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Improvement in Follow-up Imaging With a Patient Tracking System and Computerized Registry for Lung Nodule Management.

Debra S Dyer¹, Pearlanne T Zelarney², Laurie L Carr³

¹Chair, Department of Radiology, National Jewish Health, Denver, Colorado.

Journal of the American College of Radiology : JACR

|February 19, 2021

Summary

A new system using standardized language in radiology reports and a computerized registry improved timely follow-up for incidental lung nodules. This enhanced patient care and reduced missed follow-up imaging for lung nodules.

Keywords:

Chest CT incidental pulmonary nodule lung nodule lung nodule follow-up lung nodule registry lung nodule tracking

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Area of Science:

Radiology and Medical Imaging
Health Informatics
Pulmonology

Background:

Radiologists' recommendations and follow-up for incidental lung nodules are inconsistent.
A system was developed to standardize reporting and track nodules.

Purpose of the Study:

To assess the impact of a system using standardized language and a registry on incidental lung nodule follow-up.
To improve the rate of timely follow-up imaging for patients with lung nodules.

Main Methods:

Two patient cohorts (pre- and post-intervention) with incidental lung nodules on chest CT were compared.
Timely follow-up was defined as a subsequent report within 13 months.
Multivariable logistic regression analyzed the likelihood of timely follow-up.

Main Results:

The proportion of patients with timely follow-up increased from 46% to 55%.
The likelihood of timely follow-up increased by 41% after system implementation.
Reports missing nodule recommendations decreased from 30% to 6%.

Conclusions:

Standardized language in CT reports and a computerized registry improve the likelihood of follow-up imaging for incidental lung nodules.
The system effectively enhanced patient management and reduced delays in lung nodule follow-up.