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Road to RSNA 2012: Healthcare Informatics Preview
By Cynthia E. Keen, AuntMinnie.com staff writer
November 16, 2012

Once again, this is a year focused on healthcare IT and imaging informatics at the 2012 RSNA conference. It would be an understatement to say that there are a staggering number of courses, scientific sessions, educational exhibits, and poster presentations -- even the subject of the Eugene P. Pendergrass New Horizons Lectures has an informatics slant.

Once again, this is a year focused on healthcare IT and imaging informatics at the 2012 RSNA conference. It would be an understatement to say that there are a staggering number of courses, scientific sessions, educational exhibits, and poster presentations -- even the subject of the Eugene P. Pendergrass New Horizons Lectures has an informatics slant.

The Pendergrass lectures, being presented by informatics heavyweights Dr. Keith Dreyer and Dr. Paul Chang, both focus on the value and future of imaging informatics. Dreyer will focus on the federal "meaningful use" initiative in the U.S. with a lecture entitled the "Future of Imaging Informatics: Meaningful Use and Beyond." Chang will discuss "Meaningful IT Innovation to Support the Radiology Value Proposition (Monday, November 26, 1:30 p.m.-2:45 p.m., PS20, Arie Crown Theater).

There's a lot to know about meaningful use, and four courses are dedicated to this subject. They begin with an update on Sunday afternoon, November 25 (2:00 a.m.-3:30 p.m., RC126, Room E261). Radiologists will discuss the experiences of their practices on Tuesday afternoon, November 27 (12:30 p.m.-2:00 p.m., ICII32, Room S501ABC), and attendees can learn how meaningful use rules can be modified to be more relevant to radiology on Wednesday, November 28 (12:30 p.m.-2:00 p.m., ICII42, Room S501ABC). There's even a course for radiology IT vendors about what customers demand and competitors will provide (Monday, November 26, 2:30 p.m.-4:00 p.m., ICII23, Room S501ABC).

Road to RSNA 2011: Healthcare Informatics Preview Clinical decision-support systems are intrinsically connected with computerized physician order entry systems, a required element of the meaningful use rules. Monday morning, November 26, begins with a refresher course on decision support in clinical practice (8:30 a.m-10:00 a.m., RC226, Room N229). It's complemented by a presentation on the role of clinical decision support from the perspective of the U.S. Centers for Medicare and Medicaid Services, being held as part of a course on U.S. legislative policy and its implications (Thursday, November 29, 4:30 p.m.-6:00 p.m., RC730, Room S504AB).

Should radiologists provide their reports directly to patients? This hot topic is addressed in a special interest section being held late Monday afternoon. Pros and cons will be discussed, as well as early experience with electronic access by patients, and medicolegal considerations regarding online access to reports. It's worth staying late for this (4:30-6:00 p.m., SPSI21, Room E450A)!

Dealing effectively with a hospital IT department is an issue that's often on the minds of radiologists, whether they like it or not. Being reprised from 2010 is an entertaining and informative refresher course offering a bevy of sound advice and tips on the most effective ways to work with an IT department (Monday, November 26, 8:30 a.m.-10:00 a.m., RC230, Room S403B).

Natural language processing (NLP) tools continue to develop, and their use is increasing. If NLP is of interest, add these courses to your agenda: extracting information from text reports to improve quality (Tuesday, November 27, 8:30 a.m.-10:00 a.m., RC326, Room S403A), and getting the most out of imaging reports with NLP (Wednesday, November 28, 12:30 p.m.-2:00 p.m., ICIW42, Room S401AB).

An update on the free RSNA library of radiology report templates is scheduled for Tuesday morning (10:30 a.m.-12:00 p.m., ICII31, Room S501ABC), followed the next afternoon with a course on Integrating the Healthcare Enterprise (IHE) solutions for structured reporting (4:30 p.m.-6:00 p.m., ICII44, Room S501ABC).

Using IT data for business analytics and quality improvements are the subject of courses as well. Business analytics to improve radiology operations, quality, and clinical performance, cosponsored by the Society for Imaging Informatics in Medicine (SIIM), will be held Tuesday afternoon (4:30 p.m.-6:00 p.m., RC426, Room S403B). On Wednesday, November 28, present (8:30 a.m.-10:00 a.m., RC526, Room E450B) and future use (10:30 a.m.-12:00 p.m., ICII41, Room S501ABC) of health IT tools with respect to quality metrics are addressed in back-to-back courses.

Finally, don't overlook the Quantitative Imaging Reading Room Showcase, now in its third year demonstrating technologies and tools of the future at Lakeside Learning Center.

To view the RSNA's listing of abstracts for this year's scientific and educational program click here.

