An expert system for the data-driven, case-adequate information acquisition of abdominal ultrasound examinations may enhance the quality of the reports and, potentially, of the examinations at the same time. In addition, it may help beginners to learn a structured problem- and finding-adequate examination sequence.
As shown for a sonographic department of a clinic of internal medicine, in sonographic reports, one has to be aware of discrepancies between question-set-based documentations of findings and diagnostic conclusions of the examiners. While a detailed documentation of findings is the basis of quality control, consistency checks between documented findings and diagnostic conclusions, which might be done automatically in an electronic patient record, would considerably improve the quality of the reports.
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