Purpose
We developed a structured reporting system,
called ViSion,
which allows a radiologist to capture key images and tag those images with diagnostic information to generate a multimedia structured report (Figure 1) (1).
The operation of the ViSion system is the topic of another EPOS poster,
“A ViSion for Global Multimedia Structured Reporting.”
The ontology (i.e.,
a controlled vocabulary with defined relationships among the terms) that is used to tag images in ViSion is managed with an integrated software authoring tool which is the subject of...
Methods and Materials
Although multiple medical ontologies currently exist (e.g.,
RadLex,
SNOMED,
ICD-10),
we found it necessary to develop an integrated ontology for the ViSion structured reporting system to function optimally (2-3).
The ViSion ontology consists of a collection of anatomy,
pathology,
and secondary characteristic terms that are organized into hierarchies (i.e.,
tree structures) to define anatomical locations,
radiological observations and diagnoses for each anatomical location,
and secondary descriptors that provide more detail for each observation or diagnosis.
Observations and diagnoses in the ViSion system are created by...
Results
In September 2012,
the ViSion ontology consisted of 906 anatomy terms,
1472 pathology terms,
and 1380 secondary characteristic terms.
The pairing of anatomy and pathology terms in the hierarchal trees resulted in 5653 observations or diagnoses.
In January 2013,
the ViSion ontology had expanded to 12,126 observations or diagnoses.
Each term has been translated to German,
Chinese,
Turkish,
French,
Arabic,
and Spanish.
Each anatomical location and observation/diagnosis has been cross-referenced to the other major ontologies,
including RadLex,
SNOMED,
LOINC,
ICD-9-CM,
and ICD-10-CM,
for whenever these...
Conclusion
ViSion is a multimedia structured reporting system that operates in multiple languages and provides a method to automatically code radiologic observations and diagnoses.
The development of an integrated ontology authoring tool has been essential for the construction of anatomy and pathology hierarchies,
secondary characteristics,
foreign language translations,
and prioritization of diagnoses.
References
Martino A.
Sketching a new reality: what will the radiology report of the future look like? http://www.acr.org/News-Publications/News/News-Articles/2012/ACR-Bulletin/201203-Rad-Report-of-FutureAccessed January 28,
2013.
The National Center for Biomedical Ontology.http://www.bioontology.org/Accessed January 28,
2013.
Rubin DL.
Creating and curating a terminology for radiology: ontology modeling and analysis.
J Digit Imaging 2008; 21:355-362.
Sobel JL et al.
Information content and clarity of radiologists' reports for chest radiography.
Acad Radiol 1996; 3:709-717.
Personal Information
Disclosure: David J.
Vining,
MD,
is the founder,
CEO,
and a major stockholder of VisionSR which has an option agreement with the University of Texas MD Anderson Cancer Center to license the ViSion technology for commercialization.
David J.
Vining,
MD,
Department of Diagnostic Radiology,
UT MD Anderson Cancer Center,
Houston,
Texas,
USA,
[email protected],
www.facebook.com/ViSionReporting
Usama Salem,
MD,Department of Diagnostic Radiology,
UT MD Anderson Cancer Center,
Houston,
Texas,
USA,
[email protected]
Cristi Popovici,Eloquentix,
Inc,
Chapel Hill,
North Carolina,
USA,
[email protected]
Liming Jiang,
MD,
Department of Radiology,
Chinese...