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  1. Article ; Online: Befundkommunikation.

    Stoehr, Fabian / Mildenberger, Peter / Jorg, Tobias

    Radiologie (Heidelberg, Germany)

    2023  Volume 63, Issue 2, Page(s) 110–114

    Abstract: Background: The radiological report is the cornerstone of communication between radiologists and referring physicians and patients, respectively. The report is comprised of image interpretation on the one hand and communication of this interpretation on ...

    Title translation Image interpretation and the radiological report.
    Abstract Background: The radiological report is the cornerstone of communication between radiologists and referring physicians and patients, respectively. The report is comprised of image interpretation on the one hand and communication of this interpretation on the other hand.
    Objectives and methods: To outline different types of radiological reports (regarding content as well as structure) and their communication. To this end, current guidelines are summarized and clinical examples are presented.
    Results: The radiological report is typically a written piece of free text prose and highly individualized regarding its quality, precision, and structure. In order to improve the understanding of the written report, additional material (e.g., annotations, images, tables) can be supplemented (multimedia-enhanced reporting). In terms of standardization, national and international radiological associations promote structured reporting in radiology. However, this is not without issues.
    Conclusion: Effective communication should improve patient care and it should be clear and provided in a timely manner. As communication in clinical reality is often hampered by various factors, internal standard operating procedures (SOPs) should be developed to improve communication workflows. to improve communication procedures.
    MeSH term(s) Humans ; Radiology ; Research Report ; Writing ; Image Interpretation, Computer-Assisted
    Language German
    Publishing date 2023-01-26
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ISSN 2731-7056
    ISSN (online) 2731-7056
    DOI 10.1007/s00117-023-01122-x
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  2. Article ; Online: Interdisziplinäre Besprechungen.

    Jorg, Tobias / Mildenberger, Peter / Stöhr, Fabian

    Radiologie (Heidelberg, Germany)

    2023  Volume 63, Issue 2, Page(s) 103–109

    Abstract: Background: Interdisciplinary case discussions, especially tumor conferences, represent a large part of the clinical radiologist's daily work. Radiology plays a key role in tumor conferences, since imaging findings have a direct influence on therapy ... ...

    Title translation Interdisciplinary case discussions.
    Abstract Background: Interdisciplinary case discussions, especially tumor conferences, represent a large part of the clinical radiologist's daily work. Radiology plays a key role in tumor conferences, since imaging findings have a direct influence on therapy decisions.
    Methods and objectives: This article discusses the requirements for the radiologist in preparing and conducting tumor conferences. Furthermore, the general conditions and forms of implementation of tumor conferences will be highlighted. Information technology (IT) tools for process automation and systems for assessing the course of tumor diseases will be presented.
    Results: Detailed preparation of tumor conferences and clear communication of findings is essential. The radiological expertise in tumor conferences often leads to changes or adjustments of initially planned therapies. In addition to traditional face-to-face meetings, hybrid solutions have become established for tumor conferences in which the core team is on site and other participants (external referring physicians, internal participants outside the core team) are connected via video conference. Various systems have been established for assessing the course of tumor diseases. Due to its broad applicability, RECIST 1.1. is the most widely used. IT tools enable previously marked lesions to be displayed over time in a matrix view (lesion tracking). Artificial intelligence (AI) can also be used to automatically detect lesions and assess their volumes.
    Conclusion: Preparing and conducting tumor conferences is time-consuming for radiologists. IT tools can automate and thus facilitate the processes. Hybrid solutions combining face-to-face meetings and video conferences make it easier for external referring physicians to present their patients in tumor conferences.
    MeSH term(s) Humans ; Artificial Intelligence ; Radiology ; Radiologists ; Radiography ; Communication
    Language German
    Publishing date 2023-01-11
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ISSN 2731-7056
    ISSN (online) 2731-7056
    DOI 10.1007/s00117-023-01114-x
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  3. Article ; Online: Soft Reconstruction Kernels Improve HCC Imaging on a Photon-Counting Detector CT.

