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  • Most effective tools to increase accuracy andor speed in interpretation?

    Posted by iramamir75_398 on June 29, 2023 at 4:29 pm

    Hey there, our group is looking for ways to harness both older and newer software solutions to improve radiologist efficiency, since the market for radiologists is tight and the volumes are increasing faster than ever due to more and older patients and decreased clinical acumen.  Mainly looking at tedious and inefficient parts of the reading workday. What kinds of tools are out there that people have found useful (no Foley catheters please)?
     
    We are looking at pulmonary nodule detection and CXR bone subtraction for instance.
     
    Is there any rib fracture detection software out there?  We tried the rib “unwrapping” recons and it helped a bit but wasn’t great.
     
    How about software that generates readable and well-formatted reports from just train-of-thought type dictation?
     
    Or better determination of relevant priors (we have one  built in “AI” version of this that doesn’t work too well)?
     
    Any other ideas?

    1telerad replied 5 months, 1 week ago 16 Members · 22 Replies
  • 22 Replies
  • katherine.boyd2_320

    Member
    June 29, 2023 at 6:00 pm

    Some low hanging fruit is software to auto-populate CT dose info (if you’re required to report it) and numbers on ultrasound exams (velocities, lengths, etc). Doesn’t necessarily help with accuracy, but takes some of the “scut” out of reports. I’ve been told there’s also software/methods out there to auto populate comparison exams (not sure how reliable it is).
     
    If you’re against Foley catheters, how about rectal tubes? [;)]

    • afazio.uk_887

      Member
      June 29, 2023 at 6:10 pm

       
      Everything just slows me down.  Every effort at efficiency makes me less efficient.  

      • amotter

        Member
        June 29, 2023 at 6:24 pm

        There are some impression generators like RadAI.

        • radiologistkahraman_799

          Member
          June 29, 2023 at 6:48 pm

          Perfected, prepopulated templates, especially for all xrays and US at a minimum if you don’t have them

          • aldoctc

            Member
            June 30, 2023 at 6:04 am

            Quote from TurboEcho

            Perfected, prepopulated templates, especially for all xrays and US at a minimum if you don’t have them

            ^^^^^
            THIS. 
             
            Especially if you can create templates with fields that contain measurements (think: OB U/S) that will grab the measurements and put them into the dictated report.  Honestly, I think I’d stop reading OB U/S if I didn’t have a system to auto-populate the measurement field and had to go back to dictating every last measurement.  
             

            • pranav.devata

              Member
              June 30, 2023 at 8:29 am

              After years in practice, EVERYONE has their way of looking at and reporting findings. So everyone can build a set of templates that flows with the way they look at the exams and creates a standard negative report. Soooo much faster than dictating everything. A normal chest xray takes seconds from start to finish. A DVT study takes a minute. You can clear a uncomplicated head CT through the ED in a minute. And it isn’t a lousy vrad report where there are pages and pages of non-findings and CYA citations. Ugh.
               
              Totally agree on the OB US measurements thing. Probably my least favorite thing to report. Other than vein mapping, which luckily we don’t do anymore.

              • Unknown Member

                Deleted User
                June 30, 2023 at 12:45 pm

                Templates are great, but you still have to look at the images, that is the limiting step. There is a point where you can’t get any faster, and have to live with it.
                 
                I saw a bilateral arterial study recently elaborately describing normal findings in both legs; except that the left leg was amputated after a motorcycle accident yeas before. Whoops.

                • miloszf21

                  Member
                  July 4, 2023 at 11:12 pm

                  What software are you using to auto-populate DEXA reports?

                  • nuhahussein320

                    Member
                    July 5, 2023 at 7:24 am

                    Modlink is one option.

                    • Gaynorjarvis

                      Member
                      July 5, 2023 at 9:07 am

                      What software is used for autopopulating the ultrasound measurements?

                    • aldoctc

                      Member
                      July 5, 2023 at 9:35 am

                      We use Modlink for u/s (incl ABI) and DEXA.  Tried GE Viewpoint but had limited usefulness.  
                       
                      Sectra PACS and PS360.  
                       

