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Creating a Cyberattack Plan for Radiology Operations: A Practical Pediatric Perspective.

Susan Sotardi1, Colleen Flowers2, Ethan Larsen3

  • 1Director of Radiology Informatics & Artificial Intelligence, Attending Pediatric Radiologist, Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

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Summary
This summary is machine-generated.

This study outlines a radiology department's cyberattack response plan, detailing a command center model for sustained operations during network outages. The plan emphasizes preparedness and interdepartmental collaboration for critical imaging services.

Keywords:
Cybersecurityradiology downtime planransomware

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Area of Science:

  • Radiology
  • Information Security
  • Disaster Preparedness

Background:

  • Cyberattacks pose significant threats to healthcare operations.
  • Radiology departments are critical for patient care and vulnerable to network disruptions.

Purpose of the Study:

  • To develop a comprehensive cyberattack response plan for a pediatric hospital's radiology department.
  • To align departmental preparedness with enterprise-wide disaster strategies.

Main Methods:

  • Participated in a multidisciplinary effort to create a cyberattack protocol.
  • Established a command center model for maintaining radiology operations during network outages.
  • Detailed plans for staff organization, equipment tracking, imaging study archiving, and communication.

Main Results:

  • Developed a radiology downtime strategy for cyber-events.
  • Included command center setup, modality-specific workflows, secure communication, and equipment recovery.
  • Emphasized paper-based tools, encrypted storage, interdepartmental teamwork, and streamlined image acquisition/interpretation.

Conclusions:

  • Radiology departments must proactively develop cyberattack protocols.
  • Sharing this process can help other institutions build robust systems for network outage resilience.
  • Maintaining readiness through multidepartmental efforts is crucial for future cyberattack preparedness.