23 results on '"Donoso-Bach, L"'
Search Results
2. Hacia un uso adecuado de la telerradiología
- Author
-
Martí-Bonmatí, L., Morales, A., and Donoso Bach, L.
- Published
- 2012
- Full Text
- View/download PDF
3. Medical imaging and nuclear medicine: a Lancet Oncology Commission
- Author
-
Hricak, H, Abdel-Wahab, M, Atun, R, Lette, MM, Paez, D, Brink, JA, Donoso-Bach, L, Frija, G, Hierath, M, Holmberg, O, Khong, P-L, Lewis, JS, McGinty, G, Oyen, WJG, Shulman, LN, Ward, ZJ, Scott, AM, Hricak, H, Abdel-Wahab, M, Atun, R, Lette, MM, Paez, D, Brink, JA, Donoso-Bach, L, Frija, G, Hierath, M, Holmberg, O, Khong, P-L, Lewis, JS, McGinty, G, Oyen, WJG, Shulman, LN, Ward, ZJ, and Scott, AM
- Abstract
The diagnosis and treatment of patients with cancer requires access to imaging to ensure accurate management decisions and optimal outcomes. Our global assessment of imaging and nuclear medicine resources identified substantial shortages in equipment and workforce, particularly in low-income and middle-income countries (LMICs). A microsimulation model of 11 cancers showed that the scale-up of imaging would avert 3·2% (2·46 million) of all 76·0 million deaths caused by the modelled cancers worldwide between 2020 and 2030, saving 54·92 million life-years. A comprehensive scale-up of imaging, treatment, and care quality would avert 9·55 million (12·5%) of all cancer deaths caused by the modelled cancers worldwide, saving 232·30 million life-years. Scale-up of imaging would cost US$6·84 billion in 2020-30 but yield lifetime productivity gains of $1·23 trillion worldwide, a net return of $179·19 per $1 invested. Combining the scale-up of imaging, treatment, and quality of care would provide a net benefit of $2·66 trillion and a net return of $12·43 per $1 invested. With the use of a conservative approach regarding human capital, the scale-up of imaging alone would provide a net benefit of $209·46 billion and net return of $31·61 per $1 invested. With comprehensive scale-up, the worldwide net benefit using the human capital approach is $340·42 billion and the return per dollar invested is $2·46. These improved health and economic outcomes hold true across all geographical regions. We propose actions and investments that would enhance access to imaging equipment, workforce capacity, digital technology, radiopharmaceuticals, and research and training programmes in LMICs, to produce massive health and economic benefits and reduce the burden of cancer globally.
- Published
- 2021
4. Harmonisation of imaging dosimetry in clinical practice: practical approaches and guidance from the ESR EuroSafe Imaging initiative
- Author
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Vano, E. Frija, G. Stiller, W. Efstathopoulos, E. Granata, C. Loose, R. Paulo, G. Pekarovic, D. Sjöberg, J. Donoso-Bach, L. on behalf of the European Society of Radiology (ESR)
- Abstract
The European Directive 2013/59/EURATOM requires member states of the European Union to ensure justification and optimisation of the radiological procedures and to include information on patient exposure as part of the report of the examinations. The EuroSafe Imaging campaign of the European Society of Radiology created a working group (WG) on “Dosimetry for imaging in clinical practice” with the aim to help with the dosimetry aspects required by European and national regulations. The primary focus topics were selected and a survey among the experts of the WG, allowed suggesting some initial consensus approaches. For information on patient exposure, it was agreed to include the dosimetric values reported by the imaging modalities (validated by a medical physics expert). It was also suggested to prepare educational material on dosimetric quantities for patients. Individual optimisation was considered a challenge, especially for interventional procedures. In these cases, patient and occupational doses should be part of the global optimisation process and trigger levels should be defined to avoid skin radiation injuries. Diagnostic Reference Levels (DRLs) always need to be considered for comparison with periodic patient dose audits. In the case of accidental or unintended exposures, a report should be produced for the Quality Assurance programme, together with an educational note to avoid the repetition of incidents. Dose registry and management systems should allow fulfilling the regulatory requirements of national and European regulations. In a second step, and after the initial experience with the Directive implementation, a wider survey will be considered. © 2020, The Author(s).
