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 (CVIS), pathology and dozens of other departments to centralize all patient data into one cloud-based data storage and data management system.

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Incidental finding characteristics that warrant communication

Three factors are associated with true high-risk findings—imaging protocols for aortic valve implantation planning, imaging area, and cardiology department orders.

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GPT-4 as accurate as neurologists in predicting final diagnosis based on MRI reports

The large language model can also outperform other human providers, radiologists included, new study shows.

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Providing chatbots with guideline context significantly improves their imaging recs

With proper prompts and appropriate context, chatbots can play a valuable role in imaging referrals. 

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Referring providers share preferences for radiology report templates

New research suggests that there might not be a straightforward answer to questions related to which type of reporting method is ideal. 

Radiologists report fewer false positives when they have access to prior mammograms

Viewing patients' priors consistently improves readers' performances, regardless of experience level, specialization or the volume of screening mammograms they are accustomed to reading. 

lung cancer screening

Large language models not quite ready for cancer staging responsibilities

Although LLMs have seen rapid advancement in recent years, they still cannot compare to human radiologists when it comes to staging cancer using free text reports. 

radiology report bubbles translate informatics imaging

Automated feedback improves trainee reports, especially during after-hours

Such tools can be especially beneficial for trainees working late-night shifts, when quality feedback is generally delayed and more difficult to come by.

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Many radiologists still unfamiliar with opportunistic screening applications

Although AI implementation in clinical practice has taken flight in recent years, opportunistic screening utilization has been less common.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

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