A Systematic Approach for Using DICOM Structured Reports in Clinical Processes: Focus on Breast Cancer.

This paper describes a methodology for redesigning the clinical processes to manage diagnosis, follow-up, and response to treatment episodes of breast cancer. This methodology includes three fundamental elements: (1) identification of similar and contrasting cases that may be of clinical relevance b...

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Publicado en:Journal of Digital Imaging Vol. 28; no. 2; pp. 132 - 146
Autores principales: Medina García, Rosana, Torres Serrano, Erik, Segrelles Quilis, J., Blanquer Espert, Ignacio, Martí Bonmatí, Luis, Almenar Cubells, Daniel
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: A Systematic Approach for Using DICOM Structured Reports in Clinical Processes: Focus on Breast Cancer.
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          Medina García, Rosana
          Torres Serrano, Erik
          Segrelles Quilis, J.
          Blanquer Espert, Ignacio
          Martí Bonmatí, Luis
          Almenar Cubells, Daniel
        affil: Radiology Unit, University Hospital Dr. Peset, Valencia Spain
      sug:
        subj:
          DICOM
          Report Writing Standards
          Breast Neoplasms
          Information Retrieval
          Snomed
          International Classification of Diseases
          Classification
          Software
          Breast Neoplasms Diagnosis
          Systems Validation
          Validation Studies
          Human
      ab: This paper describes a methodology for redesigning the clinical processes to manage diagnosis, follow-up, and response to treatment episodes of breast cancer. This methodology includes three fundamental elements: (1) identification of similar and contrasting cases that may be of clinical relevance based upon a target study, (2) codification of reports with standard medical terminologies, and (3) linking and indexing the structured reports obtained with different techniques in a common system. The combination of these elements should lead to improvements in the clinical management of breast cancer patients. The motivation for this work is the adaptation of the clinical processes for breast cancer created by the Valencian Community health authorities to the new techniques available for data processing. To achieve this adaptation, it was necessary to design nine Digital Imaging and Communications in Medicine (DICOM) structured report templates: six diagnosis templates and three summary templates that combine reports from clinical episodes. A prototype system is also described that links the lesion to the reports. Preliminary tests of the prototype have shown that the interoperability among the report templates allows correlating parameters from different reports. Further work is in progress to improve the methodology in order that it can be applied to clinical practice.
      pubtype: Academic Journal
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    language: English
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