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Al-Katib S, Dearden A, Al-Bassam N, Ghannam J, Beydoun A, Kolderman N, Nandalur R, Nandalur K. Optimizing radiology remote reading: leveraging technology to improve efficiency. Abdom Radiol (NY) 2024:10.1007/s00261-024-04505-3. [PMID: 39276188 DOI: 10.1007/s00261-024-04505-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2024] [Accepted: 07/22/2024] [Indexed: 09/16/2024]
Abstract
Remote work has been increasingly utilized in the profession of radiology over recent years. Setting up your individual workstation offers an opportunity to tailor it to suit your preferences without the restriction of a universal setup to accommodate multiple users. Important considerations when setting up a home workstation include selecting the optimal work location, choosing the proper desk and chair, and configuring an ideal computer monitor layout. The use of peripheral devices, such as programmable mice and hands-free dictation tools can improve efficiency and reduce repetitive strain injuries. This article also explores the use of smart home devices and programmable scripts using AutoHotKey to further streamline workflow and maximize the benefits of a remote workstation.
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Affiliation(s)
- Sayf Al-Katib
- Department of Diagnostic Radiology and Molecular Imaging, Corewell Health East, Royal Oak, MI, USA.
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
| | - Andrew Dearden
- Department of Radiology, University of Washington, Seattle, WA, USA
| | - Noor Al-Bassam
- Department of Pharmacy, Corewell Health East, Royal Oak, MI, USA
| | - Jacob Ghannam
- Department of Diagnostic Radiology and Molecular Imaging, Corewell Health East, Royal Oak, MI, USA
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
| | - Ali Beydoun
- Department of Diagnostic Radiology and Molecular Imaging, Corewell Health East, Royal Oak, MI, USA
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
| | - Nathan Kolderman
- Department of Diagnostic Radiology and Molecular Imaging, Corewell Health East, Royal Oak, MI, USA
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
| | - Reyna Nandalur
- Department of Diagnostic Radiology and Molecular Imaging, Corewell Health East, Royal Oak, MI, USA
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
| | - Kiran Nandalur
- Department of Diagnostic Radiology and Molecular Imaging, Corewell Health East, Royal Oak, MI, USA
- Oakland University William Beaumont School of Medicine, Rochester, MI, USA
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Becker AS, Chaim J, Vargas HA. Streamlining Radiology Workflows Through the Development and Deployment of Automated Microservices. JOURNAL OF IMAGING INFORMATICS IN MEDICINE 2024; 37:945-951. [PMID: 38351225 PMCID: PMC11169200 DOI: 10.1007/s10278-024-01034-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 01/17/2024] [Accepted: 01/31/2024] [Indexed: 04/28/2024]
Abstract
Microservices are a software development approach where an application is structured as a collection of loosely coupled, independently deployable services, each focusing on executing a specific purpose. The development of microservices could have a significant impact on radiology workflows, allowing routine tasks to be automated and improving the efficiency and accuracy of radiologic tasks. This technical report describes the development of several microservices that have been successfully deployed in a tertiary cancer center, resulting in substantial time savings for radiologists and other staff involved in radiology workflows. These microservices include the automatic generation of shift emails, notifying administrative staff and faculty about fellows on rotation, notifying referring physicians about outside examinations, and populating report templates with information from PACS and RIS. The report outlines the common thought process behind developing these microservices, including identifying a problem, connecting various APIs, collecting data in a database, writing a prototype and deploying it, gathering feedback and refining the service, putting it in production, and identifying staff who are in charge of maintaining the service. The report concludes by discussing the benefits and challenges of microservices in radiology workflows, highlighting the importance of multidisciplinary collaboration, interoperability, security, and privacy.
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Affiliation(s)
- Anton S Becker
- Department of Radiology, Body Imaging Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
- Department of Radiology, Oncologic Imaging Service, NYU Langone, New York, NY, USA.
