Research in a Regional Radiology System

Yorkshire Academic Health Science Network and NIHR study day exploring the role of the Yorkshire Imaging Collaborative in imaging research.

Transcript

1. The Yorkshire Imaging Collaborative Research in a Regional Radiology System Dr Daniel Fascia Clinical Lead of The Yorkshire Imaging Collaborative @yorks_imaging yorkshireimaging.org
2. 28 HOSPITALS 9 NHS TRUSTS 3.0 MILLION PEOPLE
3. 28 HOSPITALS 9 NHS TRUSTS 4.7 MILLION PEOPLE South Yorkshire +
4. 9 Trusts 10% of NHS
5. 13 Trusts 14% of NHS
6. 13 Trusts 14% of NHS Golden Research Opportunities
7. But why are we doing this?
8. Every patient in Yorkshire should be able to attend an appointment and have full availability of their medical images and associated reports at the point of care delivery
9. Building the Yorkshire Supernode
10. Towards a connected Country
11. The Bigger Picture • Ultimate goal is a UK wide radiology network • Regional collaborative networks are recommended and endorsed by the Royal College of Radiologists • and supported by NHS Improvement ◦ £8.4M awarded so far • Radiology workforce must redesign itself for success ◦ A workforce in crisis ◦ 29% retirement in next 5-years ◦ Insufficient trainees (skill + number match) ◦ 9 - 55% vacant consultant posts
12. Vision for National connectivity of Radiology Networks
13. How we are doing this
14. PACS Picture Archiving and Communication System RIS Radiology Information System
15. Technology Programme Transformation Programme Communication & Engagement
16. PHASE B Connect as regional network PHASE A 8 x Trusts New PACS Co-procurement Deploy PACS Learn + Improve X 8 Transformation “Masterplan” <vendor(s)> Co-procurement Enact Transformations Regional Index Iteratively improve provider model
17. Aire Hull Hg NLAG C&H Mid Yorks Leeds Brad Sharing Solution Procurement Q3 2019 CLINICAL IMAGING INTEROPERABILITY Interoperating with Xero Viewer “Images and reports visible cross Collaborative”
18. Q3 2019 CLINICAL IMAGING INTEROPERABILITY Leeds Hg Leeds Teaching Hospitals CT Scan Report Qui ut fugiat dolore culpa velit adipisicing amet commodo. Aliquip voluptate sint irure ex minim ea irure nulla laboris nostrud deserunt velit ex reprehenderit. Non ut elit Lorem id sint id occaecat occaecat. Eiusmod excepteur Lorem duis ea labore proident excepteur velit nisi et voluptate. Laborum voluptate elit sint aliqua Lorem magna ea elit aliqua dolore. Harrogate Hospital CT Scan Report Qui ut fugiat dolore culpa velit adipisicing amet commodo. Aliquip voluptate sint irure ex minim ea irure nulla laboris nostrud deserunt velit ex reprehenderit. Non ut elit Lorem id sint id occaecat occaecat. Eiusmod excepteur Lorem duis ea labore proident excepteur velit nisi et voluptate. Laborum voluptate elit sint aliqua Lorem magna ea elit aliqua dolore.
19. TOTAL INTEROPERABILITY IMAGING & REPORTS REGIONAL PATIENT INDEX Aire Hull Hg NLAG C&H Mid Yorks Leeds Brad Q3 2020 TOTAL RADIOLOGY WORKFLOW INTEROPERABILITY
20. Advanced Interoperation PATIENT JOURNEY GAME CHANGER GP Community Imaging Centre Regional Hospital (Local to patient) Imaging Pathway MDTM Tertiary Hospital (Local to patient) Specialist Care Pathway Complete Imaging Integration without GP input Clinical Pathway
21. FOR PATIENTS Same service everywhere Flexibility in appointments Find the capacity Images and reports available
22. FOR RESEARCH Regional Population Index Central taxonomy (labelling) Binary data aggregation Metadata aggregation
23. Cultural change. The Greater Challenge.
24. Digital Transformation Programme