- Published
- 2020
5. Exemple de projet regional : catalogne
- Author
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Donoso Bach, L., primary
- Published
- 2008
- Full Text
- View/download PDF
6. Réception des membres d’Honneur
- Author
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Adam, A., primary, Donoso Bach, L., additional, and Thrall, J., additional
- Published
- 2008
- Full Text
- View/download PDF
7. Roles profesionales en los servicios de radiología
- Author
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Donoso Bach, L., primary
- Published
- 2007
- Full Text
- View/download PDF
8. Encoding of images containing no-data regions within JPEG2000 framework.
- Author
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Gonzalez-Conejero, J., Serra-Sagrista, J., Rubies-Feijoo, C., and Donoso-Bach, L.
- Published
- 2008
- Full Text
- View/download PDF
9. Pancreatic pseudonodule due to prepancreatic fat.
- Author
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Sanchís Querol, E, primary, Donoso Bach, L, additional, and Martínez-Noguera, A, additional
- Published
- 1990
- Full Text
- View/download PDF
10. Caso problema
- Author
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Donoso Bach, L., primary, Rams Garcia, A., additional, and Velasco Romera, M., additional
- Published
- 1985
- Full Text
- View/download PDF
11. Patient-centered radiology: a roadmap for outpatient imaging.
- Author
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Recht MP, Donoso-Bach L, Brkljačić B, Chandarana H, Jankharia B, and Mahoney MC
- Subjects
- Humans, Anxiety, Diagnostic Imaging methods, Radiology methods, Ambulatory Care, Radiology Department, Hospital organization & administration, Outpatients, Patient Satisfaction, Patient-Centered Care
- Abstract
Creating a patient-centered experience is becoming increasingly important for radiology departments around the world. The goal of patient-centered radiology is to ensure that radiology services are sensitive to patients' needs and desires. This article provides a framework for addressing the patient's experience by dividing their imaging journey into three distinct time periods: pre-exam, day of exam, and post-exam. Each time period has aspects that can contribute to patient anxiety. Although there are components of the patient journey that are common in all regions of the world, there are also unique features that vary by location. This paper highlights innovative solutions from different parts of the world that have been introduced in each of these time periods to create a more patient-centered experience. CLINICAL RELEVANCE STATEMENT: Adopting innovative solutions that help patients understand their imaging journey and decrease their anxiety about undergoing an imaging examination are important steps in creating a patient centered imaging experience. KEY POINTS: • Patients often experience anxiety during their imaging journey and decreasing this anxiety is an important component of patient centered imaging. • The patient imaging journey can be divided into three distinct time periods: pre-exam, day of exam, and post-exam. • Although components of the imaging journey are common, there are local differences in different regions of the world that need to be considered when constructing a patient centered experience., (© 2023. The Author(s), under exclusive licence to European Society of Radiology.)
- Published
- 2024
- Full Text
- View/download PDF
12. The Lancet Commission on diagnostics: transforming access to diagnostics.
- Author
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Fleming KA, Horton S, Wilson ML, Atun R, DeStigter K, Flanigan J, Sayed S, Adam P, Aguilar B, Andronikou S, Boehme C, Cherniak W, Cheung AN, Dahn B, Donoso-Bach L, Douglas T, Garcia P, Hussain S, Iyer HS, Kohli M, Labrique AB, Looi LM, Meara JG, Nkengasong J, Pai M, Pool KL, Ramaiya K, Schroeder L, Shah D, Sullivan R, Tan BS, and Walia K
- Subjects
- COVID-19, Global Health, Health Services Accessibility, Humans, Socioeconomic Factors, Developing Countries, Diagnostic Imaging, Diagnostic Techniques and Procedures
- Abstract
Competing Interests: Declaration of interests TD declares minor shareholdings and an unpaid directorship at CapeRay Medical, which was an institution-based activity. WC declares he is the chief executive officer of a telemedicine company providing general medical consultation. All other authors declare no competing interests.
