EVOLUTION

OF RADIOLOGY
REPORTING

Traditional Handwritten Report

CONS:
• Difficult to read
• No images
• No patient history
• Slow turnaround time

Midland Imaging

Transcribed Report
PROS:
• Easy to read
• Standardized format
• Consistent templatee

CONS:
•More steps in the process
• Text only
• No way to compare to priors
• No patient history

TRANSCRIBED VIA
VOICE RECOGNITION

PROS:
• Faster turn around
• Saves workflow steps
• Easy to read
• Structured report

CONS:
• Text only,
no images
• No way to
compare to
priors
• No patient
history

Midland Imaging

Name:
Patient ID:
History:
Date of Birth:
Study CT chest with contrast
Facility:
Physician: XXXXX XXXXXX, MD
Date of Service: XX/XX/XXXX XX:XX:XX

PROCEDURE: CT chest with contrast

REASON FOR EXAM: Female, 59 years old. Congestion and a left upper lobe infiltrate.

RADIATION DOSAGE: (if Supplied by Facility): CTDlvol=(30.34) mGy, DLP=(523.87) mGycm.

TECHNIQUE: High resolution transaxial imaging was preformed following intravenous administration of 100ml of
Isovue 300 contrast material. Multi planar coronal and sagittal images were reformatted.

COMPARISON: Prior CT scan 02/20/13 and radiographs 02/26/13

M U LT I M E D I A
REPORT
PROS:
• Key data for holistic patient view
• Patient history
• Hyperlinks to images and reports from
other modalities
Study Information

2005-12-23, CT Abdomen

Other Lesions

Name Target Description Series Image Long Diameter (mm) Short Diameter (mm) Volume (mm3) SUV Max (BW)
B01 Lesion (Liver) 5861 72 34.8 25.4 8888.7 --
B02 Lesion (Liver) 5861 67 54 44.7 49936.2 --

The automatic segmented lesions may not have been approved or adjusted.

Midland Imaging

Report Information
Name: KING KEVIN ID: 201222091934
Accession No.: 9275000235689 Report Date: 23/12/2005

Referring Physician: David Evans, MD 713-213-5479 davide@practice.com

PROCEDURE: CT Abdomen with contrast

CLINICAL INDICATION: Liver metastases (unknown primary tumor).

TECHNIQUE: CT scan of the abdomen with and without contrast was performed ont he volumetric 64 slice
CT scanner. The patient was scanned following the uncomplicated intravenous administration of 100 cc of
Omnipaque 300. 3-D coronal reformatted images were obtained from the axial source images.

COMPARISON: None

FINDINGS: Signed By
The lung bases are clear. The heart size is normal, without pericardial thickening or effusion.
John Jennings, MD
Midland Imaging
There are several hypodense lesions on both lobes of the liver the largest with a diameter of 54.00 mm that
represent liver metastasis from unknown origin most probably.
The spleen is normal in size and homogeneous in density. The stomach is partially collapsed, but is grossly
unremarkable. The pancreas as visualized is normal. The gallbladder and biliary tree are unremarkable and
there is no evidence for biliary dilatation. The adrenal glands are symmetric and normal.
Report Information
The kidneys are symmetrically unremarkable as well. The collecting system on the right is enlarged.
The aorta is of normal caliber. Aortic calcifications are present. ThereName: DAVIS DOROTHY
is no retroperitoneal ID: 201201061940
lymphadenopathy. The porta hepatis region is clear. The bowel and Accession
mesentery,No.: are equally Report Date:
9275000234567
as visualized, 28/09/2012
unremarkable.
Referring Physician: David Evans, MD 713-213-5479 davide@practice.com
S/P total left hip replacement.
The surrounding osseous structures are remarkable for mild degenerative spondylosis of the spine. Mild
PROCEDURE: CT Chest.
scoliosis of the lumbar spine No osteolytic or osteoblastic lesion is detected.
CLINICAL INDICATION: Known left-sided squamous cell carcinoma of the lung post surgery with suspected
IMPRESSION: lung metastsis
1. Several liver metastasis on both lobes from unknown origin.
2. S/P total left hip replacement TECHNIQUE: CT scan of the chest without contrast was performed on the GE volumetric 64 slice CT scanner.
3-D coronal reformatted images were obtained from the axial source images.

COMPARISON: CT March 31 2012, CT June 23 2012

F05 F04 F07

450

400

350

300
Volume

250

200

150

100

50

0
31/03/2012 23/06/2012 07/08/2012 28/09/2012
Baseline Followup Followup
Date

Target Lesions
Name Target Description Series Image Long Diameter (mm)Short Diameter (mm) Volume (mm3) SUV Max (BW)
B06 (F04) Target Lesion (Lung) 3 99 13 5.4 407.8 --
B08 (F07) Target Lesion (Lung) 3 63 12.8 8.3 437.9 --
B07 (F05) Target Lesion (Lung) 3 71 7.9 5.7 228.1 --

Sum of target lesions (3): 33.7mm (Long)

The automatic segmented lesions may not have been approved or adjusted

Change Over Time

Name Target Baseline 2012-06-23 2012-09-28 (Current)
2012-03-31
F05 Target Volume (mm3) 109.4 (--) 165.4 (+51.2%) 228.1 (+108.5%)

Long (mm) 7.1 (--) 7.3 (+4%) 7.9 (+12.2%)

Short (mm) 3.5 (--) 5.1 (+43.9%) 5.7 (+62.6%)

140 170

• Hi-res images embedded

in report
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• All-inclusive data and findings
Mid 005.0 urre0n t

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• Interactive
• Automatic display of priors
for visual of progress

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Current
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• Results from prior exams

for comparisons of progress
• Quantitative analysis as graphs and
charts for easy data interpretation
• Short-cut links to other patient
data and records

carestream.com/vue-reporting