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David J. Vining, MD
Professor, Diagnostic Radiology
Radiology reporting unchanged
since Roentgen discovered x-rays
William Morton, MD,
May 1896.
Narrative Reporting
November 15, 2006
November 24, 2008
October 29, 2009
• Many ways of saying same thing
• Tedious disease monitoring
• Inefficient data mining
Radiological
Society of
North
America
Structured
Reporting
Templates
Natural Workflow
1. Identify finding
2. Define where
3. Define what
Inspired ViSion
ViSion Reporting
Multimedia
Compositing
Structured
Image
Reporting
Findings
Display of
most recent
image findings.
Disease Timelines
with therapeutic Time
interventions
ViSion: How it Works
• Screen & audio captures sent to cloud.
• Integrates with no one, interfaces with all.
ViSion report after
Any imaging workstation image capture.
Every image is worth 1000 words
But each is tagged with 2 words
(anatomy + pathology) in the report database.
Database supports numerous applications.
Tumor Assessment
RECIST – Response
Evaluation Criteria in
Solid Tumors
Mixed Response
Audit Trail
Who did What & When
ViSion reporting is a dynamic process
Notification of
critical results
Designating a finding as “Urgent” triggers automatic notification.
Automatic Translations
Support for worldwide clinical trials
ViSion Reporting
Follow a patient
over an
entire lifetime
in a single view
Age 45
Age 30
Age 57
Age 22
Age 9
Age 63
Applicable to any specialty