A National QC Strategy and the Implementation of Automated Remote Quality Control in Southeast Sweden – Michael Sandborg
Sandborg NAT QC and fQCDownload
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10th June Webinar Q&A
Additional questions
Are you able to to take on additional procedures? I know for our IR service, the Radiographers are able to take on Fistulogram and angioplasty procedures.
Jenny: Currently advanced Practice within the IR department covers, biopsies, nephrostomy exchange, drain insertions, vascular access (currently peripheral but will soon include tunnelled lines). Fistulograms and angioplasties (putting aside the case study included in the VA presentation) are undertaken by the consultants.
Did you have you submit a business case to establish your service? and again for the expansion? Are you radiology led managerially and financially?
Jenny: Yes we did, all service development has to be backed by a business case. Starting with a review by clinical governance and then vetted by the Evidenced based counsel. We are indeed led managerially and financially by Radiology.
With regards to competencies what evidence are you using for assessment? Is it a tick box or are you undertaking DOPs, CBds , MSF etc
Jenny: Our competency package was developed a number...
FLUG 2024 – Single room CT Hepatic Angiography for microwave liver ablation imaging – Start of a new service; Ed McDonagh
1500-McDonaghFLUG2024CTHA-1Download
Ed McDonagh, Louise Giansante, Jodie Basso, Shaira Farooq, Nicos Fotiadis, EW Johnston
Purpose: Contrast-enhanced CT scans are routinely acquired before and after microwave liver ablation for planning and assessing the relationship between tumours and ablation zones, i.e. treatment efficacy. However, delivering contrast through peripherally inserted intravenous cannulas limits the number of acquisitions to a maximum of three scans, due to iodinated contrast dose. CT hepatic angiography involves positioning an arterial catheter, usually in the common or proper hepatic artery for selective contrast administration. This both reduces contrast dose and improves image quality for tumour and ablation zone depiction prior to, during and after ablation. Multiple contrast enhanced scans may be performed for improved ablation zone assessment and for on-table ablation zone extension if necessary in the same anaesthetic session. Placement of the catheter requires ultrasound and fluoroscopy guidance. The X-ray angiography suite and the interventional CT scanner are not co-located at our institution, and therefore placing the catheter in the Angiography...