The Next Generation of Multi-Media Reporting in Radiology

Interactive features can boost referrals, and foster collaboration and communication

For decades, radiology reports have been limited to a short paragraph that describes a radiologist’s findings. If key images were available, they were often difficult Survey shows physicians prefer multi-media reportsfor clinicians to access and were not part of the report content.

The next generation of reporting contains hyperlinks as part of the radiologist’s findings so clinicians can easily view key images, measurement tables and graphs. These interactive reports can be easily accessed from the EMR using a zero-footprint viewer that delivers rapid access to key findings and data from multiple “ologies,” and provides side-by-side display of DICOM and non-DICOM images. It is so intuitive that users can be proficient within minutes of use.

EMR-driven access also offers a single point of entry to the entire patient folder including clinical data in multiple formats such as images, video, waveforms and PDF-formatted interactive multi-media reports with embedded hyperlinks to key findings that provide secure access to images from mobile devices and computers.

A paper authored by physicians at the National Institutes of Health (NIH) found that radiologists and oncologists preferred having hyperlinks to key data in reports. In a pilot study presented at RSNA 2015, NIH researchers found that the use of quantitative interactive reports led to an average of nearly nine minutes in time savings for the oncologist to assess tumor burden when compared to traditional text-only reporting.

Facilities that offer multi-media reporting also could gain increased referrals from physicians, according to a study conducted by the Emory University School of Medicine. This study found that 80 percent of physicians would preferentially refer patients to a healthcare provider with multi-media reporting—and 79 percent of physicians are more likely to recommend that their peers refer patients to a facility with multi-media reporting.

Equipping patients to access their own medical images is also becoming an important ingredient for increased patient satisfaction. A recent study of 1,000 U.S. adults conducted by IDR Medical, an international healthcare marketing company, confirmed two compelling benefits for delivering a patient portal: 79 percent of patients said they would return to the imaging facility and 76 percent of patients reported they would recommend the provider’s services to others.

Enabling patients to access and manage their own images also has the potential to reduce overutilization of imaging procedures since patients can easily send studies to providers or bring prior studies with them to appointments. And patient care can be enhanced by sharing diagnostic, procedural and evidence-related images, video, waveform and multi-media clinical content directly from the EMR.

The adage that an image is worth a thousand words still holds true. Actually it’s worth more than that. Efficient and contextual access to medical images can help improve care by expediting second opinions while simultaneously building referrals and increasing physician and patient satisfaction. #SIIM16 #enterpriseimaging #healthIT

Kiran Krishnamurthy, Worldwide Product Line Manager, HCIS, CarestreamKiran Krishnamurthy is Carestream’s Worldwide Product Line Manager for Healthcare Information Solutions. He participated in a panel at SIIM16 on Communication and Collaboration Using Enterprise Viewers in the EMR

Diagnostic Reading #24: Five “Must Read” Articles on HIT and Radiology from the Past Week

This week’s articles include: patients’ desire to read their radiology reports; new telehealth ethical guidance from the AMA; a survey reports both payers and managed care organizations are interested in adopting telemedicine

Public HealthIT Cloud

technology; a research study reports more than 75 percent of healthcare organizations plan to move IT systems to a public cloud within the year; and a joint HIMSS/SIIM white paper identifies seven key elements to a successful enterprise imaging program.

Do patients want to read their radiology reports? – Auntminnie

Radiology reports aren’t just for referring physicians anymore. In fact, more than 50% of patients who have online access to their reports read them — and want to discuss the results with their radiologist, according to a new study published online in Academic Radiology.

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Marchés et utilisateurs favorisent le développement de l’échographie

La rationalisation des dépenses de santé et le plébiscite du corps médical font la part belle à l’échographie

Markets and Markets rapporte que le marché global de l’échographie devrait atteindre les 6,86 milliards de dollars d’ici 2020, comparativement aux 5,25 milliards de dollars en 2015. L’adoption croissante de cette technique d’imagerie médicale est en partie nourrie par deux facteurs : ses capacités cliniques grandissantes et le contexte économiques en faveur de techniques d’imagerie peu onéreuses. Continue reading

Market & Medical Forces Boost Ultrasound Adoption

Ultrasound’s expanding clinical capabilities and economics contribute to worldwide growth

Low in cost and minimally invasive, medical ultrasound is steadily infiltrating almost every field of medicine. Breast-ultrasound-image
Markets and Markets
reports that the global ultrasound market is expected to reach $6.86 billion by 2020, up from $5.25 billion in 2015. Ultrasound’s growing adoption is fueled in part by two factors: its expanding clinical
capabilities and economics.

