[Intl_DxMedPhys] The New CMS Measure: Perspectives from an AAPM-Commissioned Panel

Jered Wells wellsmedicalphysics at gmail.com
Wed Mar 12 09:16:54 EDT 2025


List:

I'd like to share a link to a paper recently published in AJR titled "The
New CMS Measure of Excessive Radiation Dose or Inadequate Image Quality in
CT: Issues and Ambiguities—Perspectives from an AAPM-Commissioned Panel."
It represents the extensive work of a 10-member panel complete with
reference compilation, analysis, and synthesis of perspectives on the new
CMS measure by clinical, academic, and industry professionals. The paper
enumerates, describes, and responds to a list of 20 identified issues and
ambiguities in an attempt to help providers and implementers of the
measure. Specifically, the panel highlights some of the same concerns
raised in a recent thread on this list related to image quality, patient
size estimation, global noise computation, and the lack of key data (e.g.
expected diameter d_k) en route to measure computation. While some
ambiguities remain, I believe this paper serves as a valuable resource
which articulates some of the concerns in the medical imaging community
while providing a consolidated reference list and guidance related to the
new CMS measure.

https://urldefense.com/v3/__https://www.ajronline.org/doi/abs/10.2214/AJR.24.32458__;!!KGKeukY!1P6w0RSe35j1dFtSNfZylVT-sCTYh5I4jfNE9ZmyRdoE-2o1-x2aNx7MZtXHX5DavPevoQOokDSUZ46luiwWr5q7aXb7R0Wb3lR-rWEIyIDtK0FZ$ 

Best,

Jered Wells, PhD, DABR
https://urldefense.com/v3/__https://www.linkedin.com/in/jered-wells-phd-dabr/__;!!KGKeukY!1P6w0RSe35j1dFtSNfZylVT-sCTYh5I4jfNE9ZmyRdoE-2o1-x2aNx7MZtXHX5DavPevoQOokDSUZ46luiwWr5q7aXb7R0Wb3lR-rWEIyGHs4Uih$ 
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