Clinical Informatics Applications in Radiology

Medical imaging and radiologic technologists remain frontrunners in changing healthcare paradigm

Illustration of head full of data

Rad techs are frontrunners in changing healthcare paradigm

The evolution and integration of clinical informatics platforms and applications in radiology departments is happening faster than we realize. It is imperative for Radiologic Technologists (RTs) to fully understand the impact and significance of the emerging health information technologies being used in medical imaging in order to provide quality patient-centered care and have greater insight into the bigger picture of healthcare’s future.

Digital imaging, alongside electronic health records (EHRs), has been at the forefront for some time. Also, the role of imaging informatics in radiology departments has proven beneficial in the care of the patient.  Radiologic Technologists utilize very technical equipment to produce medical images and clinical informatics platforms and/or applications to serve and care for patients. RTs continuing adoption of technology adds to their continued relevance in the healthcare system. Continue reading

Diagnostic Reading #32: Five “Must Read” Articles on HIT and Radiology

In the news this week: articles for radiologists new to the profession as well as seasoned HIT professionals

Picture of radiographer dictating while reading a radiograph

This week’s articles include: radiation is not the only risk for pediatric patients; AI learns to predict schizophrenia from MRI brain scan; role of healthcare data governance in big data analytics; tips on how to select the right EHR replacement vendor and system; and Radiology Nation provides tools for radiologists in training.

Radiation not the only risk to consider when imaging pediatric patients – Radiology Business

When managing the care of pediatric patients, both referring physicians and radiologists know it’s important to consider the risks associated with radiation exposure. But according to a recent article in JACR, focusing too much on those risks and not considering other key factors can end up potentially harming the patient.

AI ‘learns’ to predict schizophrenia from brain MRI – Radiology Business

A collaborative effort between IBM and the University of Alberta in Canada has produced artificial intelligence and machine learning algorithms that are able to examine MRI exams and predict schizophrenia with 74 percent accuracy. The retrospective analysis also showed the technology was able to determine the severity of symptoms by examining activity in various regions of the brain. Continue reading

Forecasting the Enterprise Imaging Platform of the Future

NYU Winthrop Hospital reviews four drivers that will impact your  imaging strategy

Reflect in crystal ball

From presidential elections to wearable devices, there are multiple forces shaping healthcare. As administrative director at NYU Winthrop Hospital, it’s my job to make sure that our enterprise imaging platform can evolve with the changes.

MACRA, of course, will bring considerable change.  That topic alone is worthy of its own blog. For now, I will focus on four other key drivers that are shaping our enterprise imaging strategy for the future:

  • Impact of switching from fee-for-service to value-based care
  • Increased clinical collaboration
  • Patient engagement
  • Increased interactivity and interoperability

Continue reading

El Físico Médico en Radiología

Dra. María Luisa Chapel: “El físico médico es una figura imprescindible en la medicina radiológica actual”

Recientemente se han cumplido dos años desde que María Luisa Chapel, responsable del Servicio de Radiofísica y Protección Radiológica del Hospital Universitario Ntra. Sra. de Candelaria (Tenerife),  ocupase la presidencia de la Sociedad Española de Física Médica  (SEFM). La elección de Chapel, tuvo lugar en 2015 durante el congreso anual de esta sociedad científica celebrado en Valencia.

Chapel lleva más de 25 años trabajando  en el mundo  hospitalario y casi 20 como especialista en Radiofísica Hospitalaria; de hecho, desde la creación de la especialidad. La presidenta de la SEFM advierte que la Física Médica es una de las grandes desconocidas del mundo sanitario, tanto por parte del propio sector como de los pacientes, que no conocen “el trabajo que realizamos dentro de los hospitales”. En este sentido, considera que “debe apostarse por divulgar de forma amplia y comprensible, a la par que rigurosa, la profesión y la física médica”.

Everything Rad le ha entrevistado para que nos explique los cambios y las tendencias en el área de la física médica y, en qué medida, estos y otros avances van a contribuir al desarrollo futuro del diagnóstico por imagen y del cuidado del paciente. Continue reading

Diagnostic Reading #31: Five “Must Read” Articles on HIT and Radiology

Medical record storage, over-recommended mammograms, and point-of-care ultrasound are in the news

Picture of patient holding a wireless detector on his knee

This week’s articles include: Kaiser EDs implement head CT trauma rules that reduce utilization; how long should healthcare providers save medical images; U.S. physicians over-recommend mammography; more point-of-care ultrasound is needed in ambulances and in ED; and the ACR launches a project that brings the brightest imaging informatics minds together with industry stakeholders and patient advocates to discuss who can use and own patient data, what methods of communication are best, and how AI can be used.

Community EDs cut needless trauma CT using Canadian rule – Health Imaging

After implementing an established rule for selecting head CT for trauma patients, 13 Kaiser Permanente community EDs in Southern California reduced avoidable head CT utilization by 5.3 percent while improving their performance on injury identification, according to a study published in Annals of Emergency Medicine. Continue reading

Guess the X-ray: August Image Challenge

Can you guess the image in the X-ray?

Happy August!

It’s August and with every new month comes a new “Guess the X-ray Image Challenge!”  We welcome radiologists, technologists, RAs, MDs, PAs – or anyone who thinks they’re up to the challenge – to guess the subject in this X-ray. Please leave your answer in the comment section below or on our Facebook page. The challenge will stop at the end of the month.

Congratulations to those who correctly guessed the July image challenge!  The correct answer was — a clock

Happy guessing and good luck!

Medical Imaging in the NFL

A radiology technologist gives his view from the sidelines

image of American football with team standing in a huddle

NFL preseason kicks off Aug. 3!  For many fans, a player’s physical condition is as important as their number of sacks or passing yards. And of course, medical imaging plays an essential diagnostic role in the NFL.

At the annual AHRA conference in July, Anthony Anderson, radiologic technologist for the Seattle Seahawks for the last 15 years, gave attendees a behind-the-sidelines look at the role of radiology in the NFL.

Anderson said that all players participate in a pre-draft physical that includes an MRI. The players are scanned when they are healthy so physicians have a baseline image for comparison. Continue reading

Diagnostic Reading #30: Five “Must Read” Articles on HIT and Radiology

AI’s influence on patient outcomes and phone interruptions to radiologists are in the news

Picture of radiographer dictating while reading a radiograph

This week’s articles include: dangers of phone interruptions for reading radiologists; use of AI can help physicians predict and improve patient outcomes; new heart imaging method might predict heart attacks; PET can accurately detect or exclude Alzheimer’s; and HIMSS Europe joins with Health 2.0 to coordinate 2018 digital health conference in Europe.

Phone interruptions can increase discrepancies – AuntminnieEurope

Both radiologists and referrers are far too quick to accept telephone interruptions. Telephone calls are one of the most frequent interruptions to reporting, and a call during the hour before completing a report may increase the chance of discrepancies by 12 percent. A study found that interruptions occur alarmingly often. Continue reading

Medical Imaging Technology to Support Value-Based Care

The impact of switching from fee-for-service to VBC on your enterprise imaging strategy

The shift from fee-for-service (FFS) to value-based care (VBC) plays out in many ways throughout healthcare, including medical imaging technology. But because radiology has its own guiding principles, it is unique in its reaction to this shift.

“Imaging does not naturally fit into many of the outcomes-driven, value-based models,” said Dr. James Whitfill, addressing attendees at SIIM 2017.

Fortunately, new guidelines and technologies have emerged to help radiology support the shift to Value-Based Care.

Supporting standards for medical imaging studies

The use of standards of appropriateness for ordering imaging studies can be bolstered through decision-support systems for ordering advanced imaging studies such as CT, PET, and MRI. The systems can help weigh the risk factors involved in dose as well as the potential benefit of the study. Continue reading

Diagnostic Reading #29: Five “Must Read” Articles on HIT and Radiology

New this week: the human role in AI and cybersecurity; sonographers’ role in the UKPicture of patient holding a wireless detector on his knee

This week’s articles include: artificial intelligence and the future of medicine; cybersecurity training strategies for employees; information technology tools assist daily radiology workflows; the increasing role of sonographers in the UK; and radiology residents lack training in patient communication.

Our health data—the most important medical discovery of our time – HIE Answers

Although the future of medicine includes artificial intelligence (AI), none of it will be possible unless we properly manage our medical data. Our own medical studies, pathology results, CAT scans, and lab values enable this medical revolution. This transformation in how we think about healthcare data poses many technical and ethical challenges. To enable breakthroughs, we must appropriately store, curate, and share immutable data.  Continue reading