information technology in radiology
TRANSCRIPT
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Information Technology in Radiology
Dr. Adegbenga Ismail
Rays & Waves Radiology Clinic
October 30, 2014
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Table of Contents
1 Introduction
2 Radiology
3 Information Technology
4 Application of Information Technology to Radiology
5 Conclusion
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiology
Definition Medical specialty that uses imaging to diagnosediseases [Wikipedia]
Fundamental Concerns Just two things:
1 Image acquisition2 Interpretation of Images viz-a-viz Disease states
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiology
Definition Medical specialty that uses imaging to diagnosediseases [Wikipedia]
Fundamental Concerns Just two things:
1 Image acquisition2 Interpretation of Images viz-a-viz Disease states
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Information Technology
Definition Application of Computers and Telecommunicationsequipment to store, retrieve, transmit and manipulatedata, often in the context of a business or otherenterprise [Wikipedia]
Fundamental Concern Automation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Information Technology
Definition Application of Computers and Telecommunicationsequipment to store, retrieve, transmit and manipulatedata, often in the context of a business or otherenterprise [Wikipedia]
Fundamental Concern Automation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Sound Ultrasound
X-rays Radiography, Fluoroscopy and ComputedTomography
Magnets Magnetic Resonance Imaging
Sub-atomic particles Nuclear Medicine, and Positron EmissionTomography
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Sound Ultrasound
X-rays Radiography, Fluoroscopy and ComputedTomography
Magnets Magnetic Resonance Imaging
Sub-atomic particles Nuclear Medicine, and Positron EmissionTomography
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Sound Ultrasound
X-rays Radiography, Fluoroscopy and ComputedTomography
Magnets Magnetic Resonance Imaging
Sub-atomic particles Nuclear Medicine, and Positron EmissionTomography
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Sound Ultrasound
X-rays Radiography, Fluoroscopy and ComputedTomography
Magnets Magnetic Resonance Imaging
Sub-atomic particles Nuclear Medicine, and Positron EmissionTomography
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Hardware Typical Configuration: Client – Server Architecture:
Server + Dedicated Multi-modality viewingWork-stationServer + General-purpose PC
Networks 1GB or faster ethernet hardware. Fast routers.Implementations:
Local Area NetworkWide Area NetworkVirtual Private Network
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Hardware Typical Configuration: Client – Server Architecture:
Server + Dedicated Multi-modality viewingWork-stationServer + General-purpose PC
Networks 1GB or faster ethernet hardware. Fast routers.Implementations:
Local Area NetworkWide Area NetworkVirtual Private Network
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Modalities
Software Stored Instructions and procedures. DICOM is theunderlying protocol
Server + Fat client Server and Dedicated Client:
ConQuest DICOM-server +k-PACS image-viewerOsirix Server + OsirixImage-viewer
Server + Thin client Server and Web browser
Clear Canvas Image Server +Web-browserOrthanc Server + Web-browser
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiology already involves an intense use of Science,Technology and Information. Can Computers,Tele-communication and Information systems still add value?
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Computed Radiography Computerized Radiography
Picture Archiving and Communication System (PACS) Provideseconomical storage of, and convenient access to,images from multiple modalities.
Radiology Information System (RIS) Computerized database usedto store, manipulate and distribute patientradiological data and imagery.
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Computed Radiography Computerized Radiography
Picture Archiving and Communication System (PACS) Provideseconomical storage of, and convenient access to,images from multiple modalities.
Radiology Information System (RIS) Computerized database usedto store, manipulate and distribute patientradiological data and imagery.
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Computed Radiography Computerized Radiography
Picture Archiving and Communication System (PACS) Provideseconomical storage of, and convenient access to,images from multiple modalities.
Radiology Information System (RIS) Computerized database usedto store, manipulate and distribute patientradiological data and imagery.
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Teleradiology Transmission of radiological images from onelocation to another for the purpose of sharing studieswith other radiologists and physicians.
Voice Recognition System Translation of spoken words into text
Computer-aided Diagnosis Pattern-recognition softwares highlightsuspicious areas on images, and draws the attentionof the radiologist to suspicious areas
Decision Support Systems Particularly useful in assisting decisionfor appropriate Imaging and follow-up Imaging
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Teleradiology Transmission of radiological images from onelocation to another for the purpose of sharing studieswith other radiologists and physicians.
