Release Notes: Q3 2022

Release Notes: Q3 2022

Release Version:  Q3 2022


September 5, 2022

We are pleased to announce a new software release with multiple new features and fixes:
  1. Mastectomy Alert in Follow-up Selector
  2. New Options in Follow-up Selector
  3. Updated Alerting in Biopsy Module at Signing
  4. Location Carryover to Biopsy
  5. Updated Correlations Dialog for Mammography
  6. Quadrant Location Descriptor Updates
  7. Additional Lesion-Locator Updates
  8. Patient Questionnaire Descriptor Updates
  9. Updates to Report Output
  10. Additional Options in "Associated Features", "Ultrasound Workup+/-", "Post Surgical", "Resolution Manager", and "Special Cases"
  11. Follow-up Manager Alerting

Follow-up Selector Tool

Mastectomy Alert

A new "mastectomy" alert icon will be added in the Location selector based on answers provided in the patient questionnaire pertaining to a previous mastectomy procedure.  This indicator reveals why a screening mammogram is not automatically set on a mastectomy side under certain conditions.

New Options in "Additional" Column - Personal High-Risk

There are two new options for screening MRI followup listed in the Additional column: "Personal High-Risk by Tyrer-Cuzick Assessment" and "Personal High-Risk due to High-Risk Pathology".


Biopsy Module

Updated Sign-Time Alerting: Cancel Procedure

When selecting the "Cancel Procedure" button, a radiologist will no longer be alerted if a location is not specified.

Updated Sign-Time Alerting: 2nd Look Ultrasound Recommendation

Previously n the MRI modality, the radiologist was alerted about a missing biopsy recommendation even though a recommendation for a "2nd look Ultrasound" was selected.  Now, if an exam is given a BIRADS 4 or 5, with a recommendation of "2nd look Ultrasound", the missing biopsy recommendation alert is no longer presented.

Updated Sign-Time Alerting: Pending Biopsy

When selecting "Pending" under Rad/Path Correlation, the radiologist will no longer be alerted about missing recommendations.
  

Location Carryover

Biopsy locations now carryover into the next exam, unless the next exam is a screening.   In addition to the biopsy location(s) carryover, the location(s) from the preceding exam(s) are also carried forward with the caveat that exact duplicates are removed in the process.

If the current exam is a biopsy exam, and the previous exam is an uncombined Ultrasound, the logic checks to see if the exam prior to the Ultrasound was an MRI.  If so, any BIRADS 4 or 5 locations from the Ultrasound are carried over along with the BIRADS 4 and 5 locations from the MRI exam.  This is to manage the case of "positive MRI, recommend 2nd look Ultrasound before Biopsy".

Mammography Module

Correlations Dialog Update for Dx Mammography

In the correlations dialog found in the diagnostic mammography modality, we have split the "Mammo" selection into "Scrn Mammo" and "Dx Mammo" selectors.

Note: These same selector options will be added in Ultrasound and MRI modalities in our next release.


Location Tool - All Modalities

Quadrant Location Descriptor Updates

Adjustments have been made to lesion locators to enhance quadrant and clock position descriptors.  When you place the locator targets at the 12, 3, 6, or 9 o'clock position, and select "Report as Quadrant", the location text will display as Central Upper, Outer, Lower, or Inner.

Retroareolar is still displayed at the central "Far Interior" depth position. This is described in more detail in the "Additional Lesion-Locator Updates" section below.

Quadrant Location - Mammography

Inner and Outer Central
  1. In MLO view, the target is placed in a central location
  2. In CC view, the target is placed at 3 or 9 o'clock and the option for "Report as Quadrant" is selected.
  3. The location text will update to read "Inner Central" or "Outer Central" with the depth.


Upper and Lower Central
  1. In MLO view, the target is placed at 12 or 6 o'clock
  2. In CC view, the target is placed a central location and the option for "Report as Quadrant" is selected.
  3. The location text will update to read "Upper Central" or "Lower Central" with the depth.

Quadrant Location - MRI

Inner and Outer Central
  1. In the Sagittal view, the target is placed in a central location
  2. In the Coronal view, the target is placed at 3 or 9 o'clock and the option for "Report as Quadrant" is selected.
  3. The location text will update to read "Inner Central" or "Outer Central" with the depth.

