Article Figures & Data
Figures
- FIGURE 1.
(A) Example of workflow of usual operation by IHE. (B) Flows of order entry system.
- FIGURE 2.
Construction process of order entry system (waterfall model/prototype model).
- FIGURE 3.
Example: Setting between test item groups. Setting of confinement using each test item as the baseline subject. (A) MRI test. (B) Nuclear medical test. (C) Nuclear medical test and MRI test.
- FIGURE 4.
Example: Appointed test frame. In case of setting of time series (A), it is possible to set the same frame from Monday through Friday during routine work. In case of setting groups (B), it is necessary to set frames based on an operation form for each day.
- FIGURE 5.
Example: Methods of obtaining appointment for nuclear medical test in which setting of appointed test frame is conducted between groups. Setting of confinement: methods for obtaining groups between test items.
- FIGURE 6.
Example: Methods for obtaining appointment of nuclear medical test in group setting and MRI test in time series setting. Setting of confinement: methods for obtaining groups between test items.
- FIGURE 7.
Flow from introduction to operation (outline).
Tables
Time required Presence or absence of start from time appointed Group classification Test item (NM) Collecting time Injection time 99mTc drug pro.g Thyroid (99mTcO4−) 30 — ○ Parathyroid (99mTc-MIBI) 30 — ○ Salivary gland (99mTcO4−) 30 — ○ Brain (99mTc-ECD) 30 — ○ Head vein angiogram (99mTcO4−) 30 — ○ Trunk vein angiogram (99mTcO4−) 30 — ○ Upper limb (right) vein angiogram (99mTcO4−) 30 — ○ Upper limb (left) vein angiogram (99mTcO4−) 30 — ○ Pelvic vein angiogram (99mTcO4−) 30 — ○ Lower limb vein angiogram (99mTcO4−) 30 — ○ Head artery angiogram (99mTcO4−) 30 — ○ Trunk artery angiogram (99mTcO4−) 30 — ○ Upper limb (right) artery angiogram (99mTcO4−) 30 — ○ Upper limb (left) artery angiogram (99mTcO4−) 30 — ○ Pelvic artery angiogram (99mTcO4−) 30 — ○ Lower limb artery angiogram (99mTcO4−) 30 — ○ Bone drug pro.g Bone adult/whole body (99mTc-HMDP) — 10 × Bone child/whole body (99mTc-HMDP) — 10 × 67Ga drug pro.g 67Ga adult/whole body (67Ga-citrate) — 10 × 67Ga child/whole body (67Ga-citrate) — 10 × 131I drug pro.g Adosterol (131I-adosterol) — 10 × Pheo scinitigraphy (131I-Pheo-MIBG) — 10 × 201TI drug pro.g Thyroid (201TICI) 30 — ○ Tumor (201TICI) 30 — ○ Myocardial blood flow at resting (201TICI) 30 — ○ Intake rate in thyroid drug pro.g Intake rate in thyroid (Na123I capsule) — 10 × 99mTc + 67Ga drug pro.g Bone+67Ga adult/whole body (99mTc-HMDP+67Ga-citrate) — 10 × Bone+67Ga child/whole body (99mTc-HMDP+67Ga-citrate) — 10 × 123I drug pro.g Myocardial fatty acid metabolism (123I-BMIPP) 40 ○ Myocardial sympathetic nerve activity (123I-MIBG) 40 ○ Myocardial drug pro.g Myocardial blood flow at resting (99mTc-MIBI) — 10 × Myocardial blood flow movement (99mTc-TF) 60 — ○ Myocardial blood flow movement (201TICI) 60 — ○ Myocardial blood flow movement drug product (99mTc-TF) 50 — ○ Myocardial pool (99mTc-HAS-D) 60 — ○ Respiratory system drug pro.g Lung blood flow (99mTc-MAA) 30 — ○ Lung ventilation (81mKr gas) 30 — ○ CBF drug pro.g CBF (123I-IMP) 60 — ○ Load of CBF (123I-IMP) 120 — ○ Digestive system drug pro.g Liver function (99mTc-GSA) 30 — ○ Liver/biliary tract (99mTc-PMT) 30 — ○ Liver (99mTc-Sn-colloid) 30 — ○ Spleen (99mTc-Sn-colloid) 30 — ○ Gastrointestinal bleeding (99mTc-HAS-D) 60 — ○ Ectopic gastic mucosa (99mTcO4−) 60 — ○ Urinary system drug pro.g Renal function/RPF (99mTc-MAG3) 30 — ○ Renal function/GFR (99mTc-DTPA) 30 — ○ Kidney (99mTc-DMSA) 30 — ○ 111In drug pro.g Brain tank (111lnCl3) — 10 × Encephalon (111ln-DTPA) — 10 × Hematopoietic organ drug pro.g Amount of circulating blood 10 — ○ Erythrocyte life span 10 — ○ Later collection group Adosterol at a later date — 30 × 67Ga photograph adult at a later date — 60 × Intake rate in thyroid at a later date — 30 × Pheo scinitigraphy at a later date — 30 × Gastrointestinal bleeding at a later date — 30 × Bone marrow at a later date — 60 × Brain tank at a later date — 60 × pro.g = product group; 99mTcO4− = 99mTc-pertechnetate; 99mTc-MIBI = 99mTc-methoxyisobutylisonitrile; 99mTc-ECD = 99mTc-ethyl cysteinate dimer; 99mTc-TF = 99mTc-tetrofosmin; 99mTc-HAS-D = 99mTc-diethylenetriamine pentaacetic acid human serum albumin; 99mTc-HAS-D = 99mTc-diethylenetriamine pentaacetic acid human serum albumin; 99mTc-MMA = 99mTc-macroaggretated albumin; 81mKr gas = krypton-81m gas; 99mTc-GSA = 99mTc-galactosyl human serum albumin; 99mTc-PMT = 99mTc-Sn-N-pyridoxyl-5-methyltryptophan; 99mTc-Sn-colloid = 99mTc-stannous-colliod; 99mTc-MAG3 = 99mTc-mercaptoacetyltriglycine; GFR = glomerular filtration rate; 99mTc-DTPA = 99mTc-diethylenetriaminepentaacetic acid; 99mTc-DMSA = 99mTc-dimercaptosuccinic acid; 111InCl3 = 111In-chloride; 111In-DTPA = 111In-diethylenetriaminepentaacetic acid; NM = nuclear medicine.
Confined values between MRI tests (total set number: 180) Baseline test items (MRI: 90 items) Subject group (MRI: 2 sets) Time required for tests Set value Confined value MRI head plain MRI plain pho.g 10 min Absence 10 min MRI contrast pho.g 10 min Absence 10 min MRI head contrast MRI plain pho.g 20 min Absence 20 min MRI contrast pho.g 20 min 1 d 1 d 20 min Confined values between NM tests (total set number: 1,824) Baseline test items (NM: 57 items) Subject group (NM: 16 sets) Time required for tests Set value Confined value Past Future Past Future Thyroid 99mTc drug pro.g 30 min 2 d 2 d 2 d 30 min 2 d 30 min (99mTcO4−) Bone drug pro.g 30 min 2 d 2 d 2 d 30 min 2 d 30 min 67Ga drug pro.g 30 min 4 d 4 d 4 d 30 min 4 d 30 min Bone adult/whole body 99mTc drug pro.g 10 min 2 d 2 d 2 d 10 min 2 d 10 min (99mTc-HMDP) Bone drug pro.g 10 min 2 d 2 d 2 d 10 min 2 d 10 min 67Ga drug pro.g 10 min 4 d 4 d 4 d 10 min 4 d 10 min 67Ga adult/whole body 99mTc drug pro.g 10 min 4 d 4 d 4 d 10 min 4 d 10 min (67Ga-citrate) Bone drug pro.g 10 min 2 d 4 d 2 d 10 min 4 d 10 min 67Ga drug pro.g 10 min 6 d 6 d 6 d 10 min 6 d 10 min Confined values between NM tests and MRI tests (total set number: 1,554) Baseline test items (NM: 57 items) (MRI: 90 items) Subject group (MRI: 2 sets) (NM: 16 sets) Time required for tests Set value Confined value Thyroid MRI plain pho.g 30 min 1 h 1 h 30 min (99mTc-O4−) MRI contrast pho.g 30 min 1 h 1 h 30 min Bone adult/whole body MRI plain pho.g 10 min Absence 10 min (99mTc-HMDP) MRI contrast pho.g 10 min Absence 10 min 67Ga adult/whole body MRI plain pho.g 10 min Absence 10 min (67Ga-citrate) MRI contrast pho.g 10 min Absence 10 min MRI head plain 99mTc drug pho.g 10 min 1 h 1 h 10 min Bone drug pro.g 10 min Absence 10 min 67Ga drug pro.g 10 min Absence 10 min MRI head contrast 99mTc drug pro.g 20 min 1 h 1 h 20 min Bone drug pro.g 20 min Absence 10 min 67Ga drug pro.g 20 min Absence 10 min pho.g = photography group; NM = nuclear medicine; pro.g = product group.