    Graafen, D / Müller, L / Halfmann, M C / Stoehr, F / Foerster, F / Düber, C / Yang, Y / Emrich, T / Kloeckner, R

    Academic radiology

    2023  Volume 30 Suppl 1, Page(s) S143–S154

    Abstract: Rationale and objectives: Hepatocellular carcinoma (HCC) is the only tumor entity that allows non-invasive diagnosis based on imaging without further histological proof. Therefore, excellent image quality is of utmost importance for HCC diagnosis. Novel ...

    Abstract Rationale and objectives: Hepatocellular carcinoma (HCC) is the only tumor entity that allows non-invasive diagnosis based on imaging without further histological proof. Therefore, excellent image quality is of utmost importance for HCC diagnosis. Novel photon-counting detector (PCD) CT improves image quality via noise reduction and higher spatial resolution, inherently providing spectral information. The aim of this study was to investigate these improvements for HCC imaging with triple-phase liver PCD-CT in a phantom and patient population study focusing on identification of the optimal reconstruction kernel.
    Materials and methods: Phantom experiments were performed to analyze objective quality characteristics of the regular body and quantitative reconstruction kernels, each with four sharpness levels (36-40-44-48). For 24 patients with viable HCC lesions on PCD-CT, virtual monoenergetic images at 50 keV were reconstructed using these kernels. Quantitative image analysis included contrast-to-noise ratio (CNR) and edge sharpness. Three raters performed qualitative analyses evaluating noise, contrast, lesion conspicuity, and overall image quality.
    Results: In all contrast phases, the CNR was highest using the kernels with a sharpness level of 36 (all p < 0.05), with no significant influence on lesion sharpness. Softer reconstruction kernels were also rated better regarding noise and image quality (all p < 0.05). No significant differences were found in image contrast and lesion conspicuity. Comparing body and quantitative kernels with equal sharpness levels, there was no difference in image quality criteria, neither regarding in vitro nor in vivo analysis.
    Conclusion: Soft reconstruction kernels yield the best overall quality for the evaluation of HCC in PCD-CT. As the image quality of quantitative kernels with potential for spectral post-processing is not restricted compared to regular body kernels, they should be preferred.
    MeSH term(s) Humans ; Carcinoma, Hepatocellular/diagnostic imaging ; Liver Neoplasms/diagnostic imaging ; Tomography, X-Ray Computed/methods ; Phantoms, Imaging
    Language English
    Publishing date 2023-04-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2023.03.026
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  4. Article ; Conference proceedings: Automatisierte Auswertung von Freitextantworten mittels Natural Language Processing – eine Machbarkeitsstudie auf Basis des EDiR-Examens.

    Stöhr, F / Kämpgen, B / Junquero, V / Merino, C / Mildenberger, P / Oleaga, L / Kloeckner, R

    RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren

    2023  Volume 195, Issue S 01

    Event/congress RÖKO 2023, RheinMain CongressCenter (RMCC) in Wiesbaden, 2023-05-17
    Language German
    Publishing date 2023-04-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 554830-5
    ISSN 1438-9010 ; 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    ISSN (online) 1438-9010
    ISSN 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    DOI 10.1055/s-0043-1763165
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  5. Article ; Conference proceedings: Die prognostische Rolle der Milzvolumenabnahme nach TIPS-Implantation.

    Stöhr, F / Müller, L / Loew, T / Weinmann, A / Mittler, J / Klöckner, R / Pitton, M / Hahn, F

    RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren

    2024  Volume 196, Issue S 01

    Event/congress RÖKO 2024, RheinMain CongressCenter (RMCC) in Wiesbaden, 2024-05-08
    Language German
    Publishing date 2024-04-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 554830-5
    ISSN 1438-9010 ; 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    ISSN (online) 1438-9010
    ISSN 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    DOI 10.1055/s-0044-1781675
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  6. Article ; Conference proceedings: Verbesserung der Abschätzung des portosystemischen Gradienten vor TIPS Implantation durch Hinzunahme des zentralen Venendrucks zu nicht-invasiven Scores

    Hahn, F / Stöhr, F / Müller, L / Loew, T / Labenz, C / Mittler, J / Pitton, M B / Klöckner, R

    RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren

    2024  Volume 196, Issue S 01

    Event/congress RÖKO 2024, RheinMain CongressCenter (RMCC) in Wiesbaden, 2024-05-08
    Language German
    Publishing date 2024-04-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 554830-5
    ISSN 1438-9010 ; 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    ISSN (online) 1438-9010
    ISSN 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    DOI 10.1055/s-0044-1781658
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  7. Article: Ein komplementäres Behandlungsangebot bei CED. Die Psychotherapeutische Musiktherapie