Voice Recognition System Translation of spoken words into text
Computer-aided Diagnosis Pattern-recognition softwares highlightsuspicious areas on images, and draws the attentionof the radiologist to suspicious areas
Decision Support Systems Particularly useful in assisting decisionfor appropriate Imaging and follow-up Imaging
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Teleradiology Transmission of radiological images from onelocation to another for the purpose of sharing studieswith other radiologists and physicians.
Voice Recognition System Translation of spoken words into text
Computer-aided Diagnosis Pattern-recognition softwares highlightsuspicious areas on images, and draws the attentionof the radiologist to suspicious areas
Decision Support Systems Particularly useful in assisting decisionfor appropriate Imaging and follow-up Imaging
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Applications
Teleradiology Transmission of radiological images from onelocation to another for the purpose of sharing studieswith other radiologists and physicians.
Voice Recognition System Translation of spoken words into text
Computer-aided Diagnosis Pattern-recognition softwares highlightsuspicious areas on images, and draws the attentionof the radiologist to suspicious areas
Decision Support Systems Particularly useful in assisting decisionfor appropriate Imaging and follow-up Imaging
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computed Radiography
Combines four steps involved in radiographic film developmentinto just one step:
Developer A base (alkali) and metal solution used inreducing ionized silver bromide crystals onradiographic films to black metallic silver crystals
Stopper A glacial acetic acid solution used to neutralizeany excessive development of the film
Fixer Solution used to preserve radiographic imageover time
Rinsing and Drying Dry off water to allow film to be reported
Using a laser scanner to directly acquire images from aphotostimulable phospor imaging plate
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computed Radiography
Combines four steps involved in radiographic film developmentinto just one step:
Developer A base (alkali) and metal solution used inreducing ionized silver bromide crystals onradiographic films to black metallic silver crystals
Stopper A glacial acetic acid solution used to neutralizeany excessive development of the film
Fixer Solution used to preserve radiographic imageover time
Rinsing and Drying Dry off water to allow film to be reported
Using a laser scanner to directly acquire images from aphotostimulable phospor imaging plate
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Picture Archiving and Communication System
Uses the DICOM standard to acquire images and data fromdifferent HL7-compliant radiological imaging modalities
Stores images on RAIDs. RAID 5 in particular
Makes images available to reporting radiologists and cliniciansover high-speed broadband networks
Same image is simultaneously available over a LAN, a WANor the internet for reporting and clinical decision making
Long term storage is ensured by periodic off-site back-ups
Provides fast image retrieval and redundant image availability
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Picture Archiving and Communication System
Uses the DICOM standard to acquire images and data fromdifferent HL7-compliant radiological imaging modalities
Stores images on RAIDs. RAID 5 in particular
Makes images available to reporting radiologists and cliniciansover high-speed broadband networks
Same image is simultaneously available over a LAN, a WANor the internet for reporting and clinical decision making
Long term storage is ensured by periodic off-site back-ups
Provides fast image retrieval and redundant image availability
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Picture Archiving and Communication System
Uses the DICOM standard to acquire images and data fromdifferent HL7-compliant radiological imaging modalities
Stores images on RAIDs. RAID 5 in particular
Makes images available to reporting radiologists and cliniciansover high-speed broadband networks
Same image is simultaneously available over a LAN, a WANor the internet for reporting and clinical decision making
Long term storage is ensured by periodic off-site back-ups
Provides fast image retrieval and redundant image availability
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Picture Archiving and Communication System
Uses the DICOM standard to acquire images and data fromdifferent HL7-compliant radiological imaging modalities
Stores images on RAIDs. RAID 5 in particular
Makes images available to reporting radiologists and cliniciansover high-speed broadband networks
Same image is simultaneously available over a LAN, a WANor the internet for reporting and clinical decision making
Long term storage is ensured by periodic off-site back-ups
Provides fast image retrieval and redundant image availability
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Picture Archiving and Communication System
Uses the DICOM standard to acquire images and data fromdifferent HL7-compliant radiological imaging modalities
Stores images on RAIDs. RAID 5 in particular
Makes images available to reporting radiologists and cliniciansover high-speed broadband networks
