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PACS 3.0Thiago Julio, MD

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Não há conflito de interesse nessa apresentação.

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RSNA 2012 Honorary Lecture

Meaningful IT Innovation to Support the Radiology Value Proposition

Paul J. Chang, MD

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PACS 1.0deal with images“get digital images from one place to another”

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PACS 2.0digital image managementcloud ologies

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PACS 3.0workflow managemententerprise image sharingpatient-centric data sharing non-radiology image datasets

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radiologistwhat is our role?

PACS 3.0

CPOE

Critical results

Lesion measureme

nt

Radiation exposure

monitoring

Cloud computing

Image Sharing / Exchange

Mobile

RIS Search

NLP

BI and analytics

Lexicons

Quantitative ImagingPACS

Reports

Productivity

Workflow management

Structured report

Teaching Files

Viewers

BYOD

CAD

Dashboards

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decision support systemsprovide evidence-based educational material to a user to improve clinical decision making

demonstrates how doctors provide value as a specialty and are not just a diagnostic tool

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any tool that allows to add value and context to interpretation

the easier to locate and integrate into reporting, the more it will be used

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“double-edged sword”

technological advancements in medical imaging in the form of PACS and RIS are commodities within radiology

these advances help radiologists in their work but could also make their services seem obsolete

solution >> add VALUE for docs and patients

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business intelligence

{analytics}

dashboards

+ departments need to define goals

and form a vision as they create a business model for dashboards and scorecards

Dashboards: tactical performance monitoring tools

Scorecards: strategic focus on performance

management utilize metrics, such as key

performance indicators (KPI), related to goals.

workflow

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the global worklist accessibility

flexibility

performance

cost effective

convenience

quality care

+ VNA or not VNA?

{is that the question?}

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why aren’t we using it?

{or are we??}

mobile

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the key to oncology’s and researcher’s heart

lesion measurement

+annotation image markup

{AIM – daniel rubin - stanford}

speech recognition systems

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ologies...{we are not alone}

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integration{we gotta do it!}

+ critical results reporting

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image sharing{our little instagram}

2014

2016

2017

2018

EMR adoption

Enterprise Order ManagementEnterprise Viewers - Clinical images

Web appsPACS >> EV(clinical

staff) Radiology RIS >> EMR RIS

New app ecosystem

Structured ReportingVoice

Recognition

Ontologies and lexicons

Radiology PACS >> EV

Cloud VNA

Multi-facility workflow tools

Domain >> PlatformModalities >> VNAPatholog

y

Legacy data

2015

EVEMR ModulesWeb information systems

RIS / PACS

mobileanalytics

VNAMulti-system image information

Enterprise image management

Cross enterprise sharing

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message in a bottle

{radiologists 3.0}