| | - Joshua Chaim
- Department of Radiology, Body Imaging Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA
| | - Hebert Alberto Vargas
- Department of Radiology, Body Imaging Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA
- Department of Radiology, Oncologic Imaging Service, NYU Langone, New York, NY, USA
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Lee SN, Venugopal N, Breshears E, Shieh A, Bhargava P, Said N. Quick Guide: Programming a Gaming Mouse for PACS to Optimize Radiology Workflow. Curr Probl Diagn Radiol 2023; 52:456-463. [PMID: 37783619 DOI: 10.1067/j.cpradiol.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 09/23/2023] [Indexed: 10/04/2023]
Abstract
The increasing demand for diagnostic imaging has added to the radiologists' workload, highlighting the shortcomings of conventional computer mice. Radiologists grapple with inefficiencies from frequent mouse clicks and keyboard shortcuts required for various PACS functions. These inefficiencies contribute to cognitive strain, errors, and repetitive strain injuries. High-performance gaming mice, known for their precision in the gaming world, offer multiple custom buttons and superior tracking. These features can streamline radiology tasks. Utilizing a gaming mouse tailored for radiology tasks can substantially enhance efficiency. Our guide offers a step-by-step approach to harnessing the gaming mouse's capabilities for radiology tasks, ensuring radiologists can enhance their workflow and minimize injury risks. Although the guide uses a Logitech gaming mouse for demonstration, it is designed to be intuitive, helping users adapt to their unique needs across different modalities, subspecialties, and various radiology viewer software. Importantly, its fundamental concepts are transferrable to other mouse brands or models with similar customization software.
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Affiliation(s)
| | - Nitin Venugopal
- Department of Radiology, University of Washington, Seattle, WA
| | | | - Alice Shieh
- Department of Radiology, University of Washington, Seattle, WA
| | - Puneet Bhargava
- Department of Radiology, University of Washington, Seattle, WA
| | - Nicholas Said
- Department of Radiology, Duke University Health System, Durham, NC
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Huppe AI, Inciardi MF, Aripoli AM, Peterson JK, Smith CB, Winblad OD. Pearls and Pitfalls of Interpretation of Automated Breast US. Radiographics 2023; 43:e230023. [PMID: 37792592 DOI: 10.1148/rg.230023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
Dense breast tissue is an independent risk factor for breast cancer and reduces the sensitivity of mammography. Patients with dense breast tissue are more likely to present with interval cancers and higher-stage disease. Successful breast cancer screening outcomes rely on detection of early-stage breast cancers; therefore, several supplemental screening modalities have been developed to improve cancer detection in dense breast tissue. US is the most widely used supplemental screening modality worldwide and has been proven to demonstrate additional mammographically occult cancers that are predominantly invasive and node negative. According to the American College of Radiology, intermediate-risk women with dense breast tissue may benefit from adjunctive screening US due to the limitations of mammography. Several studies have demonstrated handheld US (HHUS) and automated breast US (AUS) to be comparable in the screening setting. The advantages of AUS over HHUS include lack of operator dependence and a formal training requirement, image reproducibility, and ability for temporal comparison. However, AUS exhibits unique features that can result in high false-positive rates and long interpretation times for new users. Familiarity with the common appearance of benign mammographic findings and artifacts, technical challenges, and unique AUS features is essential for fast, efficient, and accurate interpretation. The goals of this article are to (a) examine the role of AUS as a supplemental screening modality and (b) review the pearls and pitfalls of AUS interpretation. ©RSNA, 2023 Quiz questions for this article are available in the supplemental material.
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Affiliation(s)
- Ashley I Huppe
- From the Department of Radiology, The University of Kansas Health System, 4000 Cambridge St, Kansas City, KS 66160
| | - Marc F Inciardi
- From the Department of Radiology, The University of Kansas Health System, 4000 Cambridge St, Kansas City, KS 66160
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Crimì F, Zanon C, Crimì A, Cabrelle G, Quaia E. New Trends and Advances in MRI and PET Hybrid Imaging in Diagnostics. Diagnostics (Basel) 2023; 13:2936. [PMID: 37761303 PMCID: PMC10528814 DOI: 10.3390/diagnostics13182936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Accepted: 08/30/2023] [Indexed: 09/29/2023] Open
Abstract
Imaging holds an irreplaceable role in routine clinical practice [...].
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Affiliation(s)
- Filippo Crimì
- Department of Medicine-DIMED, Institute of Radiology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy; (C.Z.); (G.C.); (E.Q.)
| | - Chiara Zanon
- Department of Medicine-DIMED, Institute of Radiology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy; (C.Z.); (G.C.); (E.Q.)
| | - Alberto Crimì
- Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padova, Via Giustiniani 2, 35128 Padova, Italy;
| | - Giulio Cabrelle
- Department of Medicine-DIMED, Institute of Radiology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy; (C.Z.); (G.C.); (E.Q.)
| | - Emilio Quaia
- Department of Medicine-DIMED, Institute of Radiology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy; (C.Z.); (G.C.); (E.Q.)
