[Intl_DxMedPhys] insulin pumps and CT

Mon Mar 3 18:18:37 EST 2025

The borders of the state are the borders of the university (badgers will get this reference)

Attached is our current all or nothing policy.

Thanks to all who have sent me their policies and links!!!

I also just pinged my rad onc friends that live in the basement here. They brought up a good point.... What are you going to do for 25 fractions!?

-stick

Timothy P. Szczykutowicz, Ph.D., DABR
Associate Professor
Departments of Radiology, Medical Physics and BME
University of Wisconsin Madison
Cell# 1-716-560-7751<tel:(716)%20560-7751>
Office# 1-608-263-5729
he/him/his

From: Josh M Wilson <joshua.wilson at duke.edu>
Sent: Monday, March 3, 2025 4:20 PM
To: Szczykutowicz, Timothy P <TSzczykutowicz at uwhealth.org>; intl_dxmedphys_wd_osu_list at lists.osu.edu; Wunderle, Kevin <Kevin.Wunderle at osumc.edu>
Subject: Re: insulin pumps and CT

You don't often get email from joshua.wilson at duke.edu<mailto:joshua.wilson at duke.edu>. Learn why this is important<https://urldefense.com/v3/__https://aka.ms/LearnAboutSenderIdentification__;!!KGKeukY!0OUW5OkrU1mkaxwZm91wzoWYV97nYSEjtoVhCustFte0tslNQT5dN-D8oynIYskROSPNpsfefAMhQHEVE15bhBw_EQ5QRYv9gUPhSqcy6kZu1fGVYA$ >

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DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
Deja vu; attached from the old listserv. As far as I can tell, no one publicly shared a policy to the last request. YMMV.

Best,
Josh M. Wilson, PhD

Radiation Physicist, Clinical Imaging Physics Group
Duke University Health System

Director, Duke Imaging Physics Residency Program
Assistant Professor, Department of Radiology
Duke University School of Medicine
________________________________
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu>> on behalf of Wunderle, Kevin via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>>
Sent: Monday, March 3, 2025 4:35 PM
To: Szczykutowicz, Timothy P <TSzczykutowicz at uwhealth.org<mailto:TSzczykutowicz at uwhealth.org>>; intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu> <intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>>
Subject: Re: [Intl_DxMedPhys] insulin pumps and CT

Hey Tim,

This is an important topic, and one that has substantial cost liability for patients who, for some units, must replace those devices, and, as you allude to, substantial liability for institutions that do anything other than what the device manufacturers state.

Perhaps this is a topic to bring to the AAPM MPI (Medical Physics Institute) for investigation as a potential project? Jatinder Palta is the director of this new endeavor and might be interested in hearing about this need.

Kind regards,

Kevin

[The Ohio State University]
Kevin Wunderle, PhD, FAAPM, FACR
Professor, Department of Radiology

Diagnostic Medical Physicist
395 W. 12th Avenue,

Floor 4, Room 424

Columbus, OH, 43210
216-245-5513 Mobile
kevin.wunderle at osumc.edu<mailto:kevin.wunderle at osumc.edu>

From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+kevin.wunderle=osumc.edu at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces+kevin.wunderle=osumc.edu at lists.osu.edu>> On Behalf Of Szczykutowicz, Timothy P via Intl_dxmedphys_wd_osu_list
Sent: Monday, March 3, 2025 4:24 PM
To: intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: [Intl_DxMedPhys] insulin pumps and CT

Anyone have a policy for insulin pumps and sensors other than "taken them off" for CT they are willing to share? huge risk if they malfunction...possible death, so I get why folks defer to the vendor policies which don't

Anyone have a policy for insulin pumps and sensors other than "taken them off" for CT they are willing to share?

huge risk if they malfunction...possible death, so I get why folks defer to the vendor policies which don't appear to be actually tested inside a scanner.

I found this paper, link below. But it basically says listen to the vendors. It seems in practice, this would be complicated if we have to have  a workflow where each device is looked up.

https://urldefense.com/v3/__https://link.springer.com/article/10.1007/s11892-021-01375-7__;!!KGKeukY!0OUW5OkrU1mkaxwZm91wzoWYV97nYSEjtoVhCustFte0tslNQT5dN-D8oynIYskROSPNpsfefAMhQHEVE15bhBw_EQ5QRYv9gUPhSqcy6kb4TJAVxA$ <https://urldefense.com/v3/__https:/link.springer.com/article/10.1007/s11892-021-01375-7__;!!KGKeukY!2X8iwvcZaThROZKzTShLM48XXAAcboXdv6Nd6eTUed_wyUTOhUxUGhsoBXCoSXWbfJXR7CxWoS34HSLrfILeEy0e1iO_WRko7ct0-yQ3BcMzZ9HaWQ$>

[cid:image002.png at 01DB8C60.4B0242B0]

Timothy P. Szczykutowicz, Ph.D., DABR
Associate Professor
Departments of Radiology, Medical Physics and BME
University of Wisconsin Madison
Cell# 1-716-560-7751<tel:(716)%20560-7751>
Office# 1-608-263-5729
he/him/his

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