Increase Nuclear Volumes and Add Value Delivering diagnostic imaging - - PowerPoint PPT Presentation
SNMMI Training Showcase Increase Nuclear Volumes and Add Value Delivering diagnostic imaging expertise. As Needed. When Needed. Where Needed. Challenges we face in Healthcare today: Nuclear medicine volumes are down Value-Based care is
SNMMI Training Showcase
Increase Nuclear Volumes and Add Value
Delivering diagnostic imaging expertise. As Needed. When Needed. Where Needed.
Challenges we face in Healthcare today:
How are you keeping your department relevant in today’s environment?
The nuclear medicine departments that are seeing an increase in volumes are the ones expanding their services and improving patient care… Dealing with lower volumes?
Emergency Department (ER) Critical Care (ICU) Surgery (OR) Pediatrics Women’s health
Are you running a Full-Service Department?
Or Are you only performing Nuclear Medicine…in Nuclear Medicine?
Expand your services…
Point-of-Care Imaging
§ Brain Viability § Intraoperative Imaging § Lymphoscintigraphy § GI Bleed § Lung Perfusion § HIDA § MUGA § Bone Flow/Blood Pool Multiple Nuclear Medicine departments have reported an increase in studies using Point-of-Care Imaging:
Clinical Study: Imaging in the OR
Intraoperative Scintigraphy Using a Large Field-of- View Portable Gamma Camera for Primary Hyperparathyroidism: Initial Experience
Source: Article published by Nathan C. Hall et al. in BioMed Research International Volume 2015, Article ID 930575, http://dx.doi.org/10.1155/2015/930575
Conclusion: Real time intraoperative imaging has the ability to…
adenomas
30 minutes faster.
Post Surgery Image
Post Excision PTH: 52 pg/ml
Pre Surgery Image
Pre Surgery PTH: 118.2 pg/ml
Intraoperative Scintigraphy using LFOV Gamma Camera
Abstract - Use of intraoperative nuclear imaging leads to decreased anesthesia time and real-time confirmation of lesion removal
Background Lymphatic mapping to guide sentinel lymph node biopsy (SLNB) typically requires lymphoscintigraphy prior to surgery. In young pediatric patients, this process often requires intubation in the nuclear medicine suite followed by transport to the operating room (OR). Methods We reviewed 14 pediatric cases in which a portable nuclear imaging camera was utilized to perform the entirety of the SLNB in the OR.
Clinical Study: Imaging in Pediatric Surgery
Source: Article published in Journal of Pediatric Surgery January 2018 Volume 53, Issue 1 https://www.jpedsurg.org/article/S0022-3468(17)30641-3/fulltext
Results and Conclusion This method, utilizing intraoperative nuclear imaging, helped to confirm removal of the sentinel lymph node in real time, decreased anesthesia time, and avoided transport of a sedated or intubated child.
Thyroid Cancer Case
thyroid tissue after a TOTAL thyroidectomy.
before the actual surgery to remove nodes.
Thyroid Cancer Case
removal after a 2nd attempt.
imaging, surgeon would not have known he/she did not successfully remove the targeted node on the 1st attempt.
removal of LN
Melanoma – Nevus case
ROI/nodes
node #1 identified.
still present.
injection site identified.
Value = (Quality + Outcomes) Cost
Abstract – Intra-hospital transportation of critically ill patients is associated with significant complications:
Risk Factor: Patient Transport
Source: Abstract by Patrick H Knight et al, in Int J Crit Illn Inj Sci. 2015 Oct-Dec; 5(4): 256–264. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705572/
Factors contributing to complications during intra-hospital transports.
Risk Factor: Patient Transport
Source: Abstract by Patrick H Knight et al, in Int J Crit Illn Inj Sci. 2015 Oct-Dec; 5(4): 256–264. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705572/
Care delivered during transport and at the site of diagnostic testing or procedure should be equivalent to the level of care provided in the originating environment.
Patient Transport
Registered Nurse
$33 / hour
Respiratory Therapist
$31 / hour
Patient Transporter
$13 / hour
Costs of Patient Transport
Critical Care Nurse
$33+ / hour
Costs of Equipment Transport
NMT $37 per hour
Abstract: Point-of-Care Nuclear Imaging
Objective: Provide bed-side imaging services to our most critically ill patients unable to be transported to the imaging suite due to their unstable condition.
Benefits of Point of Care Imaging:
Source: Abstract presented at SNMMI 2014 and published by Children’s Hospital of Pittsburgh of UPMC in Journal Of Nuclear Medicine May 2014, vol 55
Journal of Emergencies, Trauma, and Shock
Article - Brain death: Diagnostic clues on imaging
Source: Abstract by Aruna R. Patil, et. Al. in J Emerg Trauma Shock. 2012 Oct-Dec; 5(4): 372–373. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519061/
Conclusion: The early recognition of brain death facilitates organ harvesting and termination of unnecessary treatment and life support.
It’s not portable imaging, it’s “Point-of-Care” imaging
It is NOT your father’s single head/portable camera!!
It’s….Ergo™
It’s the ONLY Solid-state, LFOV nuclear camera for Point-of-Care
LFOV
12.25” 15.5”
Additional Benefits of Ergo
Medicine
Expand with Versatility
Address today’s issues with Point-of-Care Imaging:
ü Increase Nuclear Volumes ü Provide Value-Based Care ü Improve Patient Satisfaction ü Reduce Risk to Patients