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Article ; Online: Designing Clinical MRI for Enhanced Workflow and Value.

Lin, Dana J / Doshi, Ankur M / Fritz, Jan / Recht, Michael P

Journal of magnetic resonance imaging : JMRI

2023

Abstract: MRI is an expensive and traditionally time-intensive modality in imaging. With the paradigm shift toward value-based healthcare, radiology departments must examine the entire MRI process cycle to identify opportunities to optimize efficiency and enhance ... ...

Abstract	MRI is an expensive and traditionally time-intensive modality in imaging. With the paradigm shift toward value-based healthcare, radiology departments must examine the entire MRI process cycle to identify opportunities to optimize efficiency and enhance value for patients. Digital tools such as "frictionless scheduling" prioritize patient preference and convenience, thereby delivering patient-centered care. Recent advances in conventional and deep learning-based accelerated image reconstruction methods have reduced image acquisition time to such a degree that so-called nongradient time now constitutes a major percentage of total room time. For this reason, architectural design strategies that reconfigure patient preparation processes and decrease the turnaround time between scans can substantially impact overall throughput while also improving patient comfort and privacy. Real-time informatics tools that provide an enterprise-wide overview of MRI workflow and Picture Archiving and Communication System (PACS)-integrated instant messaging can complement these efforts by offering transparent, situational data and facilitating communication between radiology team members. Finally, long-term investment in training, recruiting, and retaining a highly skilled technologist workforce is essential for building a pipeline and team of technologists committed to excellence. Here, we highlight various opportunities for optimizing MRI workflow and enhancing value by offering many of our own on-the-ground experiences and conclude by anticipating some of the future directions for process improvement and innovation in clinical MR imaging. EVIDENCE LEVEL: N/A TECHNICAL EFFICACY: Stage 1.
Language	English
Publishing date	2023-10-05
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1146614-5
ISSN	1522-2586 ; 1053-1807
ISSN (online)	1522-2586
ISSN	1053-1807
DOI	10.1002/jmri.29038
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Article ; Online: Immediate Access to Radiology Reports: Perspectives on X Before and After the Cures Act Information Blocking Provision.

Kim, Michelle / Lovett, Jessica T / Doshi, Ankur M / Prabhu, Vinay

Journal of the American College of Radiology : JACR

2023

Abstract: Objective: The 21st Century Cures Act's information blocking provision mandates that patients have immediate access to their electronic health information, including radiology reports. We evaluated public opinions surrounding this policy on X, a ... ...

Abstract	Objective: The 21st Century Cures Act's information blocking provision mandates that patients have immediate access to their electronic health information, including radiology reports. We evaluated public opinions surrounding this policy on X, a microblogging platform with over 400 million users. Methods: We retrieved 27,522 posts related to radiology reports from October 5, 2020, through October 4, 2021. One reviewer performed initial screening for relevant posts. Two reviewers categorized user type and post theme(s) using a predefined coding system. Posts were grouped as "pre-Cures" (6 months before information blocking) and "post-Cures" (6 months after). Descriptive statistics and χ Results: Among 1,155 final posts, 1,028 unique users were identified (64% patients, 11% non-radiologist physicians, 4% radiologists). X activity increased, with 40% (n = 462) pre-Cures and 60% (n = 693) post-Cures. Early result notification before referring providers was the only theme that significantly increased post-Cures (+3%, P = .001). Common negative themes were frustration (33%), anxiety (27%), and delay (20%). Common positive themes were gratitude for radiologists (52%) and autonomy (21%). Of posts expressing opinions on early access, 84% favored and 16% opposed it, with decreased preference between study periods (P = .006). More patients than physicians preferred early access (92% versus 40%, P < .0001). Discussion: X activity increased after the information blocking provision, partly due to conversation about early notification. Despite negative experiences with reports, most users preferred early access. Although the Cures Act is a positive step toward open access, work remains to improve patients' engagement with their radiology results.
Language	English
Publishing date	2023-12-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2023.12.015
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Article ; Online: Fast and Frictionless: A Novel Approach to Radiology Appointment Scheduling Using a Mobile App and Recommendation Engine.

Doshi, Ankur M / Ostrow, Dana / Gresens, August / Grimmelmann, Rachel / Mazhar, Salman / Neto, Eduardo / Woodriff, Molly / Recht, Michael

Journal of digital imaging

2023 Volume 36, Issue 4, Page(s) 1285–1290

Abstract: Many outpatient radiology orders are never scheduled, which can result in adverse outcomes. Digital appointment self-scheduling provides convenience, but utilization has been low. The purpose of this study was to develop a "frictionless" scheduling tool ... ...

