- DISCLAIMER: These scripts are used in a
real hospital on real patients. However, I am "just" a technologist,
and have never been officially" trained in Aladdin. That
said, I have made every attempt to ensure that they are correct in all
ways. I make no guarantee or warantee, express or implied.
I am not responsible for any outcome on your system. You must
have a basic understanding of the Aladdin script language (or virtual
basic) to make these work correctly!
- WHAT YOU GET: Uncompiled Aladdin scripts
(and review templates, when applicable) so that you can modify these
scripts to work properly on your own Aladdin system, contained in a ZIP
archive. Click on the thumbnails for larger images. These scripts are
written specifically for my site; your acquisition protocols almost
certainly differ and will require that you modify these scripts. There
are also selected SOP (standard operating procedures or protocols) for
various studies. While site-specific, they are written with processing
using the Xeleris (and these scripts) in mind.
- LEGALITY: Read the disclaimer again! I
am not responsible for your systems or patients! These are all released
under a Creative Commons
Attribution-ShareAlike license. I ask that you email
me any modifications and improvements so that I can place them
here. We are allowed to share these scripts;
I checked.
Brain
Flow (Brain Death)
This
script takes three dynamic acquisitions (90sec, 1.5s/fr) and
compresses/composites them into a flow and blood pool for the
determination of brain death. This methodology was necessary
due
to software incompatibilities between our old ADAC Transcam camera and
the Xeleris software; if you acquire your brain flows
differently
it should be relatively easy to modify the script. You can
see the SOP for Brain Death
Studies as well. (PDF format). It has been updated to include automatic
labeling
of most routine images and setting the Institution ID for ACR
accreditation; Institution ID is a HARDCODED VARIABLE and REQUIRES
editing lines 110
& 114 of the script to put in your instition's name.
.
Lung
Scan (Xe133/Tc99m/Co57)
At
our facility, we acquire lung scans with a ventilation (Xe-133) and six
perfusion images (Tc-99m MAA). We also perform a Co57
transmission image to assess lung size/shape instead of a CXR.
The "first breath" section of the image is extracted by the
script from the acquisition. Here is our SOP for a V/Q Lung Scan
(PDF format). It has been updated to include automatic
labeling
of most routine images and setting the Institution ID for ACR
accreditation; Institution ID is a HARDCODED VARIABLE and REQUIRES
editing lines 136
& 140 of the script to put in your instition's name.
Renal
Analysis (ERPF)
I
modified the Renal Analysis program to allow the calculation of an
ERPF. The second modification allows the addition of an
accession
number. These are written up as "modification" files - follow
the
directions to modify your own files in place. It may make
more sense when you see our SOP for Renal
Scans.
Gastrointestinal
Bleed
At
our facility we moved to acquiring two 45-minute serial dynamic scans
for gastrointestinal bleed studies. This script compresses
them
to 5min/fr to allow displaying each 45 minute segment at a time, then
also allowing all 90 minutes to be viewed on the same screen.
At
the bottom right of that screen is a location where the whole study can
be displayed in 1min/fr cine mode. Up to two delayed images
can
also be displayed on the main review screen. It has been updated to include automatic
labeling
of most routine images and setting the Institution ID for ACR
accreditation; Institution ID is a HARDCODED VARIABLE and REQUIRES
editing lines 115
& 119 of the script to put in your instition's name.
Blood
Volume
This
archive is two Excel sheets to aid in the calculation of red blood cell
volumes using Cr51. It includes the DuBois method of
determining
BSA. You may also see our SOP for Red Cell Volumes (without RISA)
in PDF format.
History
Template
A
one-page template our facility uses to convieniently record history,
dosages, technologist involvement, and other pertenient data.
Myocardial
Perfusion Information
A
two-page information sheet (intended as a front/back single sheet)
information sheet for patients at our facility for a same-day
Cardiolite myocardial perfusion study. PDF format.
You can also see our SOP for myocardial perfusions,
a guide to using Xeleris'
motion correction, and how to ensure QGS/QPS has drawn
accurate countours. (Yes, we use both
ECToolbox and Cedars.)
Gastric Emptying Excel Sheets
Two
Excel sheets to calculate gastric emptying. The first is a
straightforward Tc solid gastric emptying; the second is a
more
complex one that includes In-111 spilldown for solid/liquid combined
studies. Both include radioactive decay in calculating the
T1/2.
You can see our SOPs for Solid Gastric Emptying,
Liquid Gastric
Emptying, and Combined
(Liquid/Solid) Gastric Emptying (PDF format). Please
see the research I did that led our facility to stop doing combined
liquid/solid gastric emptying studies. (PDF format).
General Nuclear Medicine Information Pamphlet
This
pamphlet was never used due to style guidelines at my facility (i.e.
it's not dull). However, a variant was used at the facility I
was
at before this one, with many good reviews. You may find its
format or material useful in revising and creating your own
site-specific general information pamphlet. PDF format.
Images from the Xeleris
For
a period of time, I was frequently asked to show prospective high
school students the Nuclear Medicine Department. To help show
things to them, I collected this series of images to show our most
common studies. There are static images (JPG format) of gallbladder
studies, MUGAs, some MPIs, lungs - along with several cine images (AVI
format) of ventilation, gating, renal studies and more. Patient
identification has been stripped. Almost 5MB zip file -
dialup beware!
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