medical physicists. Our medical physics department is involved in the QA of radiologic equipment on several hospitals in the Ferrara district. Methods and materials. iQA is a web-based software with a client/ server architecture achievable from different navigator browser. Each user has an account that allows to view and modify data according to his permission limited to his equipment. For each radiological center, the equipment (RX tube, workstation monitor, computed radiography (CR) and digital radiography (DR) detectors, magnetic resonance) are listed with their location and technical information. Details on QA protocols and reports, status of maintenance, final evaluation to clinical use are always available. In case of some parameters are out of tolerance an alert is provided to the user by e-mail. Results. The use of iQA started from December 2017, after a training of each professional involved. From the beginning it results so useful to a real time monitoring of the equipment status. Conclusion. The future developments see the implementation in iQA of the nuclear medicine, radiotherapy equipment and also a radioprotection module. It could be develop iQA mobile application to enhance the users feedback. https://doi.org/10.1016/j.ejmp.2018.04.365
358. How much treatment suspension or scheduling delay in treating gynecological cancer affects survival? R. Siciliano a, F. Piro a, D. Cosentino a, A. Massenzo a, L. Marafioti a a
Radiotherapy Department, Cosenza, Italy
Purpose. To evaluate impact of break in treatment for nonmedical reasons, as delay in scheduling BRT boost, on survival in gynaecological cancer. We estimated Overall Treatment Days (OTD) of each patient. Methods. By November 2008 to April 2012 95 endometrial cancer pts. treated in adjuvant according to this schedule: ERT (50 Gy/5
weeks) plus BRT boost 18 Gy in 3 fractions before or after same ERT. For patients of our Center performed boost before, patients from nearby centers boost performed after. Generally OTD was longer in patients who performed boost after ERT (pts. of nearby centers were sent for boost after ERT). The gap after ERT result median delay 35 days (range 7–134). We evaluated this factor in comparison of survival curves with Kaplan Meier method. Results. Median follow-up 6,35 years (range 1,13–8,33). In evaluation of survival according value of OTD cut-off result is P70 days. We recorded two groups Median-55 (40–68) of 70 pts. vs Median96 (72–159) of 25 pts. Survival comparison that considered Median-55 vs Median-96 resulted favourable first group and more significant, median 5,67 vs. 4,79 years (P = 0,21). Conclusions. Reduce to minimum entire treatment time is mandatory. For better quality management of entire treatment (avoiding treatment suspension for nonmedical reasons) we need to increase collaboration with nearby centers to be more effective (scheduling BRT simulation before the ERT at own center). Patients who have ended the ERT often come for BRT simulation to our center with problems of acute toxicity in progress so to perform boost is very difficult. Because of pain that can be caused during CT simulation it is possible to have a missing target, to avoid this problem pts. of our center have simulation CT at same time of ERT simulation. By increasing quality management survival increases. https://doi.org/10.1016/j.ejmp.2018.04.366
359. The PERSON project: A neuro-rehabilitative device provided as SaaS tool A. Monaco a, R. Bellotti a,b, P. Da Pelo b, D. Diacono a, C. Luongo a, G. Sforza a, S. Tangaro a a
INFN, Sezione di Bari, Via A. Orabona 4, 70125 Bari, Italy Department of Physics ‘Michelangelo Merlin’, University of Bari ’Aldo Moro’, Via G. Amendola 173, 70126 Bari, Italy b
Purpose. The cognitive and computational neuroscience developed new neuro-rehabilitative tools able to treat subjects suffering from the early symptoms, in order to give priority to a home environment. In this way the curative treatment does not burden on the hospital and the patient’s psychological disorientation. Recent studies have shown the efficacy of using video games to improve cognitive processes caused by aging physiological effect and neurodegenerative disease avoiding drug treatment. Methods. The PERSON project proposed rehabilitative tools such as serious game connected to EEG interface (electroencephalography paradigm through Brain Computer Interface) and haptic devices. This project regards a strategic synergy between research and public health, to implement a technology based on Virtual Reality and software solutions for personalized medicine basing on the cloud
Abstracts / Physica Medica 56 (2018) 133–278
reporting to a RIS system. We choose Conquest as DICOM server since our division has over 15-years’ experience on its use for the transfer and analysis of images. https://doi.org/10.1016/j.ejmp.2018.04.364
357. iQA: Quality assurance management software in hospital radiology L. Manco a, S. Fabbri a, E. Tonini a, D. De Metrio b, F. Gulinati a, A. Turra a a b
