MSK Extremity Mismatch
These topics describe the MSK Extremity Mismatch alert.
Purpose
To identify discrepancies in the upper and lower extremity exams documented across specific sections of a radiology report. The use cases for the MSK alerts identify the following:
When the following upper extremity concepts are detected on a lower extremity exam:
Metacarpal
Metacarpophalangeal
Humeral (on hip/femur exam)
When the following lower extremity concepts are detected on an upper extremity exam:
Metatarsal
Metatarsophalangeal
Femoral (on shoulder/humerus exam)
For these Assist alerts to fire, customer exam descriptions must include the following:
Modality and/or number of views
Laterality
Body part
For example: CT RIGHT SHOULDER or LEFT FOOT 3 VIEWS
Details
Natural language processing (NLP) identifies the specific upper and lower extremity concepts listed above and compares them across specific sections of the radiology report to identify misspoken body structures., e.g., metatarsal misspoken on an upper extremity report.
Modalities, body structures, and sections
The NLP reasons over specific modalities, body parts, and report sections. Some modalities, body parts and sections are intentionally excluded in order to prevent false positives. A summary of the inclusions and exclusions for "MSK Extremity Mismatch" is provided below.
Included | Excluded | |||||
---|---|---|---|---|---|---|
Modalities/body structures |
| Modalities:
Body Structures:
| ||||
Report sections |
|
|
Examples for testing
The following examples are provided to help you understand which reports will appear in Scout. The dictation phrases are for demonstration purposes only and may not be clinically accurate.
Exam type | Dictation phrase to be added to Findings, Impression, Recommendation section (select one of these sections) | Expected content alert |
---|---|---|
CR Right hand | Fracture at the neck of the 5th metatarsal indicative of a Boxer's fracture. | Metatarsal detected on upper extremity exam |
XR Left hand | Findings are similar to the abnormalities seen in the 2nd MTP joint of the left handand consistent with seronegative inflammatory arthritis. | Metatarsophalangeal detected on upper extremity exam |
CT Left foot | Suspected sesamoid bones are noted at all metacarpal heads. Mild degenerative change with mild cartilage space loss at multiple DIP joints | Metacarpal detected on lower extremity exam |
X-Ray Right toe(s) | Instrumented fusion first metatarsophalangeal joint without complications, unchanged since prior. No acute abnormalities at the right foot. | Metacarpophalangeal detected on lower extremity exam |
MRI Rt hip | Right subcapital humeral neck fracture with impaction superior laterally. | Humeral detected on lower extremity exam |
CT Left shoulder | No evidence of left femoral shaft fracture. | Femoral detected on upper extremity exam |