Scientific and Educational Presentations
Evaluating decision-support trends can improve adherence
Sunday, November 25 | 12:30 p.m.-1:00 p.m. | LL-INS-SU4A | Lakeside Learning Center
The benefit of decision-support software to a hospital is directly related to acceptance by users of American College of Radiology Appropriateness Criteria. Radiologists from Henry Ford Hospital will discuss in this poster presentation the findings of an audit of hospitalist ordering patterns.
What do physicians think of radiology report recommendations?
Sunday, November 25 | 12:30 p.m.-1:00 p.m. | LL-INS-SU5A | Lakeside Learning Center
Radiologists should carefully consider the wording, location, and clinical implications for primary care physicians when making recommendations in a radiology report, caution the authors of this poster presentation. It makes a difference.
Semiautomated system translates RSNA report templates
Sunday, November 25 | 12:30 p.m.-1:00 p.m. | LL-INS-SU7A | Lakeside Learning Center
The RSNA library of radiology report templates is continuing to expand its offerings of best-practice report content prepared by experts in their specialty. Now, a semiautomated system has been created to translate these into any of 58 supported languages.
Checklist structured reporting macros don't benefit radiology residents
Sunday, November 25 | 1:00 p.m.-1:30 p.m. | LL-INS-SU2B | Lakeside Learning Center
When checklists are used in medicine, they tend to help caregivers and increase patient safety. But their use as a reporting tool failed dismally in two radiology residency programs in New York City.
Speech recognition creates shorter, more concise reports
Sunday, November 25 | 1:00 p.m.-1:30 p.m. | LL-INS-SU3B | Lakeside Learning Center
A new study from Finland has revealed, to its authors' surprise, that the content of radiology reports dictated using speech recognition became much shorter in length over the course of several years.
SR systems impede report preparation and accuracy
Sunday, November 25 | 1:00 p.m.-1:30 p.m. | LL-INS-SU5B | Lakeside Learning Center
Radiologists who believe that using speech recognition (SR) makes them less efficient and more error-prone in reports should find solace in this poster presentation.
Lesion-tracking tool boosts efficiency in RECIST assessments
Monday, November 26 | 11:10 a.m.-11:20 a.m. | SSC08-05 | Room S402AB
A study team will describe how an automated lesion-tracking tool improves radiologist efficiency for quantitative assessment of cancer response on CT studies.
Access to EMR proves crucial for teleradiology
Monday, November 26 | 12:15 p.m.-12:45 p.m. | LL-INS-MO2A | Lakeside Learning Center
This poster presentation will stress the importance of providing radiologists with access to the electronic medical record (EMR) when performing teleradiology.
Technique estimates pediatric dose for DR studies
Monday, November 26 | 12:15 p.m.-12:45 p.m. | LL-PDS-MO2A | Lakeside Learning Center
Heightened concern over radiation dose has led to the development of new methods for calculating and reporting dose delivered to patients during imaging exams. Most of the attention has focused on CT -- but what about digital radiography (DR)?
ViSion structured reporting automatically generates critical results alert
Monday, November 26 | 12:45 p.m.-1:15 p.m. | LL-INE1249-MOB | Lakeside Learning Center
Having a structured report template that is smart enough to automatically notify referring physicians of critical results and also track and verify their receipt would be a boon to busy radiologists. A group from MD Anderson Cancer Center might have the solution.
Can the editing process of residents' preliminary reports be improved?
Monday, November 26 | 3:30 p.m.-3:40 p.m. | SSE12-04 | Room S402AB
It's no surprise that when attending radiologists take time to review and edit preliminary reports prepared by residents, their own productivity declines. Analyzing patterns of editing in an academic radiology department may help better manage this process.
Enterprise RIS/PACS downtimes are common, often unscheduled
Monday, November 26 | 3:50 p.m.-4:00 p.m. | SSE12-06 | Room S402AB
Researchers from University Radiology in New Jersey will discuss in this presentation the sources and severity of failures in complex RIS/PACS environments.
Hot key software links PACS with EMR
Monday, November 26 | 5:30 p.m.-6:00 p.m. | LL-INS-MO4D | Lakeside Learning Center
This poster presentation will discuss how hot key software can be used to quickly look up patient charts in the electronic medical record (EMR) from PACS.
AV services come with informatics, financial hurdles
Tuesday, November 27 | 10:30 a.m.-10:40 a.m. | SSG09-01 | Room S402AB
In his keynote talk, Gordon Harris, PhD, will discuss the informatics and financial challenges involved with creating advanced visualization (AV) services as streamlined and integrated components of routine practice.
How to get on the meaningful use bandwagon
Tuesday, November 27 | 12:15 p.m.-12:45 p.m. | LL-INS-TU6A | Lakeside Learning Center
