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Biomedical subjects

R A Seltzer

Publications and source records attributed to R A Seltzer.

18 recordsLinked to original sources
PubMed1977

Computerized radiographic reporting in a community hospital: a consumer's report.

This report analyzes a 30 month experience with a commerically available mark sense form-based automated radiographic reporting system (RAPORT) in the diagnostic radiology department of a 400 bed general hospital. By using the system, five radiologists were able to completely formulate readable diagnostic radiology reports in 65% of all cases, thereby bypassing a transcriptionist and decreasing report turnaround time dramatically without sacrificing reporting time. Moreover, billing and statistical capabilities provided by the system were found to capture enough lost charges to pay for its entire cost. Trade-offs for these efficiencies included learning of a new code by the radiologist, certain changes in his reading habits, and acceptance of a limited, repetitive, and somewhat stilted jargon both by the radiologist and the referring physician.

Attitude of Health Personnel↗
PubMed1976

The impact of computerized radiological reporting systems on the radiologist.

Although the advantages of automated reporting systems in diagnostic radiology far outweigh the disadvantages, radiologists have been slow to accept them because of their reluctance to work with the systems, i.e., assume a secretarial function, or to abandon ad lib. dictation. To realize the benefits of automated reporting, it is necessary for the radiologist to change his reporting style from one of "dictating while reading" to one of "reporting" only after searching the films and drawing a conclusion, and to appreciate that in this era of information overload, rapid delivery of a crisp, pertinent summary of his findings to the referring physician maximizes his influence on patient care.

Diagnosis, Computer-Assisted↗
PubMed1975

Xeromammography in the early detection of breast cancer. Community hospital experience and approach.

Community hospitals can do much in the general effort toward earlier detection of breast cancer. Using xeromammography in the department of general radiology of one community hospital, 21 cases of occult carcinoma were detected in 2,392 patients in a two year period. Patients were both symptomatic and asymptomatic. This percentage is comparable to results in previously published series of similar patient populations, and can be expected to be slightly higher than screening populations of totally asymptomatic patients. In 24 percent of cases of occult carcinoma there was axillary node involvement, compared with 42 percent axillary node involvement in cases of nonoccult carcinoma. Early detection efforts are currently centered on improving thoroughness in physical examinations, stressing breast self-examination and identifying patients in high-risk categories. These, together with proper periodic use of mammograms, will yield the highest rate of early carcinoma detection until more sensitive biologic markers are developed.

Adult↗