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A Systematic Approach for Using DICOM Structured Reports in Clinical Processes: Focus on Breast Cancer

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Abstract

This paper describes a methodology for redesigning the clinical processes to manage diagnosis, follow-up, and response to treatment episodes of breast cancer. This methodology includes three fundamental elements: (1) identification of similar and contrasting cases that may be of clinical relevance based upon a target study, (2) codification of reports with standard medical terminologies, and (3) linking and indexing the structured reports obtained with different techniques in a common system. The combination of these elements should lead to improvements in the clinical management of breast cancer patients. The motivation for this work is the adaptation of the clinical processes for breast cancer created by the Valencian Community health authorities to the new techniques available for data processing. To achieve this adaptation, it was necessary to design nine Digital Imaging and Communications in Medicine (DICOM) structured report templates: six diagnosis templates and three summary templates that combine reports from clinical episodes. A prototype system is also described that links the lesion to the reports. Preliminary tests of the prototype have shown that the interoperability among the report templates allows correlating parameters from different reports. Further work is in progress to improve the methodology in order that it can be applied to clinical practice.

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Acknowledgments

We thank the subject matter experts for sharing their insights through this study. We are especially appreciative of the efforts of the Radiology Unit and Medical Oncology Unit teams at the University Hospital Dr. Peset. This work was partially supported by the Vicerectorat d’Investigació de la Universitat Politècnica de València (UPVLC) to develop the project “Mejora del proceso diagnóstico del cáncer de mama” with reference UPV-FE-2013-8.

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Authors and Affiliations

  1. Radiology Unit, University Hospital Dr. Peset, Valencia, Spain

    Rosana Medina García, J. Damian Segrelles Quilis & Ignacio Blanquer Espert

  2. Institute for Molecular Imaging Technologies (I3M), Universitat Politècnica de València (UPVLC), Camino de Vera S/N, 46022, Valencia, Spain

    Erik Torres Serrano

  3. Medical Imaging Unit, University and Polytechnic Hospital La Fe, Valencia, Spain

    Luis Martí Bonmatí

  4. Medical Oncology Unit, University Hospital Dr. Peset, Valencia, Spain

    Daniel Almenar Cubells

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  1. Rosana Medina García
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Correspondence to J. Damian Segrelles Quilis.

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Medina García, R., Torres Serrano, E., Segrelles Quilis, J.D. et al. A Systematic Approach for Using DICOM Structured Reports in Clinical Processes: Focus on Breast Cancer. J Digit Imaging 28, 132–145 (2015). https://doi.org/10.1007/s10278-014-9728-6

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