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Radiation dose management solution

  • Register, save & track radiation dose information
  • Compare against national DRLs (diagnostic reference levels)
  • Recall patient dose passports
  • Optimize your patient dose and improve quality

Where to buy

  • Description
  • Features
  • Publications
  • Media
Description

What is DOSE?

DOSE is a dose management solution that automatically monitors, evaluates and optimizes the radiation dose that patients receive for multi-facility, multi-modality and multi-vendor imaging environments.

The solution provides direct insight into the daily dose management, the clinical image quality and the performance of your employees. Besides, it assures regulated reports that provide an efficient pro-active solution to the labour-intensive regulatory compliance monitoring.In this way, DOSE assists the users to maintain patient safety and quality in medical imaging.

qaelum dose scanner

Why DOSE?

DOSE is the most optimal solution for automated quality management in medical imaging. It gathers data from different sources within your facility and connects them to get an overall or detailed impression of the quality of your service. Qaelum are committed to the principles of ALARA (As Low As Reasonably Achievable) and constant quality improvement, we focus on automated patient radiation dose management, image quality assessment and lifetime learning of your staff.

qaelum dose docter

DOSE Support & Services

Dedicated Applications Specialists provide our customers with a training solution tailored to meet the requirements of each individual site. Typically, a general product training at installation and a more personalised follow up training adapted to the needs of the user. Our team are always at hand to answer any specific questions.

As quality is of the utmost importance to us, Qaelum is a medical device manufacturer adhering to ISO-13485 and ISO-14971. DOSE has a number of certifications and quality labels including CE class IIb, CAMCAS level III (Canada) and FDA clearance for the US market.

Features

VirtualDose

VirtualDose enables you to estimate more accurately the effective dose and organ dose for a patient in a CT examination. A vast library of 25 anatomically correct phantoms is at your disposal: phantoms of several body sizes, different genders, pediatric phantoms and even different stages of pregnancy. Consequently, you can simulate the fetal dose in case of pregnancy more precise. VirtualDose is a very useful simulation tool to test 'what if' scenarios and to educate your staff.

qaelum dose feature virualdose

Reject Analysis

For RX modalities, you can evaluate the rejected images at the device and give advice on how to optimize the training of your personnel.

qaelum dose feature reject analysis

Live dashboard

The concept of live dashboards enables immediate feedback regarding dose and quality. The technician has the possibility to justify the performed exam by adding comments. All these comments can be collected inside one report and can be used to personalize additional training per technician.

qaelum dose feature live dashboard

Patient Dose Passport

Because DOSE is integrated in the PACS, you can easily request the patient dose passport. It contains all registered dose information from this particular patient, including the type and number of studies they have had and the interval between these studies. By doing so, you can easily track the patient’s cumulative dose and assess if it is still below achievable level.

 dose passeport man

Workload

The moment evaluation graph allows you to simultaneously see the number of studies and the applied dose on a particular day and time. The statistical overview reveals differences in dose during the day versus night, morning versus afternoon and week versus weekend.

In addition, our software also provides a workload analysis graph, which monitors the (in)activity of different modalities. This tool can be used to optimize the use of your modality and the number of technicians per device.

 qaelum dose feature workload

Blind Scanning

Blind scanning should be avoided since the CT scan doesn’t know exactly how to behave or what dose to use. This problem is evaluated by DOSE since it checks and measures blind scanning.

qaelum dose feature blind scanning

Size Specific Dose Estimate (SSDE)

Considering all dose calculations in CT are estimated on phantoms, they are not representative for every patient; because unlike a phantom, not all patients are equal in size. Consequently, DOSE aims to resolve this problem by doing a segmentation on the scout image and recalculating the patient’s real size.

qaelum dose feature size specific dose estimate

Peak Skin Dose

Peak Skin Dose is a module applied for interventional radiology devices and estimates the maximum skin dose that is delivered during an interventional procedure. The information is represented in a Peak Skin Dose map, which uses color coded pixels to indicate the amount of radiation delivered to a particular area of skin. In addition, tube angulation, table movement, fluoroscopy dose, etc. are also monitored. Consequently, Peak Skin Dose is a perfect tool to optimize interventional procedures.

qaelum dose feature peak skin dose map

Compliance Monitoring

DOSE allows you to continuously capture all radiation dose data to evaluate compliance. Our solution works with a ‘traffic light’-system, which informs you on Diagnostic Reference Levels (DRLs). Whenever the achievable or acceptable regulatory levels are surpassed, the study or series will be flagged orange or red respectively.

qaelum dose feature compliance monitoring

Publications

Participation at Conferences

Fitousi N, Dedulle A, Jacobs J, Bosmans H. “Can CT image truncation cause false dose alerts in a dose management system?”, 61st annual meeting of the American Association of Physicists in Medicine, AAPM 2019, 14 July - 18 July 2019, San Antonio, Texas, USA.