The Coronal view can move independently of Sagittal and Axial views.

Upper and Lower Central
  1. In Sagittal view, the target is placed at 12 or 6 o'clock
  2. In Coronal view, the target is placed a central location and the option for "Report as Quadrant" is selected.
  3. The location text will update to read "Upper Central" or "Lower Central" with the depth.

The Coronal view can move independently of Sagittal and Axial views.

Quadrant Location - Ultrasound (Upper/Lower and Inner/Outer Central)

As with Mammography and MRI above, placing the lesion targets at 12, 3, 6, and 9 o'clock positions will produce Upper/Lower and Inner/Outer central location text.  Depth continues to be entered with the depth selector panel seen at center and bottom of the screen.


Quadrant Location - Biopsy/Procedures (Upper/Lower and Inner/Outer Central)

As with Ultrasound above, you can add upper/lower and inner/outer central location descriptors in the biopsy modality.
This is only for exam locations that have not been previously carried forward from previous diagnostic exams.

In the Biopsy modality, you can place a lesion target over the nipple for a "Central" location. Additionaly, you can still add "retroareolar" or depth option to the "Central" location.


Additional Lesion-Locator Updates

Mammography Modality

With the nipple line or central locations (in one view or both views) the word "retroareolar" has been removed from the anterior, middle, and posterior depths.
The central "far anterior" location will still include the word "retroareolar".

Additionally, the word "depth" will display when using the "Report as Quadrant" option for all modalities


Increase of Allowable Characters in Series/Slice Field

In the MRI and Mammography locators, we have increased the allowable number of numeric characters to four in the Series and Slice data entry text boxes.


Patient Questionnaire

Family Lineage

We have made changes to the family history section of the patient questionnaire, which adds descriptors like niece and cousin to assist in clarifying family lineage.

Mastectomy for other reason

We have moved the question for "Mastectomy for other reason" from the Canter Treatment section to the Breast Procedures section of the patient questionnaire

Maternal and Paternal Prefixes

Maternal and Paternal prefixes have been added to grandmother and grandfather when the patient enters family history in the questionnaire. This can be seen in the clinical section of report view. Brother has also been added to the report.


Update to Report Output

Screening Mammography - BIRADS 0

From the Screening Mammography module, when selecting any of the "Suspect" BIRADS 0 selections, we now prefix the clinical report text with the word "Suspected".


Diagnostic Mammography

We have removed the "grouped" terminology in clinical report text if the user selects the multiple or numeric spinner button in the calcifications panel.

Use of Special Character In Note Boxes

We have fixed an issue with using special characters in the addenda and other note boxes.  Specifically the "<" (less than) character was identified as problematic, causing text to be truncated or removed. 


Additional Reporting Selector Options

Associated Features Dialog

The Associated Features dialog now supports both YES and NO selections for MRI and Ultrasound modalities.

This feature will be available in the mammography modality in a future release.

Diagnostic Ultrasound Workup +/-

Three new BIRADS 3 options have been added to the Workup +/- dialog in the Diagnostic Ultrasound modality.
  1. No Axillary Adenopathy
  2. Benign Cyst(s) Noted
  3. Benign Fibrocystic Changes Noted

Diagnostic Mammography Post-Surgical Options

We have added Axillary Dissection as a new option in the post-surgical selection list.

Diagnostic Mammography Special Cases

Loop-Recorder device selection has been added to the special cases dialog.

Pathology/Resolution Manager

An option for "Radial Scar/Complex Sclerosing Lesion" has been added to the "Benign" options in Pathology/Resolution Manager dialog.


Follow-Up Manager

New Alerting

In the Follow-Up Manager tool, users will now be presented with an alert explaining that reminders will no longer be enabled for this exam when the top-level "Completed" checkbox of the follow-up task is manually selected.

Checking the "Completed" steps checkboxes seen in blue on the left is always preferable to checking the "Completed" checkbox in orange in the upper right so that the system will continue to remind you if the patient has not yet responded to efforts in scheduling their next appointment.


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