Evidence map›Paper›PMID 31818390›Full record

ArticleAcademic radiology2020

Augmented Radiologist Workflow Improves Report Value and Saves Time: A Potential Model for Implementation of Artificial Intelligence.

Huy M Do, Lillian G Spear, Moozhan Nikpanah, S Mojdeh Mirmomen, Laura B Machado, Alexandra P Toscano, Baris Turkbey, Mohammad Hadi Bagheri, James L Gulley, Les R Folio

Abstract read
In one paragraph

Article in Academic radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Observational
  7. Head and Neck Tumor Segmentation Using Pre-RT MRI Scans and Cascaded DualUNet.Head and Neck Tumor Segmentation for MR-Guided Applications : First MICCAI Challenge, HNTS-MRG 2024, held in conjunction with MICCAI 2024, Marrakesh, Morocco, October 17, 2024, proceedings · 2025
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  9. Selecting the Best Radiology Workflow Efficiency Applications.Journal of imaging informatics in medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Huy M DoRadiology and Imaging Sciences, Clinical Center, National Institutes of Health, Building 10, 9000 Rockville Pike, Bethesda, MD 20892, USA. Electronic address: huy.do@nih.gov.
Lillian G SpearGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland; Current Affiliation: University of Maryland, College Park, Maryland.
Moozhan NikpanahRadiology and Imaging Sciences, Clinical Center, National Institutes of Health, Building 10, 9000 Rockville Pike, Bethesda, MD 20892, USA.
S Mojdeh MirmomenAdvanced Cardiovascular Imaging Laboratory, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.
Laura B MachadoDepartment of Radiology, Mercy Catholic Medical Center, Conshohocken, Pennsylvania.
Alexandra P ToscanoGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland; Current Affiliation: University of Maryland, College Park, Maryland.
Baris TurkbeyMolecular Imaging Program, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Mohammad Hadi BagheriRadiology and Imaging Sciences, Clinical Center, National Institutes of Health, Building 10, 9000 Rockville Pike, Bethesda, MD 20892, USA.
James L GulleyGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Les R FolioRadiology and Imaging Sciences, Clinical Center, National Institutes of Health, Building 10, 9000 Rockville Pike, Bethesda, MD 20892, USA.

Funding

Cancer Therapy Clinical Trials Using Novel Recombinant VaccinesZIABC010666 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GULLEY, JAMES L. · 2009 to 2025
$22.4M
Intramural NIH HHS ZIA BC010666
6 · The paper itself

Abstract

RATIONALE AND

objectivesOur primary aim was to improve radiology reports by increasing concordance of target lesion measurements with oncology records using radiology preprocessors (RP). Faster notification of incidental actionable findings to referring clinicians and clinical radiologist exam interpretation time savings with RPs quantifying tumor burden were also assessed. MATERIALS AND

methodsIn this prospective quality improvement initiative, RPs annotated lesions before radiologist interpretation of CT exams. Clinical radiologists then hyperlinked approved measurements into interactive reports during interpretations. RPs evaluated concordance with our tumor measurement radiologist, the determinant of tumor burden. Actionable finding detection and notification times were also deduced. Clinical radiologist interpretation times were calculated from established average CT chest, abdomen, and pelvis interpretation times.

resultsRPs assessed 1287 body CT exams with 812 follow-up CT chest, abdomen, and pelvis studies; 95 (11.7%) of which had 241 verified target lesions. There was improved concordance (67.8% vs. 22.5%) of target lesion measurements. RPs detected 93.1% incidental actionable findings with faster clinician notification by a median time of 1 hour (range: 15 minutes-16 hours). Radiologist exam interpretation times decreased by 37%.

conclusionsThis workflow resulted in three-fold improved target lesion measurement concordance with oncology records, earlier detection and faster notification of incidental actionable findings to referring clinicians, and decreased exam interpretation times for clinical radiologists. These findings demonstrate potential roles for automation (such as AI) to improve report value, worklist prioritization, and patient care.

Indexed as

Artificial IntelligenceRadiologyWorkflowHumansProspective StudiesRadiologistsActionable findingsArtificial intelligenceCancer clinical trialsRadiology preprocessorsTumor quantification

Identifiers

PMID31818390
PMCPMC8189646

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.