Dedulle A S L, Rahimzadeh S, Fitousi N, Bosmans H, Jacobs J. “Evaluating the use of a noise index to identify outliers in CT examinations”, European Congress of Radiology, ECR 2019, 27 February - 3 March 2019, Vienna, Austria.

Dehairs M, Fitousi N, Rogge F, Marshall N, Struelens L, Jacobs J, Bosmans H. “Influence of phantom model on peak skin dose mapping in pediatric interventional cardiology”, European Congress of Radiology, ECR 2019, 27 February - 3 March 2018, Vienna, Austria.

Dedulle A, Fitousi N, Zhang G, Jacobs J, Bosmans H. “Evaluation of large-scale patient specific dosimetry in conventional chest imaging”. Annual Meeting of the Radiological Society of North America, RSNA 2018, 25 - 30 November 2018, Chicago, Illinois, USA.

Dedulle A, Jacobs J, Bosmans H, Fitousi N. “Influence of image truncation on the calculation of Water Equivalent Diameter in Computed Tomography examinations”, European Congress of Medical Physics, ECMP 2018, 23 – 25 August 2018, Copenhagen, Denmark.

Dedulle A, Fitousi N, Jacobs J, Bosmans H. “Calculation of the patient size for abdominal radiography in terms of Water Equivalent Diameter”, European Congress of Medical Physics, ECMP 2018, 23 – 25 August 2018, Copenhagen, Denmark.

Dedulle A, Fitousi N, Zhang G, Bosmans H. “Calibration and validation of a Monte Carlo framework for general radiology”, World Congress on Medical Physics & Biomedical Engineering, IUPESM 2018, 3 – 8 June 2018, Prague, Czech Republic.

Dedulle A S L, Fitousi N, Zeppelin Z, Petit V, Zhang G, Jacobs J, Bosmans H. “The effect of patient size on organ-dose conversion factors for chest radiography”, European Congress of Radiology, ECR 2018, 28 February - 4 March 2018, Vienna, Austria. DOI: http://dx.doi.org/10.1594/ecr2018/C-2349

Dedulle A S L, Moussalli F, Jacobs J, Fitousi N. “Evaluating the effect of image truncation in the calculation of water equivalent diameter”, European Congress of Radiology, ECR 2018, 28 February - 4 March 2018, Vienna, Austria.

Dedulle A S L, Binst J, Lemmens K, Jacobs A, Fytousi N, Bosmans H. “Can routine clinically used scan protocols performed on CTDI test objects predict patient dose”, European Congress of Radiology, ECR 2018, 28 February - 4 March 2018, Vienna, Austria. DOI: http://dx.doi.org/10.1594/ecr2018/C-2347

Dedulle A, Fitousi N, Jacobs J, Bosmans H. “A methodology to determine patient size in terms of Water equivalent diameter for conventional chest x-ray examinations”, Belgian Hospital Physicists Association Symposium, BHPA 2018, 2-3 February 2018, Charleroi, Belgium.

Dedulle A, Fitousi N, Bosmans H, Jacobs J. “A methodology to calculate the Water Equivalent Diameter for chest radiography: a step closer to personalized dosimetry with a dose monitoring platform”, Annual Meeting of the Radiological Society of North America, RSNA 2017, 26 November - 1 December 2017, Chicago, Illinois, USA.

Fitousi N, Rogge F, Miniati F, Jacobs J. “Effect of tube angulation on peak skin dose during interventional procedures”, UK Radiological and Radiation Oncology Congress, UKRCO 2017, 12- 14 June 2017, Manchester, UK.

