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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