Circle Cardiovascular Imaging Inc.
250, 815 - 8th Avenue SW
Calgary, AB, T2P 3P2
Telephone: 1 (403) 338-1870
Fax: 1 (403) 338-1895
©2016 CircleCardiovascular Imaging Inc.
report42 is a registered trademark of Circle International Corporation in Canada and/or other countries.
The information contained herein is subject to change without notice. The only warranties for Circle products and services are set forth in the express warranty statements accompanying such products and services. Nothing herein should be constructed as constituting an additional warranty. Circle shall not be liable for technical or editorial errors or omissions contained herein.
1 About report42
report42 is designed to facilitate documentation and reporting of cardiac images. Fields with import function and with calculation algorithms allow for a fast and easy transition from quantitative information such as volumetric and signal intensity data to a structured report. report42 is based on societal recommendations on structured reporting for cardiovascular imaging (Douglas et al., Journal of the American College of Cardiology 2009;53:76-90.) and can be integrated into patient information storage systems.
When linked with cmr42 or cvi42®, it automatically imports image analysis results and classifies them based on user-editable normal value sets. Standard phrases can be defined for preparing the report. A graphical interface allows for using mouse-clicks to verify regional function tissue pathology and grade stenoses. Results are automatically translated into a narrated findings summary, but includes a graphic presentation of the results.
2 Intended Use
report42 is a web browser-based networked software application intended to use for reporting the results of the cardiovascular MR or CT image analysis performed with a post processing software application or PACS (Picture Archive Communication System) and RIS * Radiology Information System). It can be used as a standalone reporting software application by manually entering necessary information.
report42 shall only be used to report the Cardiovascular Magnetic Resonance Image analysis or Computed Tomography analysis.
report42 is not a diagnostic software application.
Please note that the users of report42 shall review the contents for accuracy prior to releasing the report.
3 Working with report42
3.1 Open report42
In a desktop web browser:
report42 is a reporting tool base on web technologies and
works in a standard web browser.
- Open a web browser and navigate to the address of the report42 web server on your network.
- Type in name and password.
- report42 is a reporting tool base on web technologies and works in a standard web browser.
Configure the connection to report42
- To access report42 from cvi42® you have to configure HTTP Reporting in Preferences → Reporting → HTTP Reporting.
- Server: enter the IP Address or server name for your site.
- Port: TCP network port the server is listening on (without SSL this is usually port 80, with SSL this is usually 443).
- UseSSL: Select if the report42 server has been secured with an SSL certificate.
- Path: The path to the report42 import service. This is almost always "/ImportOrder.php" (without the quotes, capitalization and punctuation are important).
- Username and Password: These will be assigned to you by your administrator.
- Content Type: For report42, this will always be "application/x-www-form-urlencoded".
Connect to report42: Enable this to use the
report42 tab and embedded web browser in
cmr42 or cvi42®'s Report module.
In the report module, click on the report42 tab
- Configure the connection to report42
3.2 How to Display a Report
The functionality is based on the definition of users and roles.
3.2.1 View the worklist within cvi42®
When opening a study in cvi42® you will be asked if you would like to create an instance in report42. If the instance has been created successfully, the report status will then be displayed in your patient list, if the attribute report42 has been selected. (Chapter Patient List).
3.2.2 View the worklist in report42
Go to the Report Module in cvi42® and click on the report42 tab. If an instance has been created the study can be selected from the work list. Clicking on the patient study opens the Report worksheet page.
3.2.3 How to push my report from cvi42® to report42
In the cvi42® modules, use the Add to Report button to automatically transfer the values to report42.
You are able to add images to your report by right-clicking in an image viewer and using the context menu's Add Frame to Report command.
3.2.4 Worklist Search
This Filter allows you to search for attributes such as Name, Study Description, Report Status and Visit.
220.127.116.11 Advanced Search
This Filter provides advanced search options that are
- Able to search for multiple search criteria including tags and custom defined measurements
- Able to match by searching text fields (contains, starts with, ends with, is exactly)
- Able to match by numeric data (<, <=, >, >=, ==, !=)
- Able to save and retrieve defined search criteria for all or defined by the user
Any or All conditions may be matched by changing the Match term selection.
18.104.22.168 Bulk Export
An Export option allows for the export of single or multiple reports in CSV format for import into Excel or other table-oriented data aggregators. This option is available in the Advanced Search interface and exports all reports matching the current search criteria.