Dedulle A, Fitousi N, Bosmans N. “Comparison of a size-adjusted versus a standard-size approach for dosimetric calculations”, UK Radiological and Radiation Oncology Congress, UKRCO 2017, 12- 14 June 2017, Manchester, UK.

Dedulle A, Fitousi N, Lopez-Rendon X, Petit V, Zhang G, Jacobs J, Bosmans H. “The potential win of patient-specific dosimetry”, Belgian Hospital Physicists Association Symposium, BHPA 2017, 3-4 February 2017, Ghent, Belgium.

Fitousi N, Rogge F, Miniati F, Jacobs J. “Correlation of peak skin dose with geometrical and dosimetric parameters from interventional procedures”, European Congress of Radiology, ECR 2016, 2-6 March 2016, Vienna, Austria.

Fitousi N. “Patient dose tracking systems: A new way of managing patient dose”, 22nd International Conference on Medical Physics, ICMP 2016, 9-12 December 2016, Bangkok, Thailand

Participation at Conferences with Customers

Tsapaki V, Fitousi N, Niotis D, Triantopoulou C, Maniatis P. Patient dose management systems. Our experience in the CT department European Congress of Medical Physics, ECMP 2018, 23 – 25 August 2018, Copenhagen, Denmark.

Little K, Jiang X, Yang X, Fitousi N, Hintenlang D. “Effect of KVp, Reconstruction Kernel/filter, and image thickness on water equivalent diameter”, 60th annual meeting of the American Association of Physicists in Medicine, AAPM 2018, 29 July – 2 August 2018, Nashville, Tennessee, USA.

Hintenlang D, Little K, Jiang X, Yang X, Fitousi N. “Evaluation of Fluoroscopic Dose Metrics Predicted by Dose Management Software”, 60 th annual meeting of the American Association of Physicists in Medicine, AAPM 2018, 29 July – 2 August 2018, Nashville, Tennessee, USA.

Binst J, Dedulle A, Marshall N, Fitousi N, Bosmans H. “Use of a dose monitoring system in routine QA and individual patient dosimetry”, Belgian Hospital Physicists Association Symposium, BHPA Symposium 2018, 2 - 3 February 2018, Charleroi, Belgium.

Binst J, Dedulle A, Marshall N, Fitousi N, Bosmans H. “Five achievements made possible with the tools of a dose management system, and five major tasks of individual patient dosimetry that benefit from a dose management system”, IPEM conference on Dose Management in Radiological Practice, 4 th October 2017, Birmingham, UK.

Tsapaki V, Fitousi N, Caracappa P, Jacobs J, Papailiou I. “CT chest and abdomen organ doses estimation using a dose management tool”, 59 th annual meeting of the American Association of Physicists in Medicine, AAPM 2017, 30 July – 1 August 2017, Denver, Colorado, USA.

Examples of customers' participation at conferences using DOSE

Saltybaeva N, Alkadhi H. “Clinical dose reference levels: developing and application”, European Congress of Radiology, ECR 2019, 27 February - 3 March 2019, Vienna, Austria.

Saltybaeva N. “The concept of local diagnostic reference levels (DRLs)”, European Congress of Radiology, ECR 2018, 28 February - 4 March 2018, Vienna, Austria.

Samara E T, Sramek D, Hashagen C. “Implementation of a dose management system in mammography practice”, European Congress of Radiology, ECR 2018, 28 February - 4 March 2018, Vienna, Austria.

Saltybaeva N, Alkadhi H. “Overranging dose reduction by dynamic collimators: evidence from clinical practice”, European Congress of Radiology, ECR 2018, 28 February - 4 March 2018, Vienna, Austria.

Scientific Journals

Dedulle A, Fitousi N, Zhang G, Jacobs J, Bosmans H. Two-step validation of a Monte Carlo dosimetry framework for general radiology. Physica Medica 2018, 53, 72-79. DOI: https://doi.org/10.1016/j.ejmp.2018.08.005

Tsapaki V, Fitousi N, Salametis A, Niotis D, Papailiou I. Experience with the use of a dose management system in the everyday routine of a CT department. A touchstone or a millstone? Hell J Radiol 2018; 3(1): 17-26.

Fitousi N. “Patient dose monitoring systems: a new way of managing patient dose and quality in the radiology department”, Physica Medica, available online 27 June 2017. doi.org/10.1016/j.ejmp.2017.06.013

Media
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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