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Breshears E, Bhargava P. Incorporation of Macropads Into Abdominal Imaging to Improve Radiologist Productivity and Efficiency. Curr Probl Diagn Radiol 2023:S0363-0188(23)00100-7. [PMID: 37479621 DOI: 10.1067/j.cpradiol.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 06/28/2023] [Indexed: 07/23/2023]
Abstract
Shifting demographics within the United States population will likely continue to increase workplace demands of radiologists over the next decade, highlighting the importance of improving radiologist productivity and efficiency. Macropads may serve to optimize radiologist workstations by assigning complex repetitive tasks to a single press of a button. Information technology (IT) restrictions in many radiology practices limit the use of macropads, which often require software installation for use. duckyPad is a unique macropad that circumvents the obstacle of workstation software installation. As a proof of concept, a duckyPad was modified for use in an academic abdominal imaging department. Specifically, commonly accessed online resources (ie, incidentaloma management tables) were programmed to open in a new Google Chrome window when the assigned key on the duckyPad was pressed. The device was replicated and successfully used in several reading rooms within the department. Despite reported benefits of device use, widespread implementation of duckyPad is limited by a number of factors, including required assembly. Future efforts of macropad incorporation into radiology workflows will focus on collaboration with IT departments to potentially facilitate use of more robust devices that can be managed centrally using proprietary software.
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Gabelloni M, Faggioni L, Fusco R, De Muzio F, Danti G, Grassi F, Grassi R, Palumbo P, Bruno F, Borgheresi A, Bruno A, Catalano O, Gandolfo N, Giovagnoni A, Miele V, Barile A, Granata V. Exploring Radiologists' Burnout in the COVID-19 Era: A Narrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3350. [PMID: 36834044 PMCID: PMC9966123 DOI: 10.3390/ijerph20043350] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 02/03/2023] [Accepted: 02/12/2023] [Indexed: 06/18/2023]
Abstract
Since its beginning in March 2020, the COVID-19 pandemic has claimed an exceptionally high number of victims and brought significant disruption to the personal and professional lives of millions of people worldwide. Among medical specialists, radiologists have found themselves at the forefront of the crisis due to the pivotal role of imaging in the diagnostic and interventional management of COVID-19 pneumonia and its complications. Because of the disruptive changes related to the COVID-19 outbreak, a proportion of radiologists have faced burnout to several degrees, resulting in detrimental effects on their working activities and overall wellbeing. This paper aims to provide an overview of the literature exploring the issue of radiologists' burnout in the COVID-19 era.
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Affiliation(s)
- Michela Gabelloni
- Nuclear Medicine Unit, Department of Translational Research, University of Pisa, 56126 Pisa, Italy
| | - Lorenzo Faggioni
- Academic Radiology, Department of Translational Research, University of Pisa, 56126 Pisa, Italy
| | - Roberta Fusco
- Medical Oncology Division, Igea SpA, 80013 Naples, Italy
| | - Federica De Muzio
- Department of Medicine and Health Sciences V. Tiberio, University of Molise, 86100 Campobasso, Italy
| | - Ginevra Danti
- Department of Emergency Radiology, Careggi University Hospital, 50134 Florence, Italy
- Italian Society of Medical and Interventional Radiology, SIRM Foundation, 20122 Milan, Italy
| | - Francesca Grassi
- Department of Precision Medicine, Università degli Studi della Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Roberta Grassi
- Department of Precision Medicine, Università degli Studi della Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Pierpaolo Palumbo
- Area of Cardiovascular and Interventional Imaging, Abruzzo Health Unit 1, Department of Diagnostic Imaging, 67100 L’Aquila, Italy
| | - Federico Bruno
- Area of Cardiovascular and Interventional Imaging, Abruzzo Health Unit 1, Department of Diagnostic Imaging, 67100 L’Aquila, Italy
| | - Alessandra Borgheresi
- Department of Radiology, University Hospital “Azienda Ospedaliera Universitaria delle Marche”, 60126 Ancona, Italy
- Department of Clinical, Special and Dental Sciences, Università Politecnica delle Marche, 60126 Ancona, Italy
| | - Alessandra Bruno
- Department of Radiology, University Hospital “Azienda Ospedaliera Universitaria delle Marche”, 60126 Ancona, Italy
- Department of Clinical, Special and Dental Sciences, Università Politecnica delle Marche, 60126 Ancona, Italy
| | - Orlando Catalano
