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XR-29's lower dose CT requirements: Will iterative reconstruction play a role?

by Gus Iversen, Editor in Chief | December 18, 2014
CT Risk Management X-Ray

When asked if iterative reconstruction could serve as an alternative way to achieve XR-29 compliance, Rodriguez said that would complicate what is currently a tidy and comprehensible series of standards. She also said that although big strides have been made in recent years, iterative construction is still uncommon in the average facility.

Aharon hopes that his company can remain competitive in the industry of dose monitoring and dose reduction in the post-XR-29 world. "From a technical perspective we have a solution. Whether the solution will be accepted or not, we don't know," said Aharon, "It would either be an add-on function to SafeCT, or a standalone XR-29 solution."

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The SGR law regarding XR-29 only pertains to a list of codes for specific treatments. If a hospital is using their CT scanner for treatments other than the ones in the list, XR-29 will not affect them in any way. Rodriguez said the applicable codes were selected by the government.

While the industry waits for more details on the implementation of these dose standards, Aharon and Rodriguez agree that a facility should start figuring out what the law will mean to them specifically. "Relax. Don't rush out and spend half a million dollars to replace your CT. Do your homework and do the math," said Aharon.

DOTmed News will be providing updates as more details come to light.

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