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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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. 張潔, 馬麗, 李順華, 等. SPECT儀器質量控制和質量保證的初步探討[J]. 中國臨床醫學影像雜志, 2009, 20(1):67-68.
3. 楊自更, 郭勇, 張陽, 等. 建立SPECT影像全面質量控制的初步探討[J]. 西北國防醫學雜志, 2009, 30(4):297-298.
4. 黃紅, 楊健, 揭育麗, 等. 核醫學腦顯像和骨顯像中技術準備和質量控制的體會[J]. 廣東醫學院學報, 2004, 22(5):532-533.
5. 王崗, 楊勝利, 樊維民, 等. SPECT骨顯像的質量控制[J]. 現代腫瘤醫學, 2010, 18(7):1430-1431.
6. 朱明, 屈婉瑩, 趙洪山, 等. 全身骨顯像操作技術對圖像質量的影響[J]. 中華核醫學雜志, 2000, 20(1):23.
7. 程征, 劉士紅. SPECT規范化檢查的必要性及質量控制[J]. 齊魯護理雜志, 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. 德國KTQ質量認證體系對我國醫院管理的啟示[J]. 醫學與社會, 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. 中華醫學會. 臨床技術操作規范-核醫學分冊[M]. 北京:人民軍醫出版社, 2004:118-120.
12. 廖欽, 任海, 宋彬, 等. 大型醫院放射科科室管理模式與方法探討[J]. 華西醫學, 2012, 27(8):1265-1267.
13. 馬寄曉. 提高骨顯像質量及擴展其適應證[J]. 中華核醫學雜志, 2002, 22(2):4.
14. 梁婧, 張震, 練德幸, 等. 核醫學診斷工作場所輻射水平及防護現狀調查[J]. 放射衛生, 2015, 35(1):69-72.
15. 馮祝玲, 張偉光, 潘翠芳. 放射性藥物兩種注射法的對比研究[J]. 中華護理雜志, 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, 劉雁, 石臨紅, 等. 單光子發射計算機斷層骨顯像檢查患者的護理體會[J]. 護士進修雜志, 2010, 25(9):858-859.
18. 馮會娟, 歐陽偉, 劉金華, 等. 全身骨顯像加做局部顯像的臨床意義[J]. 南方醫科大學學報, 2008, 3(3):342-344.
19. 楊曉川. Astonish算法-提高骨顯像圖像質量的有力工具[J]. 現代預防醫學, 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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