Same image is simultaneously available over a LAN, a WANor the internet for reporting and clinical decision making
Long term storage is ensured by periodic off-site back-ups
Provides fast image retrieval and redundant image availability
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Picture Archiving and Communication System
Uses the DICOM standard to acquire images and data fromdifferent HL7-compliant radiological imaging modalities
Stores images on RAIDs. RAID 5 in particular
Makes images available to reporting radiologists and cliniciansover high-speed broadband networks
Same image is simultaneously available over a LAN, a WANor the internet for reporting and clinical decision making
Long term storage is ensured by periodic off-site back-ups
Provides fast image retrieval and redundant image availability
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiologic Information System
Specialized instance of a Health Information Systemaddressing the peculiar needs of a radiology department
One-time input of patient data such as: name, age, gender,registration number etc
Patient data can also be acquired from a hospital-wide HIS
Can Communicate via a Dicom Modality Work-list withimaging equipments [Grainger & Allison, 2008]
Same patient data can be linked with multiple images fromdifferent imaging modalities
Reduces clerical errors by eliminating multiple entry of samepatient information in different imaging equipment
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiologic Information System
Specialized instance of a Health Information Systemaddressing the peculiar needs of a radiology department
One-time input of patient data such as: name, age, gender,registration number etc
Patient data can also be acquired from a hospital-wide HIS
Can Communicate via a Dicom Modality Work-list withimaging equipments [Grainger & Allison, 2008]
Same patient data can be linked with multiple images fromdifferent imaging modalities
Reduces clerical errors by eliminating multiple entry of samepatient information in different imaging equipment
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiologic Information System
Specialized instance of a Health Information Systemaddressing the peculiar needs of a radiology department
One-time input of patient data such as: name, age, gender,registration number etc
Patient data can also be acquired from a hospital-wide HIS
Can Communicate via a Dicom Modality Work-list withimaging equipments [Grainger & Allison, 2008]
Same patient data can be linked with multiple images fromdifferent imaging modalities
Reduces clerical errors by eliminating multiple entry of samepatient information in different imaging equipment
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiologic Information System
Specialized instance of a Health Information Systemaddressing the peculiar needs of a radiology department
One-time input of patient data such as: name, age, gender,registration number etc
Patient data can also be acquired from a hospital-wide HIS
Can Communicate via a Dicom Modality Work-list withimaging equipments [Grainger & Allison, 2008]
Same patient data can be linked with multiple images fromdifferent imaging modalities
Reduces clerical errors by eliminating multiple entry of samepatient information in different imaging equipment
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiologic Information System
Specialized instance of a Health Information Systemaddressing the peculiar needs of a radiology department
One-time input of patient data such as: name, age, gender,registration number etc
Patient data can also be acquired from a hospital-wide HIS
Can Communicate via a Dicom Modality Work-list withimaging equipments [Grainger & Allison, 2008]
Same patient data can be linked with multiple images fromdifferent imaging modalities
Reduces clerical errors by eliminating multiple entry of samepatient information in different imaging equipment
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Radiologic Information System
Specialized instance of a Health Information Systemaddressing the peculiar needs of a radiology department
One-time input of patient data such as: name, age, gender,registration number etc
Patient data can also be acquired from a hospital-wide HIS
Can Communicate via a Dicom Modality Work-list withimaging equipments [Grainger & Allison, 2008]
Same patient data can be linked with multiple images fromdifferent imaging modalities
Reduces clerical errors by eliminating multiple entry of samepatient information in different imaging equipment
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Teleradiology
Images transmitted over broadband networks to off-sitereporting radiologist
Enables off-site reporting of radiological images
Enables virtual Multi-disciplinary Team Meetings
Emerging area of Tele-education
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Teleradiology
Images transmitted over broadband networks to off-sitereporting radiologist
Enables off-site reporting of radiological images
Enables virtual Multi-disciplinary Team Meetings
Emerging area of Tele-education
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Teleradiology
Images transmitted over broadband networks to off-sitereporting radiologist