The default options produce standard-compliant CSV files. You can customize these options to better suit your analysis tool.
3.3 How to generate a report
- Review the report and make sure all relevant analyses are present (* Regional LV Tissue Characterization and Assessment, please see below).
- To add predefined text blocks in the findings dialog click on the Findings and Summary modules to enter editing mode.
- Select all the findings as well as summary text blocks. The values will be automatically inserted as soon as you leave the editing mode and are visible in the preview panel below the editor.
- When you have finished editing the Findings and the Summary, click Done.
- Changes are saved automatically.
- Go back to the top in the Report page and click and click Export Report.
- In the Export Report dialog you can choose a format. Click ok when you are done.
3.3.1 How to create a Tissue Diagram (CMR)
The purpose of the diagrams is to quickly visualize myocardial injury of the left ventricle as well as function.
22.214.171.124 Choose One of the Two Diagram Options
- Polarmaps using the AHA segmentation. Start by selecting a diagram type:
- Ischemic Heart Disease
- Non-Ischemic Heart Disease
- Legacy (Tissue Characteristics from report42 v2.0 and earlier)
This presentation allows the user to depict:
- Tissue Characteristics (left polarmap): Per segment as well as with their transmurality (50% or 100%)
- Segmental Function (right polarmap)
- You may also use report42-specific diagrams providing more detailed
information in multiple radial long axis and 3 short axis orientations.
Unlike the AHA segmentation where slices are displayed in an all-in-one polar map
view, the slices are displayed next to each other.
This presentation allows the user to depict:
- Tissue Characteristics (solid lined segments): Per segment as well as with their transmurality (50% or 100%)
- Segmental Function (dotted lines)
126.96.36.199 Ischemic vs. Non-Ischemic HD
This will determine applicable tissue characteristics
188.8.131.52 How to apply tissue qualities
- Start with the color/ tissue characteristics
- Click the affected segment, either endocardial, epicardial, or both layers
- To finish you can select Normal and apply to all by clicking the paintbrush
- Do the same for the Segmental Function
- The eraser will reset the diagram
- You will find the written findings in the Findings section
3.3.2 How to create an Axial Coronary Anatomy Diagram (CCT)
The purpose of the diagram is to quickly visualize quantitative stenosis grade and plaque type:
- Stenosis Grade: Represented by segmental fill colour.
- Stenosis Plaque: Represented by segmental outline colour.
184.108.40.206 How to apply Stenosis Grade and Plaque
- Select the color/stenosis grading
- Click the affected segments.
- Repeat for the plaque characteristics
- You will find the written findings in the Findings section
3.4 Edit Exam
This section allows you to edit the header of your report, which will display the basic patient related information.
- Edit Patient demographics
- Edit Imaging Protocols and Sequences: The protocols define what analyses will be reported. Usually the software recognizes the protocol from the values that have been pushed over. You have the option to enter image quality and/or what contrast agent has been used in order to add it to the report.
- Edit exam-specific data like biometrical patient data and patient history
Changes in the Exam Edit screen are saved automatically as the user works.
3.5 Report Images
Within cvi42® you have the option to add images to your report via contex menu → add frame to report. Only these images show up in the report.
- This section allows to delete images or to provide a title.
- To edit the next image or to go back to the CMR Report page click Save and Next.
3.6 Export Report
Click the configuration button (gear icon) to set your Export Preferences:
The Export Options configuration dialog allows you to change the format of the report before saving, sending, or viewing a report:
Format: PDF, HTML or Text
You can also change the current export format quickly without
returning to this dialog by using the arrow-menu next to the
Export button on the report page.
- You can also change the current export format quickly without returning to this dialog by using the arrow-menu next to the Export button on the report page.
- Paper format and orientation
- You can choose how many images you would like to display in sequential columns
You can include or exclude the LV tissue diagram as well as choose between
- combined LAX/SAX view or
- AHA 17-Segment Polarmaps
- You can include or exclude table values indexed by height or BSA.
- You can pick a color scheme (green, monochrome-light or monochrome)
For text reports, choose between different formatting styles:
- layout: in formatted tables or plain (one line per report parameter)
- character width: for formatted tables, a maximum page width in characters can be selected
- field padding: for formatted tables, empty space can be filled in with dots to prevent them from being collapsed by other reporting systems
- destination: on screen or saved to a file
3.7 Sending DICOM Reports to PACS
If one or more PACS destinations have been configured in report42, the Send to PACS button will be available. Furthermore, if the minimum report state required to send reports to PACS has been reached, the button will be enabled.
