Journal Club: Voice recognition dictation: analysis of report volume and use of the send-to-editor function.

OBJECTIVE: The purpose of this study was to evaluate use of the send-to-editor function of a radiology voice recognition dictation system and compare study volumes of radiologists who self-edit with those of radiologists who send reports to the editor. Use of voice recognition shortcuts was also evaluated. MATERIALS AND METHODS: Voice recognition dictation systems were installed in a six-hospital system, including an 800-bed tertiary care center and five community hospitals, in 2002. This became the only means of radiologist dictation in July 2005. Report volumes, use of the send-to-editor function, and use of shortcuts were tracked from October 2005 through October 2008. A subspecialty private radiology group, ranging from 37 radiologists in July 2005 to 50 radiologists in October 2008, interpreted the imaging studies. Radiologists had no financial incentives to self-edit. RESULTS: The percentage of radiologists using the send-to-editor function remained relatively constant at 46%, resulting in 21% of total reports sent to the editor. Radiologists who used the send-to-editor function dictated approximately 41% more reports than those who self-edited. The volume of reports generated by general radiologists reading large volumes of computed radiography cases and sending to the editor was greater than that of radiologists who self-edited (p < 0.05). There was no significant difference between radiologists who self-edited and those who sent to the editor with respect to number of shortcuts used. CONCLUSION: Radiologists reading large volumes of computed radiography cases and using the send-to-editor function generated significantly more reports than radiologists who did not, suggesting that the send-to-editor function may be useful for improving productivity among radiologists reading large volumes of computed radiography cases.

Limb chondrogenesis is compromised in the versican deficient hdf mouse.

It has been suggested that the matrix proteoglycan, versican, may perform a functional role during early events of limb skeletogenesis largely by virtue of its spatiotemporal expression pattern in precartilage mesenchymal aggregations. The versican-deficient hdf transgenic mouse has provided the first model to explore the implications of a null mature versican on limb chondrogenesis. Due to lethality of hdf homozygous embryos prior to limb cartilage differentiation, high-density micromass cultures were employed to compare the chondrogenic capacity of hdf mutant limb mesenchyme to that of wild-type. In homozygous hdf mesenchyme, aggregation was severely compromised and neither cartilage-characteristic Type II collagen nor alcian blue positive foci were detected during a 6-day period of culture. Three-dimensional culture of hdf mutant mesenchyme, however, showed that in a permissive environment mutant cells also expressed Type II collagen. Results strongly suggest that mature versican proteoglycan is essential for precartilage aggregation and subsequent cartilage differentiation.