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An open-source repository-based tool for quality control of imaging protocol compliance: demonstration in a multicentre MRI study

Keaveney, S.
McHugh, D. J.
Rata, M.
Dragan, A.
Winfield, J. M.
Doran, S. J.
Blackledge, M. D.
Scurr, E.
Koh, D. M.
Berks, M.
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Abstract
OBJECTIVES: Clinical translation of advanced MRI techniques can be hindered by the challenges of performing standardized multicentre imaging trials. This work aims to develop and demonstrate an automated tool for monitoring imaging protocol deviations, enabling corrective action to be taken. METHODS: A Python-based tool, integrated into the imaging repository XNAT, was developed to compare DICOM series with an agreed imaging protocol, highlighting missing series and parameter deviations. This was demonstrated through retrospective analysis of a prospectively acquired dataset from a ten-site whole-body (WB) MRI study of patients with multiple myeloma. The acquired data were compared to the relevant radiological guidelines and to the site-specific imaging protocols agreed for the study. RESULTS: The rate of technical software failure was 0% across 174 examinations from 10 sites. The clinical guidelines were followed in 87.9% of examinations and compliance with the site-specific imaging protocol was greater than 75.0% for all parameters. Common deviations included number of averages for diffusion-weighted imaging (DWI) and repetition time for DWI and Dixon: 85.2%, 81.7%, and 75.1%, respectively. There was a statistically significant correlation between protocol compliance and overall exam radiological image quality. CONCLUSIONS: Repository-integrated software is presented for automated monitoring of imaging protocol compliance to support standardization in multicentre studies and clinical translation. ADVANCES IN KNOWLEDGE: This study presents a novel open-source repository-integrated software tool for automatically monitoring compliance with the expected imaging protocol. Standardized acquisition protocols are crucial in multicentre imaging studies and this tool has the potential to enhance research outcomes and support clinical translation.
Affiliation
MRI Unit, The Royal Marsden NHS Foundation Trust, London, SM2 5PT, United Kingdom. Division of Radiotherapy and Imaging, The Institute of Cancer Research, London, SW3 6JB, United Kingdom. Christie Medical Physics and Engineering, The Christie NHS Foundation Trust, Manchester, M20 4BX, United Kingdom. Quantitative Biomedical Imaging, Division of Cancer Sciences, University of Manchester, Manchester, M14 4PX, United Kingdom. Department of Radiology, University of Cambridge, Cambridge, CB2 0QQ, United Kingdom. Department of Radiology, Royal Papworth Hospital NHS Foundation Trust, Cambridge, CB2 0AY, United Kingdom. Department of Radiology, The Christie NHS Foundation Trust, Manchester, M20 4BX, United Kingdom. Department of Haematology, University Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, United Kingdom. Department of Radiology, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, United Kingdom. Department of Radiology, University Hospitals of North Midlands NHS Trust, ST4 6QG, United Kingdom. Department of Radiology, University Hospitals Plymouth NHS Trust, Plymouth, PL6 8DH, United Kingdom. Department of Radiology, Norfolk & Norwich University Hospitals NHS Foundation Trust, Norwich, NR4 7UY, United Kingdom. Department of Radiology, Epsom & St Helier University Hospitals NHS Trust, Epsom, KT18 7EG, United Kingdom. Department of Radiology, Worcestershire Acute Hospitals NHS Trust, Worcester, WR5 1DD, United Kingdom. Department of Radiology, Hampshire Hospitals NHS Foundation Trust, Basingstoke, RG24 9NA, United Kingdom. Department of Radiology, North Bristol NHS Trust, Bristol, BS10 5NB, United Kingdom. Department of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, NG5 1PB, United Kingdom. Department of Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, United Kingdom. Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, LS2 9NL, United Kingdom. Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, Leeds, LS9 7TF, United Kingdom. Division of Genetics and Epidemiology, The Institute of Cancer Research, London, SW3 6JB, United Kingdom. Department of Haematology, The Royal Marsden NHS Foundation Trust, London, SM2 5PT, United Kingdom.
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2025
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Article
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Keaveney S, McHugh DJ, Rata M, Dragan A, Winfield JM, Doran SJ, et al. An open-source repository-based tool for quality control of imaging protocol compliance: demonstration in a multicentre MRI study. The British journal of radiology. 2025 Aug 1;98(1172):1236-44. PubMed PMID: 40493889. Pubmed Central PMCID: PMC12341670. Epub 2025/06/10. eng.
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