Irma Marcela González-Treviño, Arturo Arrona-Palacios, Georgina Mayela Núñez-Rocha, Erica C Jansen
Association between self-reported sleep duration and dietary quality in Mexican school-aged children
Appetite
slow adoption new advanced imaging techniques clinical practice longstanding challenge principles implementation science reach effectiveness adoption implementation maintenance reaim framework used build clinical vessel wall imaging program academic medical center six phases implementing clinical vessel wall mr imaging program contextualized reaim framework surveys designed distributed mr imaging technologists clinicians effectiveness measured surveying perceived diagnostic value vessel wall imaging among mr imaging technologists clinicians trends case volumes clinical vessel wall imaging examination number coauthored vessel wall imagingfocused publications abstracts adoption implementation measured surveying stakeholders workflow maintenance measured surveying mr imaging technologists value teaching materials online tip sheets integration dimension measured number submitted research grants incorporating vessel wall imaging protocols feedback implementation phases solicited survey qualitatively summarized quantitative results reported using descriptive statistics six phases reaim framework focused following 1 determining patient disease representation 2 matching resource availability patient access 3 establishing vessel mr wall imaging vwi expertise 4 forming interdisciplinary teams 5 iteratively refining workflow 6 integrating maintenance scale survey response rates 483 mr imaging technologists 714 clinicians survey results showed 90 mr imaging technologists agreed understood vessel wall mr imaging adds diagnostic value patient care clinicians 913 reported vessel wall mr imaging results changed diagnostic confidence patient management case volumes clinical vessel wall mr imaging performed 2019 2022 rose 22 205 examinations workflow challenges reported mr imaging technologists included protocoling examinations scan length feedback ordering clinicians included need education vwi indications limitations availability 3year implementation period program interdisciplinary teams coauthored 27 publications abstracts submitted 13 research grants implementation clinical imaging program successful using principles reaim framework iterative processes support interdisciplinary teams vessel wall mr imaging program integrated dedicated clinical pipeline add diagnostic value support educational research missions academic medical center become center excellence