The RSNA Image Sharing Network

Langer, Steve G.; Tellis, Wyatt M.; Carr, Chris; Daly, Mark; Erickson, Bradley J.; Mendelson, David S.; Moore, Stephen; Perry, John; Shastri, Karan; Warnock, Max; Zhu, Wentao

doi:10.1007/s10278-014-9714-z

Cited by 36 publications

(37 citation statements)

References 5 publications

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“…The first focused on the feasibility of the radiological image sharing network to obviate the need for physical media for patients and providers. 104 The National Institutes of Health (NIH) challenged the Radiological Society of North America (RSNA) to develop a transport method that could supersede the need for physical media (for patients and providers), replace point-to-point private networks among providers, and enable image exchange on an ad hoc basis between arbitrary health networks without long legal delays. This article constitutes a technical response to that challenge, incorporating the architecture for such a system.…”

Section: Teleradiology Evidencementioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

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Section: Teleradiology Evidencementioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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“…Radiologists using systems such as Illuminate were able to improve workflow, improve patient care, improve patient safety and cut costs [19][20][21][22][23][24][25]. This was primarily related to their improved ability in gathering information across hospital systems and providing instant access to relevant patient history and results of prior procedures to make better-informed decisions in less time.…”

Section: Discussionmentioning

confidence: 99%

Analytic turnaround time study for integrated reporting of pathology results on electronic medical records using the Illuminate system

Tawfik¹,

Jacobus²,

D³

et al. 2016

J Mod Hum Pathol.

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Timely pathology results are critical for appropriate diagnosis and management of patients. Yet workflows in laboratories remain ad hoc and involve accessing multiple systems with no direct linkage between patient history and prior or pending pathology records for the case being analyzed. A major hindrance in timely reporting of pathology results is the need to incorporate/interface with multiple electronic health records (EHRs). We evaluated the Illuminate PatientView software (Illuminate) integration into pathologist's workflow. Illuminate is a search engine architecture that has a repository of textual information from many hospital systems. Our goal was to develop a comprehensive, user friendly patient summary display to integrate the current fractionated subspecialty specific systems. An analytical time study noting changes in turnaround time (TAT) before and after Illuminate implementation was recorded for reviewers, including pathologists, residents and fellows. Reviewers' TAT for 359 cases was recorded (200 cases before and 159 after implementation). The impact of implementing Illuminate on transcriptionists' workflow was also studied. Average TAT to retrieve EHRs prior to Illuminate was 5:32 min (range 1:35-10:50). That time was significantly reduced to 35 seconds (range 10 sec-1:10 min) using Illuminate. Reviewers were very pleased with the ease in accessing information and in eliminating the draft paper documents of the pathology reports, eliminating up to 65 min/day (25-65 min) by transcriptionists matching requisition with paperwork. Utilizing Illuminate improved workflow, decreased TAT and minimized cost. Patient care can be improved through a comprehensive patient management system that facilitates communications between isolated information systems.

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“…The RSNA, with a grant from the National Institute of Biomedical Imaging and Bioengineering, developed the RSNA ISN, to facilitate the exchange of radiologic images between providers and their patients through the use of PHRs. Technical details of the system have been reported elsewhere and involved developers at academic medical centers and in the vendor community (11). The RSNA ISN was implemented in four medical centers starting in 2011.…”

Section: Methodsmentioning

confidence: 99%

Patient-directed Internet-based Medical Image Exchange:

et al. 2016

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Rationale and Objectives Inefficient transfer of personal health records among providers negatively impacts quality of health care and increases cost. This multicenter study evaluates the implementation of the first Internet-based image-sharing system that gives patients ownership and control of their imaging exams, including assessment of patient satisfaction. Materials and Methods Patients receiving any medical imaging exams in four academic centers were eligible to have images uploaded into an online, Internet-based personal health record. Satisfaction surveys were provided during recruitment with questions on ease of use, privacy and security, and timeliness of access to images. Responses were rated on a five-point scale and compared using logistic regression and McNemar's test. Results A total of 2562 patients enrolled from July 2012 to August 2013. The median number of imaging exams uploaded per patient was 5. Most commonly, exams were plain X-rays (34.7%), computed tomography (25.7%), and magnetic resonance imaging (16.1%). Of 502 (19.6%) patient surveys returned, 448 indicated the method of image sharing (Internet, compact discs [CDs], both, other). Nearly all patients (96.5%) responded favorably to having direct access to images, and 78% reported viewing their medical images independently. There was no difference between Internet and CD users in satisfaction with privacy and security and timeliness of access to medical images. A greater percentage of Internet users compared to CD users reported access without difficulty (88.3% vs. 77.5%, P < 0.0001). Conclusion A patient-directed, interoperable, Internet-based image-sharing system is feasible and surpasses the use of CDs with respect to accessibility of imaging exams while generating similar satisfaction with respect to privacy.

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The RSNA Image Sharing Network

Abstract: In the era of health information exchanges, there are trade-offs to consider when sharing a patient's medical record among all providers that a patient might choose.

Cited by 36 publications

References 5 publications

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Analytic turnaround time study for integrated reporting of pathology results on electronic medical records using the Illuminate system

Patient-directed Internet-based Medical Image Exchange:

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