Dissemination and Impact

Baseline: “where does the project start?”

Baseline data Achievable project results

Key Performance Indicators

Paucity of dosimetry on CBCT

Sporadic data on CBCT units with varying methodology, with no paediatric data.

Comparative data on representative CBCT units, with good quality data on paediatric doses.

Publications in international scientific journals

Presentations at international conferences and research meetings

Limited evidence-base on the diagnostic usefulness of CBCT

Anecdotal reports and opinion-based impressions of diagnostic usefulness.

Data on diagnostic accuracy for key clinical applications of CBCT in dentistry.

Publications in international scientific journals

Presentations at international conferences and research meetings

Consensus amongst stakeholders on rational use of CBCT

Limited data on both patient and staff protection in CBCT.

Encouraging data on the use of patient thyroid shielding for CBCT. No data on staff protection specific to CBCT.

Guidelines on optimisation of patient dose in CBCT and on staff protection measures.

Publications in international scientific journals

Presentations at international conferences and research meetings

Incorporation of project results into national guidelines in the EU and beyond.

No quality assurance programmes

Nil beyond manufacturers’ basic equipment maintenance procedures.

QA phantom. QA programme developed.

Exploitation of QA phantom as demonstrated by sales.

Incorporation of project results into national guidelines, in the EU and beyond.

No data on cost-effectiveness of CBCT

Nil. Economic evaluation completed for common clinical applications of CBCT.

Publications in international scientific journals

Presentations at international conferences and research meetings

Impact on guidelines for permitted use of CBCT by third party payment providers in dentistry.

“Training” in CBCT for stakeholders is led by manufacturers.

Evidence of need for information about CBCT and for training is present in comment and review papers in the literature.

Online ‘open access’ web site with training package.

Definitive web site that continues to flourish beyond the lifetime of the project.

Evidence of frequent access and take-up of training.

Key performance indicators

Key performance indicators

•Publications in international scientific journals

•Presentations at international conferences and research meetings

•Consensus amongst stakeholders on rational use of CBCT

•Incorporation of project results into national guidelines in the EU and beyond.

•Exploitation of QA phantom as demonstrated by sales.

•Impact on guidelines for permitted use of CBCT by third party payment providers in dentistry.

•Definitive web site that continues to flourish beyond the lifetime of the project.

•Evidence of frequent access and take-up of training.

Publications and conference presentations

17th International Congress of Dentomaxillofacial Radiology 28 June - 02 July, 2009 Amsterdam

World Congress on Medical Physics and Bioengineering, Munich, 7-12 September 2009

ESHNR 22th Annual meeting and refresher course, Verona Italy

Annual Swedish Dental Congress, November 12-14, 2009 Stockholm

Institute of Physics and Engineering in Medicine meeting, Manchester 16 December 2009

Summary

• Dissemination of Guidelines to:– Professional organisations – international– Professional organisations – national– National bodies / organisations– Universities and dentists

• Input into national / international guidance to dentists

Professional Organisations - International

• EADMFR• EFOMP

Professional Organisations – internet

•ORADLIST newsgroup

Professional Organisations - National

Belgium VVT (Flemish association of dentists)VBT (Association of Belgian dentists)BHPA (Belgian Association of Hospital Physicians)

Greece Hellenic National Dental SocietyAthens Dental SocietyHellenic Society of Dentomaxillofacial Radiology

Lithuania Lithuanian Association of RadiologyRomania Romanian Dentists Association (CMDR)Sweden The Swedish Dental Association (SDA)

Swedish Society for Maxillofacial Radiology (SFOR)UK British Dental Association

The Royal College of Surgeons of England

National Bodies / Organisations

Belgium FANC (Federal Agency of Nuclear Control)

France AFSSPS (French health product safety agency)

Greece Greek Atomic Energy Commission

Lithuania Radiation Protection Centre

Romania National Commission for Nuclear Activity (CNCAN)

UK Health Protection Agency

Universities and DentistsBelgium University Hospitals KUL (dentists & radiologists)

University of Gent (dentistry department)University of Brussels (dentistry department)

Greece Dental School of AthensLithuania Vilnius University

Kaunas University of MedicineRomania Faculty of Dental Medicine, Cluj-Napoca

Dentists – different citiesSweden Malmö University (MAHOD)UK University of Manchester School of Dentistry

University of Manchester CPD course for dentistsUniversity of Warwick MSc Implantology students

Input into Inter/National GuidelinesGerman DMFR Interactions with German Expert Group

preparing national guidance

AFSSPS (France) Input of SEDENTEXCT Guidelines into development of French Guidelines

UK Health Protection Agency

SEDENTEXCT members contributed sections to national guidelines in development

Showa University Dental Hospital

Japanese version of the ‘Basic Principles’ produced

Euratom Article 31 Expert Group

‘Basic Principles’ and Provisional Guidelines passed on for dissemination and awareness raising

Newsletter

Edition 4 this month!

Summary

Good dissemination and impact within the partner countries over a range of stakeholders and organisations

Some impact in other countries, but this is still patchy

Language problem?

“EU Member States' competent authorities shall adopt specific criteria of acceptability for equipment in order to indicate when appropriate remedial action is necessary, including, if appropriate, taking the equipment out of service”