Message from the Editor

Message from the ISR President

Radiological Quality and Safety Education, Recommendations, and Guidance Tools:

Radiological Quality and Safety News

ISR Quality and Safety Update: The First Meeting of the ISR Quality and Safety Alliance (ISRQSA) at RSNA 2016: A Global Lead for Medical Imaging Quality and Safety

The mission of the International Society of Radiology (ISR) is “…to facilitate the global endeavours of the … member organisations to improve patient care and population health through medical imaging”. To this end, the ISR recently formally established the Quality and Safety Alliance (ISRQSA). The ISRQSA is co-chaired by Drs. Guy Frija (EuroSafe Imaging Chair of the European Society of Radiology) and Donald Frush (Image Gently Alliance Chair), both appointed at this past RSNA on November 26th. Current members of ISRQSA are: AFROSAFE (EAfrosafe and F-Afrosafe), Canada Safe Imaging, EuroSafe Imaging, Image Gently, Image Wisely, Japan Safe Imaging, and LatinSafe. In common, these are independent professional organisations lead primarily by radiologists and supported by their regional societies of radiology. Most of them are also multi-stakeholder organisations, having on board Medical Physicists and Radiographers and it is anticipated that this model would be a necessary and valuable element for new organisational involvement in the ISRQSA.

Imaging Asymptomatic People: Are We Really Doing More Good than Harm?

An article entitled “Justification of CT for Individual Health Assessment of Asymptomatic Persons: A World Health Organisation Consultation” coauthored by J. Malone et al. was published in Journal of the American College of Radiology in 2016. Computed Tomography (CT) is among the most successful health technology developments and one of the most valuable as a medical imaging tool. In addition to the use of CT in patients with clinical signs and/ or symptoms, CT is used for screening of asymptomatic individuals to identify those who have risk factors or early stages of disease. This is often not performed as part of a population-screening program and is referred to as individual health assessment (IHA). IHA using CT is currently used in coronary artery calcium scoring, in investigation of coronary artery plaques, in detection of cancers of the lung, colon, and abdominal cavity, in wholebody CT surveys, and in many other areas. The justification of these IHA practices performed outside approved screening programs require particular considerations, some of which go beyond the assessment of the risks associated to the exposure to ionising radiation. Building upon the conclusions of a 2014 consultation convened by WHO, this article discusses the terminology and culture of IHA practice, reviews the current status of the IHA practice in different regions of the world, identifies some social, ethical, public health and resource implications, examines the needs concerning risk-benefit dialogue, communication to the public, education and training of health professionals, guidelines and clinical audit, analyses some regulatory aspects and emphasises the need for a framework for good clinical governance of the use of CT for IHA.

International Society of Radiology
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phone +1 703-648-8360 | fax +1 703-648-8361 | e-mail [email protected]

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