Abstract	Many outpatient radiology orders are never scheduled, which can result in adverse outcomes. Digital appointment self-scheduling provides convenience, but utilization has been low. The purpose of this study was to develop a "frictionless" scheduling tool and evaluate the impact on utilization. The existing institutional radiology scheduling app was configured to accommodate a frictionless workflow. A recommendation engine used patient residence, past and future appointment data to generate three optimal appointment suggestions. For eligible frictionless orders, recommendations were sent in a text message. Other orders received either a text message for the non-frictionless app scheduling approach or a call-to-schedule text. Scheduling rates by type of text message and scheduling workflow were analyzed. Baseline data for a 3-month period prior to the launch of frictionless scheduling showed that 17% of orders that received an order notification text were scheduled using the app. In an 11-month period after the launch of frictionless scheduling, the rate of app scheduling was greater for orders that received a text message with recommendations (frictionless approach) versus app schedulable orders that received a text without recommendations (29% vs. 14%, p < 0.01). Thirty-nine percent of the orders that received a frictionless text and scheduled using the app used a recommendation. The most common recommendation rules chosen for scheduling included location preference of prior appointments (52%). Among appointments that were scheduled using a day or time preference, 64% were based on a rule using the time of the day. This study showed that frictionless scheduling was associated with an increased rate of app scheduling.
MeSH term(s)	Humans ; Mobile Applications ; Appointments and Schedules ; Text Messaging ; Outpatients ; Radiology
Language	English
Publishing date	2023-05-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	1033897-4
ISSN	1618-727X ; 0897-1889
ISSN (online)	1618-727X
ISSN	0897-1889
DOI	10.1007/s10278-023-00817-w
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Article ; Online: New Arterial Phase Enhancing Nodules on MRI of Cirrhotic Liver: Risk of Progression to Hepatocellular Carcinoma and Implications for LI-RADS Classification.

Smereka, Paul / Doshi, Ankur M / Lavelle, Lisa P / Shanbhogue, Krishna

AJR. American journal of roentgenology

2020 Volume 215, Issue 2, Page(s) 382–389

Abstract: OBJECTIVE. ...

Abstract	OBJECTIVE.
MeSH term(s)	Arteries ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/etiology ; Disease Progression ; Female ; Humans ; Liver/diagnostic imaging ; Liver/pathology ; Liver Cirrhosis/complications ; Liver Cirrhosis/diagnostic imaging ; Liver Cirrhosis/pathology ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/etiology ; Magnetic Resonance Imaging/instrumentation ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Research Design ; Retrospective Studies
Language	English
Publishing date	2020-05-20
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.19.22033
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Article ; Online: Public transparency Web sites for radiology practices: prevalence of price, clinical quality, and service quality information.

Rosenkrantz, Andrew B / Doshi, Ankur M

Clinical imaging

2016 Volume 40, Issue 3, Page(s) 531–534

Abstract: Purpose: To assess information regarding radiology practices on public transparency Web sites.: Methods: Eight Web sites comparing radiology centers' price and quality were identified. Web site content was assessed.: Results: Six of eight Web ... ...

Abstract	Purpose: To assess information regarding radiology practices on public transparency Web sites. Methods: Eight Web sites comparing radiology centers' price and quality were identified. Web site content was assessed. Results: Six of eight Web sites reported examination prices. Other reported information included hours of operation (4/8), patient satisfaction (2/8), American College of Radiology (ACR) accreditation (3/8), on-site radiologists (2/8), as well as parking, accessibility, waiting area amenities, same/next-day reports, mammography follow-up rates, examination appropriateness, radiation dose, fellowship-trained radiologists, and advanced technologies (1/8 each). Conclusion: Transparency Web sites had a preponderance of price (and to a lesser extent service quality) information, risking fostering price-based competition at the expense of clinical quality.
MeSH term(s)	Access to Information ; Benchmarking ; Consumer Health Information/standards ; Consumer Health Information/statistics & numerical data ; Fees and Charges/statistics & numerical data ; Humans ; Internet ; Quality Indicators, Health Care/statistics & numerical data ; Radiography/economics ; Radiography/standards ; Radiography/statistics & numerical data ; Radiology/economics ; Radiology/standards ; Radiology/statistics & numerical data ; United States
Language	English
Publishing date	2016-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	1028123-x
ISSN	1873-4499 ; 0899-7071
ISSN (online)	1873-4499
ISSN	0899-7071
DOI	10.1016/j.clinimag.2015.11.020
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Zs.A 1469: Show issues

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Article ; Online: Continued evolution of clinical decision support tools for guiding imaging utilization.