Clicking the Send to PACS button will transfer a DICOM copy of the report to the PACS specified with the arrow-menu:
The format options for a DICOM report are the same as for PDF or HTML reports.
3.8 How to Tag a Report
Every report page has a section for adding and removing new tags. Tags are short metadata descriptions of the qualities of a report that can assist in future searches, but do not print on the final report.
Tags could describe patient conditions, actions taken in the study, study status, ownership, or anything else that isn't directly searchable in a typical field. For example:
- needs review
- sent to referrer
Tags can be added to a study and created as you work by using the Plus icon in the Tags section.
Access to the Administrative section of report42 is limited by a user's Role and the corresponding Permissions.
report42 allows you to define multiple user and roles. You can Add a new user or Edit exisiting users.
Note: By default, report42 is configured to allow user and role management to take place entirely in cvi42® v5.5+. If cvi42® meets the minimum required version, you can do all of your user and role administration there. User details will automatically be synchronized to report42 when that user signs in, and their password will always be managed in cvi42®.
It is possible to link older local report42 accounts to cvi42® so that all user management will take place in cvi42®. It is also possible to have a mix of local report42-only users and users managed by cvi42®.
The link icon indicates that a user is sourced and managed from cvi42®.
Users sourced from cvi42® do not need to be added manually, they will appear in this list as they log in using their cvi42® credentials and will be granted the same roles.
A user is able to interact with the system in different ways, depending on what roles they are assigned. The following matrix shows which of the default roles can access which features and administrative sections:
|Permission/Role||Viewer||Technician||Analyst||Reporter||Data Administrator||User Administrator||System Administrator||PACS Administrator|
|View Waiting Exams||•||•||•||•|
|Create Waiting Exams||•||•||•|
|Edit Waiting Exams||•||•||•|
|View Complete Exams *||•||•||•||•|
|Create Complete Exams *||•||•||•|
|Edit Complete Exams *||•||•||•|
|View Preliminary Exams||•||•||•||•|
|Create Preliminary Exams||•||•|
|Edit Preliminary Exams||•||•|
|View Finalized Exams||•||•||•||•|
|Create Finalized Exams||•|
|Edit Finalized Exams||•|
|View Addendum Exams||•||•||•||•|
|Create Addendum Exams||•|
|Edit Addendum Exams||•|
|Create/Edit System Tag||•||•|
|Delete System Tag||•||•|
|Add/Remove System Tag to Study||•||•||•||•|
|Edit Role Tag||•||•||•||•||•||•|
|Admin Disease Clusters||•|
|Admin Site of Service||•||•|
|Admin Form List Options||•||•|
|Admin Study Descriptions||•||•|
|Admin Referring Physicians||•||•|
|Admin Patient History||•||•|
|Admin Normal Ranges||•||•|
|Admin Findings/Summary Text||•||•|
* The Completed Exam states are implemented for future functionality — a report state where imaging has been completed but the preliminary report is not quite ready. While it does not currently affect the system, keep it in mind when planning User Roles for the future.
Add or customized existing Roles to suit the needs of a particular organization.
- In the Admin section Add a role.
- Provide a Role Name.
Select the Display on Exported Reports checkbox if this role
represents an organizational role within your centre, for example:
- Primary Reader
- Senior Reader
If you would like to keep the Role Name simple for administrative
purposes (such as matching with cvi42® roles) but would like a
more meaningful name to appear on exported reports:
- Select the Use a custom Role Name for Exported Reports checkbox.
- Enter that role name under Custom Role Name field.
- Select the Permissions that shall be associated with the role.
- When adding a user, select the role and thereby the set of permissions that you want to grant the user.
The system is able to operate in several languages. The language setting will take effect for every user of the system when they next log in.
Be aware that all content entered in the Report Content admin section is linked to the language in use when it was first created. If edits or additions are made and the language is subsequently changed, you will find your content missing.
4.1.4 Disease Cluster
report42 uses indications that have been defined in the administrative section to structure the report template.
For quick location, the indications are grouped into Disease clusters (eg. Coronary Artery Disease).
- Select the Disease Clusters section
- Define a Disease Cluster if necessary
report42 comes with predefined indications. In this section you are able to add or change existing indications and to asign them to a category (disease cluster).
