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Related Concept Videos

Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Kidney Structure01:45

Kidney Structure

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The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
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Updated: Sep 28, 2025

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
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Development and Implementation of a Multisite Registry Using Structured Templates for Actionable Findings in the

Tessa S Cook1, Rebecca Paulus2, Laura B Gillis3

  • 1Director, 3D and Advanced Imaging Laboratory, and Director, Center for Practice Transformation in Radiology, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Journal of the American College of Radiology : JACR
|March 29, 2022
PubMed
Summary
This summary is machine-generated.

This study successfully scaled structured report templates for actionable renal findings across health systems, creating a centralized registry for patient and report data. This enables collection of diverse, evidence-based population imaging outcomes.

Keywords:
Structured reportingactionable kidney imaging findingsclinical radiology registry

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Area of Science:

  • Radiology and Medical Imaging
  • Health Informatics
  • Data Management

Background:

  • Structured reporting is crucial for standardizing the communication of actionable findings in radiology.
  • Previous efforts to create multisite registries for renal imaging data faced challenges in template adoption and data integration.

Purpose of the Study:

  • To scale structured report templates for categorizing actionable renal findings across multiple health systems.
  • To establish a centralized registry for collecting deidentified patient and radiology report data.

Main Methods:

  • Three academic radiology departments implemented identical structured templates for adult renal ultrasound, MRI, and CT reports.
  • Deidentified HL7 report data and patient sociodemographic/clinical data were transmitted to a centralized registry over a two-year period.
  • An automated algorithm extracted template categories, with radiologists addressing missing or incomplete templates.

Main Results:

  • Over 160,000 radiology reports were included in the registry, with high template utilization rates achieved after addendum requests (ranging from 94.6% to 99.9%).
  • Sociodemographic and clinical data were successfully matched for over 94% of reports across sites.
  • Identified barriers included regulatory, cultural, and technological challenges in establishing a multisite registry.

Conclusions:

  • Unified structured report templates for actionable kidney findings are adoptable across health systems.
  • Secure transmission of deidentified report and patient data to an external registry is feasible.
  • This approach facilitates the collection of valuable, evidence-based population imaging outcomes.