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Structured radiology reports: 8 benefits, 5 challenges

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Oct 11, 2017 | Dave Pearson - Structured reporting in radiology has its detractors, but few would argue against the proposition that the days are numbered for traditional free-text narrative reports. The latter vary too much in language, length and style to consistently aid referring physicians making care decisions—a potentially serious demerit in the “prove your value” care era—while structured reporting offers a way to improve on not only consistency and actionability but also profession-wide quality.

In so many words, that’s the summary conclusion of a task force on structured reporting convened by the Association of University Radiologists and its Radiology Research Alliance.

The task force’s report, published online Oct. 10 in Academic Radiology, acknowledges that structured reporting is a work in progress while suggesting ways for rad practices to overcome its challenges and successfully leverage its strengths.

Along the way, lead author Dhakshinamoorthy Ganeshan, MD, of the University of Texas, senior author Isaac Francis, MD, of the University of Michigan and colleagues itemize eight upsides to implementing structured radiology reporting, along with five difficulties to reckon with.

Here are their lists.

Benefits:

  1. Disease-specific report templates can improve report clarity and quality, and ensure consistent use of terminology across practices.
  2. Checklist style reports can reduce diagnostic errors (such as failing to report incidental renal cell carcinoma in a magnetic resonance spine performed for back pain).
  3. Structured reporting can reduce grammatical and nongrammatical digital speech recognition errors;
  4. ensures completeness of radiology report documentation and thereby improves radiology reimbursement;
  5. may be financially rewarding under the new Medicare Merit-based Incentive Payment System;
  6. positively impacts research in radiology by facilitating data mining;
  7. provides opportunities for quality improvement; and
  8. can help promote evidence-based medicine by integrating clinical decision support tools with radiology reports.

Limitations and challenges:

  1. Radiologists may be resistant to change.
  2. Learning curve associated with new reporting style may negatively impact radiology workflow and productivity.
  3. Potentially increased error rates if used improperly (e.g., failing to remove the prepopulated phrase of “normal gallbladder” in a patient who is post-cholecystectomy).
  4. Interruption of visual search pattern may increase reporting time.
  5. Including unnecessary or irrelevant information in a template report may negatively impact the coherence of the report and its subsequent comprehension by referring physicians.

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Breast cancer genetics revealed: 72 new mutations discovered in global study

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By Susan Scutti, Updated 11:13 AM ET, Mon October 23, 2017 - The genetic causes of breast cancer just got clearer.

Researchers from 300 institutions around the world combined forces to discover 72 previously unknown gene mutations that lead to the development of breast cancer. Two studies describing their work published Monday in the journals Nature and Nature Genetics.

The teams found that 65 of the newly identified genetic variants are common among women with breast cancer.

The remaining seven mutations predispose women to developing a type of breast cancer known as estrogen-receptor-negative breast cancer, which doesn't respond to hormonal therapies, such as the drug tamoxifen.

The new discoveries add to previous research bringing the total number of known variants associated with breast cancer to nearly 180.

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National Consortium of Breast Centers recognizes A. Thomas Stavros with the Inspirational Award.

Las Vegas, Nevada, March 12, 2017 Ikonopedia founder and internationally renowned expert in breast ultrasound is awarded the 2017 Inspirational Award at this years National Consortium of Breast Centers conference.

News

Inspirational Award is presented to

A. Thomas Stavros

An enthusiastic educator, a pioneering researcher, a recognized world expert, a master teacher and innovator, a committed mentor, a tireless leader, and an inspiration to us all.

From Colorado to the entire globe, you're work and effort of your students have impacted thousands of women's lives.

The National Consortium of Breast Centers recognizes your qualities as truly extraordinary!

