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ProTECT III Imaging. Mike Lunney Research Coordinator Central Reading. Overview. CTs, CTAs, and MRIs taken during active enrollment (randomization-30 days). Head/brain only! Transverse view—most important! Also would like sagittal & coronal views if available
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ProTECT III Imaging Mike Lunney Research Coordinator Central Reading
Overview • CTs, CTAs, and MRIs taken during active enrollment (randomization-30 days). • Head/brain only! • Transverse view—most important! • Also would like sagittal & coronal views if available • Need head bone scan if available • Don’t send other scans (facial, c-spine, etc.) • Don’t send scans after 30 days even if pt remains in hospital • All images must be in DICOM format • All images must be anonymized
Image pathway • Spokes take images during pt care • Images sent from spokes to central reading • Images verified, trimmed of extraneous data, catalogued in WebDCU, and stored securely in 3 separate locations • Images taken to neuroradiologist for reading • Qualitative/quantitative data taken from reading and entered into database.
Spoke/hub delivery options • Physically (FedEx, etc.) • Needs to be traceable • Typically CDs made by imaging department • Image submission form • ProTECT image upload site • https://som.emory.org/ProTECT/ • FTP site able to handle files up to 200 MB • Larger files must be split into parts • Files must be compressed (zipped) • DICOM file type (*.DCM) the only acceptable file type! • (Your imaging department knows what that means)
Baseline image • MOST IMPORTANT IMAGE! • Must be a complete head/brain CT • Must be a complete head/brain CT! • Most likely this will be the first image taken • Needs to be within 4 hours of randomization
File naming • For uploads only, not required if mailing CDs • ####_DDMMMYY_xOFx • CTs: get no extension • MRIs: “filename_MRI” • CTAs: “filename_CTA”
Naming, cont. • Example: • MRI of patient 1525 taken 11/29/2011 • 3rd image of 4 total scans being sent to CR • 1525_29NOV11_3OF4_MRI • Split larger files into parts less than 200 MB • “3aOF4” • “3bOF4” • “3cOF4” Please contact me if you need access/assistance with imaging site!
Mailing CDs • Please fill out an image upload form • Spoke contact name/info • PATIENT #!! • Time/date/type of each scan
Examples of what to do & what not to do
Please wait until all scans for single pt ready before sending/uploading • Please write me a note if you’re unable to upload all scans for one pt in single session (let me know to expect more images)
Quiz • What is the first image that we want to see? • A) Chest x-ray confirming ET tube placement • B) Facebook picture of the EMT at the accident scene • C) Brain and bone head CT within 4 hours of randomization • D) Full-body trauma scan, including the “Grady Handshake”
In which file type do images need to be? • A) JPEG • B) DICOM • C) SPI • D) TIFF
Which images do we not want? • A) Images taken after Day 30 • B) The resident’s cell phone video of the attending’s Babinskiassessment • C) The c-spine MRI • D) Any image containing PHI
Your diligence and persistence in delivering comprehensive and pertinent imaging data is helping complete a vital component of this study! THANK YOU FOR ALL OF YOUR HARD WORK!!!