2. Robyn Wright

3.  Main health system campus located in Ann Arbor, MI  Department of Radiology established in 1913  U of M Hospital  C.S. Mott Childrens Hospital  VonVoitlander Womens Hospital  Frankle Cardiovascular Center  Comprehensive Cancer Center  University Health Services  VA Ann Arbor Healthcare System

4.  Mission  To provide high-quality medical care  To educate health care professionals and  To increase our understanding of health and disease The delivery of cost-effective, high-quality health care is the primary activity of our medical center. We provide prompt, courteous, expert and compassionate service to our patients and consulting physicians. Our most important activities are our clinical care responsibilities to our patients.

5.  Emmanual Christodoulou, PhD, DABR  ‘85 - BS in Physics from Aristotle University of Thessaloniki  ‘89 - MS in Medical Physics from University of Colorado  ‘96 - PhD in Nuclear Science from University of Michigan  ‘96 – ’98 – Fellowship in Diagnostic Medical Physics at University of Michigan  ‘98 – Current – Staff Physicist University of Michigan Department of Radiology

6.  Implementing RadiMetrics TM eXposure software to document radiation exposure for specific CT examinations in the pediatric patient population.  Build pediatric CT protocols with all parameters within RadiMetrics TM Software.  Obtain a thorough knowledge and understanding of RadiMetrics TM system.  Perform dose tracking across protocol changes for specified protocols.  Developing a report template within RadiMetrics TM to track dose changes.  Creating a quality board for the University’s quality month in October.

7.  Imported CSV file of all CT Protocols and parameters  Created Master Protocols  Mapped all protocols for each piece of equipment (scanner) and for each weight or age group to appropriate master protocol.

8.  Implement RadiMetrics TM eXposure software to document radiation exposure for specific CT examinations in the pediatric patient population.  Upload CT parameters for all pediatric CT exams into RadiMetrics TM software  Build dose metric notification values within RadiMetrics TM for each protocol  Link CT examination parameters imported from the CT scanner with corresponding CT protocol built within RadiMetrics TM for proper dose tracking  Develop dose report templates for tracking of specific examination dose in order to document radiation dose changes during implantation of CT Image Processing Algorithms that intend to reduce patient exposure.

9.  200 hours will be completed by the end of this week on Friday August 14, 2015.  All pediatric CT protocols from our GE HD750 scanners have been uploaded into the Radimetrics TM software, a master protocol shell for every protocol has been created with all exam settings, and each individual protocol has been ‘mapped’ to each piece of equipment.  Dose reference levels (DRL) have been set in each protocol for all 12 weight groups for body examinations.  DRL have been set for the three age groups for neuro examinations.  Dashboards have been created and dose review has begun.  New notification values for the scanner have been generated.  Regular dose review meetings have been scheduled as well as a procedure for dose management.

15. Scatterplot dashboard for CAP and VEO- Low Dose CAP protocol

17.  Related to CT  The Essential Physics of Medical Imaging  Jerrold Bushberg, PHD; J. Anthony Seibert, PHD; Edwin Leidhold Jr., PHD; John Boone, PHD.  Size-Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations  AAPM Report No. 204  Radiation Dose Calculations in Radimetrics TM Enterprise Platform by Bayer  Bayer Healthcare  Related to expanding Radimetrics TM use to other modalities  Real- Time Measurement and Audit of Radiation Dose to Patients Undergoing Computed Radiography  Eliseo Vano, PHD, Jose Miguel Fernandez, MSc, Jose Ignacio Ten, MSc, Eduardo Guibelalde, PHD; Luciano Gonzalez, PHD; Cesar Pedrosa, MD, PHD.  Patient dose management in digital radiology.  E. Vano, PHD; JM Fernandez Soto, MSc

18.  Patience, Flexibility, and persistence  Continuous review and evaluation of software and project  Expansion of knowledge on CTDIvol, effective patient dose, and the utilization of dose reference levels outside of the scanner level.  Greater knowledge of dashboards and various ways to utilize them.  This project is far from over as we will expand modalities to include diagnostic imaging and fluoroscopy for pediatric patients after the pioneering groundwork that was laid with CT exams.

19.  Enter new NV values into the scanner for each protocol under every age and weight group (nearly 300 protocols)  Continue routine dose management and evaluation of pediatric dose.  Continue QA evaluation of dose and related exam quality.  Help radiologists and other staff learn all of the ways that they are able to utilize Radimetrics TM for QA- it does not stop at dose tracking and monitoring  Continue working within Radimetrics TM to build complete master protocol parameters so that it can eventually be utilized as the technologists written protocols.  Continue working with the Radimetrics TM committee on monthly QA review for any exams which have reached or exceeded DRL levels.  Work towards expanding the use of Radimetrics TM across other modalities at our pediatric hospital.  Quality board presentation in October for Quality Month Presentations.