Information system for the interventional radiology department

Transcription

1 Information system for the interventional radiology department Poster No.: C-1847 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Interventional Radiology M. Fatehi, S. Akhlaghpoor, A. Shakourirad; Tehran/IR Radiology Information Systems, Interventional Radiology Clinic, Office Automation /ecr2010/C-1847 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 8

2 Purpose Radiology information systems are currently inseparaable part of department management playing significant role in scheduling, billing, quality management, report repository and resource handling. Since a typical diagnostic radiology service consists of an imaging procedure ending in a collection of images and a report, no clinical and follow up information is captured. Management of interventional radiology department is considerably different from its diagnostic equivaent and no regular RIS is capable of handling data management in an interventional radiology suite.the nature of interventional radiology services mandates inclusion of additional features in information systems. The purpose of this paper is to introduce the idea behind development of a specific type of RIS which is customized to the needs of interventional radiologists. Images for this section: Page 2 of 8

3 Fig. 1: Pain Scale in Spine Interventions Page 3 of 8

4 Fig. 2: US Guided Radiofrequency Ablation of Hepatic Focal Lesions Page 4 of 8

5 Fig. 3: CT Guided Radiofrequany Ablation of OSteoid Osteoma Page 5 of 8

6 Methods and Materials Sample routine procedures performed in a non-vascular interventional radiology suite were analyzed according to the workflow: 1- Endovascular Laser Therapy of Varices 2- Radiofrequency Ablation of Hepatic Focal Lesions 3- Radiofraquency Ablation of Osteoid Osteoma 4- PRT Spine Injection 5- Vertebroplasty 6- Perutaneous Billiary Drainage 7- Nephrostomy 8- Intra-abdominal Intra-Pelvic Abscess Drainage Type, frequency and priority of data production, storage and summarization were formulated for each procedure. A modified RIS was developed to let radiologist keep not only the admission, reporting and financial information but also the data needed for monitoring and follow up of patients. Results IRIS (Interventional Radiology Information System) is a database management software which in addition to ordinary patient record and billing, cheduling functions, allows interventional radiologist to keep record of 1- Pre-intervention Diagnostic Tests It is possible to capture para-clinical, imaging and clinical information into patient record. All laboratory tests required for diagnsis and base-line measures for comparison with post-intervention findings are kept in the system as well as laboratory tests information required for pre-intervention evaluation like bleeding tendncy. Imaging findings are kept likewise. Clinical examination or history findings are included too. For example patient Page 6 of 8

7 pain scale in spine intervention as well as varicose vein distribution pattern in EVLT procedures are defined in the system. 2-Detailed Procedure Information Interventional radiologists need to keep record of the procedure in detail. It will help them prepare an interventional procedure report for the patient and insurance companies. At the same time these details can be used for multi-step or repeated procedures in order to change parameters to acheive a better result. So, not only planning information is kept, but also characteristics of euipment, devices as well as physical and chemical parameters of the intervention (like RF ablation parameters or LASER interventions) are recorded. 3-Periodical Post-intervention Follow up Information Each interventional procedure has its own follow up requirements inluding clinical and para-clinical assessments. The system is capable of providing appropriate warnings in the follow up period. So, the radiologists benefits from followup automation and record keeping for better patient management and research projects. 4-Exporting Data for Statistical Analysis and Research Purposes Structured nature of captured information and inter-related data including imaging, clincial and para-clinical findings paves the road for export of complex query tables for statistical analysis. So, the system lets interventional radiologist to easily transfer the medical records into research projects. Conclusion Customized RIS may help interventional radiologist improve the management of his/her department and raise the quality of interventional procedures. Despite diagnostic radiology information systems, IRIS needs multi-step information management and cutomized data-entry forms for each intervention. Work-flow based nature of IRIS helps radiologist and his/her assisstant make benefit of the system as far as the intervention proceeds in each step. Intervetional RIS needs to be able to capture and handle image files (including DICOM and light images) that makes is far beyond ordinary RIS. Page 7 of 8

8 References 1- Thrall JH, Reinventing Radiology in the Digital Age Part III. Facilities, Work Processes, and Job Responsibilities, Radiology 2005; 237: Khorasani R, IT Tools Needed for Interventional Radiology. J Am Coll Radiol 2007 Oct;4(10): Halsted MJ, Froehle CM. Design, implementation, and assessment of a radiology workflow management system. AJR Am J Roentgenol Aug;191(2): Personal Information Mansoor Fatehi, MD Fellow of Imaging Informatics, Department of Diagnostic Imaging and Nuclear Medicine, University of Maryland, Baltimore, MD Chair, Imaging Informatics Committee, Iranian Society of Raidology, Tehran, IRAN Shahram Akhlaghpoor, MD Associate Prof. of Radiology, Tehran University of Medical Sciences, Tehran, IRAN Ali Shakourirad, MD Assistant Prof. of Radiology, Tehran University of Medical Sciences, Tehran, IRAN Page 8 of 8