1. EVOLUTION
OF RADIOLOGY
REPORTING
Traditional Handwritten Report
CONS:
• Difficult to read
• No images
• No patient history
• Slow turnaround time
Midland Imaging
Transcribed Report
PROS:
• Easy to read
• Standardized format
• Consistent templatee
CONS:
•More steps in the process
• Text only
• No way to compare to priors
• No patient history
TRANSCRIBED VIA
VOICE RECOGNITION
P R O S :
• Faster turn around
• Saves workow steps
• Easy to read
• Structured report
C O N S :
• Text only,
no images
• No way to
compare to
priors
• No patient
history
Midland Imaging
Name:
Patient ID:
History:
Date of Birth:
Study CT chest with contrast
Facility:
Physician: XXXXX XXXXXX, MD
Date of Service: XX/XX/XXXX XX:XX:XX
PROCEDURE: CT chest with contrast
REASON FOR EXAM: Female, 59 years old. Congestion and a left upper lobe inltrate.
RADIATION DOSAGE: (if Supplied by Facility): CTDlvol=(30.34) mGy, DLP=(523.87) mGycm.
TECHNIQUE: High resolution transaxial imaging was preformed following intravenous administration of 100ml of
Isovue 300 contrast material. Multi planar coronal and sagittal images were reformatted.
COMPARISON: Prior CT scan 02/20/13 and radiographs 02/26/13
MULT I M E D I A
REPORT
P R O S :
• Key data for holistic patient view
• Patient history
• Hyperlinks to images and reports from
other modalities
Midland Imaging
Report Information
Study Information
2005-12-23, CT Abdomen
Other Lesions
Name Target Description Series Image Long Diameter (mm) Short Diameter (mm) Volume (mm3) SUV Max (BW)
B01 Lesion (Liver) 5861 72 34.8 25.4 8888.7 --
B02 Lesion (Liver) 5861 67 54 44.7 49936.2 --
The automatic segmented lesions may not have been approved or adjusted.
Name: KING KEVIN ID: 201222091934
Accession No.: 9275000235689 Report Date: 23/12/2005
Referring Physician: David Evans, MD 713-213-5479 davide@practice.com
PROCEDURE: CT Abdomen with contrast
CLINICAL INDICATION: Liver metastases (unknown primary tumor).
TECHNIQUE: CT scan of the abdomen with and without contrast was performed ont he volumetric 64 slice
CT scanner. The patient was scanned following the uncomplicated intravenous administration of 100 cc of
Omnipaque 300. 3-D coronal reformatted images were obtained from the axial source images.
COMPARISON: None
FINDINGS:
The lung bases are clear. The heart size is normal, without pericardial thickening or effusion.
There are several hypodense lesions on both lobes of the liver the largest with a diameter of 54.00 mm that
represent liver metastasis from unknown origin most probably.
The spleen is normal in size and homogeneous in density. The stomach is partially collapsed, but is grossly
unremarkable. The pancreas as visualized is normal. The gallbladder and biliary tree are unremarkable and
there is no evidence for biliary dilatation. The adrenal glands are symmetric and normal.
The kidneys are symmetrically unremarkable as well. The collecting Report system Information
on the right is enlarged.
The aorta is of normal caliber. Aortic calcications are present. There is no retroperitoneal
lymphadenopathy. The porta hepatis region is clear. The bowel and mesentery, as visualized, are equally
unremarkable.
S/P total left hip replacement.
The surrounding osseous structures are remarkable for mild degenerative spondylosis of the spine. Mild
scoliosis of the lumbar spine No osteolytic or osteoblastic lesion is detected.
IMPRESSION:
1. Several liver metastasis on both lobes from unknown origin.
2. S/P total left hip replacement
Signed By
John Jennings, MD
Name: DAVIS DOROTHY ID: 201201061940
Accession No.: 9275000234567 Report Date: 28/09/2012
Referring Physician: David Evans, MD 713-213-5479 davide@practice.com
23/06/2012
Followup
• Hi-res images embedded
in report
• All-inclusive data and findings
• Interactive
• Automatic display of priors
for visual of progress
KING KEVIN
71Y3MM201222091934
Series Desc KEY_IMAGES FR
Generated from 5861-73
5862-1 (KEY)
• Results from prior exams
for comparisons of progress
• Quantitative analysis as graphs and
charts for easy data interpretation
• Short-cut links to other patient
data and records
Midland Imaging
[23/12/2005.0:57:37]
Current
SW300mm
carestream.com/vue-reporting
PROCEDURE: CT Chest.
CLINICAL INDICATION: Known left-sided squamous cell carcinoma of the lung post surgery with suspected
lung metastsis
TECHNIQUE: CT scan of the chest without contrast was performed on the GE volumetric 64 slice CT scanner.
3-D coronal reformatted images were obtained from the axial source images.
COMPARISON: CT March 31 2012, CT June 23 2012
450
400
350
300
250
200
150
100
50
0
F05 F04 F07
Volume
31/03/2012
Baseline
28/09/2012
Followup
07/08/2012
Date
Target Lesions
Name Target Description SeriesImageLong Diameter (mm)Short Diameter (mm)Volume (mm3)SUV Max (BW)
B06 (F04) Target Lesion (Lung) 3 99 13 5.4 407.8 --
B08 (F07) Target Lesion (Lung) 3 63 12.8 8.3 437.9 --
B07 (F05) Target Lesion (Lung) 3 71 7.9 5.7 228.1 --
Sum of target lesions (3): 33.7mm (Long)
The automatic segmented lesions may not have been approved or adjusted
Change Over Time
Name Target Baseline
2012-03-31
2012-06-23 2012-09-28 (Current)
F05 Target Volume (mm3)
Long (mm)
Short (mm)
109.4 (--)
7.1 (--)
3.5 (--)
165.4 (+51.2%)
7.3 (+4%)
5.1 (+43.9%)
140
228.1 (+108.5%)
7.9 (+12.2%)
5.7 (+62.6%)
170
Midland Imaging
Midland Imaging
[23/12/2005.0:57:37]
Current
SW300mm