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A Web-Based ACR Index for Radiological Diagnoses

Chun-Shan Yam1, Jonathan Kruskal, Arkadiusz Sitek and Michael Larson

1 All authors: Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, WCC, Rm. 306, 1 Deaconess Rd., Boston, MA 02215.



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Fig. 1. System design for accessing American College of Radiology Index for Radiological Diagnoses. IIS 5.0 = Microsoft Internet Information System (Microsoft Corporation).

 


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Fig. 2A. Data tables of American College of Radiology (ACR) index. Screen capture of ACR index database tables in Access 97.

 


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Fig. 2B. Data tables of American College of Radiology (ACR) index. Screen capture of Anatomical and Sub-anatomical tables in Access 97. Three data fields used are aid, sid, and description. Field aid stands for anatomic id and stores primary body indexes (e.g., [0] = Breast). Field sid stands for subanatomic id and stores secondary body indexes (e.g., [1] = Upper outer quadrant).

 


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Fig. 2C. Data tables of American College of Radiology (ACR) index. Screen capture of Pathological and Sub-pathological tables in Access 97. In these two tables, new data field pid is for pathological id representing either primary pathology findings (e.g., [2] = Inflammation) or primary imaging techniques (e.g., [1] = Normal, Technique). Field sid stands for subpathology id representing either subpathologic findings (e.g., [0312] = Breast/ Neoplasm/ Benign/ Papilloma) or subsidiary imaging techniques (e.g., [14] = Spot compression).

 


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Fig. 3A. Sample pages of American College of Radiology index. Screen capture shows main anatomic page with first-digit indexes.

 


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Fig. 3B. Sample pages of American College of Radiology index. Screen capture of subanatomic pages show second-digit indexes (B) and third-digit indexes (C). As shown in C, all third-digit coronary vessels are displayed (e.g., [541] = Right Coronary Artery, [542] = Left Coronary Artery, etc.). In this example, cascading list ends at third-digit index page because no other subindexes exist for subcoronary vessels. However, for other body parts anatomy index can be extended to four digits (e.g., [4331] = Skeletal System/Wrist and Hand/Carpal Bone/Scaphoid).D, Screen capture of subpathologic page shows third-digit indexes.

 


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Fig. 3C. Sample pages of American College of Radiology index. Screen capture of subanatomic pages show second-digit indexes (B) and third-digit indexes (C). As shown in C, all third-digit coronary vessels are displayed (e.g., [541] = Right Coronary Artery, [542] = Left Coronary Artery, etc.). In this example, cascading list ends at third-digit index page because no other subindexes exist for subcoronary vessels. However, for other body parts anatomy index can be extended to four digits (e.g., [4331] = Skeletal System/Wrist and Hand/Carpal Bone/Scaphoid).

 


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Fig. 3D. Sample pages of American College of Radiology index. Screen capture of subpathologic page shows third-digit indexes.

 


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Fig. 4A. Search and bookmark pages of American College of Radiology Index for Radiological Diagnoses. Screen captures show free-text search pages for anatomy indexes (A) and pathology indexes (B). C and D, Screen captures show search page (C) and bookmark page (D).

 


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Fig. 4B. Search and bookmark pages of American College of Radiology Index for Radiological Diagnoses. Screen captures show free-text search pages for anatomy indexes (A) and pathology indexes (B).

 


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Fig. 4C. Search and bookmark pages of American College of Radiology Index for Radiological Diagnoses. Screen captures show search page (C) and bookmark page (D).

 


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Fig. 4D. Search and bookmark pages of American College of Radiology Index for Radiological Diagnoses. Screen captures show search page (C) and bookmark page (D).

 

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