Enterprise Imaging

Enterprise imaging brings together all imaging exams, patient data and reports from across a healthcare system into one location to aid efficiency and economy of scale for data storage. This enables immediate access to images and reports any clinical user of the electronic medical record (EMR) across a healthcare system, regardless of location. Enterprise imaging (EI) systems replace the former system of using a variety of disparate, siloed picture archiving and communication systems (PACS), radiology information systems (RIS), and a variety of separate, dedicated workstations and logins to view or post-process different imaging modalities. Often these siloed systems cannot interoperate and cannot easily be connected. Web-based EI systems are becoming the standard across most healthcare systems to incorporate not only radiology, but also cardiology, pathology and dozens of other departments to centralize all patient data into one cloud-based data storage and data management system.

Meaningful Use and radiology

After day shifts began bleeding into night shifts at frustratingly frequent rates, one radiology practice in Kentucky devised a plan to get its lengthy worklists back on track—enter the “bunker shift.”

Implementing an EHR cancer tracking system to review radiology reports for abnormal findings resulted in patients at one Veterans Affairs Hospital receiving their cancer diagnosis and treatment months earlier than those who were imaged before the system was put into place.

radiology reporting EHR health record CDS AUC

This week in AJR, experts from a large, multisite health system detailed their efforts to preserve contrast supplies by implementing electronic health record (EHR) order entry-based interventions.

Of 139,000 individuals enrolled in an online patient portal, just 27% viewed their radiology reports. 

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One out of every seven radiologist follow-up recommendations contained in imaging reports is not carried out, experts recently reported in JAMA Network Open.

neuroblastoma prognosis

Better risk stratification can improve clinical decision making and better outcomes, experts involved in the study explained in EJR.

enteric tube placement on radiographs

The model was externally validated using more than 1,500 radiographs with real-world incidence of critically misplaced tubes. 

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Using CBIRS decreased interpretation times despite the radiologists who utilized them having to review the additional information the system provided.

Examples of new plaque reporting in the CAD-RADS 2.0 document. Left, an example from CAD-RADS 2 / P2 plaque burden with mild coronary stenosis (25-49%). Right, example of a CAD-RADS 5/ P3, with a focal, non-calcified occlusion of the proximal RCA (arrow) and severe amount of plaque (P3). #CADRADS #YesCCT #CTA #CCTA

The document includes updated classification to established a framework for stenosis, plaque burden and plaque modifiers, including assessment of CT-FFR or myocardial CT perfusion.

This week Bayer announced the launch of Calantic Digital Solutions, a suite of applications intended to optimize clinical workflows by triaging and prioritizing critical findings, improving disease detection and automating tasks for radiologists. 

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Researchers recently revamped the database in the hopes of expanding algorithm development in the field of stroke care. 

In a sampling of 2,273 chest radiographs of kids aged 2 to 18-years-old the AI-based software achieved diagnostic accuracies ranging from 86% to 96.9% for detecting a myriad of pathologies.

Around the web

There is not agreement among the top structural heart experts if CT is required for left atrial appendage occlusion (LAAO), but a Henry Ford Hospital study shows it can improve outcomes.

Ron Blankstein, MD, Brigham and Women's Hospital, explains recent advances in coronary computed tomography angiography (CCTA) technology. 

With the elevation of cardiac CT to a 1A indication in the 2021 Chest Pain Guidelines, there has been a large amount of interest in starting coronary artery CT angiography (CCTA) programs. 

   
   
   
   
   
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