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.

quality

Radiology Partners quality initiative dramatically improves abdominal aortic aneurysm reporting and tracking

Prior to implementation, only 2% of reports for dangerous AAAs included follow-up recommendations, but that number jumped to 58% afterward, experts wrote in JACR. 

breast radiologist breast cancer mammography

Radiologists miss 24% of interval breast cancers they could have caught on initial screening mammogram

Double reading, optimizing image quality, and improving positioning are all ways to potentially address these misses, experts wrote in Academic Radiology

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ACR launches national imaging registry with big plans to transform radiology research

This new informatics platform is the "future" of radiology research registries, American College of Radiology Board of Chancellors Chair Howard B. Fleishon, MD, said.

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Microsoft to acquire radiology vendor Nuance in $19.7B deal

Officials with the Redmond, Washington-based tech giant said healthcare artificial intelligence was a key piece of the blockbuster acquisition. 

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Claims data reveal key clues to why patients may miss lung cancer screening exams

Being between the ages of 55-64 or 75-79, living in a rural area, and using Medicaid or fee-for-service Medicare were all associated with lower adherence. 

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Artificial intelligence pinpoints chest CT reports with incidental thyroid nodules requiring follow-up

However, extra work is needed to get physicians to close the care loop with ultrasound imaging, Duke experts noted.

Man vs. Machine artificial intelligence AI

Don’t depend on machine learning for diagnostic imaging support just yet, experts say

Radiologists should exercise caution when using artificial intelligence-aided CDS systems, as robust evidence is still lacking, researchers wrote in JAMA.

radiology reporting EHR health record CDS AUC

‘Epidemic’ of free-text entry holding back radiology’s efforts to reduce inappropriate imaging

Structured orders allow clinical decision support systems to root out unnecessary exams, but they run into a roadblock when docs try to freestyle. 

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.