Update: ICANL Case Studies
Updated 3/2008

Effective with the April 1, 2008 application deadline, digital raw data will no longer be required for case study submissions. As of April 1, 2008, the preferred method for submitting case study documentation is as processed image data in digital image format, on CD or DVD.

The following data must be submitted:

1. Movie of planar projection images
2. Reconstructed stress-rest slices (gray scale and color)
3. Quantitative data, polar maps, etc. (optional)
4. Movie gated SPECT slices
5. Gated SPECT slices in end diastole and end systole
6. LV volume curve and calculated LVEF

Applicant laboratories are instructed to submit all images utilized in the interpretation of a study by the physician.

Laboratories may submit screen captures of static images such as JPEG (Joint Photographic Experts Group), TIFF (Tagged Image File Format), or BMP (Bitmap Digital Images) files, or they may submit equipment specific images, with an embedded, image-specific reader included (i.e., DICOM). Movies may be submitted as MPEG (Moving Picture Expert Group), AVI (Audio Video Interleave), QuickTime or Windows Media Player.

If laboratories are unable to submit digital images, they may submit high quality black-and-white and color copies of processed images on paper.

To be in compliance with The ICANL Standards, "the facility must be able to transmit current or archived patient studies to an outside, non-affiliated entity in a format that is of interpretable quality." (Standard B6.1.6.5)

Note: All case study documentation, whether on CD, DVD or paper, must be submitted in duplicate.

Representative Case Study Requirements

The following are the representative case study requirements for the ICANL. The number of cases to be submitted per laboratory is dependent on the type of accreditation requested.

NUCLEAR CARDIOLOGY [RMPI, ERNA]:

• Select five (5) cases representative of your practice.
  
  RMPI:Select from two months prior to the date of your application submission. For example, if you submit your application for the July 1 deadline, you must select the cases from May, as follows:

  Case 1: first Monday of the month, 1st case
  Case 2: first Wednesday of the month, 2nd case
  Case 3: second Monday of the month, 3rd case
  Case 4: second Wednesday of the month, 1st case
  Case 5: third Wednesday of the month, 2nd case

  ERNA:Select from up to a year prior to the date of your application submission. Include at least three abnormal studies.

• No more than one case per exam type should be normal. If requested case is normal, go to next case until an abnormal case can be found (note: in certain circumstances, it may be appropriate to use the previous case).
• Provide a copy of logbook to support appropriate selection.
• Case selection is not camera dependent.
• Cases must be performed by current personnel using current equipment.
• Selected cases must represent as many staff members as possible.