ABSTRACT
BACKGROUND: There is no streamlined approach for sharing radiologic images among medical institutions. Common methods to transfer imaging between facilities include electronic image-sharing platforms and physical media, such as compact discs (CDs). The prompt and secure transfer of imaging is vital for patient safety as demand for imaging increases. OBJECTIVE: Use a survey-based study to outline the methods and difficulties of image sharing among U.S. children's hospitals. MATERIALS AND METHODS: A multi-question survey regarding radiologic image sharing was distributed to children's hospital department chairs in the United States in August 2021. Descriptive statistical analyses of the results were performed. RESULTS: Our results reveal 78% of responding U.S. children's hospitals have an electronic image-sharing platform. Twenty-seven percent of surveyed institutions experience daily difficulties with radiologic image sharing. Most of the difficulties are with CDs (67%) and a lack of interoperability among electronic image-sharing platforms (51%). CONCLUSION: Our study identified the various methods used by U.S. children's hospitals for radiologic image sharing and quantified the ongoing challenges with these systems.
Subject(s)
Radiology Information Systems , Radiology , United States , Humans , Child , Diagnostic Imaging , Patient Safety , Hospitals , Hospitals, PediatricABSTRACT
Phyllodes tumors are rare breast neoplasms that share many clinical characteristics with fibroadenomas, their benign counterpart. Despite their shared features, few reports have been made about the potential mechanisms by which a fibroadenoma can convert into a phyllodes tumor. This case report describes a large phyllodes tumor presenting in a 50-year-old female patient with a history of an excised biopsy-proven fibroadenoma eight years prior. Here, we exhibit our imaging findings and discuss plausible mechanisms for the conversion of a fibroadenoma into a phyllodes tumor, including genomic alterations.
