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NYU’s Video Reporting | Longitudinal AI
April 20, 2022
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Together with
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“Gotta keep the poker face up.”
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TikTok rad tech influencer, jroddynotricch, on his strategy for not letting patients realize when he spots an abnormality on their scan. This post ended up with 375k likes in the last two days.
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I’m very happy to share the latest Imaging Wire Show featuring Us2.ai’s co-founders, James Hare and Carolyn Lam MBBS, PhD.
Join us for a great discussion covering Us2.ai’s unique origins, impressive capabilities, and big goals to automate echocardiography reporting across the world.
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A new AJR study out of NYU just provided what might be the first significant insights into how patient-friendly video reports might impact radiologists and patients.
Leveraging a new Visage 7 video feature and 3D rendering from Siemens Healthineers, NYU organized a four-month study that encouraged and evaluated patient-centered video reports (w/ simple video + audio explanations).
During the study period, just 105 out of 227 NYU radiologists created videos, resulting in 3,763 total video reports. The videos were included within NYU’s standard radiology reports and made available via its patient portal.
The video reports added an average of 4 minutes of recording time to radiologists’ workflows (± 2:21), with abnormal reports understandably taking longer than normal reports (5:30 vs. 4:15; still statistically similar). The authors admitted that video creation has to get faster in order to achieve clinical adoption, revealing plans to use standardized voice macros to streamline this process.
Patients viewed just 864 unique video reports, leaving 2,899 videos unviewed. However, when NYU moved the video links above the written section late in the study period, the share of patients who watched their videos jumped from 20% to 40%. Patients who watched the videos also really liked them:
- Patients scored their overall video report experiences a 4.7 out of 5
- The videos’ contribution to patients’ diagnostic understanding also scored 4.7 of 5
- 56% of patients reported reduced anxiety due to the videos (via 1% increased)
- 91% of patients preferred video + written reports (vs. 2% w/ written-only)
Although not the videos’ intended audience, referring physicians viewed 214 unique video reports, and anecdotes suggested that the videos helped referrers explain findings to their patients.
The Takeaway
We’ve covered plenty of studies showing that patients want to review their radiology reports, but struggle to understand them. We’ve also seen plenty of suggestions that radiologists want to improve their visibility to patients and highlight their role in patient care.
This study shows that video reports could satisfy both of those needs, while confirming that adopting video reporting wouldn’t require significant infrastructure changes (if your PACS supports video), but they would add four minutes to radiologist reporting workflows.
That doesn’t suggest a major increase in video reporting will come any time soon, especially considering most practices/departments’ focus on efficiency, but it does make future video reporting adoption seem a lot more realistic (or at least possible).
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Salem Regional’s Case for Bayer’s MEDRAD Stellant FLEX
Learn how Salem Regional Medical Center improved its radiology workflows and cut service and syringe expenses after adopting Bayer’s MEDRAD Stellant FLEX system.
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BRG’s PowerScribe One Improvements
When Birmingham Radiological Group-GV adopted Nuance PowerScribe One, the practice eliminated 60-75 minutes in daily reporting time and reduced calls to the radiology reading room by 80%. See how in this Nuance Case Study.
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- Longitudinal AI: A new Radiology Journal paper by a Harvard and Yale-based team encouraged developers to create imaging AI tools that incorporate prior images and support the many cases that require longitudinal analysis. The authors admitted that longitudinal AI poses both data curation and model development challenges, but assured that these models will be crucial for expanding the range of tasks imaging AI can achieve.
- United Imaging IPO: United Imaging Healthcare has reportedly filed for IPO on Shanghai’s STAR Market exchange, and will use the roughly $1.96B in new capital to advance its R&D, manufacturing, and marketing operations. United Imaging leveraged its three previous funding rounds to build an impressive technology portfolio and establish its global presence, setting the stage for what might be an even more ambitious post-IPO effort.
- Making Friends with Remote MRI: A recent Radiography Journal study suggests that remote MRI operation solutions will have to prove their “usefulness” in order to gain radiographer / technologist acceptance, which is understandable given the changes they could bring to staffing and workflows. A survey of a UK-based MRI team that piloted a remote MRI solution showed that members viewed the solutions as easy-to-use and a “friend” to MRI radiographers (rather than “foe”). However, they gave it a low “usefulness” score, which had the greatest influence on their future intent to use the solution.
- Information Blocking Loophole: The ONC’s annual meeting drew headlines when HHS secretary Xavier Becerra committed to closing a policy loophole that prevents providers from facing federal penalties for information blocking. The current regulation imposes predefined consequences for health IT vendors that knowingly block patients’ access to their own data, but allows the Secretary to define penalties for providers. Although Becerra didn’t give a timeline for addressing the issue, he said that closing the enforcement gap is now a top HHS priority.
- Non-Binary Radiology: A recent EJR study suggests that most radiology technology vendors now allow clinicians to enter a third gender option into the patient medical record, beyond male or female. Of the eleven vendors who participated in the survey (6 hardware & 5 software), ten currently allow a third gender option. Although eight other vendors did not respond to survey requests and might not support a third gender option, the authors viewed these results positively. They also encouraged adding the ability to enter both biological sex and gender.
