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During the CMS Quality Measure reporting session at AAPM on Wednesday afternoon, Dr. Samei, Dr. Wells, and Dr. Barreto delivered three excellent talks addressing concerns and implementation strategies related to this new measure. Over the past</div>
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<div dir="ltr"><p style="margin-right:0in;margin-left:0in;font-size:12pt;font-family:"Times New Roman",serif">During the CMS Quality Measure reporting session at AAPM on Wednesday afternoon, Dr.
Samei, Dr. Wells, and Dr. Barreto delivered three excellent talks addressing
concerns and implementation strategies related to this new measure.</p>
<p style="margin-right:0in;margin-left:0in;font-size:12pt;font-family:"Times New Roman",serif">Over the past few months, we have explored
specific methods for size-adjusted dose (SAD). Our paper
examining how different approaches to estimating patient size can impact SAD
and compliance has been accepted by <em>JACR</em>
and is currently in press (<a href="https://urldefense.com/v3/__https://www.jacr.org/article/S1546-1440(25)00440-5/abstract__;!!KGKeukY!0NrpEqC_v0b0f6-H8eh7TaDwPV_Ms38804qhv1HnhgR-GsVEOpz7sx3JG0_-FpQJqHQqjC5ij2k8KJeQQPS0i0CgOy6THshH6HMaSw$">https://www.jacr.org/article/S1546-1440(25)00440-5/abstract</a>)<span style="font-size:12pt">.</span></p>
<p style="margin-right:0in;margin-left:0in;font-size:12pt;font-family:"Times New Roman",serif">We share concerns about inconsistencies in SAD
estimation methods and protocol mapping, which pose challenges to the
effectiveness of this metric. </p>
<p style="margin-right:0in;margin-left:0in;font-size:12pt;font-family:"Times New Roman",serif"><span style="font-size:12pt">Best Regards,</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><b><i><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">Jie Zhang, PhD, DABR (D, N), FAAPM</span></i></b><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(36,36,36)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">Professor of Radiology and Biomedical Engineering</span><span style="font-family:"Times New Roman",serif;color:rgb(36,36,36)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in"><font size="1">Chief, Division of Diagnostic & Nuclear Medical Physics</font></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">Program Director, Diagnostic Imaging Physics Residency</span><span style="font-family:"Times New Roman",serif;color:rgb(36,36,36)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">Department of Radiology</span><span style="font-family:"Times New Roman",serif;color:rgb(36,36,36)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">University of Kentucky College of Medicine</span><span style="font-family:"Times New Roman",serif;color:rgb(36,36,36)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">UK HealthCare</span><span style="font-family:"Times New Roman",serif;color:rgb(36,36,36)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;vertical-align:baseline;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">800 Rose Street, Room HX-307</span><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;vertical-align:baseline;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">Lexington, KY 40536-0293</span><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125)"></span></font></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;vertical-align:baseline;font-family:Calibri,sans-serif"><font size="1"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125);border:1pt none windowtext;padding:0in">Phone: (859) 323-2954</span><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125)"></span></font></p><p style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:16px"></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt;color:rgb(0,0,0);font-size:16px;font-family:Calibri,sans-serif"><span style="font-family:"Times New Roman",serif;color:rgb(31,73,125)"><font size="1">Email: <a href="mailto:jnzh222@uky.edu" target="_blank">jnzh222@uky.edu</a></font></span></p></div>