Confined values between MRI tests (total set number: 4) Baseline group (MRI: 2 settings) Subject group (NM: 2 settings) Confined value MRI plain pho.g MRI plain pho.g 1 h MRI contrast pho.g 1 h MRI contrast pho.g MRI plain pho.g 1 h MRI contrast pho.g 1 d Confined values between NM tests (total set number: 512) Baseline group (NM: 16 settings) Subject group (NM: 16 settings) Confined value Past Future 99mTc drug pro.g 99mTc drug pro.g 2 d 2 d Bone drug pro.g 2 d 2 d 67Ga drug pro.g 4 d 4 d Bone drug pro.g 99mTc drug pro.g 2 d 2 d Bone drug pro.g 2 d 2 d 67Ga drug pro.g 4 d 4 d 67Ga drug pro.g 99mTc drug pro.g 2 d 4 d Bone drug pro.g 2 d 4 d 67Ga drug pro.g 6 d 6 d Confined values between NM tests and MRI tests (total set number: 64) Baseline group (NM: 16 settings) (MRI: 2 settings) Subject group (MRI: 2 settings) (NM: 16 settings) Confined value 99mTc drug pro.g MRI plain pho.g 1 h MRI contrast pho.g 1 h Bone drug pro.g MRI plain pho.g 1 h MRI contrast pho.g 1 h MRI plain pho.g 99mTc drug pro.g 1 h Bone drug pro.g 1 h MRI contrast pho.g 99mTc drug pro.g 1 h Bone drug pro.g 1 h NM = nuclear medicine; pho.g = photography group; pro.g = product group.
Confined values between MRI tests (total set number: 8,100) Baseline test items (MRI: 90 items) Subject group (MRI: 90 setting) Time required for tests Set value Confined value MRI head plain MRI head plain 10 min 1 h 1 h 10 min MRI pituitary plain 10 min Absence 10 min MRI accesory sinus cavity plain 10 min Absence 10 min MRI head contrast 20 min Absence 20 min MRI pituitary contrast 20 min Absence 20 min MRI head contrast MRI head plain 20 min Absence 20 min MRI pituitary plain 20 min Absence 20 min MRI head contrast 20 min 1 d 1 d 20 min MRI pituitary contrast 20 min 1 d 1 d 20 min MRI accesory sinus cavity contrast 20 min 1 d 1 d 20 min Confined values between NM tests (total set number: 6,498) Baseline test items (NM: 57 items) Subject group (NM: 57 setting) Time required for tests Set value Confined value Past Future Past Future Thyroid (99mTcO4−) Thyroid (99mTcO4−) 30 min 2 d 2 d 2 d 30 min 2 d 30 min Bone adult/whole body (99mTc-HMDP) 30 min 2 d 2 d 2 d 30 min 2 d 30 min 67Ga adult/whole body (67Ga-citrate) 30 min 4 d 4 d 4 d 30 min 4 d 30 min Bone adult/whole body Thyroid (99mTcO4−) 10 min 2 d 2 d 2 d 10 min 2 d 10 min (99mTc-HMDP) Bone adult/whole body (99mTc-HMDP) 10 min 2 d 2 d 2 d 10 min 2 d 10 min 67Ga adult/whole body (67Ga-citrate) 10 min 4 d 4 d 4 d 10 min 4 d 10 min 67Ga adult/whole body Thyroid (99mTcO4−) 10 min 4 d 4 d 4 d 10 min 4 d 10 min (67Ga-citrate) Bone adult/whole body (99mTc-HMDP) 10 min 4 d 4 d 4 d 10 min 4 d 10 min 67Ga adult/whole body (67Ga-citrate) 10 min 6 d 6 d 6 d 10 min 6 d 10 min Confined values between NM tests and MRI tests (total set number: 10,260) Baseline test items (NM: 57 items) (MRI: 90 items) Subject group (MRI: 90 setting) (NM: 57 setting) Time required for tests Set value Confined value Thyroid (99mTcO4−) MRI head plain 30 min 1 h 1 h 30 min MRI head angiogram plain 30 min 1 h 1 h 30 min Bone adult/whole body (99mTc-HMDP) MRI head plain 10 min Absence 10 min MRI head angiogram plain 10 min Absence 10 min Ga adult/whole body (67Ga-citrate) MRI head plain 10 min Absence 10 min MRI head angiogram plain 10 min Absence 10 min MRI head plain Bone adult/whole body (99mTc-HMDP) 10 min Absence 10 min 67Ga adult/whole body (67Ga-citrate) 10 min Absence 10 min MRI head contrast Bone adult/whole body (99mTc-HMDP) 20 min Absence 20 min 67Ga adult/whole body (67Ga-citrate) 20 min Absence 20 min NM = nuclear medicine.
