Interactive Diagram-based Reporting of Bone Scintigraphy
WY Ho, WH Ma
Hong Kong J Radiol 2018;21:171-7
DOI: 10.12809/hkjr1816867
Objective: Rapid development of information technology has facilitated routine use of structured reporting
systems in clinical settings. These reporting systems commonly employ checkboxes, radio buttons, text boxes,
and pick lists for data entry. In bone scintigraphy, each of the >200 bones that compose the human skeleton is
of potential interest. Therefore, it is impractical to select from a long list containing all possible anatomical sites
for reporting. This study aimed to develop an application for reporting metastatic bone disease by clicking on
a diagram of a human skeleton, and to devise a simple method to input the report to the Radiology Information
System (RIS).
Methods: The template contains a human skeleton diagram for input of the anatomical sites of lesions. Radio
buttons allow the user to select among metastasis, degeneration and trauma/fracture as the pathology of a lesion.
Optional activation of the compare mode allows the user to specify the metastatic lesions as new, progressed,
stable, improved or resolved. A text report can be automatically generated for input into the RIS.
Results: The template was developed using Microsoft Visual Studio 2008 and compiled as a stand-alone Windows
application, running simultaneously with the RIS. Reports in conventional narrative report format can be
generated using mouse clicks only.
Conclusion: Use of a diagram circumvents the limitations of templated reporting for complex anatomy.
Author affiliation(s):
WY Ho, WH Ma: Nuclear Medicine Unit, Department of Radiology, Queen Mary Hospital, Pokfulam, Hong Kong
中文摘要
以圖為本的互動骨骼同位素掃描報告
何偉然、馬慧嫻
目的：資訊科技的快速發展促進臨床日常使用結構化報告系統。這些報告系統通常使用複選框、單選按鈕、文本框和數據輸入選擇列表。在骨骼同位素掃描，構成人體骨骼的超過200塊骨頭均值得關注。因此，在包含所有可能解剖部位的長列表中選擇以生成報告不切實際。本研究旨在開發以點擊人體骨骼圖生成骨病變轉移報告的應用程式，並設計簡易方法將報告輸入放射學資料管理系統（RIS）。
方法：該模板包括用於輸入病變解剖部位的人體骨骼圖。單選按鈕為使用者在病理學中選擇病變轉移、退化和創傷／骨折。比較模式的可選激活功能為使用者將病變轉移狀況指定為新、惡化、改善或緩解。程式可自動生成文本報告後輸入RIS。
結果：使用Microsoft Visual Studio 2008開發模板，並編譯為獨立的Windows應用程式，與RIS同時運行。只透過鼠標點擊生成傳統敘述報告格式的報告。
結論：使用圖表可規避複雜解剖結構模板化報告所受的限制。