- KA is Going Mobile: KA Imaging announced plans to accelerate the development of its first mobile X-ray system, which will leverage KA’s unique dual-energy spectral detector, and will evolve the Canadian startup beyond its current role as a detector supplier. The accelerated development effort comes with the help from nearly $1M in Ontario government funding for manufacturing the mobile X-ray systems within the province.
- Neuro MRI Resident Discrepancies: A new study out of France showed that on-call radiology residents’ preliminary interpretations of emergency brain and spine MRI exams are usually consistent with attending neuroradiologists’ final reports. Analysis of 328 MRI examinations found discrepancies in 16% of the exams, including 5.5% with “major discrepancies,” but no errors associated with adverse clinical outcomes. Discrepancies were far more common among second-year residents than senior residents (p= 0.02), while nearly all major errors involved cerebrovascular pathology.
- Surprise Billing Portal: The Federal Surprise Billing dispute resolution process reached a key milestone last week, after CMS officially launched the Independent Dispute Resolution portal that payers and providers would use to resolve out-of-network charge disputes. The portal was due to launch in February, but was delayed after a U.S. District Court in Texas ruled that the arbitration process violated the Administrative Procedure Act. As a result, the portal launches two months later and with new arbiter guidelines.
- O-RADS Effectiveness: A Radiology Journal study showed that the Ovarian-Adnexal Reporting and Data System (O-RADS) ultrasound risk system accurately distinguishes benign from malignant ovarian and adnexal lesions. Two blinded readers assigned O-RADS and ADNEX scores to ultrasound exams from 227 women (w/ 262 lesions), finding that patients with O-RADS 1 and 2 scores consistently had benign lesions (0% & 3% malignant) and O-RADS 5 patients often had malignant lesions (78% malignant). O-RADS closely matched ADNEX for detecting malignant lesions (0.91 & 0.95), and O-RADS was further improved when using acoustic shadowing as a benign finding (0.94 AUC).
- DaVita Acquitted: A federal jury unanimously acquitted dialysis giant DaVita and its CEO for all federal charges related to allegations that it conspired with three other healthcare companies (including Radiology Partners) to not hire DaVita’s employees. The ruling seemed to completely change the media narrative around the case, with storylines now focusing on the DOJ’s questionable focus on prosecuting labor antitrust cases (and away from alleged backroom anti-poaching deals).
- Telestroke’s Efficiency Advantage: In addition to improving patient outcomes, telestroke programs might improve interhospital efficiency by avoiding unnecessary patient transfers. That’s from a new study in Neurology that analyzed data from 21 VA hospitals and 3,488 acute ischemic stroke encounters (2,432 after telestroke implementation), and found that transfers declined by 14.4% after the program’s launch. When adjusting for patient and facility characteristics, the odds of patient transfer fell by nearly 60% after telestroke implementation (odds ratio: 0.39).
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Radiology Associates of Daytona & Fujifilm’s Patient Experience Boost
Think your imaging center patients and staff might be open to a better check-in process? See how Radiology Associates of Daytona (RA) streamlined patient check-ins with Fujifilm’s Synapse RIS-integrated Royal Kiosks.
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- It says a lot when a solution works so well for a radiology department that they decide to perform a study to quantify its benefits. In this Imaging Wire Q&A, University Hospital of Zurich’s Thomas Frauenfelder discusses his experience and study on Riverain Technologies ClearRead CT.
- When Sao Paolo’s Diagnosticos da America SA (DASA, the world’s 4th largest diagnostics company) set out to evaluate Qure.ai’s QXR solution for their pediatric chest X-ray workflows, they leveraged CARPL.ai’s platform to streamline their evaluation. See how it worked here.
- Enterprise Imaging has come a long way, and it has a long way to go. This Intelerad white paper details the five pillars organizations should prioritize in order to realize the full potential of EI’s next evolution.
- Working out your AI business case? Check out this helpful Blackford Analysis post detailing how to create your AI Value Matrix based on your organizational objectives and value indicators.
- Check out this patient case study showing how the Arterys Chest I MSK AI solution helped emergency physicians spot two rib fractures in a shoulder pain exam that might have gone unnoticed.
- GE Healthcare’s LOGIQ E10 Series ultrasounds combine an array of advanced imaging tools and productivity enhancers based within a scalable platform that lets you configure your system specifically to the needs of your practice.
- Us2.ai announced the global launch of its flagship echocardiography AI solution, leveraging a new $15M Series A round, and its unique abilities to completely automate echo reporting (complete editable/explainable reports in 2 minutes) and analyze every chamber of the heart (vs. just left ventricle with some vendors).
- Easy access to patient records, reduced inefficiencies and costs, improved collaboration and compliance, and enhanced security. These are just a few of the benefits of Novarad’s enterprise imaging solution detailed right here.
- See Dr. Brian Goldner of UC Davis Sacramento detail his experience with Canon’s Ultra High Resolution CT and how it can be applied to cardiothoracic interpretations.
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