Radiologists who are starting to explore how to participate in the meaningful use initiative under way by the U.S. Department of Health and Human Services should find this poster presentation helpful.
Radiology reports are most effective if tailored to recipient
Tuesday, November 27 | 12:45 p.m.-1:15 p.m. | LL-INS-TU4B | Lakeside Learning Center
Tailoring a radiology report with its recipient in mind increases its value and ultimately benefits the radiologist as well. A one-size-fits-all approach is not recommended, according to a survey of physicians in Flanders, Belgium.
Lesion-tracking tool reduces errors and increases efficiency
Tuesday, November 27 | 3:20 p.m.-3:30 p.m. | SSJ13-03 | Room S402AB
An annotation and image markup lesion-tracking tool measuring changes in size, or lack thereof, in tumors shown on diagnostic imaging exams of cancer patients is producing significant improvements in oncologic lesion measurement efficiency, as well as reductions in documentation errors, at the University of Chicago.
Study shows RIS reduces effect of 'hangovers' at imaging centers
Tuesday, November 27 | 3:40 p.m.-3:50 p.m. | SSJ13-05 | Room S402AB
Incomplete data is one of the key culprits of delays in report turnaround time, but today's generation of RIS software can minimize its negative impact, a Rochester, NY, imaging center discovered.
Software tool expedites consensus peer review
Wednesday, November 28 | 11:30 a.m.-11:40 a.m. | SSK07-07 | Room S405AB
This scientific session will describe a software tool that has enabled broad adoption of a consensus-oriented group peer review process within the large radiology department of Massachusetts General Hospital. The department holds about 30 conferences each week to discuss the peer review of about 140 cases.
Turnaround times improve when stroke codes are prioritized
Wednesday, November 28 | 11:50 a.m.-12:00 p.m. | SSK07-09 | Room S405AB
Staten Island University Hospital is a designated stroke center, with high expectations to produce the fastest turnaround time possible. The radiology department has turned to informatics to reduce its reporting process time -- from when the exam is complete to delivery of the report -- from an average time of 10 to 12 minutes to about five minutes.
Using a modular approach makes structured reporting successful
Wednesday, November 28 | 12:15 p.m.-12:45 p.m. | LL-INS-WE5A | Lakeside Learning Center
Using modules as building blocks to build templates and reports may help overcome some of the barriers to the adoption of structured reporting, and this poster presentation will explain how it's done.
International standards for radiology reporting show progress
Wednesday, November 28 | 12:45 p.m.-1:15 p.m. | LL-INS-WE7B | Lakeside Learning Center
As part of the initiative to develop best-practice structured report templates, RSNA has been promoting the need to develop a set of international standards for radiology reporting. This poster presentation will review the progress of these efforts.
New medical transcriptionists may adapt better to SR system editing
Wednesday, November 28 | 5:30 p.m.-6:00 p.m. | LL-INS-WE2D | Lakeside Learning Center
Just how accurate and efficient are medical transcriptionists when they assume the role of speech recognition (SR) system report editor? This question was newly revisited in a study conducted in South Korea.
Decision-support system can aid radiologist interpretation
Thursday, November 29 | 10:50 a.m.-11:00 a.m. | SSQ09-03 | Room S402AB
In this scientific session, researchers will share how a decision-support system can provide radiologists with real-time and patient-specific guidance during the image interpretation process.
Using NLP to identify information missing from radiology reports
Thursday, November 29 | 11:30 a.m.-11:40 a.m. | SSQ10-07 | Room S403A
In this scientific session, researchers will describe how a natural language processing (NLP) tool can identify "missing" core semantic elements in reports assessing bone tumors on radiographs. Such a tool used along with speech recognition could provide real-time feedback and help improve the quality of reports.
What is radiology's role in stage 2 meaningful use?
Thursday, November 29 | 11:40 a.m.-11:50 a.m. | SSQ09-08 | Room S402AB
If you have questions about the final stage 2 meaningful use rule, Dr. Adeel Siddiqui, a research fellow in informatics at Massachusetts General Hospital, has answers.
New 'LUNG-RADS' scheme sorts out screening results
Thursday, November 29 | 11:40 a.m.-11:50 a.m. | SSQ10-08 | Room S403A
A new "LUNG-RADS" system for lung cancer screening with CT aims to standardize the reporting of findings, both pulmonary and extrapulmonary, according to researchers from the Lahey Institute in Burlington, MA, who developed the system late last year.
RadPod software aids in preparing reports
Thursday, November 29 | 11:50 a.m.-12:00 p.m. | SSQ10-09 | Room S403A
A group from Massachusetts General Hospital has developed software that provides a summary of positive report findings during dictation, allowing radiologists to create and verify their impression before finalizing the report.

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