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Radiologist Adoption of Interactive Multimedia Reporting Technology.

Steven D Beesley1, James T Patrie2, Cree M Gaskin1

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Radiologists are adopting interactive multimedia reporting, commonly using hyperlinks in CT, PET/CT, and MRI reports. This technology enhances clinical practice by linking directly to key imaging findings in the Picture Archiving and Communication System (PACS).

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Area of Science:

  • Radiology and Medical Imaging
  • Health Informatics
  • Clinical Workflow Optimization

Background:

  • Interactive multimedia reporting technology allows for the incorporation of active hyperlinks within clinical radiology reports.
  • These hyperlinks can connect directly to specific imaging findings within the Picture Archiving and Communication System (PACS).
  • The adoption of such technologies depends on perceived value and ease of integration into routine clinical practice.

Purpose of the Study:

  • To evaluate the extent to which radiologists find value in interactive multimedia reporting technology.
  • To determine if this technology is being routinely adopted into clinical practice by radiologists.
  • To assess the adoption rates of hyperlinks in radiology reports across different modalities and radiologist roles.

Main Methods:

  • A retrospective review of 559,841 diagnostic reports generated between July 2016 and February 2018 was conducted.
  • The study identified reports containing text hyperlinks that interactively linked to imaging findings in the PACS.
  • Data were analyzed and subdivided by imaging modality, radiologist role (resident, fellow, attending physician), and subspecialty, with a focus on 6-month average adoption rates.

Main Results:

  • Hyperlink insertion rates varied significantly by modality and radiologist role.
  • For CT, MRI, and PET/CT, residents demonstrated higher adoption rates compared to fellows and attending physicians.
  • Rates for ultrasound, radiography, and nuclear medicine reports were consistently low (0-4%), while CT and MRI reports showed considerable variation across subspecialties (5.4% to 57.1%).

Conclusions:

  • Radiologists perceive value in interactive multimedia reporting technology, leading to its adoption in clinical practice.
  • Hyperlinks are frequently incorporated into CT, PET/CT, and MRI reports to link directly to key imaging findings.
  • The study indicates a growing trend towards integrating multimedia elements to enhance radiology reporting and clinical decision-making.