Select the Indications admin section
- Click Add to add a new Indication or edit an existing Indication by clicking the pencil icon
Link an Indication to a Disease Cluster
After saving, use Ischemic HD checkboxes to select the
Indications indicating Ischemic Heart Disease
Define the structure of a report for a particular protocol. Edit or add a Protocol name will be provided and indications will be linked to report sections and sequences used to address the respective indication.
Select the Protocols section
Click on Add Protocol or click the edit pencil next to an already
- Select the sections that should be displayed for that protocol
- Drag and drop the section into the preferred order
- Select the associated Sequences
4.1.7 PACS configuration
Here you may configure the AE Title for report42 to use when contacting a DICOM entity on your network, as well as the PACS themselves.
Here you may search through the audit log for changes to the system and edits to report contents.
Here you may add and edit report tags for use by all users or by users having specific roles. Tags are short metadata descriptions of the qualities of a report that can assist in future searches, but do not print on the final report.
Tags could describe patient conditions, actions taken in the study, study status, ownership, or anything else that isn't directly searchable in a typical field.
Tags created for a user's personal use can only be edited by them in their user user profile page, accessible from the link (their full name) in the top-right of the report42 web page.
4.2 Report Content
4.2.1 Site Of Service
The Site of Service information appears at the top of the first page of your report.
Here you can enter contact and accreditation information for your facility, as well as a logo. Logos can be quite large in terms of resolution (which will look sharper on printed reports), However you are advised to use a logo which is approximately square or roughly 2:3 (height:width) in dimension.
The Staff module allows you to define the list of people who operate your facility and participate in studies. These people can be added to a report in the Edit Exam page. Their names and all identifying information will appear on the exported reports. Staff are not necessarily users of report42 and are not granted access to the system. Refer to the Users module.
When editing staff, there are two options for the Type of Change:
- Updated Staff Profile: The old staff information (name, position, etc.) will be retained for existing reports, and this edited information will be used for old reports. This can be done many times, for example if a staff member changes their job title.
- Correction: Simply corrects the current record, for example if the staff person's name was misspelled.
4.2.3 Standard Form List Options
You are able to define parameter or options that offer different qualities: e.g. Image quality with a form list that offers the options good/moderate/bad.
These options will show up in the CMR Report page.
Sequences like T1 mapping sequence or First Pass Perfusion can be defined.
These sequences will be added to the list in the Edit Exam page and will can be added quickly to a report header to make it more descriptive.
4.2.5 Study Descriptions
Newly defined study descriptions will be displayed in a drop down list in Edit → Exam and will be part of your report header. Study descriptions will also be entered automatically when report data is transferred from cmr42 or cvi42®.
4.2.6 Referring Physician
You can create a list of referring physicians. Each referring physician can have multiple addresses to which a report might be returned.
They will be displayed in a checklist in Edit → Exam and if selected, will show up in the report header. Addresses will not be printed in report headers, they are there as a convenience for addressing returned reports.
Referring Physician names will also be entered automatically when transferred from cmr42 or cvi42®.
4.2.7 Patient History
This allows to define canned text, that will be displayed in list format for selection in Edit → Exam.
4.2.8 Normal ranges
You can add or redefine Normal Ranges
Definition requires the following input:
- Field Value Exact Match: Allows you to set normal value text results for precise values. Recommended for Report Fields that provide exact, round numbers.
- Field Value Range Lookup: Allows you to set normal value text results for bounded ranges of values.
- Insert Field Value: Allows you to copy a report field's name into either another field or more commonly a piece of Findings or Summary Text that you will create later.
- Report Field Name: describes the sequence and is the headr in green above the values
- Target Report Field Name: for normal value rules intended to update form fields, as opposed to simply being used in Findings or Summary text, select the target report field here.
Citations can be:
After creating a Field Value Range or Exact Value Lookup variable, you can
start adding match rules.
4.2.9 Findings-Summary Text
Here you may add and edit to the text available in the Findings and Summary report modules.
- Findings/Summary Text Name: name of the text snippet as it appears in the Findings/Summary editor.
- Physician: Findings/Summary Text can be available to all physicians in report42, or just one in particular (for example a specialist with different reporting requirements).
- Findings/Summary Text: the text to appear on the report, adding in Normal Values to make the text dynamics and relevant to the current report data.
- Availability checkboxes: these control which report module the text should be associated with – Findings, Summary or both.