- Department of Radiology, Istituto Diagnostico Varelli, 80126 Naples, Italy
| | - Nicoletta Gandolfo
- Diagnostic Imaging Department, Villa Scassi Hospital-ASL 3, 16149 Genoa, Italy
| | - Andrea Giovagnoni
- Department of Radiology, University Hospital “Azienda Ospedaliera Universitaria delle Marche”, 60126 Ancona, Italy
- Department of Clinical, Special and Dental Sciences, Università Politecnica delle Marche, 60126 Ancona, Italy
| | - Vittorio Miele
- Department of Emergency Radiology, Careggi University Hospital, 50134 Florence, Italy
- Italian Society of Medical and Interventional Radiology, SIRM Foundation, 20122 Milan, Italy
| | - Antonio Barile
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
| | - Vincenza Granata
- Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale—IRCCS di Napoli, 80131 Naples, Italy
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Xiong S, Hu H, Liu S, Huang Y, Cheng J, Wan B. Improving diagnostic performance of rib fractures for the night shift in radiology department using a computer-aided diagnosis system based on deep learning: A clinical retrospective study. JOURNAL OF X-RAY SCIENCE AND TECHNOLOGY 2023; 31:265-276. [PMID: 36806541 DOI: 10.3233/xst-221343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
OBJECTIVE To investigate the application value of a computer-aided diagnosis (CAD) system based on deep learning (DL) of rib fractures for night shifts in radiology department. METHODS Chest computed tomography (CT) images and structured reports were retrospectively selected from the picture archiving and communication system (PACS) for 2,332 blunt chest trauma patients. In all CT imaging examinations, two on-duty radiologists (radiologists I and II) completed reports using three different reading patterns namely, P1 = independent reading during the day shift; P2 = independent reading during the night shift; and P3 = reading with the aid of a CAD system as the concurrent reader during the night shift. The locations and types of rib fractures were documented for each reading. In this study, the reference standard for rib fractures was established by an expert group. Sensitivity and false positives per scan (FPS) were counted and compared among P1, P2, and P3. RESULTS The reference standard verified 6,443 rib fractures in the 2,332 patients. The sensitivity of both radiologists decreased significantly in P2 compared to that in P1 (both p < 0.017). The sensitivities of both radiologists showed no statistical difference between P3 and P1 (both p > 0.017). Radiologist I's FPS increased significantly in P2 compared to P1 (p < 0.017). The FPS of radiologist I showed no statistically significant difference between P3 and P1 (p > 0.017). The FPS of Radiologist II showed no statistical difference among all three reading patterns (p > 0.05). CONCLUSIONS DL-based CAD systems can be integrated into the workflow of radiology departments during the night shift to improve the diagnostic performance of CT rib fractures.
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Affiliation(s)
- Shan Xiong
- Department of Radiology, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, China
| | - Hai Hu
- Department of Radiology, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, China
| | - Sibin Liu
- Department of Radiology, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, China
| | - Yuanyi Huang
- Department of Radiology, Jingzhou Hospital Affiliated to Yangtze University, Jingzhou, China
| | - Jianmin Cheng
- Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Bing Wan
- Department of Radiology, Renhe Hospital Affiliated to Three Gorges University, Yichang, China
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McGrath AL, McGinty G, Berg WA, Mendelson EB, Drotman MB, Ellis RL, Langlotz CP. Optimizing the Breast Imaging Report for Today and Tomorrow. JOURNAL OF BREAST IMAGING 2022; 4:343-345. [PMID: 38416981 DOI: 10.1093/jbi/wbac033] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Indexed: 03/01/2024]
Affiliation(s)
- Anika L McGrath
- Weill Cornell Medicine at New York-Presbyterian, Department of Radiology, New York, NY, USA
| | - Geraldine McGinty
- Weill Cornell Medicine at New York-Presbyterian, Department of Radiology, New York, NY, USA
| | - Wendie A Berg
- Magee-Womens Hospital of University of Pittsburgh School of Medicine, Department of Radiology, Pittsburgh, PA, USA
| | - Ellen B Mendelson
- Feinberg School of Medicine Northwestern at University, Department of Radiology, Chicago, IL, USA
| | - Michele B Drotman
- Weill Cornell Medicine at New York-Presbyterian, Department of Radiology, New York, NY, USA
| | - Richard L Ellis
- Mayo Clinic Health System, Department of Radiology, La Crosse, WI, USA
| | - Curtis P Langlotz
- Stanford University School of Medicine, Department of Radiology, Stanford, CA, USA
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