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 image quality, and accessibility of images. Our objective was to determine if a simple interventional program would influence the utilization of PACS in point-of-care ultrasound. A before-after study was conducted in an urban, academic emergency department. Data was collected during a 4-week baseline period, a 12-week intervention period, and a 12-week post-intervention period. The percentage of ultrasound studies archived to PACS was recorded during each week of the study. Interventions were designed to encourage the utilization of PACS. A significant increase in the mean percentage of PACS studies was found between the baseline and intervention period (59.4 %; 95 % CI: 34.76-84.08 %; p < 0.001). Mean percentage of PACS studies at 1-month (74.3 %), 2-month (61.0 %), and 3-month (74.8 %) post-intervention periods remained elevated and were all significantly increased compared to baseline values (p < 0.001). Mean percentages of PACS studies at 1-month, 2-month, and 3-month post-intervention periods were not statistically significant from the intervention period (p = 0.977, p = 0.849, p = 0.967, respectively). A simple interventional program for emergency physicians can significantly increase and sustain the utilization of PACS for point-of-care ultrasound.
journal_name
J Digit Imagingjournal_title
Journal of digital imagingauthors
Kessler R,Stowell JR,Vogel JA,Liao MM,Kendall JLdoi
10.1007/s10278-016-9893-xsubject
Has Abstractpub_date
2016-12-01 00:00:00pages
701-705issue
6eissn
0897-1889issn
1618-727Xpii
10.1007/s10278-016-9893-xjournal_volume
29pub_type
杂志文章abstract：:The main goal of this study was to determine the reproducibility of the reading of wrist trauma case radiographs using three different media: laser film, a picture archiving and communication systems (PACS) workstation, and paper with an optimized layout. The study was conducted retrospectively in 200 consecutive pati...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-013-9613-8
更新日期：2013-12-01 00:00:00
abstract：:Bone density measurement by quantitative computed tomography (QCT) commonly uses an external reference phantom to decrease scan-to-scan and scanner-to-scanner variability. However, the peripheral location of these phantoms and other phantom variables is also responsible for a measurable degradation in accuracy and pre...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168013
更新日期：1989-02-01 00:00:00
abstract：:This paper presents our solution for supporting radiologists' interpretation of digital images by automating image presentation during sequential interpretation steps. We extended current hanging protocols with support for "stages" which reflect the presentation of digital information required to complete a single ste...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-004-1906-5
更新日期：2005-06-01 00:00:00
abstract：:Over the past few years, an increase in digitalization of radiology departments can be seen, which has a large impact on the work of the radiologists. This impact is not only demonstrated by the increased use of digital images but also by changing demands on the whole reading environment. In this study, we evaluated t...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-006-0629-1
更新日期：2006-01-01 00:00:00
abstract：:Positron emission tomography (PET) imaging is an effective tool used in determining disease stage and lesion malignancy; however, radiation exposure to patients and technicians during PET scans continues to draw concern. One way to minimize radiation exposure is to reduce the dose of radioactive tracer administered in...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-018-0150-3
更新日期：2019-10-01 00:00:00
abstract：:The goal of this study is to provide the clinical end users of an enterprisewide picture archiving and communication system/Web application with a thorough understanding of the application and education to maintain patient privacy and protection. ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-002-5101-2
更新日期：2002-01-01 00:00:00
abstract：:We introduce the concept, benefits, and general architecture for acquiring, storing, and displaying digital photographs along with medical imaging examinations. We also discuss a specific implementation built around an Android-based system for simultaneously acquiring digital photographs along with portable radiograph...
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：:Architectural distortion is an important sign of breast cancer, but because of its subtlety, it is a common cause of false-negative findings on screening mammograms. This paper presents methods for the detection of architectural distortion in mammograms of interval cancer cases taken prior to the detection of breast c...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-009-9257-x
更新日期：2010-10-01 00:00:00
abstract：:Mammographic breast density has been established as an independent risk marker for developing breast cancer. Breast density assessment is a routine clinical need in breast cancer screening and current standard is using the Breast Imaging and Reporting Data System (BI-RADS) criteria including four qualitative categorie...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-017-0022-2
更新日期：2018-08-01 00:00:00
abstract：:The interfacing of digital image acquisition modalities to the picture archiving and communication system (PACS) plays a major part in the conversion from a traditional film-based radiology practice to one that relies almost entirely on soft-copy reading. The Baltimore Veterans Affairs Medical Center (VAMC) is one of ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03167632
更新日期：2000-05-01 00:00:00
abstract：:The standard definition of high-risk individuals for lung cancer was not uniform and the value of chest digital radiography (DR) in lung cancer screening was still unproven. The aim of this study was to assess whether the original questionnaire named as "Self-evaluation Scoring Questionnaire for High-risk Individuals ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-012-9468-4
更新日期：2013-02-01 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：: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
abstract：:An integrated picture archiving and communication system (PACS) is a large investment in both money and resources. With all of the components and systems contained in the PACS, a methodical set of protocols and procedures must be developed to test all aspects of the PACS within the short time allocated for contract co...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168789
