Abstract：
:The increasing use of medical checklists to promote patient safety raises the question of their utility in diagnostic radiology. This study evaluates the efficacy of a checklist-style reporting template in reducing resident misses on cervical spine CT examinations. A checklist-style reporting template for cervical spine CTs was created at our institution and mandated for resident preliminary reports. Ten months after implementation of the template, we performed a retrospective cohort study comparing rates of emergent pathology missed on reports generated with and without the checklist-style reporting template. In 1,832 reports generated without using the checklist-style template, 25 (17.6%) out of 142 emergent findings were missed. In 1,081 reports generated using the checklist-style template, 13 (11.9%) out of 109 emergent findings were missed. The decrease in missed pathology was not statistically significant (p = 0.21). However, larger differences were noted in the detection of emergent non-fracture findings, with 17 (28.3%) out of 60 findings missed on reports without use of the checklist template and 5 (9.3%) out of 54 findings missed on reports using the checklist template, representing a statistically significant decrease in missed non-fracture findings (p = 0.01). The use of a checklist-style structured reporting template resulted in a statistically significant decrease in missed non-fracture findings on cervical spine CTs. The lack of statistically significant change in missed fractures was expected given that residents' search patterns naturally include fracture detection. Our findings suggest that the use of checklists in structured reporting may increase diagnostic accuracy.
journal_name
J Digit Imagingjournal_title
Journal of digital imagingauthors
Lin E,Powell DK,Kagetsu NJdoi
10.1007/s10278-014-9703-2subject
Has Abstractpub_date
2014-10-01 00:00:00pages
588-93issue
5eissn
0897-1889issn
1618-727Xjournal_volume
27pub_type
杂志文章abstract：:While the implementation of Picture Archiving and Communication Systems (PACS) has revolutionized the field of radiology, there has been considerably less utilization of PACS by emergency physicians with point-of-care ultrasound. Benefits of PACS archival of images include improved quality assurance, preservation of i...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-016-9893-x
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Orthopedic trauma care relies on two-dimensional radiograms both before and during the operation. Understanding the three-dimensional nature of complex fractures on plain radiograms is challenging. Modern fluoroscopes can acquire three-dimensional volume datasets even during an operation, but the device limi...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-007-9078-8
更新日期：2009-10-01 00:00:00
abstract：:Cardiovascular disease is the leading cause of global mortality, yet its early detection remains a vexing problem of modern medicine. Although the computed tomography (CT) calcium score predicts cardiovascular risk, relatively high cost ($250-400) and radiation dose (1-3 mSv) limit its universal utility as a screening...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-011-9385-y
更新日期：2012-02-01 00:00:00
abstract：:The Integrating the Healthcare Enterprise (IHE) Teaching File and Clinical Trial Export (TCE) integration profile describes a standard workflow for exporting key images from an image manager/archive to a teaching file, clinical trial, or electronic publication application. Two specific digital imaging and communicatio...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-007-9052-5
更新日期：2008-12-01 00:00:00
abstract：:Emission tomographic image reconstruction is an ill-posed problem due to limited and noisy data and various image-degrading effects affecting the data and leads to noisy reconstructions. Explicit regularization, through iterative reconstruction methods, is considered better to compensate for reconstruction-based noise...
journal_title：Journal of digital imaging
pub_type： 杂志文章,评审
doi：10.1007/s10278-015-9853-x
更新日期：2016-06-01 00:00:00
abstract：:A long-standing challenge of content-based image retrieval (CBIR) systems is the definition of a suitable distance function to measure the similarity between images in an application context which complies with the human perception of similarity. In this paper, we present a new family of distance functions, called att...
journal_title：Journal of digital imaging
pub_type： 杂志文章,评审
doi：10.1007/s10278-007-9084-x
更新日期：2009-04-01 00:00:00
abstract：:Perfusion CT of the liver typically involves scanning the liver at least 20 times, resulting in a large radiation dose. We developed and validated a simplified model of tumor blood supply that can be applied to standard triphasic scans and evaluated whether this can be used to distinguish benign and malignant liver le...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-014-9725-9
更新日期：2015-04-01 00:00:00
abstract：:There is continual pressure on the radiology department to increase its productivity. Two important links to productivity in the computed/digital radiography (CR/DR) workflow chain are the postprocessing step by technologists and the primary diagnosis step by radiologists, who may apply additional image enhancements t...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-004-1000-z
更新日期：2004-09-01 00:00:00
abstract：:Surface morphology and shape in general are important predictors for the behavior of solid-type lung nodules detected on CT. More broadly, shape analysis is useful in many areas of computer-aided diagnosis and essentially all scientific and engineering disciplines. Automated methods for shape detection have all previo...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-014-9732-x
更新日期：2015-04-01 00:00:00
abstract：PURPOSE:To identify practical issues surrounding delivering digital images from picture archiving and communication systems (PACS) for research and teaching purposes. The complexity of Digital Imaging and Communications in Medicine (DICOM) access methods, security, patient confidentiality, PACS database integrity, port...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03190313
更新日期：2001-06-01 00:00:00
abstract：:Opinion surveys were gathered before and 6 months after installation of a prototype picture archiving and communication system (PACS) (PACS/1, Siemens Medical Systems, Iselin, NJ). Median turnaround times and the percent of delayed or missing reports were calculated for 1,026 baseline and 8,438 follow-up studies at 6 ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03167836
更新日期：1992-05-01 00:00:00
abstract：:In Hokkaido University Hospital, the large-scale PACS has been in clinical use since 1989. We developed various kinds of imaging terminals such as the image input terminal and the image display terminal for this system. This article presents detailed description of these terminals. ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168146