March 12, 2017
Las Vegas, Nevada


Ikonopedia Builds on Success of Remote Installation of its Structured Breast Reporting Software and Showcases Momentum at RSNA

Richardson, Texas November 21, 2016 – With installations recently completed at such sites as CareFirst Imaging in Ocala, Florida, The Outpatient Diagnostic Center, Beaumont, Texas, Suffolk Medical Imaging, Lake Grove, NY, and Medical Arts Radiology, Long Island, NY, Ikonopedia experienced strong growth in 2016.  Ikonopedia will showcase its suite of breast imaging reporting tools for screening and diagnostic modalities including mammography, ultrasound, and MRI at the upcoming 102nd Annual Radiological Society of North America (RSNA) meeting, November 27-December 2, 2016, in Konica Minolta booth (South Hall #1919), who is an integration partner.

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Frost & Sullivan Recognizes Ikonopedia with Enabling Technology Leadership Award for the Breast Reporting System Market

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Frost & Sullivan lauds Ikonopedia’s Innovative Approach to Optimizing Breast Imaging Reporting and Workflow

Richardson, Texas June 28, 2016— Based on its recent analysis of the breast imaging reporting solutions market, Frost & Sullivan recognizes Ikonopedia with the 2016 Frost & Sullivan Enabling Technology Leadership Award in the Breast Reporting System Market. Ikonopedia is an innovative structured breast reporting and MQSA management system designed to dramatically improve reporting efficiency, and optimize facility operations.

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Ikonopedia to Host First-Ever Web-Based Version of Tyrer-Cuzick Breast Cancer Risk Assessment Tool

Available to Educate Women about Lifetime Risk and Help Support Decision Making Process Regarding Genetic Testing and Breast Cancer Screening

Online Risk Assessment Tool (http://ibis.ikonopedia.com)

Richardson, Texas May 23, 2016 – Ikonopedia announced today that it has reached an agreement to host the first-ever web-based version of the Tyrer-Cuzick Breast Cancer Risk Assessment Tool. Available free of charge, the Tyrer-Cuzick Risk Assessment Tool is utilized to inform women about their lifetime risk of developing breast cancer and to help them make decisions about genetic testing and breast cancer screening options.

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Ikonopedia Completes First-Ever 100 Percent Remote Installation of its Structured Breast Reporting Software

Ikonopedia Implements Web-Based Installation, Applications and Training in Under Two Weeks from Order Date

MENLO PARK, Calif., April 12, 2016 /PRNewswire/ -- Ikonopedia announced the completion of its first completely remote installation of its innovative structured breast reporting software at Welch Road Imaging.  Working against a tight timeframe to meet the opening of the newly relocated imaging center with emphasis on breast imaging, Ikonopedia performed web-based installation, applications and training in less than two weeks.

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Mammography Experts Tell Capitol Hill to "Stop the Confusion"

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Advocacy in Action eNews/ In the June 19, 2015 Issue

Rep. Debbie Wasserman Schultz (D-FL) credits a mammogram for increasing her breast health awareness. That awareness prompted her to perform a routine self-exam, which saved her life, she said, during a Capitol Hill briefing hosted by the Congressional Families Cancer Prevention Program of the Prevent Cancer Foundation and the Society of Breast Imaging (SBI) on June 17.

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Ikonopedia Showcases New MQSA Management System and Reporting Modules at Intensive Breast Ultrasound Meeting


Expanded Suite of Tools Designed to Streamline Processes, Improve Reporting Efficiency, and Optimize Facility Operations

ARLINGTON, VA, September 11, 2014 – Ikonopedia will showcase its new MQSA management system along with four new breast imaging reporting modules here at the Intensive Breast Ultrasound Meeting, September 11-14, 2014.

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Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription.

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Authors

Basma S, Lord B, Jacks LM, Rizk M, Scaranelo AM.

Journal

AJR Am J Roentgenol. 2011 Oct;197(4):923-7. doi: 10.2214/AJR.11.6691.

Abstract

OBJECTIVE: The purpose of this study was to compare the error rates in breast imaging reports generated with automated speech recognition (ASR) technology as opposed to conventional dictation transcription.

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