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The Role of Key Image Notes in CT Imaging Study Interpretation

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Abstract

The objective of the study was to investigate the clinical effects of CT key image notes (KIN) in the interpretation of a CT image study. All experiments were approved by the ethics committee of the local district. Six experienced radiologists were equally divided into routine reporting (RR) group and KIN reporting (KIN) group. CT scans of each 100 consecutive cases before and after using KIN technique were randomly selected, and the reports were made by group RR and KIN, respectively. All the reports were again reviewed 3 months later by both groups. All the results with using or not using KIN were interpreted and reinterpreted after 3 months by six clinicians, who were experienced in picture archiving and communication system (PACS) applications and were equally divided into the clinical routine report group and the clinical KIN report group, respectively. The results were statistically analyzed; the time used in making a report, the re-reading time 3 months later, and the consistency of imaging interpretation were determined and compared between groups. After using KIN technique, the time used in making a report was significantly increased (8.77 ± 5.27 vs. 10.53 ± 5.71 min, P < 0.05), the re-reading time was decreased (5.23 ± 2.54 vs. 4.99 ± 1.70 min, P < 0.05), the clinical interpretation and reinterpretation time after 3 months were decreased, and the consistency of the interpretation, reinterpretation between different doctors in different time was markedly improved (P < 0.01). CT report with KIN technique in PACS can significantly improve the consistency of the interpretation and efficiency in routine clinical work.

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Abbreviations

KIN:

Key image notes

EMIF:

Epub of medical imaging film

RR:

Routine report

KINR:

Key image notes report

CRR:

Clinical routine report

CKINR:

Clinical Key image notes report

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Acknowledgments

In addition to the authors, the following investigators participated in the study: Li Li, Medical College of Southeast University; Haixiao Chen, MD; Chengcu Zhu, MD; Jian-rong Ding; Jinbiao Huang; Haitao Lin; Kun Cao, MD, Taizhou Hospital; Wei Chen, MD; Wuqiang Cao, MD; Ming Li, MD, Zhejiang RADiology Information Technology Co. Ltd.; Saofa Ke, MD; Yuanlin Zhou; Bin Wang; Peiyang Hu; Wenbin Ji, MD; Dongnv Wang, MD; Caizheng Geng, Taizhou Hospital; Yi Zhang, MD, Zhongda Hospital; Zhaojun Chen; Bang wen Chen; Huayong Zhu, Taizhou Hospital; and Yongmin Wang, MD, Zhejiang RADiology Information technology Co. Ltd. Our study is also supported by the Science Committee of Taizhou City.

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Correspondence to Shu-Feng Fan.

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Supported by Zhejiang Science and Technology bureau major international R&D cooperation funded projects (no. 2009C14035), Taizhou Science and Technology Program funded projects (ID 20072KY19)

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Fan, SF., Xu, Z., He, HQ. et al. The Role of Key Image Notes in CT Imaging Study Interpretation. J Digit Imaging 24, 366–372 (2011). https://doi.org/10.1007/s10278-010-9317-2

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  • DOI: https://doi.org/10.1007/s10278-010-9317-2

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