Bruce I. Reiner

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The authors review a decade's experience in the nation's first filmless radiology department and outline the challenges and rewards of the transition. They summarize their experience with 10 cautionary and informative lessons on making the process more successful, more efficient, and less stressful. A number of possible avenues of new research and(More)
OBJECTIVE Despite extraordinary advances in imaging and information technologies, the form and content of radiology reporting has changed little in the discipline's more than 100-year history. In this commentary, we outline the challenges that have confronted innovations such as speech recognition and structured reporting and call for a radical rethinking(More)
A picture archiving and communication system (PACS) is a comprehensive computer system that is responsible for the electronic storage and distribution of medical images in the medical enterprise. The system is highly integrated with digital acquisition and display devices and is often related closely to other medical information systems, such as the(More)
OBJECTIVE The purpose of the study was to ascertain how often additional malignant neoplasms are detected on CT scans of the thorax in patients with newly diagnosed squamous cell carcinoma of the head and neck and to determine how often these findings are evident on conventional radiographs of the chest. SUBJECTS AND METHODS One hundred eighty-nine(More)
Analytics has been defined as the study of historical data to research potential trends, to analyze the effects of certain decisions or events, or to evaluate the performance of a given tool or scenario, with the goal of improving outcomes through greater knowledge (http://www.businessdictionary.com/ definition/analytics/html). While analytics have(More)
The Radiological Society of North America (RSNA) has initiated a long-term project called the Medical Image Resource Center (MIRC). The overall goal of the effort is to create an on-line library of medical images and related information and to maintain and index a number of other medical image resources. The rationale for the project, a summary of the(More)
The Radiological Society of North America has launched a project called the Medical Image Resource Center (MIRC) to establish a community of Webbased libraries of imaging information, including teaching files, other educational materials, and research data. This system would enable radiologic professionals to create and publish such materials more easily(More)
The American College of Surgery currently recommends routine performance of lateral cervical radiography of C-1 to C-7 for all patients admitted with a history of major blunt trauma. A survey of 125 North American hospitals with experience in acute trauma care revealed that 96% obtain cervical radiographs as a routine or protocol study on all patients who(More)
Several impediments have delayed the adoption of filmless imaging by the majority of radiology practitioners. These factors include concerns for technology obsolescence, limited available capital, and lack of existing information technology (IT) infrastructure and experienced personnel. Application service providers (ASPs) have begun to emerge as an(More)
While occupational stress and fatigue have been well documented as a source of medical error, current medical practice largely leaves individual healthcare providers to their own device. With the exception of recently established rules limiting the number of hours physicians in training can work (to counteract errors related to sleep deprivation), few(More)