更新日期：1999-05-01 00:00:00
abstract：:Despite the rapid progress made in the electronic design of imaging work stations for medicine, much less effort has gone into the design of environments in which such systems will be used. Based on studies of radiologist film reading sessions, considerable time will be spent working at such viewing systems. If the ro...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168035
更新日期：1989-08-01 00:00:00
abstract：:Cerebral microbleeds, which are small focal hemorrhages in the brain that are prevalent in many diseases, are gaining increasing attention due to their potential as surrogate markers of disease burden, clinical outcomes, and delayed effects of therapy. Manual detection is laborious and automatic detection and labeling...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-018-0146-z
更新日期：2019-10-01 00:00:00
abstract：:The strategic development and deployment of a health management information technology infrastructure is discussed from two perspectives for radiologists and for other medical technologists: the integrated delivery system (IDS) perspective and a total quality-management (TQM) perspective. On the one hand, an IDS persp...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168176
更新日期：1998-11-01 00:00:00
abstract：:This article describes the design and implementation of a low-cost image archival and management solution on a radiology network consisting of UNIX, IBM personal computer-compatible (IBM, Purchase, NY) and Macintosh (Apple Computer, Cupertino, CA) workstations. The picture archiving and communications system (PACS) is...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168688
更新日期：1997-08-01 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：:We evaluated the usefulness of a computerized analysis system in the detection of interstitial lung abnormalities in digitized chest radiography. This system uses the processes of four-directional Laplacian-Gaussian filtering, linear opacity judgment, and linear opacity subtraction. For qualitative analysis, we employ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168557
更新日期：1997-05-01 00:00:00
abstract：:The efficacy of two medical-grade, self-calibrating, gray scale displays were compared with regard to impact on sensitivity and specificity for the detection of interstitial lung disease (ILD) on computed radiographs (CR). The displays were a 5-megapixel (MP) cathode ray tube (CRT) device and a 3-MP liquid crystal dis...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-004-1013-7
更新日期：2004-09-01 00:00:00
abstract：:Complex deformities of the spine, like scoliosis, are evaluated more precisely using stereo-radiographic 3D reconstruction techniques. Primarily, it uses six stereo-corresponding points available on the vertebral body for the 3D reconstruction of each vertebra. The wireframe structure obtained in this process has poor...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-015-9841-1
更新日期：2016-04-01 00:00:00
abstract：:While occupational stress and fatigue have been well described throughout medicine, the radiology community is particularly susceptible due to declining reimbursements, heightened demands for service deliverables, and increasing exam volume and complexity. The resulting occupational stress can be variable in nature an...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-012-9540-0
更新日期：2013-02-01 00:00:00
abstract：:The objective of this study is to retrospectively investigate whether using the newly developed algorithms would improve radiologists' accuracy for discriminating malignant masses from benign ones on ultrasonographic (US) images. Five radiologists blinded to the histological results and clinical history independently ...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-009-9245-1
更新日期：2010-10-01 00:00:00
abstract：:In this paper, a novel lesion segmentation within breast ultrasound (BUS) image based on the cellular automata principle is proposed. Its energy transition function is formulated based on global image information difference and local image information difference using different energy transfer strategies. First, an en...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-011-9450-6
更新日期：2012-10-01 00:00:00
abstract：:The purpose of this study was to evaluate stereoscopic perception of low-dose breast tomosynthesis projection images. In this Institutional Review Board exempt study, craniocaudal breast tomosynthesis cases (N = 47), consisting of 23 biopsy-proven malignant mass cases and 24 normal cases, were retrospectively reviewed...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-013-9648-x
更新日期：2014-04-01 00:00:00
abstract：:The residency review committee of the Accreditation Council of Graduate Medical Education (ACGME) collects data on resident exam volume and sets minimum requirements. However, this data is not made readily available, and the ACGME does not share their tools or methodology. It is therefore difficult to assess the integ...
journal_title：Journal of digital imaging
pub_type： 杂志文章,多中心研究
doi：10.1007/s10278-016-9872-2
更新日期：2016-12-01 00:00:00
abstract：:Understanding the scan patterns radiologists use to view medical images is critical to the design of image viewing devices. In this study, an eyetracker, a device for recording eye and head movement, was used to determine the scan patterns during the interpretation of single and multiple computed tomographic (CT) exam...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/BF03168120
更新日期：1990-11-01 00:00:00
abstract：:Several studies have addressed the implications of filmless radiologic imaging on telemedicine, diagnostic ability, and electronic teaching files. However, many publishers still require authors to submit hard-copy images for publication of articles and textbooks. This study compares the quality digital images directly...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-001-0019-7
更新日期：2001-03-01 00:00:00
abstract：:Recently, several types of post-processing image filter which was designed to reduce noise allowing a corresponding dose reduction in CT images have been proposed and these were reported to be useful for noise reduction of CT images of adult patients. However, these have not been reported on adaptation for pediatric p...
journal_title：Journal of digital imaging
pub_type： 杂志文章
doi：10.1007/s10278-009-9218-4
更新日期：2010-12-01 00:00:00
