Evidence map›Paper›PMID 33738627›Full record

ArticleEJNMMI physics2021

Q-Bot: automatic DICOM metadata monitoring for the next level of quality management in nuclear medicine.

Ferenc Nagy, Aron K Krizsan, Kornél Kukuts, Melinda Szolikova, Zsolt Hascsi, Sandor Barna, Antonietta Acs, Peter Szabo, Lajos Tron, Laszlo Balkay and 4 more

Open access · goldAbstract read
In one paragraph

Article in EJNMMI physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Ferenc NagyScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary. nagy.ferenc@scanomed.hu.ORCID http://orcid.org/0000-0002-6469-7957
Aron K KrizsanScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Kornél KukutsScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Melinda SzolikovaMediso Ltd., Budapest, Hungary.
Zsolt HascsiScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Sandor BarnaScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Antonietta AcsScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Peter SzaboScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Lajos TronMedical Imaging Clinic-Nuclear Medicine, Clinical Center, University of Debrecen, Debrecen, Hungary.
Laszlo BalkayMedical Imaging Clinic-Nuclear Medicine, Clinical Center, University of Debrecen, Debrecen, Hungary.
Magnus DahlbomAhmanson Translational Imaging Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, USA.
Mihaly ZentaiMediso Ltd., Budapest, Hungary.
Attila ForgacsScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
Ildiko GaraiScanoMed Nuclear Medicine Centers, Nagyerdei krt. 98, Debrecen, H-4032, Hungary.
University of Debrecen · HUMeditop (Hungary) · HUUniversity of California, Los Angeles · US

Funding

Hungarian National Grant GINOP-2.1.1-15-2015-00609
6 · The paper itself

Abstract

backgroundRegular and precise inspection of the realization of the local nuclear medicine standard operation procedures (SOPs) is very complex and time-consuming, especially when large amount of patient data is obtained from a wide scale of different scan procedures on a daily basis. DICOM metadata comprise a complete set of data related to the patient and the imaging procedure, and consequently all information necessary to evaluate the compliance with the actual SOP.

methodsQ-Bot, an automatic DICOM metadata monitoring tool which is capable to verify SOP conformities, was tested for 11 months at two nuclear medicine departments. Relevant parameters, such as patient ID, patient mass and height, injected activity, and uptake time, were investigated in the case of adult

resultsIn total, 6702 PET/CT and 2502 gamma camera scans were inspected, from which 8581 were confirmed as valid patient study without errors. Discrepancies related to the lack of a parameter, not appropriate format, or improper scan procedures were found in 623 cases, and 156 out of these were corrected before the medical reading and reporting. SOP non-conformities explored with Q-Bot were found to be non-correctable in 467 cases. Systematic errors to our practice turned out to be the manual radiopharmaceutical injection, the allowance to use both SI and non-SI units, and the clear definition of decimal point symbol to use.

conclusionThe daily evaluation of Q-Bot results provided early detection of errors and consequently ensured the minimization of error propagation. Integration of a QM software that inspects protocol compliance at a nuclear medicine department provides significant support to detect non-conformities for technologists, and much higher confidence in image quality for physicians.

Indexed as

18F-FDG PET/CT99mTc-MDP Bone ScanDICOM MetadataProtocol complianceQuality management

Identifiers

PMID33738627
PMCPMC7973342
OpenAlexW3136501268

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.