Enables off-site reporting of radiological images
Enables virtual Multi-disciplinary Team Meetings
Emerging area of Tele-education
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Teleradiology
Images transmitted over broadband networks to off-sitereporting radiologist
Enables off-site reporting of radiological images
Enables virtual Multi-disciplinary Team Meetings
Emerging area of Tele-education
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Voice Recognition System
Seeks to automate stenography
Typical Reporting Work-flow:Radiologist’s Dictation ⇒ Secretary ⇒ Typed Report
Automated Reporting Work-flow:Radiologist’s Dictation ⇒ Voice Recognition Software ⇒Computerized Report [Grainger & Allison, 2008]
Faster
Report is instantly verified and signed by radiologist author
Interfaces with the RIS and PACS
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Voice Recognition System
Seeks to automate stenography
Typical Reporting Work-flow:Radiologist’s Dictation ⇒ Secretary ⇒ Typed Report
Automated Reporting Work-flow:Radiologist’s Dictation ⇒ Voice Recognition Software ⇒Computerized Report [Grainger & Allison, 2008]
Faster
Report is instantly verified and signed by radiologist author
Interfaces with the RIS and PACS
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Voice Recognition System
Seeks to automate stenography
Typical Reporting Work-flow:Radiologist’s Dictation ⇒ Secretary ⇒ Typed Report
Automated Reporting Work-flow:Radiologist’s Dictation ⇒ Voice Recognition Software ⇒Computerized Report [Grainger & Allison, 2008]
Faster
Report is instantly verified and signed by radiologist author
Interfaces with the RIS and PACS
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Voice Recognition System
Seeks to automate stenography
Typical Reporting Work-flow:Radiologist’s Dictation ⇒ Secretary ⇒ Typed Report
Automated Reporting Work-flow:Radiologist’s Dictation ⇒ Voice Recognition Software ⇒Computerized Report [Grainger & Allison, 2008]
Faster
Report is instantly verified and signed by radiologist author
Interfaces with the RIS and PACS
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Voice Recognition System
Seeks to automate stenography
Typical Reporting Work-flow:Radiologist’s Dictation ⇒ Secretary ⇒ Typed Report
Automated Reporting Work-flow:Radiologist’s Dictation ⇒ Voice Recognition Software ⇒Computerized Report [Grainger & Allison, 2008]
Faster
Report is instantly verified and signed by radiologist author
Interfaces with the RIS and PACS
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Voice Recognition System
Seeks to automate stenography
Typical Reporting Work-flow:Radiologist’s Dictation ⇒ Secretary ⇒ Typed Report
Automated Reporting Work-flow:Radiologist’s Dictation ⇒ Voice Recognition Software ⇒Computerized Report [Grainger & Allison, 2008]
Faster
Report is instantly verified and signed by radiologist author
Interfaces with the RIS and PACS
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computer-aided Diagnosis (CADx)
Uses pattern recognition to identify disease patterns in images
Machine learning technology is utilized to optimize algorithm
Images compared with anatomic databank of normal andabnormal images
Uses Artificial Neural Network and Bayesian statistics inanalyzing images for probability of disease[Stivaros et al, 2010]
Technology also used in Computer-aided Simple Triage(CAST)
Supplements and assists, not replace, human evaluation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computer-aided Diagnosis (CADx)
Uses pattern recognition to identify disease patterns in images
Machine learning technology is utilized to optimize algorithm
Images compared with anatomic databank of normal andabnormal images
Uses Artificial Neural Network and Bayesian statistics inanalyzing images for probability of disease[Stivaros et al, 2010]
Technology also used in Computer-aided Simple Triage(CAST)
Supplements and assists, not replace, human evaluation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computer-aided Diagnosis (CADx)
Uses pattern recognition to identify disease patterns in images
Machine learning technology is utilized to optimize algorithm
Images compared with anatomic databank of normal andabnormal images
Uses Artificial Neural Network and Bayesian statistics inanalyzing images for probability of disease[Stivaros et al, 2010]
Technology also used in Computer-aided Simple Triage(CAST)
Supplements and assists, not replace, human evaluation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computer-aided Diagnosis (CADx)
Uses pattern recognition to identify disease patterns in images
Machine learning technology is utilized to optimize algorithm
Images compared with anatomic databank of normal andabnormal images
Uses Artificial Neural Network and Bayesian statistics inanalyzing images for probability of disease[Stivaros et al, 2010]
Technology also used in Computer-aided Simple Triage(CAST)
Supplements and assists, not replace, human evaluation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computer-aided Diagnosis (CADx)
Uses pattern recognition to identify disease patterns in images
Machine learning technology is utilized to optimize algorithm
Images compared with anatomic databank of normal andabnormal images