    Stöhr, Friedemann

    Bauchredner

    2016  Volume 127, Issue 4, Page(s) 44

    Language German
    Document type Article
    ZDB-ID 1010454-9
    ISSN 1435-1862
    Database Current Contents Medicine

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  8. Article: Der Arbeitskreis Komplementärmedizin

    Stöhr, Friedemann

    Bauchredner

    2016  Volume 125, Issue 2, Page(s) 100

    Language German
    Document type Article
    ZDB-ID 1010454-9
    ISSN 1435-1862
    Database Current Contents Medicine

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  9. Article: A novel reporting workflow for automated integration of artificial intelligence results into structured radiology reports.

    Jorg, Tobias / Halfmann, Moritz C / Stoehr, Fabian / Arnhold, Gordon / Theobald, Annabell / Mildenberger, Peter / Müller, Lukas

    Insights into imaging

    2024  Volume 15, Issue 1, Page(s) 80

    Abstract: Objectives: Artificial intelligence (AI) has tremendous potential to help radiologists in daily clinical routine. However, a seamless, standardized, and time-efficient way of integrating AI into the radiology workflow is often lacking. This constrains ... ...

    Abstract Objectives: Artificial intelligence (AI) has tremendous potential to help radiologists in daily clinical routine. However, a seamless, standardized, and time-efficient way of integrating AI into the radiology workflow is often lacking. This constrains the full potential of this technology. To address this, we developed a new reporting pipeline that enables automated pre-population of structured reports with results provided by AI tools.
    Methods: Findings from a commercially available AI tool for chest X-ray pathology detection were sent to an IHE-MRRT-compliant structured reporting (SR) platform as DICOM SR elements and used to automatically pre-populate a chest X-ray SR template. Pre-populated AI results could be validated, altered, or deleted by radiologists accessing the SR template. We assessed the performance of this newly developed AI to SR pipeline by comparing reporting times and subjective report quality to reports created as free-text and conventional structured reports.
    Results: Chest X-ray reports with the new pipeline could be created in significantly less time than free-text reports and conventional structured reports (mean reporting times: 66.8 s vs. 85.6 s and 85.8 s, respectively; both p < 0.001). Reports created with the pipeline were rated significantly higher quality on a 5-point Likert scale than free-text reports (p < 0.001).
    Conclusion: The AI to SR pipeline offers a standardized, time-efficient way to integrate AI-generated findings into the reporting workflow as parts of structured reports and has the potential to improve clinical AI integration and further increase synergy between AI and SR in the future.
    Critical relevance statement: With the AI-to-structured reporting pipeline, chest X-ray reports can be created in a standardized, time-efficient, and high-quality manner. The pipeline has the potential to improve AI integration into daily clinical routine, which may facilitate utilization of the benefits of AI to the fullest.
    Key points: • A pipeline was developed for automated transfer of AI results into structured reports. • Pipeline chest X-ray reporting is faster than free-text or conventional structured reports. • Report quality was also rated higher for reports created with the pipeline. • The pipeline offers efficient, standardized AI integration into the clinical workflow.
    Language English
    Publishing date 2024-03-19
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2543323-4
    ISSN 1869-4101
    ISSN 1869-4101
    DOI 10.1186/s13244-024-01660-5
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  10. Article ; Conference proceedings: Milzvolumen als prognostischer Faktor bei Patienten mit portaler Hypertension und TIPS-Implantation

    Hahn, F / Stöhr, F / Müller, L / Loew, T / Klöckner, R / Mittler, J / Weinmann, A / Pitton, M / Düber, C

    RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren

    2023  Volume 195, Issue S 01

    Event/congress RÖKO 2023, RheinMain CongressCenter (RMCC) in Wiesbaden, 2023-05-17
    Language German
    Publishing date 2023-04-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 554830-5
    ISSN 1438-9010 ; 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    ISSN (online) 1438-9010
    ISSN 1438-9029 ; 0340-1618 ; 0936-6652 ; 1433-5972
    DOI 10.1055/s-0043-1763031
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