Navigation Links
CD image import reduces unnecessary imaging exams in emergency rooms

OAK BROOK, Ill. Each year, more than two million critically ill patients are transferred from one hospital emergency department (ED) to another for appropriate care. With the ability to successfully import data from a CD-ROM containing the patient's diagnostic medical images, hospitals may be able to significantly reduce unnecessary medical imaging tests, some of which expose patients to radiation. These findings are reported in a new study published in the July issue of Radiology.

According to researchers at Brigham and Women's Hospital in Boston, the implementing a system to upload CD images of emergency transfer patients into the receiving institution's picture archiving and communication system (PACS) decreased the rate of subsequent imaging by 17 percent.

"Because there is no central repository for medical images or a large-scale system to transfer images electronically between hospitals, a CD with diagnostic imaging is among the most critical components in the hand-off of clinical information for patients transferred between hospitals," said lead researcher Aaron Sodickson, M.D., Ph.D., interim director of emergency radiology at Brigham and Women's Hospital.

When CD images are imported into PACS, the images can be efficiently reviewed by multiple members of the healthcare team, even if they are in different locations. When the receiving hospital does not have that import ability, or when an import is unsuccessful because a CD is damaged, lost or in a non-standard image format, repeat imaging is often performed.

"We know that a substantial portion of imaging performed on ED transfer patients is repeated at the receiving institution, which drives up healthcare costs, delays patient care and often exposes patients to additional ionizing radiation and intravenous contrast material," Dr. Sodickson said.

In July 2008, Brigham and Women's Hospital implemented a system to import outside imaging sent on CD into the institution's PACS 24 hours a day. Receiving physicians were required to place a CD import order with the patient's history in the hospital's electronic radiology ordering system and deliver the CD to the emergency radiology support staff, who would subsequently import the CD contents into PACS using a software application that identifies and imports Digital Imaging and Communication in Medicine (DICOM) format files.

For the study, researchers reviewed the medical records of 1,487 consecutive patients who were transferred to the Brigham and Women's Hospital ED between February and August 2009 with a CD containing medical images acquired elsewhere. CD import to PACS was attempted for all patients and was successful for 1,161, or 78 percent, of the patients. Incompatible image formats or CD malfunction resulted in 326 unsuccessful CD imports.

Compared with the patients whose imaging could not be imported, patients with successfully imported CDs had a 17 percent decrease in imaging rates during the subsequent 24 hours (2.7 versus 3.3 exams per patient) and a 16 percent decrease (1.2 versus 1.4 scans per patient) in subsequent CT scans.

"Implementing CD import procedures has provided us with a far more efficient way to take care of our patients," Dr. Sodickson said.

Extrapolating these results to the approximately 2.2 million patient transfers between American EDs each year, the estimated annual reduction in CT utilization due to successful CD import to PACS would be on the order of 484,000 CT scans.

"One of the goals of our healthcare delivery system must be to provide access to diagnostic imaging results to all locations involved in a patient's care, either through implementation of a universal electronic medical record, image repositories, or robust image transfer networks," Dr. Sodickson said. "But until those solutions reach maturity, ensuring that medical images can be downloaded from CDs in a standard, PACS-compatible format will help to streamline care, reduce costs and protect patients from unnecessary imaging exams."


Contact: Linda Brooks
Radiological Society of North America

Related medicine news :

1. Movies Loaded With Images of Junk Food
2. TeraMedica Inks Reseller Agreement With Medical Insight Enterprise Image Viewer Company
3. Hospitals and Health Systems Have a New Solution for Zero Footprint Image Exchange; Orion Health Announces Concerto Enterprise Image Viewer
4. CT and MRI Images Now Seen in a 3D Virtual Reality World
5. Heart Aflutter? Remarkable New Images Show What it Looks Like in 4-D
6. Compton's by Britannica Revised for 2010; Hundreds of Articles Rewritten, Hundreds of New Photos, Images
7. San Diego Cosmetic Dentists Launch New Website and Rejuvenate Online Image
8. Online Tech and VersaIMAGE Sign SaaS Hosting Agreement
9. Reflex Stock Limited Announces Two New Ways to Buy Stock Images and Stock Photos
10. NASA satellite imagery keeping eye on the Gulf oil spill
11. Citizen Stock Launches Industry's First Rights Managed Database of Images Shot Exclusively Against White
Post Your Comments:
(Date:12/1/2015)... , ... December 01, 2015 , ... With FCPX ... and with full control over customization, the possibilities are truly endless, all with a ... randomization, overlay depth position, vertical flip, horizontal flip, depth of field and more, all ...
(Date:12/1/2015)... ... 01, 2015 , ... SonaCare Medical congratulates the University College ... Award on November 18th. This prestigious award recognizes annually organizations that cultivate truly ... the medical landscape. , The UCLH team won the award for their innovative ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... Brooke Bennett are collaborating with brands across various categories through traditional and social ... make up an elite group of Gold Medal Moms who can connect with ...
(Date:11/30/2015)... ... 01, 2015 , ... The National Association of Professional ... its VIP Woman of the Year Circle. She is recognized with this prestigious ... for professional women, boasting 850,000 members and over 200 operating Local Chapters. , ...
(Date:11/30/2015)... Los Angeles, California (PRWEB) , ... November 30, ... ... in all the programs of the19th Bi-National Convention of the Federation of Philippine ... Resort and Casino in Las Vegas, Nevada. , 1Heart Caregiver Services, as ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... , December 1, 2015 ... Injectables, Topical Contraceptives, Male Condoms, Female Condoms, ... Rings, Contraceptive Diaphragms, Contraceptive Sponges, Non-Surgical Permanent ... Share, Growth, Trends and Forecast 2014 - ... Market Research (TMR).The report states that the ...
(Date:12/1/2015)...   MabVax Therapeutics Holdings, Inc . (OTCQB: MBVX), ... filed an Investigational New Drug Application (IND) with the ... lead fully human antibody product HuMab 5B1 as a ... initiate the Phase I clinical trial early in 2016. ... The planned Phase I trial will evaluate the safety, ...
(Date:12/1/2015)... , Dec. 1, 2015  InCarda Therapeutics, Inc. (InCarda), ... commercialization of therapies for cardiovascular conditions via the inhalation ... business in Australia . InCarda is ... Australia in the first half ... and medical centers in Adelaide ...
Breaking Medicine Technology: