Diagnostic Reading #28: Five “Must Read” Articles on HIT and Radiology from the Past Week

Articles include an imaging technique that helps with cancer research; and survey shows large practices are increasingly more satisfied with their EHR vendors

A study reduces fears that use of clinical decision support systems could result in imaging exams being referred to other locations; an article reports telemedicine has the potential to dramatically transform the delivery of healthcare for millions of Americans; researchers report that observing eye-movement patterns in radiologists interpreting scans indicates each radiologist’s expertise and level of experience; new research through imaging shows a specific calcium molecule (TRPV6) is linked to aggressive cancers when it stops regulating itself properly; and a new survey shows large practices are increasingly more satisfied with their EHR vendors.

How to evaluate, use imaging clinical decision support 

A study conducted by physicians at Massachusetts General Hospital reduces fears that using clinical decision support (CDS) systems for imaging exams could lead to referring physicians sending their imaging orders to other locations. After reviewing 4,866 studies that had been initially flagged as low value by CDS software and were subsequently canceled by the referring provider, the team found that 111 were ultimately performed within 60 days.Doctor workplace with digital tablet and stethoscope Continue reading

Reducing Sonographer Injuries Takes a Team Approach

Sonographers, practice managers and manufacturers can help reduce musculoskeletal disorders

Ultrasound’s expanding clinical capabilities and its relatively low cost make it a popular imaging choice. And its growing popularity is impacting sonographers’ workload. An imaging department that performed 10 to 20 exams daily in the past might be completing 50 or more today. Often, this growth is managed with the same number of staff, requiring individuals to perform 12 to 15 exams a day. This increased volume is placing added strain on sonographers who are already at risk of injuries like carpal tunnel syndrome from repetitive motions. Up to 90% of ultrasound professionals report work-related musculoskeletal disorders (WRMSD) injSonographer holding an ultrasound transduceruries at some point in their careers.

It takes a surprising number of movements to capture a good diagnostic image. Numerous movements are required to place a patient in the proper position. This is followed by a series of actions – back and forth and up and down – to place the equipment properly; and many ultrasound models have significant weight to them.

Directors of radiology work closely with their sonographers to help reduce their risk of injury not only because they care about their welfare, but also because of the potential economic impact on Continue reading

Diagnostic Reading #27: Five “Must Read” Articles on HealthIT and Radiology from the Past Week

Top news includes clinical decision making, EHRs and personalized recommendations in healthcare


This week’s articles include: radiologists playing a more active role in clinical decision making; use of EHR and CPOE systems create added clerical work for doctors; new systems can deliver a doctor’s personalized recommendations to patients to enhance compliance; a color-coded, user-friendly dashboard that tracks ER exams allows medical staff to better monitor patients; and companies are experimenting with ways to reach lower-income patients through apps, text messaging and video conferencing.

Radiologists Take On Bigger Role in Diagnosis – Wall Street Journal

At one of the top radiology departments in the country radiologists are now playing an active role in helping clinicians make medical decisions for their patients. Radiologists at NYU Langone Medical Center provide their analysis of imaging studies (via computer screen) as medical staff make their rounds in pediatrApplications in healthcare photoic intensive care units, where frail patients are imaged daily to monitor their progress. The initiative to involve radiologists in making treatment decisions is led by Michael Recht, chairman of the radiology department, who oversees more than 200 physicians
and researchers.

EHRs are making things harder for physicians – DotMed Healthcare Business News

Physicians who used an EHR and CPOE were 30 percent less likely to be satisfied with clerical burden, according to a Mayo Clinic physician who was the lead author of a study. Doctors spend hours placing orders for patient procedures such as imaging exams and lab tests and are also spending more than 10 hours a week using the EHR on nights and weekends, according to the study. Continue reading

The U.S. Consolidated Appropriations Act: Financing the Transition to DR

Rental, retrofit and trade-in options for moving to digital radiographyCSH_USC_ITN_Banners_FINAL


The benefits of digital radiology (DR) are widely recognized by the medical imaging community. They include improved image quality, reduced radiation dose to patients and a more productive radiology workflow than computed radiography (CR). In fact, WellStar North Fulton Hospital told 24×7 magazine that DR reduces their processing time by 90 to 95%. With fast and efficient DR technology, they can see more patients and gain higher utilization of their assets.

The advantages of DR – along with upcoming reimbursement cuts for film and CR exams as a result of the U.S. Consolidated Appropriations Act (also known as HR 2029) – make a strong case for facilities to transition to digital x-ray. Yet at least 8,000 CR systems are still in use today, according to IMV Medical Information Division’s “2015 X-ray Market Report”.  Why the delay?

Some medical xray facilities are reluctant to make the transition because their CR systems are working reliably. For others, the biggest hurdle is finding a cost-effective path to upgrade their existing technology. That’s why Carestream offers three smart options, in the United States, to help customers transition from CR to DR without a large upfront capital investment: rental, retrofit and trade-in. Continue reading

Diagnostic Reading #26: Five “Must Read” Articles on HIT and Radiology from the Past Week

Top news includes impact of collaboration with radiologists and telemedicine


This week’s articles include: radiologists who collaborate with referring physicians can achieve better utilization of imaging exams; mobile devices can give patients control of their health data; VP Biden announces new data sharing initiatives to boost effectiveness in the fight against cancer; Americans are more concerned with healthcare costs than terrorist attacks; and the AMA embraces telemedicine after previously questioning its viability. telemedicine

Utilization management program points out positives of radiologist involvement

When radiologists collaborate with referring physicians to proactively manage imaging utilization, their participation has more weight tipping the scale toward success than does the specialty of the referrer. And the rad’s input has the greatest impact on primary care physicians who are heavy users of imaging exams.

‘Medicalized’ smartphones to put health data in hands of patients

The world is on the verge of a fourth industrial revolution, characterized by artificial intelligence, robots, big data and deep learning and analytics. But medicine is still stuck at the beginning of the third industrial revolution, which has already brought digital capabilities to billions of people worldwide. A Scripps Health cardiologist sees mobile devices as the technological enabler for the “democratization” of medicine by giving patients control of their own health data, which has historically been the exclusive domain of doctors. Continue reading

Experience with Latest Ultrasound Equipment Eases Transition to Workforce

Insights from a new graduate

In the world of ultrasound, there are incredible amounts of changes in technology that cause equipment to get outdated quickly. The differences in devices are especially evident to students and graduates as they transition from the classroom to clinical practice.

Kayla Sickles, a Technical Director, Echocardiographer and Vascular Sonographer at a private outpatient office, says when older technology is used in the classroom, students don’t gain experience or have the opportunity to practice on the equipment that they will actually use in the field.

“Ultrasound is very user dependent,” explains Sickles. “If you don’t take a picture, the radiologist doesn’t see it and therefore could give a wrong diagnosis.”

To help provide a better real world experience for students like Sickles, Carestream is donating $1 million in new ultrasound systems to the Rochester Institute of Technology’s Diagnostic Medical Sonography Program to be installed in RIT’s new Clinical Health Sciences Center. The donation will help RIT faculty provide a richer academic experience for students through involvement with a broader variety of ultrasound systems. Continue reading

La mHealth va a proporcionar un nuevo flujo de información útil para el paciente radiológico

Todo lo que hacemos en Radiología Médica necesita mejorar la precisión, elevar la capacidad diagnóstica y disminuir los riesgos

Miguel Ángel de la Cámara es uno de los comunicadores españoles más activos en el área de la radiología. Con la vista siempre puesta en incrementar el conocimiento de la radiología 1 entre profesionales y pacientes, conjuga día a día su labor como técnico en radiología en el Hospital de Talarrubias (Servicio Extremeño de Salud) y su inquietud como divulgador polivalente 2. Su trabajo le ha llevado a estar entre los top influencers de salud en España 3. Everything Rad ha querido pedirle su opinión sobre el 3 3 Congreso de la Sociedad Española de Radiología celebrado en Bilbao y el futuro de la radiología.

Apasionado por las nuevas tecnologías y su aplicación a la radiología, de la Cámara destaca el entusiasmo de los nuevos residentes y el encuentro que un grupo de tuiteros celebró en el Congreso

Foto encuentro tuiteros


¿Qué destacaría del Congreso de Bilbao desde la perspectiva del profesional de la radiología?

Creo que están emergiendo algunas novedades importantes como la construcción colaborativa del conocimiento. En radiología, todo está conectado y, aunque el informe radiológico es el valor principal, estamos creando valor respecto a muchos procesos que antes no eran tan visibles como son la cultura de seguridad o el postproceso complejo. Creo que se está yendo mucho más allá del informe radiológico, aunque sigue olvidándose, por ejemplo la enorme cantidad de actividad radiológica que hay en atención primaria. La radiología no está sólo en el hospital.

Continue reading

Guess the X-ray: July’s Image Challenge

July is upon us so that means it is time to put on your thinking caps and“Guess the X-ray” Image Challenge! Congratulations to those who correctly guessed the June image challenge!  The correct answer was — a necklace!

We welcome radiologists, technicians, 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.

Good luck!


July Image Challenge

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

Diagnostic Reading #25: Five “Must Read” Articles on HIT and Radiology from the Past Week

HealthIT spending and MRIs in collegiate sports are in the news

This week’s articles include: a study that reports 67 percent of 157 healthcare leaders plan to increase health IT budgets; MRI exams show knee damage in collegiate basketball players before they experience pain; a recent survey detailed some disturbing trends regarding the state of information exchange in healthcare; handheld microscopes  can be attached to mobile phones to help diagnose intestinal parasites; and IBM Watson has formed a new coalition to improve the way physicians use medical imaging data in their daily practices.

How HIT executives can meet rising ROI demand – Health Data Management

Thanks to widespread product innovation and federal drivers like the HITECH Act, IT is viewed as a key component in the overall strategy of a healthcare organization. A new study reports 67 percent of 157 healthcare leaders plan to increase health IT budgets. And as more money is dedicated to technology, a greater return is expected. illustration of the word ROI

MRI study uncovers commonality of knee problems in pain-free basketball players – Health Imaging

Most collegiate hoopsters pounding the court day after day show no signs of serious knee injury. However, an MRI-based study published in the Clinical Journal of Sport Medicine shows that no pain is no assurance of no damage. Continue reading

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