Academic Radiology
Volume 16, Issue 10 , Pages 1286-1291, October 2009

Implementation of Graphic User Interface Screen Capture Solution for Workflow Assessment of Abdominal MR Examinations:

Valuable Tool to Analyze Discrepancies in Expected and Experienced MR Table Time

  • Christopher J. Roth, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, DUMC 3808, Durham, NC 27710
  • ,
  • Daniel T. Boll, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, DUMC 3808, Durham, NC 27710
  • ,
  • Yen W. Chea, MD

      Affiliations

    • Department of Diagnostic Radiology, Singapore General Hospital, Singapore
  • ,
  • Lisa K. Wall, RT

      Affiliations

    • Department of Radiology, Duke University Medical Center, DUMC 3808, Durham, NC 27710
  • ,
  • Elmar M. Merkle, MD

      Affiliations

    • Department of Radiology, Duke University Medical Center, DUMC 3808, Durham, NC 27710
    • Corresponding Author InformationAddress correspondence to: E.M.M.

Received 20 March 2009; accepted 27 May 2009. published online 13 July 2009.

Rationale and Objectives

The aim of this study was to assess if graphical user interface screen-capture software applied to a magnetic resonance (MR) hardware console could nonintrusively allow the analysis of discrepancies between expected and experienced MR table time.

Materials and Methods

Individual MR examination acquisition processes were captured in audio-video interleave streams for 10 patients who underwent comprehensive liver MR imaging. These audio-video streams were dissected into periods of true image data acquisition, scanner activity without direct image data acquisition, and scanner inactivity.

Results

Total expected time required for standardized liver MR image acquisition was estimated at 15 minutes. Experienced table times varied highly, ranging from 19:00 to 58:08 minutes. Image data acquisition occurred during approximately 58% (range, 43.3%–73.7%) of overall table time. Image data were obtained approximately 77% (range, 65.6%–87.0%) of the time the scanner spent active.

Conclusion

Graphical user interface screen-capture software installed on an MR console nonintrusively revealed significant periods of table time spent not obtaining true image data and explained discrepancies between expected and experienced MR table times. Table-time calculations using Digital Imaging and Communications in Medicine image headers and scanner-logged time stamps are underestimations of true table time because they do not take into account some scanner activities not directly leading to image formation.

Key Words: Magnetic resonance imaging, workflow analysis, quality

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PII: S1076-6332(09)00306-7

doi:10.1016/j.acra.2009.05.009

Academic Radiology
Volume 16, Issue 10 , Pages 1286-1291, October 2009