Continuous Speech Recognition in MR Imaging Reporting
Advantages, Disadvantages, and Impact
Mohan R. Ramaswamy1,2,
Gregory Chaljub1,
Oliver Esch1,
Donald D. Fanning1 and
Eric vanSonnenberg1,3
1
Department of Radiology, University of Texas Medical Branch, 301 University
Blvd., Galveston, TX 77555-0465.
2
Present address: Department of Radiology, University of California, S.F.G.H.
(Bldg. NH, Rm. G100), 1001 Potrero Ave., San Francisco, CA 94110.
3
Present address: Department of Radiology, Brigham and Women's Hospital,
Harvard Medical School, 75 Francis St., Boston, MA 02115.

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Fig. 1. Flow chart shows step-by-step breakdown of report generation process
at our institution. For this study, turnaround time was measured from
completion of examination (step 1) to availability of preliminary report (step
4). Note that preliminary report has immediate access in IDXrad ([radiology
information systems] IDX Systems, Burlington, VT) for clinicians.
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Fig. 2. Graph shows monthly usage of continuous speech recognition
(solid line) versus conventional dictation (broken line) in
MR imaging reporting.
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Fig. 3. Graph shows time until MR report availability before (broken
line) and after (solid line) implementation of continuous speech
recognition.
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