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Technology-Assisted Virtual Consultation for Medical Imaging.

Andrew B Rosenkrantz1, Jason Sherwin1, Chandan P Prithiani1

  • 1Department of Radiology, New York University Langone Medical Center, New York, New York.

Journal of the American College of Radiology : JACR
|April 17, 2016
PubMed
Summary

A new virtual consult (VC) system enhances communication between radiologists and referring physicians, improving report understanding and patient management. While referrers found it valuable, radiologists noted workflow disruptions.

Keywords:
Radiologistconsultationdigital radiologyradiology practicereferring physician

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Area of Science:

  • Radiology
  • Medical Informatics
  • Health Services Research

Background:

  • Digital radiology practice presents challenges in communication between radiologists and referring physicians.
  • Physically remote locations can hinder timely consultations.
  • Efficient information exchange is crucial for patient care.

Purpose of the Study:

  • To evaluate the preliminary experience with a "virtual consult" (VC) system.
  • To assess the system's utility for consultations between radiologists and referring physicians at remote locations.
  • To gather feedback on system implementation and user experience.

Main Methods:

  • A virtual consult (VC) system was implemented, accessible via electronic medical record and PACS.
  • Referrers initiated consultations by instant messaging subspecialist radiologists.
  • Real-time screen-sharing of PACS displays was utilized, with feedback collected after 110 sessions.

Main Results:

  • Referrers from emergency and internal medicine frequently used the VC.
  • 80-90% of referrers found the VC easy to use, improved report understanding, and positively impacted patient management.
  • Referrers valued the VC for overcoming location/time constraints and enabling quick responses, while radiologists perceived workflow disruption.

Conclusions:

  • The virtual consult (VC) system addresses communication gaps in digital radiology.
  • The system offers significant added value to referring physicians.
  • Optimization of the VC system for radiologists' workflow is recommended for broader adoption.