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Development of a National Electronic Interval Cancer Review for breast screening

机译:乳腺筛查国家电子间期癌症评估的发展

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Reviewing interval cancers and prior screening mammograms are a key measure to monitor screening performance. Radiological analysis of the imaging features in prior mammograms and retrospective classification are an important educational tool for readers to improve individual performance.The requirements of remote, collaborative image review sessions, such as those required to run a remote interval cancer review, are variable and demand a flexible and configurable software solution that is not currently available on commercial workstations. The wide range of requirements for both collection and remote review of interval cancers has precipitated the creation of extensible medical image viewers and accompanying systems.In order to allow remote viewing, an application has been designed to allow workstation-independent, PACS-less viewing and interaction with medical images in a remote, collaborative manner, providing centralised reporting and web-based feedback. A semi-automated process, which allows the centralisation of interval cancer cases, has been developed. This stand-alone, flexible image collection toolkit provides the extremely important function of bespoke, ad-hoc image collection at sites where there is no dedicated hardware.Web interfaces have been created which allow a national or regional administrator to organise, coordinate and administer interval cancer review sessions and deploy invites to session members to participate. The same interface allows feedback to be analysed and distributed.The eICR provides a uniform process for classifying interval cancers across the NHSBSP, which facilitates rapid access to a robust 'external' review for patients and their relatives seeking answers about why their cancer was "missed'.
机译:复查间隔期癌症和事先筛查的乳房X线照片是监测筛查性能的关键措施。对先前的乳房X线照片中的影像学特征进行放射学分析和回顾性分类是提高读者个人表现的重要教育工具。远程协作式图像检查会议的要求(例如进行远程间隔癌症检查的要求)是可变的且需要一种灵活且可配置的软件解决方案,当前在商用工作站上不可用。间隔癌的收集和远程检查的广泛要求催生了可扩展的医学图像查看器和随附系统的创建。为了允许远程查看,已设计了一种应用程序,以允许独立于工作站,无需PACS的查看和通过远程协作方式与医学图像进行交互,从而提供集中的报告和基于Web的反馈。已经开发出一种半自动化的过程,该过程允许集中间隔癌症病例。这个独立的,灵活的图像收集工具包提供了非常重要的功能,可以在没有专用硬件的站点上进行定制的临时图像收集。已经创建了Web界面,使国家或地区管理员可以组织,协调和管理间隔癌症审查会议并向会议成员部署邀请。相同的界面允许对反馈进行分析和分发。eICR为NHSBSP中的间歇性癌症分类提供了统一的流程,这有助于患者及其亲属迅速获得可靠的“外部”评价,以寻求有关其癌症“遗漏”原因的答案'。

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