Rosenkrantz, Andrew B / Doshi, Ankur M

Academic radiology

2015 Volume 22, Issue 4, Page(s) 542–543

MeSH term(s)	Abdomen/pathology ; Guideline Adherence/statistics & numerical data ; Humans ; Magnetic Resonance Imaging/standards ; Pelvis/pathology ; Radiography, Abdominal/standards ; Tomography, X-Ray Computed/standards
Language	English
Publishing date	2015-04
Publishing country	United States
Document type	Comment ; Letter
ZDB-ID	1355509-1
ISSN	1878-4046 ; 1076-6332
ISSN (online)	1878-4046
ISSN	1076-6332
DOI	10.1016/j.acra.2014.12.009
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Article ; Online: Video Radiology Reports: A Valuable Tool to Improve Patient-Centered Radiology.

Recht, Michael P / Westerhoff, Malte / Doshi, Ankur M / Young, Matthew / Ostrow, Dana / Swahn, Dawn-Marie / Krueger, Sebastian / Thesen, Stefan

AJR. American journal of roentgenology

2022 Volume 219, Issue 3, Page(s) 509–519

Abstract: BACKGROUND. ...

Abstract	BACKGROUND.
MeSH term(s)	Communication ; Humans ; Patient-Centered Care ; Radiography ; Radiologists ; Radiology
Language	English
Publishing date	2022-04-20
Publishing country	United States
Document type	Journal Article ; Video-Audio Media
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.22.27512
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Article ; Online: Strengths and Deficiencies in the Content of US Radiology Private Practices' Websites.

Johnson, Evan J / Doshi, Ankur M / Rosenkrantz, Andrew B

Journal of the American College of Radiology : JACR

2017 Volume 14, Issue 3, Page(s) 431–435

Abstract: Purpose: The Internet provides a potentially valuable mechanism for radiology practices to communicate with patients and enhance the patient experience. The aim of this study was to assess the websites of US radiology private practices, with attention ... ...

Abstract	Purpose: The Internet provides a potentially valuable mechanism for radiology practices to communicate with patients and enhance the patient experience. The aim of this study was to assess the websites of US radiology private practices, with attention to the frequency of content of potential patient interest. Methods: The 50 largest private practice radiology facilities in the United States were identified from RadiologyBusiness.com. Websites were reviewed for information content and functionality. Results: Content regarding radiologists' names, medical schools, residencies, fellowships, photographs, and board certification status; contact for billing questions; and ability to make online payments was present on 80% to 98% of sites. Content regarding examination preparation, contrast use, examination duration, description of examination experience, scheduling information, directions, privacy policy, radiologists' role in interpretation, and ACR accreditation was present on 60% to 78%. Content regarding accepted insurers, delivery of results to referrers, report turnaround times, radiologists' years of experience, radiation safety, and facility hours was present on 40% to 58%. Content regarding technologist certification, registration forms, instructions for requesting a study on disc, educational videos, and patient testimonials was present on 20% to 38%. Content regarding examination prices, patient satisfaction scores, peer review, online scheduling, online report and image access, and parking was present on <20%. Conclusions: Radiology practices' websites most frequently provided information regarding their radiologists' credentials, as well as billing and payment options. Information regarding quality, safety, and the examination experience, as well as non-payment-related online functionality, was less common. These findings regarding the most common deficiencies may be useful for radiology practices in expanding their websites' content, thereby improving communication and potentially the patient experience.
MeSH term(s)	Access to Information ; Communication ; Consumer Health Information ; Humans ; Internet ; Private Practice ; Radiology ; Social Media ; United States
Language	English
Publishing date	2017-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2016.08.003
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Article ; Online: Do Incidental Hyperechoic Renal Lesions Measuring Up to 1 cm Warrant Further Imaging? Outcomes of 161 Lesions.

Doshi, Ankur M / Ayoola, Abimbola / Rosenkrantz, Andrew B

AJR. American journal of roentgenology

2017 Volume 209, Issue 2, Page(s) 346–350

Abstract: Objective: The purpose of this study was to determine the outcomes of hyperechoic renal lesions measuring 1 cm or less at ultrasound examination.: Materials and methods: This retrospective study included 161 hyperechoic renal lesions measuring 1 cm ... ...

