[Intl_DxMedPhys] [EXTERNAL] Re: insulin pumps and CT

Mon Mar 3 21:36:34 EST 2025

It does mention insulin pumps too in the methods but please feel free to ignore if it is not useful to anyone.

Thx, Kalpana

_______________________________________________________________________________________________________
Kalpana M. Kanal, PhD, DABR, FACR, FAAPM, FSABI
Director, Diagnostic Physics Section and Resident Education
Program Director, Imaging Physics Residency Program
Professor, Radiology
Affiliate Faculty, Harborview Injury Prevention Center (HIPRC)
Adj. Professor, Oral Medicine
University of Washington  | 1959 ne pacific street | box 357987 | seattle, wa 98195-7987 |
office location: Room 220 Portage Bay Bldg
email: kkanal at uw.edu<mailto:kkanal at uw.edu> | v: 206-616-9166<tel:+12066169166> | pg: 206-680-6391<tel:+12066806391> | f: 206-543-8356<tel:+12065438356>

From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> On Behalf Of Kalpana M. Kanal via Intl_dxmedphys_wd_osu_list
Sent: Monday, March 3, 2025 6:19 PM
To: Jerry Thomas <jerry.thomas at ascension.org>; Philip Doyle <phil_doyle at yahoo.com>
Cc: Szczykutowicz, Timothy P via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] [EXTERNAL] Re: insulin pumps and CT

See attached article FYI. Our MP friend Sam Brady is one of the authors. Thx, KK _______________________________________________________________________________________________________ Kalpana M. Kanal, PhD, DABR, FACR, FAAPM, FSABI Director,
See attached article FYI. Our MP friend Sam Brady is one of the authors.

Thx, KK

_______________________________________________________________________________________________________
Kalpana M. Kanal, PhD, DABR, FACR, FAAPM, FSABI
Director, Diagnostic Physics Section and Resident Education
Program Director, Imaging Physics Residency Program
Professor, Radiology
Affiliate Faculty, Harborview Injury Prevention Center (HIPRC)
Adj. Professor, Oral Medicine
University of Washington  | 1959 ne pacific street | box 357987 | seattle, wa 98195-7987 |
office location: Room 220 Portage Bay Bldg
email: kkanal at uw.edu<mailto:kkanal at uw.edu> | v: 206-616-9166<tel:+12066169166> | pg: 206-680-6391<tel:+12066806391> | f: 206-543-8356<tel:+12065438356>

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 Jerry Thomas via Intl_dxmedphys_wd_osu_list
Sent: Monday, March 3, 2025 4:45 PM
To: Philip Doyle <phil_doyle at yahoo.com<mailto:phil_doyle at yahoo.com>>
Cc: Szczykutowicz, Timothy P 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>>
Subject: Re: [Intl_DxMedPhys] [EXTERNAL] Re: insulin pumps and CT

This message was sent securely using Zix® Phillip and stick, The guidance is one thing. I want to know what the mechanism of damage to the device is. I don't know the first thing about the construction or operation of an insulin pump,
This message was sent securely using Zix®<https://urldefense.com/v3/__http:/www.zixcorp.com/get-started/__;!!KGKeukY!y7R819i5IeFjCoCLtdcQZYxRe3QYOcAsKatTF9X8uplUrw3_EaaXJ2LgBBy3aLdfLusYrFjRqumzHEJmeYVcTv-50-c1mnOFXbfMUMHRkYero84$>

Phillip and stick,

     The guidance is one thing.  I want to know what the mechanism of damage to the device is.  I don't know the first thing about the construction or operation of an insulin pump, so I'm probably the most ignorant of the group.  The FDA guidance implies that the devices are not at risk of being damaged by Dx x-ray (including CT)  -- e.g. they indicate a low risk of damage.  Do either of you know how these devices work and what component would be damaged by a Dx x-ray?

Jerry

Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM
Diagnostic Medical Physicist / Radiation Safety Officer
Ascension Via Christi Hospitals Wichita
Wichita, KS  67214

Phone:  316-268-5958  (office)
            240-447-1014  (cell)

On Mon, Mar 3, 2025 at 5:00 PM Philip Doyle 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>> wrote:
We aim to follow these useful recomendations (which include situations whereby the device may not be removed): https: //www. fda. gov/radiation-emitting-products/electronic-medical-devices-x-ray-imaging-and-radiation-therapy-what-know-and-how-prevent-damage/preventing-damage-wearable-diabetes-devices-during-imaging-and-radiation-procedures
We aim to follow these useful recomendations (which include situations whereby the device may not be removed):

https://urldefense.com/v3/__https://www.fda.gov/radiation-emitting-products/electronic-medical-devices-x-ray-imaging-and-radiation-therapy-what-know-and-how-prevent-damage/preventing-damage-wearable-diabetes-devices-during-imaging-and-radiation-procedures__;!!KGKeukY!0SJ4pC5uidyRJONMS6wTRMxKd-pvOtlWvss06UySeuzoiDyvG7BcYWjT3p1BQgZmIEADtNe4zeiMhU2Nal_K19xc6ICoWdzWfIUL$ <https://urldefense.com/v3/__https:/www.fda.gov/radiation-emitting-products/electronic-medical-devices-x-ray-imaging-and-radiation-therapy-what-know-and-how-prevent-damage/preventing-damage-wearable-diabetes-devices-during-imaging-and-radiation-procedures__;!!KGKeukY!0O_knvmmBikx0P29q4qZo0nnmOQMCBTPQ7DBzIMsU07OhFHvIMO-csfk6NrOC5SJGuoDBz_cUnY8pb0WVCik4TCBgjjUcDy5ZaTG47VSOg$>

Regards,
Phil.

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
-------- Original message --------
From: "Szczykutowicz, Timothy P 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>>
Date: 03/03/2025 21:25 (GMT+00:00)
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 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!0SJ4pC5uidyRJONMS6wTRMxKd-pvOtlWvss06UySeuzoiDyvG7BcYWjT3p1BQgZmIEADtNe4zeiMhU2Nal_K19xc6ICoWad2DjgV$ <https://urldefense.com/v3/__https:/link.springer.com/article/10.1007/s11892-021-01375-7__;!!KGKeukY!2X8iwvcZaThROZKzTShLM48XXAAcboXdv6Nd6eTUed_wyUTOhUxUGhsoBXCoSXWbfJXR7CxWoS34HSLrfILeEy0e1iO_WRko7ct0-yQ3BcMzZ9HaWQ$>

[cid:image001.png at 01DB8C6B.2FF05330]

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

CONFIDENTIALITY NOTICE:
This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege.

This message was secured by Zix<https://urldefense.com/v3/__http:/www.zixcorp.com__;!!KGKeukY!y7R819i5IeFjCoCLtdcQZYxRe3QYOcAsKatTF9X8uplUrw3_EaaXJ2LgBBy3aLdfLusYrFjRqumzHEJmeYVcTv-50-c1mnOFXbfMUMHRFEh-OZg$>®.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://lists.osu.edu/mailman/private/intl_dxmedphys_wd_osu_list/attachments/20250304/7ec7216a/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 182069 bytes
Desc: image001.png
URL: <https://lists.osu.edu/mailman/private/intl_dxmedphys_wd_osu_list/attachments/20250304/7ec7216a/attachment.png>