RSNA 2019 Imaging Informatics Preview

Road to RSNA 2019: Imaging Informatics Preview

By Erik L. Ridley, staff writer
November 14, 2019

Our final destination on the Road to RSNA is imaging informatics -- specifically PACS, cybersecurity, structured reporting, clinical decision support (CDS), analytics, and issues regarding patient access to radiology results. For previews of papers on artificial intelligence (AI) or advanced visualization topics, please also check out our Road to RSNA Artificial Intelligence and Advanced Visualization previews.

Imaging informatics researchers will journey to Chicago ready to discuss approaches on how to improve radiology reports, particularly via adoption of structured reporting. Presentations will highlight, for example, how structured reporting can improve the diagnosis and staging of endometriosis on pelvic MRI, as well as enhance the clarity and standardization of reports. Another presentation will showcase the potential of audiovisual reports produced via screen capture software and a video reporting tool.

Not surprisingly, clinical decision support remains a key topic of interest. After years of delays, adoption of new Medicare rules mandating consultation of an approved CDS mechanism prior to ordering advanced imaging studies is finally at hand. An educational and testing year will begin on January 1, 2020, with full implementation commencing on January 1, 2021.

But CDS isn't just for referring physicians; radiologists also can benefit from the technology. One presentation will describe how a computer-assisted reporting and decision-support system can yield a host of benefits for radiologists, including enhanced agreement with care guidelines and better report standardization and completeness.

Researchers are also applying analytics to investigate and solve problems, including analyzing DICOM image headers to drive image quality optimization and standardization in digital radiography. In addition, analytics can predict delays in on-call radiology scans and interpretations, as well as optimize patient scheduling, according to two other talks at the meeting. Other presenters will discuss the use of simulation software to target investments for quality improvement initiatives, such as pursuing faster turnaround times on urgent CT cases from the emergency department.

Informatics can also help with the crucial task of communicating clinically significant radiology results -- both to referring physicians and patients. One presentation will describe how an informatics approach helped Thomas Jefferson University comply with a new state law in Pennsylvania mandating notification of patients who have significant abnormalities.

A team of researchers from Yale University will also present a pair of poster sessions to help other institutions prepare for the arduous process of PACS replacement.

See below for our previews of select imaging informatics-related scientific presentations and posters at RSNA 2019. Of course, these are just a sample of the imaging informatics content planned for the meeting. For more information on those talks, as well as other abstracts and refresher courses, view the RSNA 2019 meeting program.

