Jeremy Douglas Collins MD, Presenter: Consultant, C. R. Bard, Inc

Vladimir Kleper, Abstract Co-Author: Nothing to Disclose

Skip Talbot BS, Abstract Co-Author: Nothing to Disclose

Michael Teistler PhD, Abstract Co-Author: Nothing to Disclose

James Christopher Carr MD, Abstract Co-Author: Speaker, Lantheus Medical Imaging, Inc

Pattanasak Mongkolwat PhD, Abstract Co-Author: Nothing to Disclose

Cardiac MR (CMR) is the gold standard for assessment of biventricular function and when combined with 3D MR angiography (MRA), enables a comprehensive assessment of the heart and thoracic aorta. Although CMR exams are well suited for structured reporting, standard voice recognition dictation systems are not optimized to efficiently extract and store quantifiable data. There is a need to standardize qualitative descriptions and reporting of quantifiable CMR results. The NCIP AIM 4.0 has been integrated into a ClearCanvas open source imaging workstation, providing a foundation to integrate structured reporting into clinical practice. The case report form created by AIM Template Builder (ATB) 2.0 is capable of branching logic and providing default answer(s). Custom case report forms and the workstation enable a reporting tool for cardiac MR and thoracic MRA evaluation that incorporate logic to generate qualitative descriptions of quantifiable CMR results.

Cardiac MR and Thoracic MRA templates were created using the AIM template builder for myocardial evaluation using the 17-segment AHA model, morphological assessment of the aortic valve, and quantification of thoracic aortic size. Advanced templates incorporate left ventricular T1 and T2* values for tissue characterization and evaluation of the left ventricular extracellular volume fraction.

Anonymized CMR and thoracic MRA studies were used to collect data for purposes of trialing the AIM templates. The imaging studies were visualized and analyzed on an NCIP AIM 4.0 enabled ClearCanvas workstation. Users were able to annotate images and store data as XML files. This format enables ready extraction of data for clinical and research purposes.

The NCIA AIM 4.0 deployed on a ClearCanvas imaging workstation with the ATB is well suited for clinical reporting. Integrating this system into clinical practice could enable efficient query of clinical data for education and research purposes, while providing efficiencies at structured reporting. Information initially entered and stored in this manner is suitable to establish an imaging registry without dedicated clerical staff.

Collins, J, Kleper, V, Talbot, S, Teistler, M, Carr, J, Mongkolwat, P, Quantitative Cardiac MR and Thoracic MRA Reporting with National Cancer Informatics Program (NCIP) Annotation and Imaging Markup (AIM) with Integrated Logic Case Report Form.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13028902.html