更新日期：1991-11-01 00:00:00
abstract：:This study tracked a radiology department's conversion from utilization of a Kodak Amber analog system to a Kodak DirectView DR 5100 digital system. Through the use of ProModel Optimization Suite, a workflow simulation software package, significant quantitative information was derived from workflow process data measur...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-006-0770-x
更新日期：2006-01-01 00:00:00
abstract：:We investigated the association between the textural features obtained from 18F-FDG images, metabolic parameters (SUVmax, SUVmean, MTV, TLG), and tumor histopathological characteristics (stage and Ki-67 proliferation index) in non-small cell lung cancer (NSCLC). The FDG-PET images of 67 patients with NSCLC were evalua...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-017-9992-3
更新日期：2018-04-01 00:00:00
abstract：:Transitioning to a filmless department is no easy task, especially at a large academic medical center. At the University of Medicine and Dentistry of New Jersey-New Jersey Medical School, a phased modality integration schedule was implemented to allow the technical and clinical staff to gradually absorb all of the cha...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-002-5044-7
更新日期：2002-01-01 00:00:00
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journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-002-5078-x
更新日期：2002-01-01 00:00:00
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journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-010-9350-1
更新日期：2011-10-01 00:00:00
abstract：:In this report, a novel technique is proposed for computer-aided automatic extraction of microcalcifications in a digital mammogram. First, the microcalcifications are detected by morphological filtering, followed by entropy-based thresholding. Next, the microcalcifications are segmented by computing regional watershe...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03167642
更新日期：2000-05-01 00:00:00
abstract：:We propose the design of a teaching system named Interpretation and Diagnosis of Mammograms (INDIAM) for training students in the interpretation of mammograms and diagnosis of breast cancer. The proposed system integrates an illustrated tutorial on radiology of the breast, that is, mammography, which uses education te...
journal_title：Journal of digital imaging
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doi：10.1007/s10278-008-9111-6
更新日期：2009-08-01 00:00:00
abstract：:In this investigation the effect of JPEG 2000 compression on the contrast-detail (CD) characteristics of digital mammography images was studied using an alternative forced choice (AFC) technique. Images of a contrast-detail phantom, acquired using a clinical full-field digital mammography system, were compressed using...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-003-1728-x
更新日期：2004-03-01 00:00:00
abstract：:To illustrate the availability, effectiveness, and practical use of Open-Source tools in developing a radiology paper from its beginning to its presentation and publication. Practical use of a complete set of Open-Source applications for writing, e-mail corresponding, slide show, image retrieval, and manipulation is s...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-008-9159-3
更新日期：2009-12-01 00:00:00
abstract：:Training as a radiology resident is a complex task. Residents frequently encounter multiple hospital systems, each with unique workflow patterns and heterogenous information systems. We identified an opportunity to ease some of the resulting anxiety and frustration by centralizing high-quality resources using a wiki. ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-010-9292-7
更新日期：2011-02-01 00:00:00
abstract：:In this article, we describe the development and validation of an automatic algorithm to segment brain from extracranial tissues, and to classify intracranial tissues as cerebrospinal fluid (CSF), gray matter (GM), white matter (WM) or pathology. T1 weighted spin echo, dual echo fast spin echo (T2 weighted and proton ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168729
更新日期：1998-05-01 00:00:00
abstract：:Today, many hospitals have a running enterprise picture archiving and communication system (PACS) and their administrators should have the tools to measure the system activity and, in particular, how much it is used. The information would be valuable for decision-makers to address asset management and the development ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-016-9870-4
更新日期：2016-12-01 00:00:00
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journal_title：Journal of digital imaging
pub_type： 杂志文章,评审
doi：10.1007/s10278-013-9579-6
更新日期：2013-10-01 00:00:00
abstract：:The architectural design and construction of a new imaging department is one of the most complex challenges in healthcare architecture. When a client also plans a simultaneous change in basic operating system technology from film-based to filmless imaging, the challenge for both hospital management and the facility/te...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168779
更新日期：1999-05-01 00:00:00
abstract：:A bar-code terminal network under software control of a microcomputer was added to the minicomputer-based radiology information system at the Medical College of Georgia in Augusta. The bar-code network was specifically installed to address the inherent inaccuracies occurring when procedure information was entered at t...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168107
更新日期：1990-02-01 00:00:00
abstract：:It is difficult to detect sentinel lymph nodes (SLNs) around an injection point of radiopharmaceuticals mapped in lymphoscintigrams. The purpose of this study was to develop a computer-aided detection (CAD) scheme for SLNs by a subtraction technique using the symmetrical property in the mapped injection point. Our dat...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-011-9396-8
更新日期：2012-02-01 00:00:00
abstract：:Liquid crystal displays (LCD) are rapidly replacing cathode ray tube displays (CRT) for medical imaging. LCD technology has improved significantly in the last few years and has important advantages over CRT. However, there are still some aspects of LCD that raise questions as to the usefulness of liquid crystal displa...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-005-2939-0
更新日期：2005-09-01 00:00:00
abstract：:Excessive cephalocaudal anatomic (Z-axis) coverage can lead to unnecessary radiation exposure to a patient. In this study, an automated computing model was developed for identifying instances of potentially excessive Z-axis coverage with abdomen-pelvis examinations. Eight patient and imaging attributes including patie...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-014-9743-7
更新日期：2015-06-01 00:00:00
