Project for building multi-media reports for medical imaging

• High level

  • Better information patient
  • Better information for physicians
  • Improve workflow for radiologist (follow-up / priors - better than hanging protocols)
    • Must reduce cognitive overload for radiologists (e.g. useless recons)
    • Must have little to no impact on radiologist report creation
    • Reporting can be slowed down due to context changes

• Low level

  • Free report from being a text blob
  • Need to make reports more structured - still widely adopted (most reports are prose)
  • "Contextual Reporting" - take disease states and create an entire template around it

• Difference between templated reports and storing reports in DICOM SR
• IHE discussions from a few weeks ago
  • Need to be able to toggle off annotations/measurements/overlays, etc so underlying/raw image can be viewed
• vRAD has a very good report authoring system

• Ability to display images
  • Formats
    • Medical Images
      • DICOM
      • Non DICOM
      • 3D/4D Volumes
    • Web friendly images
      • JPEG
      • PNG
  • Interactivity
    • Static (image does not change)
    • Dynamic (e.g. window/level, zoom, scroll)
    • Cine (XA, US)
    • MPR/Slab
    • Volume Rendering
• Ability to display report text
  • Unstructured
  • Structured
    • Hyperlinks which update the display when clicked (e.g. shows a specific finding on an image)
    • Tooltips which provide more info (e.g. mouse over without click displays a tooltip window with hyperlink, text or image)
      • Text
      • Hyperlink
      • Image
• Ability to display contact information (e.g. for DM, voice or video)
  • Reporting physician
  • Primary care physican
  • Other related staff?
• Ability to display relevant resources
  • Links to journal articles
  • Links to internal information
• Configurable Layouts (e.g. 2x1, 4x4)
  • Width/Height
    • Fixed Size
    • Percentage Based
• Targeted Departments
  • Radiology
  • Cardiology
  • Pathology
  • Dermatology
  • Wound Care