A reliable approach for applying DICOM structured reporting in a large-scale telemedicine network

Barcellos, Cloves Langendorf; Wangenheim, Aldo von; Andrade, Rafael

doi:10.1109/cbms.2011.5999049

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…This network, which now connects 401 healthcare institutions in 291 municipalities throughout the state and is still growing, offers a varied palette of synchronous and asynchronous services to assist the patient's health, such as telediagnosis, second opinion, real-time, and collaborative reporting and continuous education, among other services, performing an average of 75,000 examinations/month. 8,9,16 STT/SC users have access to DICOM imaging and signal studies through specially developed Web-based and smartphone software platforms accessed via an integrated portal that enables visualization, analysis, discussion, and report writing from examinations. 8,9,16 …”

Section: Santa Catarina State Integrated Telemedicine and Telehealth mentioning

confidence: 99%

“…8,9,16 STT/SC users have access to DICOM imaging and signal studies through specially developed Web-based and smartphone software platforms accessed via an integrated portal that enables visualization, analysis, discussion, and report writing from examinations. 8,9,16 …”

Section: Santa Catarina State Integrated Telemedicine and Telehealth mentioning

confidence: 99%

“…This vocabulary provides a consistent and unique environment for information retrieval regardless of language. 9,19 The DeCS vocabulary presents an extra axis of descriptors coding public health concepts. DeCS makes use of a hierarchical structure in such a way that, from a specific descriptor, it is possible to reach its ancestor, descendant, and siblings.…”

Section: Structured Vocabulariesmentioning

confidence: 99%

“…Unfortunately, in some cases-especially because of software deficiencies-physicians do not have any auxiliary tools or guidelines to follow when writing a report. 9 Aiming to standardize and support the writing of ECG reports, in 2009 the BSC published a document called ''Guidelines of the Brazilian Society of Cardiology for Reviewing and Writing Electrocardiographic Reports.'' 18 In 2010, the Santa Catarina State Health…”

Section: Structured Vocabulariesmentioning

confidence: 99%

“…2,8,9 This allows, for instance, the morbidity traceability in a multimodality asynchronous telemedicine network using structured vocabularies as the report foundation.…”

Section: Introductionmentioning

confidence: 99%

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Implementing DICOM Structured Reporting in a Large-Scale Telemedicine Network

Wangenheim

Barcellos

Andrade

et al. 2013

Telemedicine and e-Health

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Introduction: Large-scale asynchronous telemedicine networks can offer a unique opportunity for the acquisition of detailed epidemiological information if the data are acquired and handled in an appropriate way. In this work, an approach is presented for the integration of medical reports in the Digital Imaging and Communications in Medicine (DI-COM) Structured Reporting standard in telemedicine networks using structured vocabularies. Materials and Methods: The use of these structured vocabularies is extended beyond radiology, and a case study in telecardiology is presented. The approach was applied in the context of a real-world statewide public telemedicine network; nowadays on average 470 written electrocardiographic structured reports daily are being performed. Cardiologists provided more than 220,000 written structured reports, and these reports are stored into a central database. Results: This study was performed during a 12-month period, and it was possible to examine possible associations between a list of co-morbidities and cardiac risk factors with a diagnosis that indicates the presence of cardiac ischemia, cardiac injury, or possible necrosis by using DICOM Structured Reporting. Our application is responsible for coordinating the process of issuance of reports through various technologies and devices. The system works as a library in an HTTP server, which accesses information from studies in DICOM format from the database and from structured vocabularies. Conclusions: Results indicate that traceability of morbidity, diagnoses, and patient clinical information can be achieved, resulting in an efficient data mining-friendly framework. A multidevice application for Web-based and smartphone-based platforms showed that it is a viable solution for applying the DICOM Structured Reporting standard in telemedicine networks.

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Section: Santa Catarina State Integrated Telemedicine and Telehealth mentioning

confidence: 99%

Section: Santa Catarina State Integrated Telemedicine and Telehealth mentioning

confidence: 99%

Section: Structured Vocabulariesmentioning

confidence: 99%

Section: Structured Vocabulariesmentioning

confidence: 99%

“…2,8,9 This allows, for instance, the morbidity traceability in a multimodality asynchronous telemedicine network using structured vocabularies as the report foundation.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Implementing DICOM Structured Reporting in a Large-Scale Telemedicine Network

Wangenheim

Barcellos

Andrade

et al. 2013

Telemedicine and e-Health

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An Architecture for Information Retrieval in a Telemedicine System

Inácio

Macedo

Andrade

et al. 2014

2014 IEEE 27th International Symposium on Computer-Based Medical Systems

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This work presents an information retrieval architecture developed for the Santa Catarina State Telemedicine System. This architecture employs DICOM Structured Reporting, controlled vocabularies for data catalogization and a specially developed search engine for data indexing and storing. Results of our case study show that searches can be performed much faster with the proposed search mechanism and that the precision of results is acceptable in most cases. In some searches, irrelevant items within the 15 first results were identified. This occurred partially because search terms found in the additional free text observations inserted into the findings reports were treated with the same relevance as formally diagnostically relevant items of the DICOM SR structure and, partially because the semantics of negations associated to search terms in the findings reports were not taken into consideration.

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