- Published
- 2021
- Full Text
- View/download PDF
13. Optimizing integrated imaging service delivery by tier in low-resource health systems.
- Author
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DeStigter K, Pool KL, Leslie A, Hussain S, Tan BS, Donoso-Bach L, and Andronikou S
- Abstract
Access to imaging diagnostics has been shown to result in accurate treatment, management, and optimal outcomes. Particularly in low-income and low-middle-income countries (LICs, LMICs), access is limited due to a lack of adequate resources. To achieve Sustainable Development Goal (SDG) 3, access to imaging services is critical at every tier of the health system. Optimizing imaging services in low-resource settings is best accomplished by prescriptive, integrated, and coordinated tiered service delivery that takes contextual factors into consideration. To our knowledge, this is the first recommendation for optimized, specific imaging care delivery by tier. A model for tier-based essential imaging services informs and guides policymakers as they set priorities and make budgetary decisions. In this paper, we recommend a framework for tiered imaging services essential to reduce the global burden of disease and attain universal health coverage (UHC). A lack of access to basic imaging services, even at the lowest tier of the health system, can no longer be justified by cost. Worldwide, affordable modalities of modern ultrasound and X-ray are becoming an accessible mainstay for the investigation of common conditions such as pregnancy, pneumonia, and fractures, and are safely performed and interpreted by qualified professionals. Finally, given the vast gap in access to imaging resources between LMICs and high-income countries (HICs), a scale-up of tiered imaging services in low-resource settings has the potential to reduce health disparities between, and within countries. As the access to appropriately integrated imaging services improves, UHC may be achieved., (© 2021. The Author(s).)
- Published
- 2021
- Full Text
- View/download PDF
14. How to improve access to medical imaging in low- and middle-income countries ?
- Author
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Frija G, Blažić I, Frush DP, Hierath M, Kawooya M, Donoso-Bach L, and Brkljačić B
- Abstract
Imaging has become key in the care pathway of communicable and non-communicable diseases. Yet, there are major shortages of imaging equipment and workforce in low- and middle-income countries (LMICs). The International Society of Radiology outlines a plan to upscale the role of imaging in the global health agenda and proposes a holistic approach for LMICs. A generic model for organising imaging services in LMICs via regional Centres of Reference is presented. The need to better exploit IT and the potential of artificial intelligence for imaging, also in the LMIC setting, is highlighted. To implement the proposed plan, involvement of professional and international organisations is considered crucial. The establishment of an International Commission on Medical Imaging under the umbrella of international organisations is suggested and collaboration with other diagnostic disciplines is encouraged to raise awareness of the importance to upscale diagnostics at large and to foster its integration into the care pathway globally., Competing Interests: All authors declare no competing interests., (© 2021 The Author(s).)
- Published
- 2021
- Full Text
- View/download PDF
15. Medical imaging and nuclear medicine: a Lancet Oncology Commission.
- Author
-
Hricak H, Abdel-Wahab M, Atun R, Lette MM, Paez D, Brink JA, Donoso-Bach L, Frija G, Hierath M, Holmberg O, Khong PL, Lewis JS, McGinty G, Oyen WJG, Shulman LN, Ward ZJ, and Scott AM
- Subjects
- Cost of Illness, Health Care Costs, Humans, Neoplasms diagnosis, Poverty, Radiography economics, Developing Countries economics, Diagnostic Imaging economics, Neoplasms economics, Nuclear Medicine economics
- Abstract
The diagnosis and treatment of patients with cancer requires access to imaging to ensure accurate management decisions and optimal outcomes. Our global assessment of imaging and nuclear medicine resources identified substantial shortages in equipment and workforce, particularly in low-income and middle-income countries (LMICs). A microsimulation model of 11 cancers showed that the scale-up of imaging would avert 3·2% (2·46 million) of all 76·0 million deaths caused by the modelled cancers worldwide between 2020 and 2030, saving 54·92 million life-years. A comprehensive scale-up of imaging, treatment, and care quality would avert 9·55 million (12·5%) of all cancer deaths caused by the modelled cancers worldwide, saving 232·30 million life-years. Scale-up of imaging would cost US$6·84 billion in 2020-30 but yield lifetime productivity gains of $1·23 trillion worldwide, a net return of $179·19 per $1 invested. Combining the scale-up of imaging, treatment, and quality of care would provide a net benefit of $2·66 trillion and a net return of $12·43 per $1 invested. With the use of a conservative approach regarding human capital, the scale-up of imaging alone would provide a net benefit of $209·46 billion and net return of $31·61 per $1 invested. With comprehensive scale-up, the worldwide net benefit using the human capital approach is $340·42 billion and the return per dollar invested is $2·46. These improved health and economic outcomes hold true across all geographical regions. We propose actions and investments that would enhance access to imaging equipment, workforce capacity, digital technology, radiopharmaceuticals, and research and training programmes in LMICs, to produce massive health and economic benefits and reduce the burden of cancer globally., (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
16. Special Report of the RSNA COVID-19 Task Force: Crisis Leadership of Major Health System Radiology Departments during COVID-19.
