A radiologist's access to prior medical datathat could aid duringimage interpretation is often hindered by the fact that radiology reports contain discontinuous information (Figure 2) ; furthermore,
information relatedto surgery,chemotherapy,
and radiation therapy is often stored in separate silos,
even within electronic medical record systems (Figure 3).The purpose of this workwas tocreate a patient lifetime graph that illustrates multidisciplinary information to aid a radiologist with rapid access to thatinformation during subsequent imageinterpretation.
Methods and materials
We developed a multimedia structured reporting system,
that records keyimages and voice descriptions of image findings,
tags the images with metadata defined by an ontology,
andassembles a multimedia structured report (Figures 4-6) .
The system is applicable to any image-based medical specialty,including radiology,
and surgery.ViSionprovides the ability to link radiological disease metrics from serial exams to generate disease responsetimelines,
such as Response Evaluation Criteria in Solid Tumors (RECIST) (Figures 7,
During the past year we...
Review of prior imaging exams,
and disease response criteria during a radiologist'sinterpretation of new imaging exams can be tedious and time-consuming.
We have developed a multimediastructured reporting system with a patient lifetime graph feature that enables rapid access to prior medical eventsand information.
Patient lifetime graphs incorporating multidisciplinary information may improve the efficiency andaccuracy of radiology reporting (Figure 17).
David Vining is the CEO and Founder of VisionSR,
which has licensed the ViSion technology from the University of Texas MD Anderson Cancer Center.
and Cristi Popovici are employees of Eloquentix,
Discontinuity in radiology reporting of serial examinations for tumour response assessment.
Accessed January 12,
A ViSion to transform the practice of structured reporting.
Spectrum 2013;20: 23-25.
New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1).
European Journal of Cancer.