Target-Based Dose Optimization: Enhancing Image Quality and Patient Safety | Dr. David Larson

In this episode of the Frame by Frame: Rethink Imaging podcast, host Chris St. John welcomes Dr. David Larson, an esteemed leader in radiology and a passionate advocate for healthcare improvement. David is the Acting Chair and Executive Vice Chair of the Department of Radiology at Stanford University, and among many other points, he lays out the three pillars of CT radiation dose optimization in this episode.
The show also covers the evolution from peer review to peer learning in radiology, the complexities of size-adjusted dose optimization, and the role of multi-disciplinary collaboration in creating sustainable radiology practices.
In terms of improving the field as a whole, the pair share ideas around moving beyond merely hitting acceptable ranges with dose optimization and instead, setting targets and hitting them with absolute consistency.
The discussion focuses on the development of imaging protocols, emphasizing the importance of balancing technological advancements with effective management strategies.
Tune in to learn how innovative approaches and a target-based mindset are crucial for advancing radiology practices in today's evolving landscape.
Chapters

00:00 - Intro02:59 - Demystifying Socio-Technical Systems in Healthcare05:17 - From Peer Review to Peer Learning07:27 - Why Dose Matters in Radiology11:56 - The Importance of Size-Adjusted Dose14:22 - Real-World Dose Optimization18:09 - Automated Tube Current Modulation
20:52 - Enhancing Dose Control
22:29 - The Collaborative Equation: Radiologists, Physicists, and Technologists26:43 - Fine-Tuning Image Quality Across Use Cases29:54 - Dose Optimization for Smaller Hospitals33:02 - The Key to Effective Training in Radiology39:18 - Process Control: The Heart of Optimization44:12 - Preparing for New Radiology Technologies46:11 - Navigating Regulatory Changes49:25 - Misconceptions in CT Optimization51:25 - The Role of Administrators in Dose Optimization54:14 - A Lover’s Quarrel: Professional Debates in Radiology55:39 - OutroFrame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so