Project title Enhancing Safety and Quality of Medical X-ray Imaging PI Institution Address 300 Longwood Ave Department of Radiology Boston, MA 02115 United States Phone Number (857) 998-8322 Email robert.d.macdougall@childrens.harvard.edu Upload Cover Letter/letter of intent rmd_cover_letter_spr_mip_v2_31615.pdf 336.65 KB · PDF Investigator/Applicant Robert First Name Investigator/Applicant D Name MI Investigator/Applicant MacDougall Last Name Investigator/Applicant M.Sc. Degree Investigator/Applicant Name Address 300 Longwood Ave Department of Radiology Boston, MA 02115 United States Investigator/Applicant (857) 998-8322 Name Phone Number Investigator/Applicant robert.d.macdougall@childrens.harvard.edu Name Email List Collaborating Lead-PI, Robert MacDougall, M.Sc. Institution #1 and Boston Children's Hospital and Harvard Medical School Associated Email: robert.d.macdougall@childrens.harvard.edu Investigator name and email List Collaborating Co-PI, Steven Don, MD Institution #2 and St. Louis Children's Hospital and Washington University Associated Email: dons@mir.wustl.edu Investigator name and email (if necessary) Abstract of Proposed Research Plan (300 words) Medical X-ray imaging radiation dose has been estimated to cause up to 2% of future cancers. While many imaging studies are medically indicated and appropriate, x-ray technique (i.e. the quantity and energy of x-rays used) is typically not optimized due to the difficulty in obtaining relevant information about the patient in a reasonable time. This issue is exacerbated in pediatric patients where time is of the essence due to patient anxiety and motion. Currently, image quality analysis and dose optimization is performed retrospectively. The proposed device and software has the ability to make this a prospective process to improve the quality and safety of an exam before x-rays are used. With the proposed technology, information available to the user before acquisition includes but is not limited to: confirmation of correct body part in collimated x-ray field, patient position relative to image receptor, position of Automatic Exposure Control sensors, body part thickness, and degree of patient motion. This information allows for precise tailoring of acquisition technique to minimize radiation dose and ensures a quality examination performed on the correct body part will be obtained consistently without motion and eliminating the need for repeat images. The information captured by the device can be included in DICOM meta-data and/or a Radiation Dose Structured Report for accurate analysis of patient entrance exposure and effective dose. The technology has been tested in a technologist education school in the setting of a mock x-ray room. We hope to perform pre-clinical testing in a mock-up x-ray room to improve device configuration (i.e. position of the mounting hardware) and optimization of software to improve the user interface. SPR grant funds will allow us to collect feasibility data for technology that could drastically improve patient safety in x-ray imaging. Upload: Detailed plan and bibliography macdougall_multi_detailed_plan.pdf 684.12 KB · PDF Resources and Environment: The pre-clinical testing environment is located in a training facility at Forest Park Community College in St. Louis, MO. The dedicated time of four technologists, each averaging 4 hours per week has been allocated in the budget and therefore the facility will be fully available during the budgeted testing time. Software optimization will take place in a lab/office setting at both Boston Children's Hospital and St. Louis Children's Hospital/Washington University. A 0.4 FTE for software engineering services has been allocated in the budget and will allow for 16 hours per week of engineering support. The Co-PI's will have weekly conference calls and bi-monthly in-person trips will be scheduled to keep the project on the proposed timeline. Statistical support of 4 hours per week is available at Boston Children's Hospital and is provided outside the grant funds. Major Equipment: The major equipment to be purchased with the grant funds is outlined in the budget and includes: 4 Microsoft Kinect 2.0 systems @ $200 each, 4 Microsoft Surface Pro 3 tablets @ $800 each, 2 custom Kinect mounts for a total of $5000 and on laptop and desktop @ $1900 each. Additional Though the collaborating institutions are separated geographically, we have Information: allocated travel expenses that will permit frequent in-person collaboration. We feel that the distance could be an advantage as it pulls from the experience of two different pediatric hospitals. The Co-PI's have demonstrated the ability to work very effectively together despite the distance between institutions. Award Payee First Name Robert Award Payee Middle D Initial Award Payee Last MacDougall Name Award Payee Degree MSc Award Payee Address 300 Longwood Ave Department of Radiology Boston, MA 02115 United States Award Payee Phone (857) 998-8322 Number Award Payee Email robert.d.macdougall@childrens.harvard.edu Grant Administrator's Jamie First Name Grant Administrator's L MI Grant Administrator's Chan Last Name Grant Administrator's Address 300 Longwood Ave Office of Sponsored Programs Boston, MA 02115-5724 United States Grant Administrator's (617) 919-2720 Phone Number Grant Administrator's Email osp@childrens.harvard.edu Upload letters from Department Chair verifying internal macdougall_multi_chair_reference_letter1.pdf 365.14 KB · PDF support for project. Upload Letter of Recommendation 2 macdougall_chair_reference_letter_2.pdf 104.30 KB · PDF Upload letter from Department Chair from collaborating institution #1 don_chair_reference_letter.pdf 165.54 KB · PDF verifying internal support for project. Upload Budget macdougall_multi_budget.pdf 157.22 KB · PDF Upload Organziing PI Curriculum Vitae macdougall_multi_cv.pdf 137.43 KB · PDF (Upload) Collaborating PI CV don_multi_cv.pdf 281.51 KB · PDF