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Modelling Variations In Hospital Service Delivery Based On Real Time Locating Information, Nagesh Shukla, John Keast, Darek Ceglarek
Modelling Variations In Hospital Service Delivery Based On Real Time Locating Information, Nagesh Shukla, John Keast, Darek Ceglarek
Nagesh Shukla
Variations in service delivery have been identified as a major challenge to the success of process improvement studies in service departments of hospital such as radiology. Largely, these variations are due to inherent system level factors, i.e., system variations such as unavailability of resources (nurse, bed, doctors, and equipment). These system variations are largely unnecessary/unwarranted and mostly lead to longer waiting times, delays, and lowered productivity of the service units. There is limited research on identifying system variations and modelling them for service improvements within hospital. Therefore, this paper proposes a modelling methodology to model system variations in radiology based …
A Real-Time In Vivo Dosimetric Verification Method For High-Dose Rate Intracavitary Brachytherapy Of Nasopharyngeal Carcinoma, Zhen-Yu Qi, Xiao-Wu Deng, X Cao, Shao-Min Huang, Michael Lerch, Anatoly Rosenfeld
A Real-Time In Vivo Dosimetric Verification Method For High-Dose Rate Intracavitary Brachytherapy Of Nasopharyngeal Carcinoma, Zhen-Yu Qi, Xiao-Wu Deng, X Cao, Shao-Min Huang, Michael Lerch, Anatoly Rosenfeld
Michael L.F. Lerch
Purpose: A real-time in vivo dosimetric verification method using metal-oxide-semiconductor field effect transistor (MOSFET) dosimeters has been developed for patient dosimetry in high-dose rate (HDR) intracavitary brachytherapy of nasopharyngeal carcinoma (NPC). Methods: The necessary calibration and correction factors for MOSFET measurements in 192Iridium source were determined in a water phantom. With the detector placed inside a custom-made nasopharyngeal applicator, the actual dose delivered to the tumor was measured in vivo and compared to the calculated values using a commercial brachytherapy planning system. Results: Five MOSFETs were independently calibrated with the HDR source, yielding calibration factors of 0.48 ± 0.007 cGymV. …