Abstract	Objective: The purpose of this study was to determine the outcomes of hyperechoic renal lesions measuring 1 cm or less at ultrasound examination. Materials and methods: This retrospective study included 161 hyperechoic renal lesions measuring 1 cm or less at ultrasound that were evaluated with follow-up ultrasound, CT, or MRI. Follow-up imaging examinations were reviewed to assess for definitive lesion characterization or size stability. Results: Follow-up included 11 unenhanced CT, 39 contrast-enhanced CT, 52 unenhanced and contrast-enhanced CT, two unenhanced MRI, 50 unenhanced and contrast-enhanced MRI, and 87 ultrasound examinations. At CT or MRI 58.4% of lesions were confirmed to be angiomyolipomas. At CT, one lesion represented a stone, and one a hyperdense cyst. At CT or MRI 11.8% of the lesions had no correlate; 3.1% were not visualized at follow-up ultrasound. An additional 23.6% were stable at 2-year follow-up imaging or beyond. Two lesions were evaluated with only contrast-enhanced CT less than 1 month after ultrasound, and the CT images did not show macroscopic fat or calcification or meet the criteria for a simple cyst. These lesions were considered indeterminate. One lesion in a 65-year-old man was imaged with unenhanced and contrast-enhanced CT 23 months after ultrasound, and the CT showed an increase in size, solid enhancement, and no macroscopic fat. This lesion was presumed to represent renal cell carcinoma. Overall, the one lesion presumed malignant and the two indeterminate lesions constituted 1.9% of the cohort. The other 98.1% of lesions were considered clinically insignificant. Conclusion: Most hyperechoic renal lesions measuring 1 cm or smaller were clinically insignificant, suggesting that such lesions may not require additional imaging. Patient demographics, symptoms and risk factors for malignancy may help inform the decision to forgo follow-up imaging of such lesions.
MeSH term(s)	Adult ; Aged ; Angiomyolipoma/diagnostic imaging ; Angiomyolipoma/pathology ; Carcinoma, Renal Cell/diagnostic imaging ; Carcinoma, Renal Cell/pathology ; Contrast Media ; Female ; Humans ; Imaging, Three-Dimensional ; Incidental Findings ; Kidney Neoplasms/diagnostic imaging ; Kidney Neoplasms/pathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Tomography, X-Ray Computed ; Ultrasonography
Chemical Substances	Contrast Media
Language	English
Publishing date	2017-06-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.16.17490
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Article ; Online: Assessing the Content of YouTube Videos in Educating Patients Regarding Common Imaging Examinations.

Rosenkrantz, Andrew B / Won, Eugene / Doshi, Ankur M

Journal of the American College of Radiology : JACR

2016 Volume 13, Issue 12 Pt A, Page(s) 1509–1513

Abstract: Purpose: To assess the content of currently available YouTube videos seeking to educate patients regarding commonly performed imaging examinations.: Methods: After initial testing of possible search terms, the first two pages of YouTube search ... ...

Abstract	Purpose: To assess the content of currently available YouTube videos seeking to educate patients regarding commonly performed imaging examinations. Methods: After initial testing of possible search terms, the first two pages of YouTube search results for "CT scan," "MRI," "ultrasound patient," "PET scan," and "mammogram" were reviewed to identify educational patient videos created by health organizations. Sixty-three included videos were viewed and assessed for a range of features. Results: Average views per video were highest for MRI (293,362) and mammography (151,664). Twenty-seven percent of videos used a nontraditional format (eg, animation, song, humor). All videos (100.0%) depicted a patient undergoing the examination, 84.1% a technologist, and 20.6% a radiologist; 69.8% mentioned examination lengths, 65.1% potential pain/discomfort, 41.3% potential radiation, 36.5% a radiology report/results, 27.0% the radiologist's role in interpretation, and 13.3% laboratory work. For CT, 68.8% mentioned intravenous contrast and 37.5% mentioned contrast safety. For MRI, 93.8% mentioned claustrophobia, 87.5% noise, 75.0% need to sit still, 68.8% metal safety, 50.0% intravenous contrast, and 0.0% contrast safety. For ultrasound, 85.7% mentioned use of gel. For PET, 92.3% mentioned radiotracer injection, 61.5% fasting, and 46.2% diabetic precautions. For mammography, unrobing, avoiding deodorant, and possible additional images were all mentioned by 63.6%; dense breasts were mentioned by 0.0%. Conclusions: Educational patient videos on YouTube regarding common imaging examinations received high public interest and may provide a valuable patient resource. Videos most consistently provided information detailing the examination experience and less consistently provided safety information or described the presence and role of the radiologist.
MeSH term(s)	Consumer Health Information/statistics & numerical data ; Diagnostic Imaging/classification ; Diagnostic Imaging/statistics & numerical data ; Health Knowledge, Attitudes, Practice ; Health Literacy/statistics & numerical data ; Patient Education as Topic/statistics & numerical data ; Social Media/statistics & numerical data ; Video Recording/statistics & numerical data
Language	English
Publishing date	2016-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2016.06.038
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