Appointed test frames Test items Bone test frame Bone adult/whole body (99mTc-HMDP) Bone child/whole body (99mTc-HMDP) Brain test frame CBF (123I-IMP) Load of CBF (123I-IMP) Brain (99mTc-ECD) Brain tank (111InCl3) Encephalon (111In-DTPA) Circulatory organ resting test frame Myocardial fatty acid metabolism (123I-BMIPP) Myocardial sympathetic nerve activity (123I-MIBG) Myocardial blood flow at resting (201TICI) Circulatory organ resting QGS test frame Myocardial blood flow at resting (99mTc-MIBI) Circulatory organ exercising test frame Myocardial blood flow movement (99mTc-TF) Myocardial blood flow movement (201TICI) Myocardial blood flow movement drug product (99mTc-TF) Urinary system test frame Renal function/RPF (99mTc-MAG3) Renal function/GFR (99mTc-DTPA) Kidney (99mTc-DMSA) Respiratory system test frame Lung blood flow (99mTc-MAA) Lung ventilation (81mKr gas) Angiograph system test frame Head vein angiogram (99mTcO4−) Trunk vein angiogram (99mTcO4−) Upper limb (right) vein angiogram (99mTcO4−) Upper limb (left) vein angiogram (99mTcO4−) Pelvic vein angiogram (99mTcO4−) Lower limb vein angiogram (99mTcO4−) Head artery angiogram (99mTcO4−) Trunk artery angiogram (99mTcO4−) Upper limb (right) artery angiogram (99mTcO4−) Upper limb (left) artery angiogram (99mTcO4−) Pelvic artery angiogram (99mTcO4−) Lower limb artery angiogram (99mTcO4−) Bone + 67Ga test frame Bone + 67Ga adult/whole body (99mTc-HMDP + 67Ga-citrate) Bone + 67Ga child/whole body (99mTc-HMDP + 67Ga-citrate) 67Ga adult/whole body (67Ga-citrate) 67Ga child/whole body (67Ga-citrate) Tumor (201TI) test frame Tumor (201TICI) Digestive system test frame Liver function (99mTc-GSA) Liver/biliary tract (99mTc-PMT) Liver (99mTc-Sn-colloid) Endocrine test frame Thyroid (99mTcO4−) Parathyroid (99mTc-MIBI) Salivary gland (99mTcO4−) Thyroid (201TICI) Pheo-scintigraphy test frame Pheo-scintigraphy (131I-Pheo-MIBG) Intake rate in thyroid test frame Intake rate in thyroid (Na123I capsule) Adosterol test frame Adosterol (131I-adosterol) Hematopoietic system test frame Spleen (99mTc-Sn-colloid) Amount of circulating blood Erythrocyte life span Nuclear medical test frame at a later date Adosterol at a later date 67Ga photograph adult at a later date Intake rate in thyroid at a later date Pheo-scintigraphy at a later date Gastrointestinal bleeding at a later date Bone marrow at a later date Brain tank at a later date Emergent test frame Gastrointestinal bleeding (99mTc-HAS-D) Ectopic gastric mucosa (99mTcO4−) Myocardial pool (99mTc-HAS-D) Demand test frame All test items
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