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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 pmHey 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 9 months, 2 weeks ago 16 Members · 22 Replies -
22 Replies
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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? [;)]-
Everything just slows me down. Every effort at efficiency makes me less efficient.-
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Perfected, prepopulated templates, especially for all xrays and US at a minimum if you don’t have them
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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.
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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 UserJune 30, 2023 at 12:45 pmTemplates 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.-
What software are you using to auto-populate DEXA reports?
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What software is used for autopopulating the ultrasound measurements?
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We use Modlink for u/s (incl ABI) and DEXA. Tried GE Viewpoint but had limited usefulness.
Sectra PACS and PS360.
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Quote from TurboEcho
Perfected, prepopulated templates
this x1000. mind boggling how many people don’t use templates. spend a weekend, save thousands of hours.
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If I remember Aidoc had AI for rib fractures and free air among other stuff.
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Unknown Member
Deleted UserJuly 6, 2023 at 12:27 amR scriptor
Spend way less time proofreading reports. Less eye strain etc
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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.
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Unknown Member
Deleted UserJuly 6, 2023 at 2:51 pmIm 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.
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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 UserJuly 9, 2023 at 1:23 pmBetter yet, use a good human transcriptionist.
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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 UserJuly 5, 2023 at 5:36 amEmploy 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 UserJuly 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
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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.