- Author
-
Mossa-Basha M, Schnall M, Meltzer CC, Oleaga L, Filippi CG, Mahoney M, Donoso-Bach L, and Tan BS
- Subjects
- Humans, North America, SARS-CoV-2, Societies, Medical, Advisory Committees, COVID-19 diagnosis, COVID-19 therapy, Leadership, Radiology Department, Hospital organization & administration
- Abstract
Severe acute respiratory syndrome coronavirus 2 has spread across the world since December 2019, infecting 100 million and killing millions. The impact on health care institutions during the coronavirus disease 2019 pandemic has been considerable, with exhaustion of institutional and personal protective equipment resources during local outbreaks and crushing financial consequences for many institutions. Establishing adaptive principles of leadership is necessary during crises, fostering quick decision-making and workflow modifications, while a rapid review of data must determine necessary course corrections. This report describes concepts of crisis leadership teams that can help maximize their effectiveness during the current and future pandemics., (© RSNA, 2021.)
- Published
- 2021
- Full Text
- View/download PDF
17. Harmonisation of imaging dosimetry in clinical practice: practical approaches and guidance from the ESR EuroSafe Imaging initiative.
- Author
-
Vano E, Frija G, Stiller W, Efstathopoulos E, Granata C, Loose R, Paulo G, Pekarovic D, Sjöberg J, and Donoso-Bach L
- Abstract
The European Directive 2013/59/EURATOM requires member states of the European Union to ensure justification and optimisation of the radiological procedures and to include information on patient exposure as part of the report of the examinations. The EuroSafe Imaging campaign of the European Society of Radiology created a working group (WG) on "Dosimetry for imaging in clinical practice" with the aim to help with the dosimetry aspects required by European and national regulations. The primary focus topics were selected and a survey among the experts of the WG, allowed suggesting some initial consensus approaches.For information on patient exposure, it was agreed to include the dosimetric values reported by the imaging modalities (validated by a medical physics expert). It was also suggested to prepare educational material on dosimetric quantities for patients. Individual optimisation was considered a challenge, especially for interventional procedures. In these cases, patient and occupational doses should be part of the global optimisation process and trigger levels should be defined to avoid skin radiation injuries. Diagnostic Reference Levels (DRLs) always need to be considered for comparison with periodic patient dose audits. In the case of accidental or unintended exposures, a report should be produced for the Quality Assurance programme, together with an educational note to avoid the repetition of incidents. Dose registry and management systems should allow fulfilling the regulatory requirements of national and European regulations. In a second step, and after the initial experience with the Directive implementation, a wider survey will be considered.
- Published
- 2020
- Full Text
- View/download PDF
18. Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare.
