Enterprise Imaging

Enterprise imaging brings together all imaging exams, patient data and reports from across a healthcare system into one location to aid efficiency and economy of scale for data storage. This enables immediate access to images and reports any clinical user of the electronic medical record (EMR) across a healthcare system, regardless of location. Enterprise imaging (EI) systems replace the former system of using a variety of disparate, siloed picture archiving and communication systems (PACS), radiology information systems (RIS), and a variety of separate, dedicated workstations and logins to view or post-process different imaging modalities. Often these siloed systems cannot interoperate and cannot easily be connected. Web-based EI systems are becoming the standard across most healthcare systems to incorporate not only radiology, but also cardiology (CVIS), pathology and dozens of other departments to centralize all patient data into one cloud-based data storage and data management system.

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The ASNC is one of several medical imaging societies asking Congress to repeal the appropriate use criteria (AUC) criteria mandate. They say it poses issues for clinicians and is becoming outdated by changes in CMS payment systems. The AUC requirements call for documentation using CVMS authorized software in order to show advanced imaging such as nuclear and CT is justified, or else Medicare payments might be withheld.

VIDEO: AMA will ask Congress to revise clinical decision support mandate for cardiac imaging

American Society of Nuclear Cardiology (ASNC) delegates to the American Medical Association (AMA) House of Delegates 2022 meeting Stephen Bloom, MD, and Nishant Shah, MD, explain a new AMA policy asking Congress to revise its clinician decision support mandate. 

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How to prevent cherry picking on radiology worklists

One of the problems in radiology today is the selective cherry picking of the easier, more desirable cases from the DICOM worklists and leaving the more complicated studies for other radiologists, which is one of the factors in radiologist burnout.

A radiologists reading station, image from Sectra

VIDEO: How to Prevent Radiologist Burnout

Elizabeth Bergey, MD, a diagnostic radiologist at Quantum, chairman of Quantum’s board of directors, explains some of the issues that cause burnout and how technology can help mitigate issues that cause radiologists to leave.

Elizabeth Bergey, MD, a diagnostic radiologist at Quantum, explained how the radiology group orchestrates its work lists for load balancing at the 2022 Radiology Business Management (RBMA) meeting.

VIDEO: Approaches to intelligent radiologist worklist orchestration

Elizabeth Bergey, MD, a diagnostic radiologist at Quantum, chairman of Quantum’s Board of Directors, explains how the radiology group orchestrates its work lists for load balancing using an AI-driven IT system for its work lists.

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Malignant architectural distortion ably diagnosed on breast imaging by human-AI combo

Combining ensemble AI models with reads from breast radiologists of mixed experience levels can help health systems consistently diagnose malignant architectural distortion on mammography.

VIDEO: Preparing for Radiology Appropriate Use Criteria Clinical Decision Support Reporting Requirements

VIDEO: Preparing for radiology appropriate use criteria clinical decision support reporting requirements

Lisa Mead, PSO executive director, Strategic Radiology, spoke at the Radiology Business Management Association (RBMA) 2022 meeting on radiology practices being prepared for the January 2023 deadline to have appropriate use criteria clinical decision support (AUC/CDS) software operational. 

Examples of a radiology report embedded video and text explaining the video for the patient in the report. This is from an AJR study that found embedding short videos from the radiologist explaining the images greatly enhanced patient engagement and satisfaction.

Video radiology reports add value, improve patient care

A new study found embedding videos in radiology reports aimed at patients had a big impact and may improve radiologist communication with patients. 

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Radiology departments are adapting to offer inclusive environments for transgender individuals

Most radiological hardware and software systems now offer gender options beyond female/male classification, a recent analysis shows. 

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