          • drhuseyingunduz_61

            Member
            July 5, 2023 at 1:30 pm

            Quote from TurboEcho

            Perfected, prepopulated templates

            this x1000. mind boggling how many people don’t use templates. spend a weekend, save thousands of hours.

            • sanad50_506

              Member
              July 5, 2023 at 5:45 pm

              If I remember Aidoc had AI for rib fractures and free air among other stuff.

              • Unknown Member

                Deleted User
                July 6, 2023 at 12:27 am

                R scriptor

                Spend way less time proofreading reports. Less eye strain etc

                • y.rajshekar

                  Member
                  July 6, 2023 at 2:36 pm

                  I went from using templates to just trying to dictate everything as nonstop talking to mic while going through the search pattern. Takes too long to look back and forth between template and images. Agree, autopopulating numbers and histories is great when it works. Modlink software breakes each time we upgrade servers. 

                  • Unknown Member

                    Deleted User
                    July 6, 2023 at 2:51 pm

                    Im a firm believer in templates.

                    But I have some young colleagues who dictate their reports. They are great radiologists, fast and the reports are relatively thorough. Sometimes hard to follow is the only criticism. Cant figure out how they do it, but they probably shouldnt change anything.

                  • radiologistkahraman_799

                    Member
                    July 6, 2023 at 3:05 pm

                    Quote from DrBoogie

                    I went from using templates to just trying to dictate everything as nonstop talking to mic while going through the search pattern. Takes too long to look back and forth between template and images. Agree, autopopulating numbers and histories is great when it works. Modlink software breakes each time we upgrade servers. 

                     
                    Trick is to not look at PS.  Keep eyes on the images.  Use fields and beeps to know you are in correct field.  Look once at end. 

                    • Unknown Member

                      Deleted User
                      July 9, 2023 at 1:23 pm

                      Better yet, use a good human transcriptionist.

  • tdetlie_105

    Member
    June 29, 2023 at 6:54 pm

    Quote from Zakharov

    Hey there, our group is looking for ways to harness both older and newer software solutions to improve radiologist efficiency, since the market for radiologists is tight and the volumes are increasing faster than ever due to more and older patients and decreased clinical acumen.  Mainly looking at tedious and inefficient parts of the reading workday. What kinds of tools are out there that people have found useful (no Foley catheters please)?

    We are looking at pulmonary nodule detection and CXR bone subtraction for instance.

    Is there any rib fracture detection software out there?  We tried the rib “unwrapping” recons and it helped a bit but wasn’t great.

    How about software that generates readable and well-formatted reports from just train-of-thought type dictation?

    Or better determination of relevant priors (we have one  built in “AI” version of this that doesn’t work too well)?

    Any other ideas?

     
    I may be ignorant but don’t think that technology has arrived yet. The AI I’ve been exposed to is binary (+/-acute intracranial hemorrhage, PE, rib fx), nothing about interval change, comparison to prior studies, possible artifact, or anything related to actual dictation/notifying clinicians etc 

  • Unknown Member

    Deleted User
    July 5, 2023 at 5:36 am

    Employ more Radiologists. Productivity is maxed out. Your inane attempts at increasing productivity are insulting!
    Keep going down this path and you will only succeed in losing the Rads you already have.

  • Unknown Member

    Deleted User
    July 5, 2023 at 9:37 am

    Quote from Zakharov

    Hey there, our group is looking for ways to harness both older and newer software solutions to improve radiologist efficiency, since the market for radiologists is tight and the volumes are increasing faster than ever due to more and older patients and decreased clinical acumen.  Mainly looking at tedious and inefficient parts of the reading workday. What kinds of tools are out there that people have found useful (no Foley catheters please)?

    We are looking at pulmonary nodule detection and CXR bone subtraction for instance.

    Is there any rib fracture detection software out there?  We tried the rib “unwrapping” recons and it helped a bit but wasn’t great.

    How about software that generates readable and well-formatted reports from just train-of-thought type dictation?

    Or better determination of relevant priors (we have one  built in “AI” version of this that doesn’t work too well)?

    Any other ideas?

    No

  • 1telerad

    Member
    December 7, 2023 at 10:02 pm

    rScriptor. I hated going back and forth all the time like I’m watching a tennis match before I started using it. You can create very high quality reports with very little effort.