Black Box Integration of Computer-Aided Diagnosis into PACS Deserves a Second Chance: Results of a Usability Study Concerning Bone Age Assessment.

Usability aspects of different integration concepts for picture archiving and communication systems (PACS) and computer-aided diagnosis (CAD) were inquired on the example of BoneXpert, a program determining the skeletal age from a left hand's radiograph. CAD-PACS integration was assessed according t...

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Publicado en:Journal of Digital Imaging Vol. 26; no. 4; pp. 698 - 709
Autores principales: Geldermann, Ina, Grouls, Christoph, Kuhl, Christiane, Deserno, Thomas, Spreckelsen, Cord
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Aug2013
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Black Box Integration of Computer-Aided Diagnosis into PACS Deserves a Second Chance: Results of a Usability Study Concerning Bone Age Assessment.
      aug:
        au:
          Geldermann, Ina
          Grouls, Christoph
          Kuhl, Christiane
          Deserno, Thomas
          Spreckelsen, Cord
        affil: Department of Medical Informatics, RWTH Aachen University, Pauwelsstr. 30 52057 Aachen Germany
      sug:
        subj:
          Picture Archiving and Communication Systems
          Diagnosis, Computer Assisted
          Systems Integration
          Age Determination by Skeleton
          Hand Radiography
          Software
          Consumer Satisfaction
          Multimethod Studies
          Evaluation Research
          Questionnaires
          Summated Rating Scaling
          Audiorecording
          Descriptive Statistics
          Structured Questionnaires
          Human
          Funding Source
      ab: Usability aspects of different integration concepts for picture archiving and communication systems (PACS) and computer-aided diagnosis (CAD) were inquired on the example of BoneXpert, a program determining the skeletal age from a left hand's radiograph. CAD-PACS integration was assessed according to its levels: data, function, presentation, and context integration focusing on usability aspects. A user-based study design was selected. Statements of seven experienced radiologists using two alternative types of integration provided by BoneXpert were acquired and analyzed using a mixed-methods approach based on think-aloud records and a questionnaire. In both variants, the CAD module (BoneXpert) was easily integrated in the workflow, found comprehensible and fitting in the conceptual framework of the radiologists. Weak points of the software integration referred to data and context integration. Surprisingly, visualization of intermediate image processing states (presentation integration) was found less important as compared to efficient handling and fast computation. Seamlessly integrating CAD into the PACS without additional work steps or unnecessary interrupts and without visualizing intermediate images may considerably improve software performance and user acceptance with efforts in time.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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