Catering Radiologist Reports to the Reader

Purpose

Auto-convert radiologist report to a layperson's report for patient viewing versus referring clinician.

Tag(s)

 

Panel

Business Facing

Define-AI ID

22100007

Originator

Nikita Consul
Lead Nikita Consul 

Panel Chair

Jeff Chang 

Panel Reviewers

Business Facing Panel 

License

Creative Commons 4.0 
Status Public Comment 
                               

Clinical Implementation


Value Proposition


Radiologist reports are often dictated with a specific vocabulary that allows for reproducibility between radiologists and a clear medical description of the findings, as well as the possible diagnostic considerations. However, the language and word choice that may increase transparency between radiologists is not always the same as the language and word choice needed to appropriately communicate the findings to the patient. As electronic charts become increasingly available to patients, the value of the radiologist’s report increases significantly if it is directly understandable by the patient.


Narrative(s)


A middle-aged male patient undergoes multiple imaging scans for work-up of his abnormal lab test results.


Workflow Description


An initial imaging scan is taken (CT cancer staging scans) and sent to PACS. The radiologist accesses the imaging scan and dictates a report in their dictation software. The report is saved within the dictation software and auto-forwarded to PACS as the official report for the imaging scan, and also sent to the AI engine. The AI’s algorithms translate the radiologist’s report into language that is designated as “patient-friendly” and then the translated report is forwarded to the patient’s electronic chart as a second imaging study result available for both the ordering provider and the patient to read.


Considerations for Dataset Development


Procedure

CT

View(s)

N/A

Age

All

Technical Specifications



Inputs

 

Dictated Report

Procedure

CT chest

Views

axial, coronal, sagittal

Data Type

Impression

Modality

CT

Body Region

chest

Anatomic Focus

Any


Dictated Report

Procedure

CT abdomen

Views

axial, coronal, sagittal

Data Type

Impression

Modality

CT

Body Region

abdomen

Anatomic Focus

Any; these exams may be organ-specific, for example CT Abdomen with/without contrast with Liver Mass Protocol (multi-phase dynamic enhanced contrast)


Dictated Report

Procedure

CT abdomen/pelvis

Views

axial, coronal, sagittal

Data Type

Impression

Modality

CT

Body Region

abdomen and pelvis

Anatomic Focus

Any



Primary Outputs


Translated Report

Definition

Translated Report findings/impression

Data Type

Structured Text

Value Set

N/A

Units

N/A


Future Development Ideas


  • The ability to ensure access for the ordering provider as well as the patient may enhance the value of this application. 

  • Every user should also be able to toggle between the original and layperson versions of the report, in order to better understand the significance of findings and diagnoses.