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DOI: 10.1148/rg.274065124
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A Prototype Web-based Reporting System for Onsite-Offsite Clinician Communication1

Corey W. Arnold, MS, Alex A. T. Bui, PhD, Craig Morioka, PhD, Suzie El-Saden, MD, and Hooshang Kangarloo, MD

1 From the Medical Imaging Informatics Group (C.W.A., A.A.T.B., C.M., S.E., H.K.) and the Department of Information Studies (C.W.A.), University of California, Los Angeles, 924 Westwood Blvd, Suite 420, Los Angeles, CA 90024. Presented as an infoRAD exhibit at the 2003 RSNA Annual Meeting. Received June 27, 2006; revision requested August 18; final revision received January 25, 2007; accepted February 19. Supported in part by NIBIB grants PO1-EB00216 and RO1-EB002247, and by NLM Medical Informatics Training grant LM07356. All authors have no financial relationships to disclose.

Figure 1
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Figure 1.  Diagram illustrates a system developed for onsite-offsite clinician communication. The system allows communication between offsite PCPs and onsite radiologists, as well as between offsite radiologists performing wet-reads and onsite radiologists performing final interpretations.

 

Figure 2
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Figure 2.  Wet-read request interface. The user provides basic patient information and indicates the type of wet-read to be performed ("Request type" field).

 

Figure 3
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Figure 3.  Screen used by the offsite radiologist to perform a wet-read. A study is annotated by scrolling through images, marking up selected images and typing in comments when appropriate. A indicates pertinent positive and pertinent negative questions, as well as a free-text comment box; B indicates selectable ACR anatomy and pathology codes, which may be selected to support future uses of the data; C indicates various image annotation, manipulation, and viewing tools; and D indicates the image window, which displays the current image in the series.

 

Figure 4
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Figure 4.  Screen used to display imaging results to a PCP. Only the pertinent images are displayed, along with any associated comments. A indicates pertinent positive and pertinent negative findings and free-text comments; B indicates selected ACR anatomy and pathology codes; C indicates image manipulation and viewing tools, which are provided should the PCP wish to adjust the view to better understand the results; and D indicates the image window, which displays the current image in the series, along with annotations.

 





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