Sant’Anna University Hospital, Ferrara, Italy A.U.S.L., Ferrara, Italy
Purpose. iQA takes its bases on the necessity to share QA (Quality Assurance) radiologic information among different professionals such as physician as responsible of technology, technicians and medical physicists. Our medical physics department is involved in the QA of radiologic equipment on several hospitals in the Ferrara district. Methods and materials. iQA is a web-based software with a client/ server architecture achievable from different navigator browser. Each user has an account that allows to view and modify data according to his permission limited to his equipment. For each radiological center, the equipment (RX tube, workstation monitor, computed radiography (CR) and digital radiography (DR) detectors, magnetic resonance) are listed with their location and technical information. Details on QA protocols and reports, status of maintenance, final evaluation to clinical use are always available. In case of some parameters are out of tolerance an alert is provided to the user by e-mail. Results. The use of iQA started from December 2017, after a training of each professional involved. From the beginning it results so useful to a real time monitoring of the equipment status. Conclusion. The future developments see the implementation in iQA of the nuclear medicine, radiotherapy equipment and also a radioprotection module. It could be develop iQA mobile application to enhance the users feedback. https://doi.org/10.1016/j.ejmp.2018.04.365
358. How much treatment suspension or scheduling delay in treating gynecological cancer affects survival? R. Siciliano a, F. Piro a, D. Cosentino a, A. Massenzo a, L. Marafioti a a
Radiotherapy Department, Cosenza, Italy
Purpose. To evaluate impact of break in treatment for nonmedical reasons, as delay in scheduling BRT boost, on survival in gynaecological cancer. We estimated Overall Treatment Days (OTD) of each patient. Methods. By November 2008 to April 2012 95 endometrial cancer pts. treated in adjuvant according to this schedule: ERT (50 Gy/5
weeks) plus BRT boost 18 Gy in 3 fractions before or after same ERT. For patients of our Center performed boost before, patients from nearby centers boost performed after. Generally OTD was longer in patients who performed boost after ERT (pts. of nearby centers were sent for boost after ERT). The gap after ERT result median delay 35 days (range 7–134). We evaluated this factor in comparison of survival curves with Kaplan Meier method. Results. Median follow-up 6,35 years (range 1,13–8,33). In evaluation of survival according value of OTD cut-off result is P70 days. We recorded two groups Median-55 (40–68) of 70 pts. vs Median96 (72–159) of 25 pts. Survival comparison that considered Median-55 vs Median-96 resulted favourable first group and more significant, median 5,67 vs. 4,79 years (P = 0,21). Conclusions. Reduce to minimum entire treatment time is mandatory. For better quality management of entire treatment (avoiding treatment suspension for nonmedical reasons) we need to increase collaboration with nearby centers to be more effective (scheduling BRT simulation before the ERT at own center). Patients who have ended the ERT often come for BRT simulation to our center with problems of acute toxicity in progress so to perform boost is very difficult. Because of pain that can be caused during CT simulation it is possible to have a missing target, to avoid this problem pts. of our center have simulation CT at same time of ERT simulation. By increasing quality management survival increases. https://doi.org/10.1016/j.ejmp.2018.04.366
359. The PERSON project: A neuro-rehabilitative device provided as SaaS tool A. Monaco a, R. Bellotti a,b, P. Da Pelo b, D. Diacono a, C. Luongo a, G. Sforza a, S. Tangaro a a
INFN, Sezione di Bari, Via A. Orabona 4, 70125 Bari, Italy Department of Physics ‘Michelangelo Merlin’, University of Bari ’Aldo Moro’, Via G. Amendola 173, 70126 Bari, Italy b
Purpose. The cognitive and computational neuroscience developed new neuro-rehabilitative tools able to treat subjects suffering from the early symptoms, in order to give priority to a home environment. In this way the curative treatment does not burden on the hospital and the patient’s psychological disorientation. Recent studies have shown the efficacy of using video games to improve cognitive processes caused by aging physiological effect and neurodegenerative disease avoiding drug treatment. Methods. The PERSON project proposed rehabilitative tools such as serious game connected to EEG interface (electroencephalography paradigm through Brain Computer Interface) and haptic devices. This project regards a strategic synergy between research and public health, to implement a technology based on Virtual Reality and software solutions for personalized medicine basing on the cloud