- Author
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Sisó-Almirall A, Kostov B, Navarro González M, Cararach Salami D, Pérez Jiménez A, Gilabert Solé R, Bru Saumell C, Donoso Bach L, Villalta Martí M, González-de Paz L, Ruiz Riera R, Riambau Alonso V, Acar-Denizli N, Farré Almacellas M, Ramos-Casals M, and Benavent Àreu J
- Subjects
- Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal epidemiology, Coronary Disease diagnostic imaging, Coronary Disease epidemiology, Early Diagnosis, Feasibility Studies, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Physicians, Family, Prevalence, Prospective Studies, Risk Factors, Tomography, X-Ray Computed, Aorta, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal diagnostic imaging, Point-of-Care Testing, Primary Health Care, Ultrasonography
- Abstract
We determined the feasibility of abdominal aortic aneurysm (AAA) screening program led by family physicians in public primary healthcare setting using hand-held ultrasound device. The potential study population was 11,214 men aged ≥ 60 years attended by three urban, public primary healthcare centers. Participants were recruited by randomly-selected telephone calls. Ultrasound examinations were performed by four trained family physicians with a hand-held ultrasound device (Vscan®). AAA observed were verified by confirmatory imaging using standard ultrasound or computed tomography. Cardiovascular risk factors were determined. The prevalence of AAA was computed as the sum of previously-known aneurysms, aneurysms detected by the screening program and model-based estimated undiagnosed aneurysms. We screened 1,010 men, with mean age of 71.3 (SD 6.9) years; 995 (98.5%) men had normal aortas and 15 (1.5%) had AAA on Vscan®. Eleven out of 14 AAA-cases (78.6%) had AAA on confirmatory imaging (one patient died). The total prevalence of AAA was 2.49% (95%CI 2.20 to 2.78). The median aortic diameter at diagnosis was 3.5 cm in screened patients and 4.7 cm (p<0.001) in patients in whom AAA was diagnosed incidentally. Multivariate logistic regression analysis identified coronary heart disease (OR = 4.6, 95%CI 1.3 to 15.9) as the independent factor with the highest odds ratio. A screening program led by trained family physicians using hand-held ultrasound was a feasible, safe and reliable tool for the early detection of AAA.
- Published
- 2017
- Full Text
- View/download PDF
19. [Professional roles in radiology departments].
- Author
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Donoso Bach L
- Subjects
- Physician's Role, Spain, Workforce, Radiology Department, Hospital
- Published
- 2007
- Full Text
- View/download PDF
20. [Calcification in gastric adenocarcinoma].
- Author
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Puig Domingo J, Mulattieri D, Martín Martínez J, Falcó Fagès J, and Donoso Bach L
- Subjects
- Humans, Male, Middle Aged, Adenocarcinoma pathology, Calcinosis pathology, Peritoneal Neoplasms pathology, Stomach Neoplasms pathology
- Published
- 1994
21. Pancreatic pseudonodule due to prepancreatic fat.
- Author
-
Sanchís Querol E, Donoso Bach L, and Martínez-Noguera A
- Subjects
- Diagnostic Errors, Humans, Male, Middle Aged, Pancreatic Neoplasms secondary, Ultrasonography, Adipose Tissue diagnostic imaging, Pancreatic Neoplasms diagnostic imaging
- Published
- 1990
- Full Text
- View/download PDF
22. [Rounded atelectasis: an infrequent cause of pulmonary pseudotumor].
- Author
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Baró Ros P, Escalada Berta J, Solduga Forcada C, Olazábal Zudaire A, and Donoso Bach L
- Subjects
- Adult, Aged, Asbestosis complications, Diagnosis, Differential, Humans, Male, Pleural Diseases pathology, Pleural Neoplasms diagnostic imaging, Pulmonary Atelectasis etiology, Pulmonary Atelectasis pathology, Radiography, Pulmonary Atelectasis diagnostic imaging
- Published
- 1984
23. Percutaneous anterior approach to the coeliac plexus using ultrasound.
- Author
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Montero Matamala A, Vidal Lopez F, Aguilar Sanchez JL, and Donoso Bach L
- Subjects
- Adult, Female, Humans, Male, Methods, Middle Aged, Pancreatic Neoplasms therapy, Pancreatitis therapy, Autonomic Nerve Block methods, Celiac Plexus, Palliative Care methods, Pancreatic Diseases therapy, Ultrasonography
- Abstract
A new approach is described to the neurolytic block of the coeliac plexus through the anterior abdominal wall using ultrasonic guidance. In nine patients, ultrasound was used for needle placement and examination of the spread of injection. Total pain relief was obtained in seven of the patients after 2 weeks and in five patients after 6 months. No serious complications were observed. The anterior approach is simple and useful in those patients with chronic pancreatic pain undergoing biopsy of the pancreas, and in those terminally ill or heavily sedated patients who have difficulty in tolerating the prone flexed position.
- Published
- 1989
- Full Text
- View/download PDF
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