Preparing a collection of radiology examinations for distribution and retrieval

OBJECTIVE: Clinical documents made available for secondary use play an increasingly important role in discovery of clinical knowledge, development of research methods, and education. An important step in facilitating secondary use of clinical document collections is easy access to descriptions and samples that represent the content of the collections. This paper presents an approach to developing a collection of radiology examinations, including both the images and radiologist narrative reports, and making them publicly available in a searchable database. MATERIALS AND METHODS: The authors collected 3996 radiology reports from the Indiana Network for Patient Care and 8121 associated images from the hospitals' picture archiving systems. The images and reports were de-identified automatically and then the automatic de-identification was manually verified. The authors coded the key findings of the reports and empirically assessed the benefits of manual coding on retrieval. RESULTS: The automatic de-identification of the narrative was aggressive and achieved 100% precision at the cost of rendering a few findings uninterpretable. Automatic de-identification of images was not quite as perfect. Images for two of 3996 patients (0.05%) showed protected health information. Manual encoding of findings improved retrieval precision. CONCLUSION: Stringent de-identification methods can remove all identifiers from text radiology reports. DICOM de-identification of images does not remove all identifying information and needs special attention to images scanned from film. Adding manual coding to the radiologist narrative reports significantly improved relevancy of the retrieved clinical documents. The de-identified Indiana chest X-ray collection is available for searching and downloading from the National Library of Medicine (http://openi.nlm.nih.gov/)

New genera, species, and records of Acanthocinini (Coleoptera: Cerambycidae: Lamiinae) from Hispaniola

Two new genera of Acanthocinini (Coleoptera: Cerambycidae), Luctithonus Lingafelter and Duocris­tala Lingafelter, are described from Hispaniola. Two new species of Luctithonus are described: Luctithonus aski Lingafelter and L. duartensis Lingafelter. A third species, L. pantherinus (Zayas), is newly recorded from Hispan­iola and the Dominican Republic (new country record), and transferred from Sternidius Haldeman as a new combination. Additional new species of Lamiinae are described from Hispaniola: Eugamandus albipumilus Lingafelter; Leptostylopsis opuntiae Lingafelter; and Lethes turnbowi Lingafelter. Keys to tribes of Lamiinae, genera of Acanthocinini, and species of Luctithonus in Hispaniola are included

Süsinikdioksiidlaseri kasutamine nahakirurgias

Nii lasertehnoloogia kui ka spetsiaalne CO2 -laser, mis on mõeldud näooperatsioonideks, on levinud kogu maailmas. Uuringutega on tõestatud, et CO2-laser stimuleerib nahka ja korrastab kollageenikihti. CO2-laserit kasutatakse laialdaselt kosmeetilises kirurgias. Tänapäeva tehnoloogia võimaldab valida optimaalse lõikereþiimi ja kasutada nii lasernuga kui skannerit. Haava paranemine on kiire ja väliste armideta. Eesti Arst 2002; 81 (12): 795–79