Priscilla Butler

CT
8 strategies to optimize radiation dose in CT
How can imaging providers optimize CT dose to maximize the risk-benefit ratio and deliver better patient care? In this article, Priscilla Butler from the American College of Radiology offers eight actionable strategies for managing radiation dose while still providing diagnostic quality and accuracy.
July 13, 2017
2017 07 12 10 24 15 537 Butler Priscilla 400
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An example of a typical BgRT plan: A) PET scan on diagnostic PET/CT and B) X1 PET-Linac for patient #15 with a PET avid rib metastasis with GTV size= 3.1 cc, PTV = GTV + 5mm, BTZ (biological tracking zone) = PTV + 5 mm, AC = 14.33 kBq/mL and NTS = 21.04. Red, magenta, and green contours represent GTV, PTV, and BTZ. C) Dose distribution and D) bounded-DVH of a BgRT plan are displayed for the same patient. The bounded Dose-Volume Histogram (DVH) models variations in BgRT delivery, encompassing fluctuation in target background signal variation, target localization and dose delivery uncertainties.
Radiation Oncology/Therapy
Radiation oncologists put RefleXion’s X1 system to the test
A pilot study demonstrates the potential feasibility of using RefleXion's X1 unit in patients with prostate cancer.
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AAPM critiques study regarding CT before pregnancy
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Cancelled
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What prompts radiology department cancellations of imaging orders?
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Radiation oncologists put RefleXion’s X1 system to the test
By Will Morton
A pilot study demonstrates the potential feasibility of using RefleXion's X1 unit in patients with prostate cancer.
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An example of a typical BgRT plan: A) PET scan on diagnostic PET/CT and B) X1 PET-Linac for patient #15 with a PET avid rib metastasis with GTV size= 3.1 cc, PTV = GTV + 5mm, BTZ (biological tracking zone) = PTV + 5 mm, AC = 14.33 kBq/mL and NTS = 21.04. Red, magenta, and green contours represent GTV, PTV, and BTZ. C) Dose distribution and D) bounded-DVH of a BgRT plan are displayed for the same patient. The bounded Dose-Volume Histogram (DVH) models variations in BgRT delivery, encompassing fluctuation in target background signal variation, target localization and dose delivery uncertainties.
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The AAPM sought to put the research into perspective, noting that "comorbidities, not radiation dose, likely explain study results."
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Saliency maps using Grad-CAM++ (E and H) show the model’s point of interest in chest radiographs (C and F) of patients with achalasia. The model’s point of interest is highlighted with red, yellow, and green. In both the upper and lower panels (E and H), the point of interest is located in a region around the upper esophagus that corresponds to an air esophagogram and/or air-fluid level in the esophagus in the barium esophagogram (D and G).
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Diagnostic transverse ultrasound image of the left breast in a 64-year-old woman shows irregular hypoechoic nonparallel mass with indistinct margins corresponding to palpable finding, assessed as BI-RADS category 4. Both readers assessed mass as having associated echogenic rind with complete circumferential extent (arrowheads). Ultrasound-guided biopsy of mass yielded diagnosis of invasive ductal carcinoma (intermediate grade, luminal A molecular subtype, no lymphovascular invasion).
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