Uses Artificial Neural Network and Bayesian statistics inanalyzing images for probability of disease[Stivaros et al, 2010]
Technology also used in Computer-aided Simple Triage(CAST)
Supplements and assists, not replace, human evaluation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Computer-aided Diagnosis (CADx)
Uses pattern recognition to identify disease patterns in images
Machine learning technology is utilized to optimize algorithm
Images compared with anatomic databank of normal andabnormal images
Uses Artificial Neural Network and Bayesian statistics inanalyzing images for probability of disease[Stivaros et al, 2010]
Technology also used in Computer-aided Simple Triage(CAST)
Supplements and assists, not replace, human evaluation
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Figure: Typical Neural Network
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Figure: Simple Bayesian Network
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Figure: Complex Bayesian Network for Mammography
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Decision Support Systems
Uses bayesian statistics to make a weighted combination of:
Evidence in peer-reviewed publications
Information from Domain Experts
National Specialty Guidelines
Patient Information in the HIS
To Make Appropriate Imaging Requests
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Figure: Typical Decision Support System
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Decision Support Systems
Aimed at Automating the work of a Radiology BenefitManager
Assists clinicians in making appropriate Evidence-based Imageordering
Increasingly being used by radiologists in making informedimaging recommendations
More objective and transparent replacement of the job of aRadiology Benefit Manager [ACR-RBMA, 2011]
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Decision Support Systems
Aimed at Automating the work of a Radiology BenefitManager
Assists clinicians in making appropriate Evidence-based Imageordering
Increasingly being used by radiologists in making informedimaging recommendations
More objective and transparent replacement of the job of aRadiology Benefit Manager [ACR-RBMA, 2011]
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Decision Support Systems
Aimed at Automating the work of a Radiology BenefitManager
Assists clinicians in making appropriate Evidence-based Imageordering
Increasingly being used by radiologists in making informedimaging recommendations
More objective and transparent replacement of the job of aRadiology Benefit Manager [ACR-RBMA, 2011]
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Decision Support Systems
Aimed at Automating the work of a Radiology BenefitManager
Assists clinicians in making appropriate Evidence-based Imageordering
Increasingly being used by radiologists in making informedimaging recommendations
More objective and transparent replacement of the job of aRadiology Benefit Manager [ACR-RBMA, 2011]
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
To What End?
Machinery . . . will facilitate and abridge labour [Smith, 1776]
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
To What End?
Increased Efficiency and Productivity
Increased Revenue
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Increased Productivity
What difference does automation make in productivity?
What is the difference in productivity between a manualworker and an automated worker?
A mathematical metaphor:
Lazy Manual worker: ⇒ 0.2365 = 0Efficient Manual worker: ⇒ 0.99365 = 0.026Automated Worker: ⇒ 1.01365 = 37.78
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Increased Revenue
Directly from the Increased Productivity
From accreted Value.
Data Client DatabaseData Image Repositories
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Increased Revenue
Directly from the Increased Productivity
From accreted Value.
Data Client DatabaseData Image Repositories
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
References
Wikipedia
http://en.wikipedia.org/wiki/Radiology
Wikipedia
http://en.wikipedia.org/wiki/Information technology
Stivaros SM, Gledson A, Nenadic G, Zeng XJ, Keane J, Jackson A.
Decision support systems for clinical radiological practice – towards thenext generation.
Br J Radiol. 2010 Nov;83(995):904-14. doi: 10.1259/bjr/33620087.Review.
PMID:20965900 [PubMed - indexed for MEDLINE]
Adam Smith (1776)
An Inquiry into the Nature and Causes of the Wealth of Nations
http://www2.hn.psu.edu/faculty/jmanis/adam-smith/wealth-nations.pdf12(3), 45 – 678.
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
References
ACR-RBMA Best Practices Guidelines on Radiology Benefits ManagementPrograms (2011)
http://www.rbma.org/uploadedFiles/RBMA Web site/Advocacy/Advocacy Payer Relations/ACR-RBMA%20Best%20Practices%20for%20Radiology%20Benefits%20Management%20Programs.pdf
Grainger & Allison’s Diagnostic Radiology (5th edition).
Section 1, Chapter 1
Churchill Livingstone, Elsevier
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Thank You For Listening
Dr. Adegbenga Ismail Information Technology in Radiology
IntroductionRadiology
Information TechnologyApplication of Information Technology to Radiology
Conclusion
Questions
Dr. Adegbenga Ismail Information Technology in Radiology