Mammography Reporting Workflow - Brief Proposal: Difference between revisions

← Older edit

Latest revision as of 16:11, 21 September 2008

1. Proposed Workitem: <initial working name for profile/whitepaper/etc>

Proposal Editor: Richard L. Ellis, M.D.
Editor: <TPA>
Version: N/A (Wiki keeps history)
Domain: Radiology: Mammography

2. The Problem

a) [Coordinate Tracking/ROI]: For a screening mammography recall examination, the radiologist is currently required to demarcate (ie, use of an arrow, circle, etc.) the abnormality on the 5 MP monitor and again demarcate the same abnormality and its location within the reporting system.
b) [Bidirectional Synchronization]: Currently, all screening mammography reports require a manual generation of a report, even for normal examinations; and
c) [Bidirectional Synchronization]: Upon completion of the current screening mammography examination, the next screening mammography examination within the screening mammography worklist must be manually selected to launch and load this examination on the clinical workstation.

3. Key Use Case

a) [Coordinate Tracking/ROI]: Once a screening mammography recall examination abnormality is demarcated on the 5 MP monitor, the abnormality and its corresponding location (coordinates) should be automatically transferred back via a bidirectional interface to the breast imaging reporting system;
b) [Bidirectional Synchronization]: If no abnormality is identified upon reaching the end of the hanging protocol and final screening mammography interpretation, an automatic normal templated report should be an option for the radiologist instead of requiring the manual development of a normal screening mammography report within the breast imaging reporting system, and
c) [Bidirectional Synchronization]: Upon completion of the current screening mammography examination, the next screening mammography examination (waiting in cache) should be automatically launched and loaded on the 5 MP monitors for interpretation, eliminating the need for manually selecting the next examination from the worklist.

4. Standards & Systems

Systems Affected: Breast imaging clinical workstations, reporting systems, and PACS systems.

Standards: <TBA>

5. Discussion

Two essential purposes of a bidirectional interface between the breast imaging clinical workstation and reporting systems (also require PACS involvement for later storage and retrieval of information) is to increase the end user (ie, radiologists, breast imaging support staff) efficiency and performance metrics within screening mammography. Anticipated in the future is greater centralization of screening mammography interpretation resulting in a larger volume of examinations per radiologist for interpretation each year. Appropriate integration and use of a bidirection interface could have a significant effect upon efficiency, especially in the interpretation and reporting for screening mammography.

Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.

Through RSNA IHE Mammography, vendor representatives, radiologists, and appropriate information technologists could help establish the requirements for bidirectional interface between the clinical workstation and reporting systems, so that a universal bidirectional interface profile could be created. This requested profile [1. Coordinated Tracking/ROI & 2. Bidirectional Synchronization] meets the mission of RSNA IHE.

