Alex Towbin MD, Presenter: Author, Amirsys Inc. Shareholder, Merge Healthcare Incorporated

Jonathan Borders, Abstract Co-Author: Nothing to Disclose

Jay A. Moskovitz MS, Abstract Co-Author: Nothing to Disclose

Timothy OConnor MBA, Abstract Co-Author: Nothing to Disclose

Neil David Johnson MD, Abstract Co-Author: Royalties, Merge Healthcare Incorporated

Calculators have been created for multiple medical specialties in an attempt to help physicians perform complex calculations more efficiently and accurately. When typical medical calculators are used, the output is the answer to a specific equation. This is not the output needed for most radiologists—the end product of a radiologist’s work is not the answer to a formula but a dictated report. The purpose of this exhibit is to show a series of radiology-based calculators and demonstrate how they can be used to generate structured reports.

A novel, web-based application was created to help radiologists calculate leg length discrepancies, femoral/tibial torsion, and bone age. Each calculator was designed with two components. The graphical user interface (GUI) component directs the user to enter data for specified variables based on the examination being interpreted. Images are presented as part of the GUI to instruct the radiologist how to obtain each data point. After entering data for each variable, the calculator displays the answer to the equation along with a standardized, structured report via the second component—a structured report generator.

While computerized, equation-based calculators have been used in medicine for over 15 years, they are infrequently used in radiology. Coupling a calculator with a structured report generator is a novel concept that allows radiologists to work efficiently while at the same time creating accurate, standardized, structured reports. Currently the three calculators in use in our department help radiologists interpret nearly 2,500 examinations each year, accounting for approximately 1% of all studies.

Structured reports can be generated through calculator applications. These applications can help to improve radiologist efficiency along with reporting accuracy and standardization.

Towbin, A, Borders, J, Moskovitz, J, OConnor, T, Johnson, N, Generating Structured Reports through Calculator Applications.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13016578.html