Page 44 - Diagnostic Radiology - Interpreting the Risks Part One
P. 44

SVMIC Diagnostic Radiology: Interpreting the Risks


                 Benefits & Drawbacks of a Standardized RadLex

                 Radiology Lexicon (RadLex) is a proposed unified language

                 of radiology terms for standardized indexing and retrieval of
                 radiology information resources that was developed by the

                 Radiological Society of North America.


                 The advertised features of RadLex include the following:



                     •  Imaging protocols, picture archiving, and communication

                        system display formats can be specified by using vendor-
                        independent language.


                     •  Speech recognition can be improved by including

                        descriptions linked to the body site imaged and the
                        modality used.


                     •  Decision support tools can automatically retrieve case-

                        relevant information in real time (e.g. checklists of image

                        features to be sought; information from PubMed, the
                        internet, and proprietary decision of support databases).



                 Disadvantages include the following:



                     •  Although it is an attractive project, the enormity of the
                        undertaking makes universal adoption difficult.


                     •  Standardized reporting templates and RadLex are “best

                        practices” initiatives but have not been nationally accepted
                        and cannot be considered the standard of care.


                     •  Radiologists develop “styles of dictation” over several years

                        of training. Adopting may result in a learning curve that
                        compromises the accuracy of the reports.






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