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Embedding Images in Radiology Reports Speeds Decision-Making

By MedImaging International staff writers
Posted on 01 Apr 2010

Embedding clinical images to accompany recent findings described in a radiology text report enhances radiologists' communication with referring physicians and can improve patient care.

"The imaging exam report provides an important means of communication between the radiologist and the other physicians rendering care and is often the only form of communication between the radiologist and the referring physician,” said Veena R. Iyer, MBBS (MGH; Boston, USAu). It has been suggested that providing the referring physician with selected images embedded in the text report over the web could improve and support the information contained in the report. "We undertook this study to measure the utility to the referring physician, of radiology reports with attached, relevant images of the abnormal findings,” said Ms. Iyer.

Thirty-five cases referred for abdominal computed tomography (CT) scans were included in the study, which was performed at MGH. Referring physicians were asked to view a text-only report followed by the same report with pertinent embedded images. "In 32 of the 35 cases, the text-only report satisfactorily answered the clinical query. In these 32 cases, the report with the attached images helped in making a more confident management decision and reduced time in planning management. Attached images altered management in two cases,” stated Ms. Iyer. "The results of our study indicate that although clinician's queries are satisfactorily answered by the current itemized report, providing additional images conveys useful information. It may enable the referring clinician to formulate response plans more rapidly and with increased confidence.”

The study's findings were published in the March 2010 issue of the Journal of the American College of Radiology. "Providing referring clinicians with a selected subsample of relevant images attached to the report improves the radiologist's communication with them. Such a report has the ability to save the clinician's time, and possibly improve patient management,” concluded Ms. Iyer.

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66 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294728735 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728735 AND published='1' LIMIT 1

69 (30.994415283203): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (252.00843811035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (208.13941955566): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (39.100646972656): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (32.901763916016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

105 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

106 (49.114227294922): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294728735 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (45.061111450195): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294728735 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

109 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

110 (48.160552978516): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294728735 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (380.03921508789): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294728735 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (568.15147399902): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (329.01763916016): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

115 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

116 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

117 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

118 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

119 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

120 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

121 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

122 (252.00843811035): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 18431.901931763): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (472.06878662109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728735 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728735 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 6869.0776824951): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (73.909759521484): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (354.05158996582): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (216.00723266602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (34.093856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (211.00044250488): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (188.82751464844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (33.140182495117): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (503.0632019043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (332.11708068848): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (239.84909057617): SELECT name FROM jos_deeppockets WHERE id=216

138 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=216

139 (560.04524230957): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (447.03483581543): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

142 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

143 (!!!!! 15360.832214355): TRUNCATE TABLE jos_trademed_module

144 (142.81272888184): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294728735 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (82.969665527344): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294728735 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (530.95817565918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

149 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

150 (!!!!! 1423.8357543945): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (631.09397888184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

152 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

153 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728735 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728735 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (451.08795166016): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

155 (109.91096496582): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

156 (!!!!! 3196.0010528564): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

158 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728735 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728735 AND published='1' LIMIT 1

159 (337.12387084961): select jos_twitters.link from jos_twitters where cat=10

160 (194.07272338867): select jos_facebook.link from jos_facebook where cat=10

161 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

162 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

163 (556.94580078125): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1107.931137085): insert into jos_banners_delta values (14202,'2025-06-21 00:34:42','216.73.216.120','view'),(14203,'2025-06-21 00:34:42','216.73.216.120','view')

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