Abstract
The radiology consultation section provides an online consultation service and a cancer image reference database (NCC-CIR).A. Radiology consultation serviceIn October 2006, we started diagnostic radiology consultation in order to improve the quality of diagnosis based on medical images. So far, we have received over 500 requests from radiologists throughout Japan. Ninety-three consultation reports have been put together for requests mainly from the Kanto and Kyushu regions in 2013. Hepato-biliary-pancreatic, musculoskeletal, and lung lesions were the most common subjects. Consultation with a specialist was the most frequent reason for consultation (37.9%), followed by difficulty with diagnosis (37.0%), and confirmation of a clients' diagnosis (8.4%). Client radiologists have evaluated 314 (91.0%) of the 345 consultation reports as having a useful clinical impact on the final radiological diagnoses. We started the selection of educational consultation cases into NCC-CIR.B. NCC-CIRThe NCC-CIR is a web-based reference database system comprising images of neoplasms for physicians, radiologists, and pathologists, providing medical diagnostic images and information together with the pathology. The average number of effective accesses to this site was almost the same as that in 2008-2013, i.e. about 100,000 per month. In 2013, cases of cancer for which interventional radiology was performed (n = 11), head and neck cancers (n = 8), musculoskeletal malignancies (n = 7), lung cancers (n = 5), and other cancers were published, resulting in provision of a total of 284 cases.C. Support for clinical trialsWe are currently trying to reconstruct the consultation system to make it more suitable for supporting central radiological review in clinical trials, radiological diagnosis, and assessment of changes in tumor burden. We are also investigating ways of improving the system for sending and receiving digital imaging files more easily and quickly using a teleradiology system.
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