We assert that free text and itemized (structured) forms of radiology reports are equally efficient and accurate for transmitting case-specific interpretative content to reviewers of the document.

In the beginning, we had only a few authors and manuscripts, sometimes no manuscripts at all in the works, and I was beating the bushes for papers and for reviewers. We worked with paper (remember that media?) so all manuscripts were mailed (not emailed) to me, then copied and sent to reviewers. Reviews were submitted

This paper introduces a novel approach for accomplishing mammographic feature analysis through overcomplete multiresolution representations. We show that efficient representations may be identified from digital mammograms and used to enhance features of importance to mammography within a continuum of scale-space. We present a method of contrast enhancement based on an overcomplete, non-separable multiscale representation: The hexagonal wavelet transform. Mammograms are reconstructed from transform coefficients modified at one or more levels by local and global non-linear operators. Multiscale edges identified within distinct levels of transform space provide local support for enhancement In addition, we show that transform coefficients, modified (globally within each level) by an adaptive non-linear operator (histogram specification), can make more obvious unseen or barely seen features of mammography without requiring additional radiation. In each case, multiscale edges and gain parameters are id€ ntified adaptively by the measure of energy within each level of scale space We demonstrate that features extracted from multiresolution representations can provide an adaptive mechanism for accomplishing local contrast enhancement We suggest that multiscale detection and local enhancement of singularities may be effectively employed for the visualization of breast pathology without excessive noise amplification. By improving the visualization of breast pathology we can improve chances of early detection (improve quality) while requiring less time to evaluate mammograms for most patients (lower costs).

Once the decision has been made to adopt PACS instead of a film-based radiology practice, there are a number of hurdles to jump. Users need to be aware of the impact the change will make on end users and be prepared to address issues that arise before they become problems. Someone who understands the technology of PACS must be identified to help make an informed decision about vendor selection, network architecture, workstation functionality, and archives. A PACS administrator should have the tools available to avoid problems with the system after implementation and should be able to repair the inevitable mistakes that will happen. Hopefully, this article can serve as a starting point for a potential new PACS adoption.

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We designed, tested, and now routinely use a simple macro program for importing all images contained in a single directory into a PowerPoint presentation. The complete text of the macro code is included in this article, and readers are encouraged to experiment with it.

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