Dr. Stephen Herman

IS
How to evaluate, use imaging clinical decision support
Although recent research found that radiology clinical decision-support (CDS) software did not result in imaging orders being sent to other institutions, it's natural for hospitals to still be wary of annoying their referring physicians. Much can be done, though, to win clinician support and succeed with CDS, explains Dr. Stephen Herman from MedCurrent.
July 7, 2016
2016 07 07 14 42 12 598 Herman Stephen 200
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Patient examples of SPECT/CT and PET/CT RECIP 1.0. (A) SPECT and PET maximum-intensity projection (MIP) images in 74-year-old man with mCRPC. Serum PSA level at baseline was 449 ng/mL and slightly increased to 525 ng/mL after two cycles of Lu-177 PSMA. Eastern Cooperative Oncology Group (ECOG) score was 2 at baseline and increased to 3 after 2 cycles. The patient was classified by readers as RECIP-progressive disease on both SPECT and PET. Overall survival was 4.7 months. Two cycles of Lu-177 PSMA were administered. (B) SPECT and PET MIP images in 74-year-old man with mCRPC. Serum PSA level was 231 ng/mL at baseline and decreased to 12.5 ng/mL after 2 cycles of Lu-177 PSMA. ECOG score was less than 2 at baseline and after 2 cycles of Lu-177 PSMA. The patient was classified by readers as RECIP-partial response on both SPECT and PET. Overall survival was 14.3 months. Four cycles of Lu-177 PSMA were administered.
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