In its early stages, ultrasound was used by radiology to capture images primarily for gynecology, and vascular and cardiac care. Today, its application has broadened into orthopaedics, critical care, sports medicine, rheumatology, pain clinics and numerous other medical specialties. The procedures listed as “common” by the FDA include:

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Diagnostic Reading #23: Five “Must Read” Articles on HIT and Radiology from the Past Week

EMRs for healthIT and a new imaging modality are in the news

This week’s articles include: the VA has joined a program that makes it easier for patients to access their electronic medical records; a study examines whether hospitals hesitate to adopt order-entry clinical decision support tools CT Brain Scansthat could drive imaging referrals outside the system; researchers in Portugal are developing an endoscopic scanner that will provide advanced imaging within the body and aid in early detection of cancers that are often found too late; a couple in West Virginia filed a lawsuit against a radiology practice and an individual radiologist for overlooking a brain tumor in CT scans; and Facebook advertising can help speed patients with inflammatory back pain toward appropriate diagnostic procedures.

VA joins NATE, as record sharing movement gains momentum – Health Data Management

The National Association for Trusted Exchange (NATE) has taken another step forward in building momentum for enabling consumers to access and control their healthcare information. The U.S. Department of Veterans Affairs has become the newest member of NATE, a private-public program that aims to make it easier for patients to securely access their records electronically and improve the HIE between data holders and healthcare consumers.

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Diagnostic Reading #22: Five “Must Read” Articles about HIT and Diagnostic Imaging from the Past Week

Alzheimer’s detection and the NFL are in the news

This week’s articles include: Almost every U.S. hospital is using EHRs to manage care at the point of delivery; U.S. cancer survivors will reach 20 million by 2026; contrast-enhanced MR images revealed that people with early Image of Electronic Health RecordsAlzheimer’s disease have leakages in their blood-brain barrier; researcher says head CT radiation can be reduced by 90 percent; and stolen laptop could mean compromised health records for NFL.

ONC and CMS: We’re at a critical inflection point for EHRs, interoperability – Healthcare IT News

Now that almost all U.S. hospitals are using electronic health records, the industry is ready for the next phase of information sharing, improved outcomes and collecting the digital dividend. Patrick Conway, MD, chief medical officer at the Centers for Medicare and Medicaid Services, said the nation is moving into the next stage where patients consistently and reliably have access to their own data that drives better outcomes.

U.S. cancer survivors will number 20 million by 2026 –

A study by the American Cancer Society found that there will be 20 million cancer survivors in the U.S. by 2026, an increase of almost 5 million compared with the number of survivors alive today. The group found that more than 15.5 million Americans with a history of cancer were alive on Jan. 1, 2016, and this number is projected to reach more than 20 million by Jan. 1, 2026.

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Study: Comparison of Computer-Aided Diagnosis & Quantitative Image Analysis

Differences have implications for assessment, quality assurance and training

Healthcare imaging technologies and options are continually evolving, and their applications in radiology can be puzzling.  One area of confusion is the respective roles of Quantitative Image Analysis (QIA) and Computer-Aided Diagnosis (CAD). Recently we collaborated with several colleagues to compare and contrast the two imaging technologies and advance the work that has been accomplished by the Computer Aided Detection in Diagnostic Imaging Subcommittee (CADSC) of the American Association of Physicists in Medicine (AAPM).

CAD systems, which have been around for about 15 years, incorporate pattern recognition and data analysis capabilities. Computer-aided detection (CADe) systems are intended to mark regions of an image that might reveal specific abnormalities and alert the clinician to these regions during image interpretation. Computer-aided diagnosis (CADx) systems provide to the clinician an assessment of disease, disease type, severity, stage and progression.

