Integrated Report Generation for Myocardial Perfusion SPECT: Efficiency Comparison to Report Dictation
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1 Integrated Report Generation for Myocardial Perfusion SPECT: Efficiency Comparison to Report Dictation C Bui, EP Ficaro, JN Kritzman, G Wu, JR Corbett University of Michigan Health System, Ann Arbor, MI 49 th SNM Annual Meeting, Los Angeles, 2002
2 Disclosure The University of Michigan receives royalities from the sales of the cardiac quantification software application 4D-MSPECT. 49 th SNM Annual Meeting, Los Angeles, 2002
3 Objective Evaluate the efficiency of Integrated Report Generation (IRG) within cardiac SPECT quantification and display software compared to Conventional Report Dictation (CRD). 49 th SNM Annual Meeting, Los Angeles, 2002
4 Patient Population 76 consecutive patients referred for Stress-Rest myocardial SPECT 44 patients had abnormal SPECT reports 32 patients had normal SPECT reports 49 th SNM Annual Meeting, Los Angeles, 2002
5 Methods: Time requirements for CRD and IRG reporting methods were analyzed and compared. 49 th SNM Annual Meeting, Los Angeles, 2002
6 Methods - IRG Semi-automatic report generation software was developed and integrated into 4D-MSPECT Quantitative results are exported from the quantification and display screens of the applications directly into reports Image interpretations may be generated using either a full-screen or more recently floating on-screen reporting dialogue 49 th SNM Annual Meeting, Los Angeles, 2002
7 Data Entry: Methods: Time Requirements IRG Technologists: Demographic data, radiotracer doses. Exercise physiologist / Nurse: Clinical indications, hemodynamic response & EKG findings. Interpretation & Clinical Scan Significance: Physicians: Two observers 49 th SNM Annual Meeting, Los Angeles, 2002
8 Methods CRD Time Requirements Written Preliminary Results: resident or attending Dictation of Stress Test and EKG Reports: attending Proofing of Typed EKG Reports: attending Dictation of Scan Results: resident Proofing of Typed Scan Reports: attending 49 th SNM Annual Meeting, Los Angeles, 2002
9 Clinical Data & EKG Input Dialogue
10 Dosage Data Entry Dialogue
11 Function Interpretation Floating Dialogue
12 Perfusion Interpretation Floating Dialogue
13 Sample HTML Report
14 Results Conventional vs IRG Seconds Conventional IRG Combined Normal Abnormal
15 Results All Scans Combined Impression Entry Clinical/EKG Dosage Attending EKG Proof Attending Scan Proof 250 EKG Dictation Scan Dictation Preliminary W riting Conventional IRG
16 Results Normal Scans Impression Entry Clinical/EKG Dosage Attending EKG Proof Attending Scan Proof EKG Dictation Scan Dictation Preliminary W riting Conventional IRG
17 Results Abnormal Scans Impression Entry Clinical/EKG Dosage Attending EKG Proof Attending Scan Proof 300 EKG Dictation Scan Dictation 110 Preliminary W riting Conventional IRG
18 Results Seconds "Full-screen" vs "Floating" Impression Input "Full-screen" impression 100 "Full-screen" & prelim writing p < p < "Floating impression" p < Combined Normal Abnormal "Full-screen" impression "Full-screen" & prelim writing "Floating impression"
19 Results Conventional total time vs IRG Impression Seconds Conventional total 200 Impression Entry All Scans Normal Abnormal
20 Results Scan & EKG dictation vs Impression input Seconds Scan & EKG dictation Impression Entry All Scans Normal Abnormal
21 Conclusion Reporting of SPECT myocardial perfusion and function studies using integrated report generation (IRG) within SPECT quantification and display software results in highly significant time saving compared to conventional reports dictated (CRD). 49 th SNM Annual Meeting, Los Angeles, 2002
22 Sample Text Report
23 Closing Dialogue
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