25. PROCESS & WORKFLOW COMMON PRACTICES SHARED CORE SERVICES BUSINESS INTELLIGENCE UNIT LEARNING & DEVELOPMENT MESSENGER SERVICE Regional Dose Monitoring DIRECTORIES (searchable) Staff Machines Rooms Sites Trusts Organisations HUMAN RESOURCES Training Passport Cross site credentials INTERNAL STAFF BANK INSOURCED REPORTING MEDICAL PHYSICS CANCER Priority Group Scanning Protocols Reporting Standards Procedural Documents Patient Advice Paeds MSK Neuro H&N Gastro/Uro Trauma Nuclear Med Chest/Cardiac IR/Vascular SPECIAL INTEREST GROUPS RADIOLOGY SERVICE GROUP Remote Work ACCOUNTING CENTRAL IT FOR SHARING NETWORK PORTAL WEBSITE tScan tReport Standards Regionalised ON CALL PROCUREMENT GROUP 3rd party provider standards Remote Working Standards Priority standards Data Lifecycle Consent for research/AI REDUCING PROBLEMATIC VARIANCE
26. PROCESS & WORKFLOW COMMON PRACTICES SHARED CORE SERVICES BUSINESS INTELLIGENCE UNIT LEARNING & DEVELOPMENT MESSENGER SERVICE Regional Dose Monitoring DIRECTORIES (searchable) Staff Machines Rooms Sites Trusts Organisations HUMAN RESOURCES Training Passport Cross site credentials INTERNAL STAFF BANK INSOURCED REPORTING CANCER Priority Group Scanning Protocols Reporting Standards Procedural Documents Patient Advice Paeds MSK Neuro H&N Gastro/Uro Trauma Nuclear Med Chest/Cardiac IR/Vascular SPECIAL INTEREST GROUPS RADIOLOGY SERVICE GROUP Remote Work ACCOUNTING CENTRAL IT FOR SHARING NETWORK PORTAL WEBSITE Regionalised ON CALL PROCUREMENT GROUP 3rd party provider standards Remote Working Standards Priority standards Data Lifecycle Consent for research/AI REDUCING PROBLEMATIC VARIANCE MEDICAL PHYSICS tScan tReport Standards
27. PROCESS & WORKFLOW COMMON PRACTICES SHARED CORE SERVICES BUSINESS INTELLIGENCE UNIT LEARNING & DEVELOPMENT MESSENGER SERVICE Regional Dose Monitoring DIRECTORIES (searchable) Staff Machines Rooms Sites Trusts Organisations HUMAN RESOURCES Training Passport Cross site credentials INTERNAL STAFF BANK INSOURCED REPORTING CANCER Priority Group Scanning Protocols Reporting Standards Paeds MSK Neuro H&N Gastro/Uro Trauma Nuclear Med Chest/Cardiac IR/Vascular SPECIAL INTEREST GROUPS RADIOLOGY SERVICE GROUP Remote Work ACCOUNTING CENTRAL IT FOR SHARING NETWORK PORTAL WEBSITE PROCUREMENT GROUP Data Lifecycle Consent for research/AI REDUCING PROBLEMATIC VARIANCE MEDICAL PHYSICS tScan tReport Standards
29. Artificial Intelligence
32. THE SEATS ARE FOR PILOTS
33. LIKE PILOTS RADIOLOGISTS NEED HELP - CLINICIAN DECISION SUPPORT - MUNDANE TASKS (Lung Nodules) - SECOND READER (Breast) - INCREASING SCAN SIZE/VOLUME - SCAN RECYCLING (Vertebral #) - SMARTER WORKING (Just 60% of time direct clinical care) - PRIORITISATION (Abnormal > Urgent escalation)
34. What does it take to kick start AI research?
35. AI NEEDS: • Lots of data • Consent • Data taxonomy • Incubation environment
36. COMMON PRACTICES CANCER Priority Group Scanning Protocols Reporting Standards Paeds MSK Neuro H&N Gastro/Uro Trauma Nuclear Med Chest/Cardiac IR/Vascular SPECIAL INTEREST GROUPS RADIOLOGY SERVICE GROUP Priority standards Data Lifecycle Consent for research/AI REDUCING PROBLEMATIC VARIANCE Lots of Data Well taxonomised Thanks to the work of our Special Interest Groups, data and practice standardisation are already underway
38. TECH HUB
39. ACADEMIA Prof Alejandro Frangi - Occult fractures - Cardiac Imaging - Supply demand modelling
40. PROJECT 1: Modelling Demand 2.6 Million Attendance Records 22 Years Longitudinal Data Machine Learning trends FORWARD INSIGHT April 2025 CT SCANS 448 3 x Scanners Req CT DAY STAFF BAND 7 x 4 BAND 6 x 2 BAND 3 x 4
41. Model for the detection of meniscal tears on knee MR • ImageNet transfer learning
42. Thanks for listening @danfascia Your Questions