Integrative diagnostics: the time is now—a report from the International Society for Strategic Studies in Radiology
Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Beauchamp, Norman J. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2023 |
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| Übergeordnetes Werk: |
Enthalten in: Insights into imaging - Berlin : Springer, 2010, 14(2023), 1 vom: 30. März |
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| Übergeordnetes Werk: |
volume:14 ; year:2023 ; number:1 ; day:30 ; month:03 |
| Links: |
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| DOI / URN: |
10.1186/s13244-023-01379-9 |
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SPR052419738 |
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| 520 | |a Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract | ||
| 520 | |a Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action | ||
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10.1186/s13244-023-01379-9 doi (DE-627)SPR052419738 (SPR)s13244-023-01379-9-e DE-627 ger DE-627 rakwb eng Beauchamp, Norman J. verfasserin aut Integrative diagnostics: the time is now—a report from the International Society for Strategic Studies in Radiology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action Diagnostics (dpeaa)DE-He213 Radiology (dpeaa)DE-He213 Pathology (dpeaa)DE-He213 Informatics (dpeaa)DE-He213 Bryan, R. Nick aut Bui, Marilyn M. aut Krestin, Gabriel P. aut McGinty, Geraldine B. aut Meltzer, Carolyn C. aut Neumaier, Michael aut Enthalten in Insights into imaging Berlin : Springer, 2010 14(2023), 1 vom: 30. März (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:14 year:2023 number:1 day:30 month:03 https://dx.doi.org/10.1186/s13244-023-01379-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2023 1 30 03 |
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10.1186/s13244-023-01379-9 doi (DE-627)SPR052419738 (SPR)s13244-023-01379-9-e DE-627 ger DE-627 rakwb eng Beauchamp, Norman J. verfasserin aut Integrative diagnostics: the time is now—a report from the International Society for Strategic Studies in Radiology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action Diagnostics (dpeaa)DE-He213 Radiology (dpeaa)DE-He213 Pathology (dpeaa)DE-He213 Informatics (dpeaa)DE-He213 Bryan, R. Nick aut Bui, Marilyn M. aut Krestin, Gabriel P. aut McGinty, Geraldine B. aut Meltzer, Carolyn C. aut Neumaier, Michael aut Enthalten in Insights into imaging Berlin : Springer, 2010 14(2023), 1 vom: 30. März (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:14 year:2023 number:1 day:30 month:03 https://dx.doi.org/10.1186/s13244-023-01379-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2023 1 30 03 |
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10.1186/s13244-023-01379-9 doi (DE-627)SPR052419738 (SPR)s13244-023-01379-9-e DE-627 ger DE-627 rakwb eng Beauchamp, Norman J. verfasserin aut Integrative diagnostics: the time is now—a report from the International Society for Strategic Studies in Radiology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action Diagnostics (dpeaa)DE-He213 Radiology (dpeaa)DE-He213 Pathology (dpeaa)DE-He213 Informatics (dpeaa)DE-He213 Bryan, R. Nick aut Bui, Marilyn M. aut Krestin, Gabriel P. aut McGinty, Geraldine B. aut Meltzer, Carolyn C. aut Neumaier, Michael aut Enthalten in Insights into imaging Berlin : Springer, 2010 14(2023), 1 vom: 30. März (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:14 year:2023 number:1 day:30 month:03 https://dx.doi.org/10.1186/s13244-023-01379-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2023 1 30 03 |
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10.1186/s13244-023-01379-9 doi (DE-627)SPR052419738 (SPR)s13244-023-01379-9-e DE-627 ger DE-627 rakwb eng Beauchamp, Norman J. verfasserin aut Integrative diagnostics: the time is now—a report from the International Society for Strategic Studies in Radiology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action Diagnostics (dpeaa)DE-He213 Radiology (dpeaa)DE-He213 Pathology (dpeaa)DE-He213 Informatics (dpeaa)DE-He213 Bryan, R. Nick aut Bui, Marilyn M. aut Krestin, Gabriel P. aut McGinty, Geraldine B. aut Meltzer, Carolyn C. aut Neumaier, Michael aut Enthalten in Insights into imaging Berlin : Springer, 2010 14(2023), 1 vom: 30. März (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:14 year:2023 number:1 day:30 month:03 https://dx.doi.org/10.1186/s13244-023-01379-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2023 1 30 03 |
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10.1186/s13244-023-01379-9 doi (DE-627)SPR052419738 (SPR)s13244-023-01379-9-e DE-627 ger DE-627 rakwb eng Beauchamp, Norman J. verfasserin aut Integrative diagnostics: the time is now—a report from the International Society for Strategic Studies in Radiology 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action Diagnostics (dpeaa)DE-He213 Radiology (dpeaa)DE-He213 Pathology (dpeaa)DE-He213 Informatics (dpeaa)DE-He213 Bryan, R. Nick aut Bui, Marilyn M. aut Krestin, Gabriel P. aut McGinty, Geraldine B. aut Meltzer, Carolyn C. aut Neumaier, Michael aut Enthalten in Insights into imaging Berlin : Springer, 2010 14(2023), 1 vom: 30. März (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:14 year:2023 number:1 day:30 month:03 https://dx.doi.org/10.1186/s13244-023-01379-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2023 1 30 03 |
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Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action © The Author(s) 2023 |
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Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action © The Author(s) 2023 |
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Abstract Enormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action © The Author(s) 2023 |
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Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never made. Integrative diagnostics represents a vision for the future, wherein diagnostic data, together with clinical data from the electronic health record, are aggregated and contextualized by informatics tools to direct clinical action. Integrative diagnostics has the potential to identify correct therapies more quickly, modify treatment when appropriate, and terminate treatment when not effective, ultimately decreasing morbidity, improving outcomes, and avoiding unnecessary costs. Radiology, laboratory medicine, and pathology already play major roles in medical diagnostics. Our specialties can increase the value of our examinations by taking a holistic approach to their selection, interpretation, and application to the patient’s care pathway. We have the means and rationale to incorporate integrative diagnostics into our specialties and guide its implementation in clinical practice. Graphic abstract</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Key points Although an overall boon to clinical diagnosis, increasingly voluminous, diverse, and fragmented diagnostic data can overwhelm physicians and frustrate patients.Data are gathered and processed within “silos” of the diagnostic disciplines, including radiology and pathology. The EHR does little to intelligently organize and synthesize these disparate data to facilitate diagnosis.ID envisions a process in which data from the entire arsenal of in vivo and in vitro diagnostics, together with clinical data from the EHR, are aggregated and contextualized to enhance diagnosis and direct clinical action</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Diagnostics</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Radiology</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Pathology</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Informatics</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bryan, R. Nick</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Bui, Marilyn M.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Krestin, Gabriel P.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">McGinty, Geraldine B.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Meltzer, Carolyn C.</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Neumaier, Michael</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Insights into imaging</subfield><subfield code="d">Berlin : Springer, 2010</subfield><subfield code="g">14(2023), 1 vom: 30. 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