david j. vining, md professor, diagnostic radiology

David J. Vining, MDProfessor, Diagnostic

Radiology

ViSionfor

RadiologyStructured Reporting

Radiology reporting unchanged since Roentgen discovered x-rays

William Morton, MD,May 1896.

Narrative Reporting

• Many ways of saying same thing• Tedious disease monitoring• Inefficient data mining

November 15, 2006November 24, 2008

October 29, 2009

Radiological Society of

North America

StructuredReportingTemplates

Natural Workflow

1. Identify finding

2. Define where

3. Define what

Inspired ViSion

Display of most recent

image findings.2006-3-292006-7-292006-9-82006-9-202006-10-10

2006-9-5

2006-10-10

Time

ViSion ReportingMultimedia

Structured Reporting

Disease Timelineswith therapeutic interventions

CompositingImage Findings

Any imaging workstationViSion report after

image capture.

ViSion: How it Works• Screen & audio captures sent to cloud.

• Integrates with no one, interfaces with all.

Database supports numerous applications.

Every image is worth 1000 wordsBut each is tagged with 2 words

(anatomy + pathology) in the report database.

Mixed Response

Tumor AssessmentRECIST – Response

Evaluation Criteria in Solid Tumors

Audit Trail

Who did What & WhenViSion reporting is a dynamic process

Designating a finding as “Urgent” triggers automatic notification.

Notification of critical results

Automatic Translations

Support for worldwide clinical trials

ViSion ReportingFollow a patient

over anentire lifetime

in a single view

Age 30

Age 22

Age 9

Age 45

Age 57

Age 63

Applicable to any specialty