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Driving CT Developments the Last Mile: Case Examples of Successful and Somewhat Less Successful Translations into Clinical Practice

机译:推动CT发展到最后一英里:成功案例和不那么成功案例转化为临床实践的案例

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CT technology has advanced rapidly in recent years, yet not all innovations translate readily into clinical practice. Technology advances must meet certain key requirements to make it into routine use: They must provide a well-defined clinical benefit. They must be easy to use and integrate readily into existing workflows, or better still, further streamline these workflows. These requirements heavily favor fully integrated or automated solutions that remove the human factor and provide a reproducible output independent of operator skill level. Further, to achieve these aims, collaboration with the ultimate end users is needed as early as possible in the development cycle, not just at the point of product testing. Technology innovators are encouraged to engage such collaborators even at early stages of feature or product definition. This manuscript highlights these concepts through exploration of challenging areas in CT imaging in an Emergency Department setting. Technique optimization for pulmonary embolus CT is described as an example of successful integration of multiple advances in radiation dose reduction and imaging speed. The typical workflow of a trauma "pan-scan" (incorporating scans from head through pelvis) is described to highlight workflow challenges and opportunities for improvement. Finally, Dual Energy CT is discussed to highlight the undeniable clinical value of the material characterization it provides, yet also its surprisingly slow integration into routine use beyond early adopters.
机译:近年来,CT技术得到了飞速发展,但并非所有的创新都能轻易地转化为临床实践。技术进步必须满足某些关键要求才能使其日常使用:它们必须提供明确的临床益处。它们必须易于使用并易于集成到现有工作流程中,或者更好地进一步简化这些工作流程。这些要求在很大程度上需要完全集成或自动化的解决方案,这些解决方案可以消除人为因素并提供与操作员技能水平无关的可重复输出。此外,为了实现这些目标,需要在开发周期中尽早与最终用户进行协作,而不仅仅是在产品测试时。即使在功能或产品定义的早期阶段,也鼓励技术创新者与此类合作者合作。该手稿通过探索急诊室CT成像中的难题领域来突出这些概念。肺栓塞CT的技术优化被描述为成功整合了辐射剂量减少和成像速度方面的多项进展的一个示例。描述了创伤“泛扫描”(包括从头到骨盆的扫描)的典型工作流程,以突出工作流程的挑战和改进的机会。最后,讨论了Dual Energy CT,以突出其提供的材料表征的不可否认的临床价值,而且还令人惊讶地将其缓慢地集成到早期采用者之外的常规使用中。

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