Optimizing Technology Development and Adoption in Medical Imaging Using the Principles of Innovation Diffusion, Part I: Theoretical, Historical, and Contemporary Considerations

Reiner, Bruce I.

doi:10.1007/s10278-011-9397-7

Cited by 10 publications

(7 citation statements)

References 5 publications

(4 reference statements)

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“…Another aspect of the debate is the matter of time with suspected prolonged reporting times for SRs, especially in the transition phase from current free-text reporting practices to structured reporting [1,20]. One concern is that productivity might be reduced because of more time spent looking at the template rather than the study [21].…”

Section: Introductionmentioning

confidence: 99%

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Kim

Sobez

Spiro

et al. 2020

BMC Musculoskelet Disord

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Background: In recent years, structured reporting has been shown to be beneficial with regard to report completeness and clinical decision-making as compared to free-text reports (FTR). However, the impact of structured reporting on reporting efficiency has not been thoroughly evaluted yet. The aim of this study was to compare reporting times and report quality of structured reports (SR) to conventional free-text reports of dualenergy x-ray absorptiometry exams (DXA). Methods: FTRs and SRs of DXA were retrospectively generated by 2 radiology residents and 2 final-year medical students. Time was measured from the first view of the exam until the report was saved. A random sample of DXA reports was selected and sent to 2 referring physicians for further evaluation of report quality. Results: A total of 104 DXA reports (both FTRs and SRs) were generated and 48 randomly selected reports were evaluated by referring physicians. Reporting times were shorter for SRs in both radiology residents and medical students with median reporting times of 2.7 min (residents: 2.7, medical students: 2.7) for SRs and 6.1 min (residents: 5.0, medical students: 7.5) for FTRs. Information extraction was perceived to be significantly easier from SRs vs FTRs (P < 0.001). SRs were rated to answer the clinical question significantly better than FTRs (P < 0.007). Overall report quality was rated significantly higher for SRs compared to FTRs (P < 0.001) with 96% of SRs vs 79% of FTRs receiving high or very high-quality ratings. All readers except for one resident preferred structured reporting over free-text reporting and both referring clinicians preferred SRs over FTRs for DXA. Conclusions: Template-based structured reporting of DXA might lead to shorter reporting times and increased report quality.

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Section: Introductionmentioning

confidence: 99%

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Kim

Sobez

Spiro

et al. 2020

BMC Musculoskelet Disord

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“…However, there are also some possible disadvantages of SR such as the risk of over-simplification, distraction by the introduction of additional SR tools, cumbersome decision trees and the possibility of reduced detection rates [ 18 – 20 ]. Furthermore, the implementation of SR might lead to prolonged reporting times, especially in the beginning and among radiologists who are used to report by free speech dictation or free text entry [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Structured reporting of x-rays for atraumatic shoulder pain: advantages over free text?

et al. 2018

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BackgroundTo analyse structured and free text reports of shoulder X-ray examinations evaluating the quality of reports and potential contributions to clinical decision-making.MethodsWe acquired both standard free text and structured reports of 31 patients with a painful shoulder without history of previous trauma who received X-ray exams. A template was created for the structured report based on the template ID 0000154 (Shoulder X-ray) from radreport.org using online software with clickable decision trees with concomitant generation of structured semantic reports. All reports were evaluated regarding overall quality and key features: content, information extraction and clinical relevance.ResultsTwo experienced orthopaedic surgeons reviewed and rated structured and free text reports of 31 patients independently. The structured reports achieved significantly higher median ratings in all key features evaluated (P < 0.001), including facilitation of information extraction (P < 0.001) and better contribution to subsequent clinical decision-making (P < 0.001). The overall quality of structured reports was significantly higher than in free text report (P < 0.001).ConclusionsA comprehensive structured template may be a useful tool to assist in clinical decision-making and is, thus, recommended for the reporting of degenerative changes regarding X-ray examinations of the shoulder.Electronic supplementary materialThe online version of this article (10.1186/s12880-018-0262-8) contains supplementary material, which is available to authorized users.

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“…These differences in the early years of FFDM decrease over time, which may indicate a learning curve associated with diffusion of new technology. 16 Our analysis did not address the timing of transition to FFDM within each facility, but focused instead on overall trends in use of breast-related services and costs following mammography screening over years when FFDM became increasingly available.…”

Section: Discussionmentioning

confidence: 99%

Assessing Health Care Use and Cost Consequences of a New Screening Modality

et al. 2012

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Background Full-field digital mammography (FFDM) has largely replaced screen-film mammography (SFM) for breast cancer screening, but how this affects downstream breast-related use and costs is unknown. Objectives To compare breast-related healthcare use and costs among Medicare beneficiaries undergoing SFM versus FFDM from 1999 to 2005. Design Retrospective cohort study. Subjects Medicare-enrolled women ages 66 and older with mammograms in Breast Cancer Surveillance Consortium registries. Measures Subsequent follow-up with additional imaging or breast biopsy within 12 months was ascertained through Medicare claims. Associated mean costs were estimated by screening modality and year, adjusting for confounding factors and clustering within mammography facilities using Generalized Estimating Equations. Results Among 138,199 women, 332,324 SFM and 22,407 FFDM mammograms were analyzed. Approximately 6.5% of SFM and 9.0% of FFDM had positive findings. In 2001 subsequent imaging was higher among FFDM versus SFM (127.5 vs. 97.4 follow-up mammography claims per 1000 index mammograms) whereas subsequent biopsy was lower among FFDM versus SFM (19.2 vs. 24.9 per 1000 index mammograms) with differences decreasing over time. From 2001 to 2004, mammography subsequent to FFDM had higher mean costs than SFM ($82.60 vs. $64.31 in 2001). The only cost differences between SFM and FFDM for ultrasound or biopsy were in 2001. Conclusions Subsequent breast-related healthcare use differed early in FFDM introduction, but diminished over time with differences attributable to higher recall rates for additional imaging and lower rates of biopsy in those undergoing FFDM vs. SFM. Remaining cost differences are due to higher reimbursement rates for FFDM vs. SFM.

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Optimizing Technology Development and Adoption in Medical Imaging Using the Principles of Innovation Diffusion, Part I: Theoretical, Historical, and Contemporary Considerations

Cited by 10 publications

References 5 publications

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Structured reporting has the potential to reduce reporting times of dual-energy x-ray absorptiometry exams

Structured reporting of x-rays for atraumatic shoulder pain: advantages over free text?

Assessing Health Care Use and Cost Consequences of a New Screening Modality

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