<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>

<What are some of the risks or open issues to be addressed?>

@@ Line 1: / Line 1: @@
+__NOTOC__
 ==1. Proposed Workitem: ''<initial working name for profile/whitepaper/etc>''==
-* Proposal Editor: ''<Richard L. Ellis, M.D.>''
+* Proposal Editor: Richard L. Ellis, M.D.
 * Editor: ''<TPA>''
-* Date:    N/A (Wiki keeps history)
 * Version: N/A (Wiki keeps history)
-* Domain: ''<Radiology: Mammography>''
+* Domain: Radiology: Mammography
-<nowiki> remove this tag
-[[Category:DomainAbbreviation]]
-</nowiki> remove this tag too
 ==2. The Problem==
-''<Summarize the integration problem. What doesn’t work, or what needs to work.>''
+* a) [Coordinate Tracking/ROI]: For a screening mammography recall examination, the radiologist is currently required to demarcate (ie, use of an arrow, circle, etc.) the abnormality on the 5 MP monitor and again demarcate the same abnormality and its location within the reporting system.
+* b) [Bidirectional Synchronization]: Currently, all screening mammography reports require a manual generation of a report, even for normal examinations; and
+* c) [Bidirectional Synchronization]: Upon completion of the current screening mammography examination, the next screening mammography examination within the screening mammography worklist must be manually selected to launch and load this examination on the clinical workstation.
 ==3. Key Use Case==
-''<a)Screening mammography recall examination abnormality demarcated on the 5 MP monitor should be automaticality transfered back to the breast imaging reporting system; b) if not abnormality is identified at the conclusion of the hanging protocol review and final screening mammography iterpretation an automatic normal report is generated instead of requiring the manual development of a normal screening mammography report within the breast imaging reporting system; and c) upon completetion of the current normal screening mammography examination, the next screening mammography case within the screening mammography worklist is automatically loaded on the 5 MP monitors for interpretation>''
+* a) [Coordinate Tracking/ROI]: Once a screening mammography recall examination abnormality is demarcated on the 5 MP monitor, the abnormality and its corresponding location (coordinates) should be automatically transferred back via a bidirectional interface to the breast imaging reporting system;
+* b) [Bidirectional Synchronization]: If no abnormality is identified upon reaching the end of the hanging protocol and final screening mammography interpretation, an automatic normal templated report should be an option for the radiologist instead of requiring the manual development of a normal screening mammography report within the breast imaging reporting system, and
-''<a)Once a screening mammography recall examination abnormatity is demarcated on the 5 MP monitor, the abnormality and its corresponding locations should be automatically transfered back via a bidirectional interface to the breast imaging reporting system either as a thumbnail print or information uploaed into a universal breast diagram; b) if not abnormality is identified at the conclusion of the hanging protocol review and final screening mammography iterpretation an automatic normal report is generated instead of requiring the manual development of a normal screening mammography report within the breast imaging reporting system by imploying a normal templated report, and c) upon completetion of the current normal screening mammography examination, the next screening mammography case within the screening mammography worklist now in CASHS is automatically loaded on the 5 MP monitors for interpretation, eliminating the need to manually select the next case for review from the worklist.>''
+* c) [Bidirectional Synchronization]: Upon completion of the current screening mammography examination, the next screening mammography examination (waiting in cache) should be automatically launched and loaded on the 5 MP monitors for interpretation, eliminating the need for manually selecting the next examination from the worklist.
 ==4. Standards & Systems==
-''<Breast imaging clinical workstations, reporting systems, and PACS systems >''
+Systems Affected: Breast imaging clinical workstations, reporting systems, and PACS systems.
-''<TBA>''
+Standards: ''<TBA>''
 ==5. Discussion==
-''<The purpose of a bidirectional interface between the breast imaing clinical workstation and report system is to increase the end user (ie, radiologists, breast imaging support staff) efficiciency and performance metrics within screening mammmography. Anticipated in the future is greater centralization of screening mammography interpretation resulting in a larger volume of examinations per radiologist for interpretion per year. [[Include additional discussion or consider a few details which might be useful for the detailed proposal.]]>''
+Two essential purposes of a bidirectional interface between the breast imaging clinical workstation and reporting systems (also require PACS involvement for later storage and retrieval of information) is to increase the end user (ie, radiologists, breast imaging support staff) efficiency and performance metrics within screening mammography. Anticipated in the future is greater centralization of screening mammography interpretation resulting in a larger volume of examinations per radiologist for interpretation each year. Appropriate integration and use of a bidirection interface could have a significant effect upon efficiency, especially in the interpretation and reporting for screening mammography.
-:''<Through RSNA IHE Mammography, vendor representatives, radiologists, and appropriate information techhologists could help establish the requirements for bidirectional interface amoungst the clinical workstation, reporting sytem, and PACS so that a universal bidiretional interface profile could be created. Why [[IHE would be a good venue to solve the problem and what you think IHE should do to solve it.]]>''
+Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.
+:Through RSNA IHE Mammography, vendor representatives, radiologists, and appropriate information technologists could help establish the requirements for bidirectional interface between the clinical workstation and reporting systems, so that a universal bidirectional interface profile could be created. This requested profile [1. Coordinated Tracking/ROI & 2. Bidirectional Synchronization] meets the mission of RSNA IHE.
 :''<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>''
 :''<What are some of the risks or open issues to be addressed?>''
-''<This is the brief proposal.  Try to keep it to 1 or at most 2 pages>''