Imaging Informatics

When it comes to digital medicine, digital pathology is very late to the game. But its time is coming. And the benefits could be many: Bolstering the capabilities, efficiency and reach of individual pathologists, cutting patient wait times, streamlining multidisciplinary team meetings (MDTs) and offering more data-rich decision-making. It could even obviate a shortage of pathologists. Where does it fit into your strategic plan?

Researchers looked at data from more than 2,500 free-text radiology reports of patients undergoing hepatocellular carcinoma surveillance to determine if an NLP approach could extract clinical data and predict downstream utilization of resources.

Documenting contrast allergies in the electronic health record (EHR) is central for safe imaging, but a new study found such records are incomplete, misleading and often ambiguous. A multidisciplinary approach may be needed to solve the problem.

Educating radiologists on ACR-recommended follow-up for incidental adnexal lesions and incorporating such guidelines into normal workflow significantly improved the rate of adherence, reported authors of a Feb. 26 study published in the American Journal of Roentgenology.

“Our results show that worklists organized by relative individual interpretation times can decrease the overall group interpretation time in a multireader setting,” wrote authors of a Feb. 26 study published in the the American Journal of Roentgenology.

Implementing a clinical decision support (CDS) tool increased the overall appropriateness scores of CT and MRI orders, but showed no major difference between the habits of house staff and non-house staff.

There is an "immaturity" between machines and humans, said Paul J. Chang, MD, of the University of Chicago. Unless radiology departments augment their current IT infrastructure, AI could become another technological-driver of burnout.

Electronic medical records (EMRs) contain mounds of valuable, but unformatted information making it difficult to use as a source for research, wrote first author, Changhwan Lee, with Hanyang University in Seoul, Korea, and colleagues.  AI may be able to solve that problem.

“Integration of a scoring system into structured prostate MRI reports could be of great value to clinical research as well as routine clinical care...," wrote authors of a new study published in the American Journal of Roentgenology, which examined how background signal-intensity changes affect prostate cancer detection.

The Protecting Access to Medicare Act (PAMA) mandating the use of a clinical decision support (CDS) system when ordering advanced imaging tests could affect up to six million emergency department visits annually, according to estimates published in a Jan. 29 Radiology study. The law is set to go into effect in January 2020.

Although online portals allow some patients to easily access their radiology reports, new research published Jan. 8 in the American Journal of Roentgenology found that lumbar spine MRI reports in particular are written at a reading level too advanced for the average patient to comprehend.

After implementing a structured reporting template for brain tumor imaging, radiologists became more confident in their reports and felt they better facilitated decision-making, according to a single-center study published in Academic Radiology. Patients were also more satisfied with their reports.