Application of PDCA Circulation to Enhance the Quality of Single Photon Emission Computed Tomography in Whole Body Bone Scanning_West China Medical Journal

Authors：

 JIANGLi-sha , LIYa-nan , YANGXiao-chuan , LIJian-hong ,  ZHOULü-yi

Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHOULü-yi, Email: zhouluyi@scu.edu.cn

Keywords：

PDCA; whole body bone scan; Nuclear medicine technologists

DOI：

10.7507/1002-0179.20150591

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective Utilizing PDCA circulation to enhance the quality of single photon emission computed tomography (SPECT) in whole body bone scan (WBS). Methods Based on a retrospective analysis of the quality of WBS in the first half of year 2012, advices and measurements to improve the quality were implemented by the technologists. In the following half year of 2012, monthly evaluation of the WBS quality were carried out to further improve the quality by focusing on fine details of the patient positioning, radiopharmaceuticals injection and image processing, etc. Results By utilization of PDCA circulation, WBS quality in the latter half year of 2012 constantly improved. Further more, effective and improved technical procedures were extracted from scattered individual experience, which was expected to improve the WBS quality effectively in the long run. Conclusion Application of PDCA circulation in SPECT in whole body bone scan improves the image quality, because it not only brings better communication and understanding between patients and physicians/technologists, but also enables better patient preparations and individualized procedures based on standard protocols.

Citation： JIANGLi-sha, LIYa-nan, YANGXiao-chuan, LIJian-hong, ZHOULü-yi. Application of PDCA Circulation to Enhance the Quality of Single Photon Emission Computed Tomography in Whole Body Bone Scanning. West China Medical Journal, 2015, 30(11): 2090-2093. doi: 10.7507/1002-0179.20150591 Copy

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1. Shibuya T, Kato K, Eshima H, et al. Development of image quality assurance support system using image recognition technology in radiography in lacked images of chest and abdomen][J]. Nihon Hoshasen Gijutsu Gakkai Zasshi, 2012, 68(4):422-431.
2. 张洁, 马丽, 李顺华, 等. SPECT仪器质量控制和质量保证的初步探讨[J]. 中国临床医学影像杂志, 2009, 20(1):67-68.
3. 杨自更, 郭勇, 张阳, 等. 建立SPECT影像全面质量控制的初步探讨[J]. 西北国防医学杂志, 2009, 30(4):297-298.
4. 黄红, 杨健, 揭育丽, 等. 核医学脑显像和骨显像中技术准备和质量控制的体会[J]. 广东医学院学报, 2004, 22(5):532-533.
5. 王岗, 杨胜利, 樊维民, 等. SPECT骨显像的质量控制[J]. 现代肿瘤医学, 2010, 18(7):1430-1431.
6. 朱明, 屈婉莹, 赵洪山, 等. 全身骨显像操作技术对图像质量的影响[J]. 中华核医学杂志, 2000, 20(1):23.
7. 程征, 刘士红. SPECT规范化检查的必要性及质量控制[J]. 齐鲁护理杂志, 2002, 8(2):96-97.
8. Allenbach G, Prior JO, Theumann N, et al. Suppressing bladder artifacts in bone SPECT of the pelvis[J]. Ann Nucl Med, 2007, 21(6):339-344.
9. 王留明, 曾正航, 廖家智. 德国KTQ质量认证体系对我国医院管理的启示[J]. 医学与社会, 2012, 25(7):72-74.
10. Wang LR, Wang Y, Lou Y, et al. The role of quality control circles in sustained improvement of medical quality[J]. Springerplus, 2013, 2(1):141.
11. 中华医学会. 临床技术操作规范-核医学分册[M]. 北京:人民军医出版社, 2004:118-120.
12. 廖钦, 任海, 宋彬, 等. 大型医院放射科科室管理模式与方法探讨[J]. 华西医学, 2012, 27(8):1265-1267.
13. 马寄晓. 提高骨显像质量及扩展其适应证[J]. 中华核医学杂志, 2002, 22(2):4.
14. 梁婧, 张震, 练德幸, 等. 核医学诊断工作场所辐射水平及防护现状调查[J]. 放射卫生, 2015, 35(1):69-72.
15. 冯祝玲, 张伟光, 潘翠芳. 放射性药物两种注射法的对比研究[J]. 中华护理杂志, 2001, 36(1):58.
16. Zhang W, Chen B, Deng H, et al. Hepatic and splenic uptake on bone scintigraphy in patients with intravenous administration of 99mTc methylene diphosphonate prior to gadolinium-containing contrast[J]. Clin Nucl Med, 2013, 38(3):219-220.
17. 杜桂珍, 刘雁, 石临红, 等. 单光子发射计算机断层骨显像检查患者的护理体会[J]. 护士进修杂志, 2010, 25(9):858-859.
18. 冯会娟, 欧阳伟, 刘金华, 等. 全身骨显像加做局部显像的临床意义[J]. 南方医科大学学报, 2008, 3(3):342-344.
19. 杨晓川. Astonish算法-提高骨显像图像质量的有力工具[J]. 现代预防医学, 2008, 35(9):1747-1748.

West China Medical Journal

Application of PDCA Circulation to Enhance the Quality of Single Photon Emission Computed Tomography in Whole Body Bone Scanning

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