Scientific and Educational Presentations
Structured reporting improves endometriosis evaluation
Sunday, December 1 | 10:55 a.m.-11:05 a.m. | SSA10-02 | Room N228
Researchers from Massachusetts will describe how the combination of structured reporting and reader expertise can improve the diagnosis and staging of endometriosis on MRI.
CTA studies in the ED add to burden for radiologists
Sunday, December 1 | 11:25 a.m.-11:35 a.m. | SSA06-05 | Room N227B
A team of researchers will share data quantifying the increase in radiologist workload from CT angiography (CTA) exams for evaluating aortic pathologies in the emergency department (ED).
Simulation model may enable faster ED CT turnaround
Sunday, December 1 | 12:05 p.m.-12:15 p.m. | SSA06-09 | Room N227B
In this study, researchers from Canada will share how they utilized simulation software to pursue their goal of speeding up turnaround time for urgent CT exams of emergency department (ED) patients.
Web-based tool improves radiology/ED communication
Monday, December 2 | 12:15 p.m.-12:45 p.m. | QI108-ED-MOA1 | Lakeside, QR Community, Station 1
A web-based software tool can improve communication between radiology and the emergency department (ED), according to this scientific poster.
Structured reporting yields clarity, standardization
Tuesday, December 3 | 11:20 a.m.-11:30 a.m. | SSG06-06 | Room S406A
In this presentation, researchers from Switzerland will detail the effects of structured reports on the length, standardization, and lexicon size of radiology reports.
Software platform facilitates CDS for radiologists
Tuesday, December 3 | 12:15 p.m.-12:45 p.m. | IN144-ED-TUA7 | Lakeside, IN Community, Station 7
Researchers from Massachusetts will describe in this poster presentation how their computer-assisted reporting and decision-support system can enable clinical decision support (CDS) for radiologists.
Lessons learned from Pa. patient notification law
Tuesday, December 3 | 12:15 p.m.-12:45 p.m. | QI030-EB-TUA | Lakeside, QR Community, Hardcopy Backboard
Researchers from Pennsylvania will present their initial experience in complying with state legislation mandating patient notification of clinically significant imaging results.
Audiovisual radiology reports draw attention
Tuesday, December 3 | 12:15 p.m.-12:45 p.m. | QI114-ED-TUA1 | Lakeside, QR Community, Station 1
In this poster presentation, a team of researchers from Brazil will describe how screen capture software and a video reporting tool can be used to create audiovisual radiology reports.
Actionable imaging findings pose workload challenge
Tuesday, December 3 | 12:45 p.m.-1:15 p.m. | IN215-SD-TUB5 | Lakeside, IN Community, Station 5
In this scientific poster, researchers explored the challenges to radiologist workload that are associated with the need to communicate actionable imaging findings to referring physicians.
Quality project speeds critical results notification
Tuesday, December 3 | 12:45 p.m.-1:15 p.m. | QI119-ED-TUB2 | Lakeside, QR Community, Station 2
Researchers from the University of California, San Francisco will present results from an initiative to notify referring providers about critical imaging results in a more timely manner.
What you need to know before replacing your PACS
Wednesday, December 4 | 12:15 p.m.-12:45 p.m. | IN146-ED-WEA7 | Lakeside, IN Community, Station 7
In the first of two poster presentations on PACS replacement, researchers from Connecticut will share their keys to success for implementing a new PACS.
Patient photographs help quality improvement with x-rays
Wednesday, December 4 | 12:45 p.m.-1:15 p.m. | QI125-ED-WEB1 | Lakeside, QR Community, Station 1
Taking patient photographs at the time of radiography exams can be useful for quality improvement, according to this poster presentation.
Gaze-tracking system captures radiologist search patterns
Wednesday, December 4 | 3:50 p.m.-4:00 p.m. | SSM15-06 | Room E353B
A real-time attention-tracking system can capture a radiologist's search patterns while interpreting a study, potentially paving the way for more interactive artificial intelligence algorithms, according to this talk.
Pediatric teleradiology portal offers needed expertise
Thursday, December 5 | 9:40 a.m.-9:50 a.m. | RC613-07 | Room S502AB
In this talk, researchers will report on the successful experience of the World Federation of Pediatric Imaging second-opinion teleradiology service.
Report comparison tool facilitates resident feedback
Thursday, December 5 | 10:50 a.m.-11:00 a.m. | SSQ11-03 | Room N229
A group of researchers from Switzerland has developed a report comparison tool that enables residents to receive feedback on their reports from attending radiologists.
Machine-learning model predicts interpretation delays
Thursday, December 5 | 11:00 a.m.-11:10 a.m. | SSQ11-04 | Room N229
A machine-learning algorithm can predict delays in performing and interpreting on-call radiology exams, a team of California researchers will report in this presentation.
Software algorithm optimizes radiology scheduling
Thursday, December 5 | 11:10 a.m.-11:20 a.m. | SSQ11-05 | Room N229
A software algorithm can help radiology departments optimize scheduling of imaging exams and decrease delays, according to this presentation from a Massachusetts team.
DICOM header analysis unlocks DR quality improvement
Thursday, December 5 | 11:40 a.m.-11:50 a.m. | SSQ11-08 | Room N229
In this presentation, researchers from the Mayo Clinic in Rochester, MN, will show how analysis of DICOM headers can enable quality improvement initiatives for digital radiography (DR).
Automated system speeds up rad-path correlation
Thursday, December 5 | 12:45 p.m.-1:15 p.m. | QI134-ED-THB4 | Lakeside, QR Community, Station 4
An automated, semi-intelligent software application can significantly speed up the process of correlating radiology and pathology results for image-guided breast biopsies, according to this poster presentation.
What do spine surgeons want from radiology reports?
Friday, December 6 | 10:50 a.m.-11:00 a.m. | SST05-03 | Room E450B
In this presentation, researchers from India will describe how collaboration with spine surgeons can help radiologists produce more clinically relevant radiology reports for spine MRI exams.