Electronic Integrated Diagnostic Report for Presenting Results of Breast Imaging and Breast Biopsy

Most breast imaging practices have an organized system for reviewing the results of breast biopsies, assessing radiologic-histologic concordance, and making follow-up management recommendations. Yet, historically, the breast pathology report and radiologic addendum have been separated within the electronic medical record. Having the two entities fused into one integrated diagnostic report (IDR) has provided both a concise summary of the pertinent findings of imaging and histologic examinations related to the patient’s care and clear guidance for treatment and follow-up. Direct correlation between imaging and histologic findings has been shown to decrease discordance between these findings and increase diagnostic accuracy. The IDR is also a useful summary for conferences of tumor boards and multidisciplinary clinics. In addition, the software that is used for generating the IDR is capable of identifying patients who may benefit from clinical trials.