QIA, on the other hand, is fairly new. Using computerized tools, it extracts quantitative imaging biomarkers from medical images. A quantitative imaging biomarker is an objectively measured characteristic derived from an in vivo image as an indicator of normal biological processes, pathogenic processes or a response to a therapeutic intervention. Quantitative imaging includes the development, standardization and optimization of anatomical, functional and molecular imaging acquisition protocols, data analyses, display methods and reporting structures.

The two technologies have some similarities. They both provide advanced image analysis techniques for clinicians. Both commonly use computer methods to extract features. And both emphasize appropriate image acquisition protocols, display methods, training and reporting. However, there are important differences that must be considered.

CAD essentially relies on the ability to make reproducible, quantitative measurements from medical images and combine them into a score or a marker to help clinicians provide a diagnosis.  The emphasis is on how the CAD outputs aid the clinicians in decision-making, diagnosis, treatment planning, treatment response monitoring or outcome prediction.

In QIA the emphasis is on the extraction of biomarkers and on establishing a specific imaging biomarker’s association with a disease condition. QIA can go beyond the anatomical view and into the molecular level. Examples of applications of the two technologies can be seen in the presentation delivered at RSNA.

Through our research, we determined that the differences and similarities between CAD and QIA have considerable implications for assessment, quality assurance and training. These consequences are also documented in the presentation.

CAD and QIA share many common components and both leverage a richness in medical images that has yet to be fully tapped. There is a natural synergy between the two and we expect that methodologies developed in one field are likely to be applicable in the other. Also, both techniques can benefit from standardized assessment, QA and user training procedures. We hope this study increases the coalescence of new ideas and standardized approaches in these closely related fields. #RSNA #imaging #radiology

Zhimin Huo, Carestream

Zhimin Huo, PhD, is a researcher in Carestream’s Research & Innovation Laboratories




The following people also contributed to the study: Berkman Sahiner, PhD, Senior Biomedical Research Scientist at US Food and Drug Administration; Samuel G. Armato III, PhD; Heang-Ping Chan, PhD, Institutional Research Collaboration, General Electric Company; Ronald M. Summers, MD, PhD, Royalties, iCAD, Inc Research funded, iCAD, Inc; and Nicholas Petrick, PhD


Diagnostic Reading #21: Five “Must Read” Articles for HIT and Radiology from the Past Week

Imaging volumes and analytics make the news

This week’s articles include: providers need to leverage social media to target women; most physicians don’t know the costs of tests and procedures; many EHRs are missing data for inpatient and outpatient events; continued Image of Big Dataincreases in patient visits to the ED has boosted imaging volumes; and a University of Texas professor contends that it might be a long time before healthcare analytics change the way providers deliver care.

Providers need to embrace social media for patient engagement – Health Data Management

If physicians want to reach today’s consumers, they need to leverage social media to target women who are making the healthcare decisions for their families and households. “Fifty-nine percent of women are making healthcare decisions for others in the United States, and that number shoots up to 94 percent among working moms with kids under 18,” said Dr. Geeta Nayyar, a practicing physician and mother who was one of the keynote speakers at a recent conference. Mothers who are 25 to 45 years old are the ones who are hiring and firing doctors, and using social networking to post online testimonials—both positive and negative.

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Guess the X-ray – June’s Image Challenge

It’s a new month and time for a new “Guess the X-ray” Image Challenge. Last month we posted an image of a  DSLR Camera Flash which was correctly identified; congratulations!

The image for June is below. The challenge will run until the end of the month. “May the odds be ever in your favor.”

To participate, leave your guess in the comments below or on our Facebook page. Good luck!

June Image Challenge

Sorry… Carestream employees and their agencies are prohibited from entering.

Sonographers Shape Design of Touch Prime Ultrasound System

Sonographers, physicians and radiologists make ultrasound product different by design


Like other reputable manufacturers of medical devices, Carestream complies with the FDA’s regulations for design inputs that include functional, performance and safety requirements.  We also support the requirements of an evenPhoto of Carestream Touch Prime Ultrasound System more demanding body: the users of the equipment. A recent example is the design process for our Touch Prime Ultrasound System.

About 100 sonographers, physicians, radiologists, radiology administrators and sonography students from throughout the world touched, prodded and gave feedback on the product throughout its development. We involved customers early in the process so we could implement their feedback and suggestions into the finished product, and modify the occasional rejections.

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