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.

Keith J. Dreyer, DO, PhD, FACR, American College of Radiology (ACR) Data Science Institute Chief Science Officer, explains artificial intelligence (AI) for radiology. Dreyer also holds the positions of vice chairman of radiology at Massachusetts General Hospital, chief data science and information officer for the departments of radiology for both Massachusetts General Hospital and Brigham and Women's Hospital.

VIDEO: Where will radiology AI be in 5 years?

Keith J. Dreyer, DO, PhD, FACR, American College of Radiology (ACR) Data Science Institute Chief Science Officer, explains 5 developments to watch for in radiology artificial intelligence (AI).

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How do radiologists really feel about adopting AI? New data offer insight

Up to 60% of radiologists have intentions of adopting artificial intelligence tools into clinical practice in the near future. 

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How 'bunker shifts' increase radiologist productivity and decrease long-list anxiety

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.”

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EHR tracking system significantly improves diagnostic timelines for liver cancer patients

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.

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EHR-based solutions to the iodinated contrast shortage reduce usage by 12%

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.

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Why do so few patients utilize online access to radiology results?

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

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Radiology report follow-up recommendations: 4 ways to improve patient compliance

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

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18F-FDG PET/CT radiomics nomogram provides detailed insight into neuroblastoma

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

Around the web

Positron, a New York-based nuclear imaging company, will now provide Upbeat Cardiology Solutions with advanced PET/CT systems and services. 

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.