Department of Radiology, Research Institute of Radiological Science and Center for Clinical Imaging Data Science, Yongin Severance Hospital, Yonsei University College of Medicine, 363, Dongbaekjukjeon-daero, Giheung-gu,Gyeonggi-do 16995, Yongin-si, South Korea.
J Digit Imaging. 2023 Oct;36(5):1995-2002. doi: 10.1007/s10278-023-00876-z. Epub 2023 Jul 5.
The purpose of this study was to assess the utility of a picture archiving and communication systems (PACS)-integrated refer function for improving collaboration between radiologists and radiographers during daily reading sessions. Retrospective analysis was conducted on refers sent by radiologists using a PACS-integrated refer system from March 2020 to December 2021. Refers were categorized according to receiver: radiologists in the same division (intra-division), radiologists in a different division (inter-division), and radiographers. The proportions of answered refers, content of refers, and timing of refer posts were evaluated. Additionally, time intervals in minutes from initial refer post to refer response were assessed to assess the efficiency of the refer system and compared according to receivers using the Mann-Whitney U test. Among a total of 691 refers posted by radiologists, 579 (83.8%) were answered directly using the refer function in PACS. Of the answered refers, 346 refers (59.8%) were made between radiologists, and 173 (50%) were intra-division refers. About the content of refers, about 82.6% of radiologists' refers were about imaging interpretation consultation, and about 98.9% of refers from radiologists to radiographers were for image quality control. The median time interval until refer response was 9 min, and this response time did not differ between intra-division and inter-division refers (p = 0.998). Of the refers that got responses, 74.3% (257/346) were sent among radiologists before official reports were made, and the median time until refer response was 9-10 min. The proportion of refers answered by radiographers was 85.7% (233/272). The median time interval until refer response by radiographers was 87 min for all refers, and 63% were made within 6 h. Therefore, the PACS-integrated refer function can facilitate communication between radiologists for image interpretation and quality control.
本研究旨在评估一种与影像归档和通信系统（PACS）集成的预约功能，以提高放射科医师和技师在日常读片过程中的协作。对 2020 年 3 月至 2021 年 12 月期间使用 PACS 集成预约系统发送的预约进行了回顾性分析。根据接收者对预约进行了分类：同一科室的放射科医师（科室内）、不同科室的放射科医师（科室间）和技师。评估了已答复预约的比例、预约内容和预约发布时间，并评估了从初始预约发布到回复的分钟间隔，以评估预约系统的效率，并使用曼-惠特尼 U 检验根据接收者进行比较。在放射科医师总共发布的 691 个预约中，有 579 个（83.8%）直接使用 PACS 中的预约功能进行了答复。在答复的预约中，有 346 个（59.8%）是放射科医师之间的预约，有 173 个（50%）是科室内的预约。关于预约的内容，放射科医师的预约约 82.6%是关于影像解读咨询，放射科医师给技师的预约约 98.9%是用于图像质量控制。从预约到回复的中位数时间间隔为 9 分钟，科室内和科室间预约的回复时间没有差异（p=0.998）。在得到回复的预约中，74.3%（257/346）是在正式报告前放射科医师之间发送的，回复时间的中位数为 9-10 分钟。由技师答复的预约比例为 85.7%（233/272）。技师的中位数回复时间间隔为所有预约的 87 分钟，63%在 6 小时内完成。因此，PACS 集成的预约功能可以促进放射科医师之间进行图像解读和质量控制的沟通。
