Use of Image-Based Analytics for Ultrasound Practice Management and Efficiency Improvement

Abstract

Our ultrasound practice is becoming even more focused on managing practice resources and improving our efficiency while maintaining practice quality. We often encounter questions related to issues such as equipment utilization and management, study type statistics, and productivity. We are developing an analytics system to allow more evidence-based management of our ultrasound practice. Our system collects information from tens of thousands of DICOM images produced during exams, including structured reporting, public and private DICOM headers, and text within the images via optical character recognition (OCR). Inventory/location information augments the data aggregation, and statistical analysis and metrics are computed such as median exam length (time from the first image to last), transducer models used in an exam, and exams performed in a particular room, practice location, or by a given sonographer. Additional reports detail the length of a scan room's operational day, the number and type of exams performed, the time between exams, and summary data such as exams per operational hour and time-based room utilization. Our findings have already helped guide practice decisions: two defective probes were not replaced (a savings of over $10,000) when utilization data showed that three or more of the shared probe model were always idle; neck exams are the most time-consuming individually, but abdomen exam volumes cause them to consume the most total scan time, making abdominal exams the better candidates for efficiency optimization efforts. A small subset of sonographers exhibit the greatest scanning and between-scan efficiency, making them good candidates for identifying best practices.

Economic Value of Data and Analytics for Health Care Providers: Hermeneutic Systematic Literature Review

“…BA tools analyzing equipment utilization were examined in 2 articles. Stekel et al [ 68 ] examined the example of an ultrasound practice that used probe utilization data to support purchasing decisions. The analysis of procedure data resulted in the decision to not replace a broken probe, thereby saving US $10,000.…”

Systematic optimization of ultrasound grayscale imaging presets and its application in abdominal scanning

“…It extracts information from clinical DICOM image header elements as well as information on the images through optical character recognition. 6 Adjustment of basic default/initial preset settings that might be changed frequently in clinical examinations to optimize patient images, such as imaging depth, gain, frequency, and transmit focus, as well as those which might be less frequently changed but can affect global image appearance, such as dynamic range, gray map, and tint map. Basic ultrasound phantoms and clinical image analytics were used.…”

Ultrasound grayscale image quality comparison between a 2D intracavitary transducer and a 3D intracavitary transducer used in 2D mode: A phantom study

“…To ensure the clinical relevance of acquisition parameters and phantom targets used for performance measurement, 33 clinical exams using the 2D transducer model on the GE Logiq E9 ultrasound system (GE Healthcare, Milwaukee, WI, USA) for pelvic imaging from our clinical practice were randomly identified using a customized informatics toolbox . A total of 188 images from these exams were reviewed by a sonographer with more than 20 years of experience.…”