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Neuroradiology

Stroke studies,
first in line.

CIVIE puts STAT studies such as suspected strokes at the top of a neuroradiologist's worklist and escalates them before an SLA is missed, accepts imaging AI results over DICOM, and lines up relevant priors with their key findings summarized.

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Illustrative

AI triage · Clinical priority

98

STAT, emergency department, CT head for suspected stroke, pending 9 minutes. Routed to the on-shift neuroradiologist.

Mode: clinical prioritySet by your admins

The challenge

Minutes matter.
So does context.

  • Code strokes in a general queue. A STAT head CT can sit behind routine work, or land with a reader who isn't covering neuro that shift.

  • Stroke AI results in a separate app. LVO and perfusion results arrive as a notification or a secondary capture, then get re-typed into the report.

  • Years of priors to compare. Tumor and MS follow-ups can mean many prior MRs, often spread across more than one archive.

Neuro reading tools

Every urgent study,
in full context.

The tools a neuroradiologist works with on every urgent study, on the same record as the worklist and the report.

Why it's first

Score 98
Priority
STAT
Patient class
Emergency
Waiting
9 min
SLA window
60 min

Mode: clinical priority. Admins can switch modes and see every score.

Illustrative screens. Patient details are fictional.

An urgent head CT, start to finish

From the scanner
to the stroke team.

One head CT through CIVIE, from arrival to the signed report. Sample data throughout.

  1. Received and matched.

    The study is matched to its order and priors are found before anyone opens it.

    Study received · Oakridge ED

    Matched
    1. DICOM received · CT head w/o · 212 images
    2. Matched to order #A-30922 in CIVIE RIS
    3. Priors found · 2 studies, latest 06/11/2024 14:05
    4. Routing to a neuroradiologist

  2. STAT, routed to neuro.

    A STAT head CT for suspected stroke goes to the top of the on-shift neuroradiologist's worklist, with the reason shown.

    AI triage · Clinical priority

    98

    STAT, emergency department, CT head for suspected stroke, pending 9 minutes. Routed to the on-shift neuroradiologist.

    Mode: clinical prioritySet by your admins

    STAT · suspected strokeRouted to neuro

  3. Read with the history.

    Relevant priors load beside the current study, with their key findings summarized.

    Relevant priors · CT head w/o

    CIVIE AI
    CT head w/o · 06/11/2024 14:05No acute findings. Chronic small-vessel change.Summarized
    MR brain w/o · 06/03/2022 13:50Mild small-vessel change.Loaded

    Summary: chronic small-vessel change, unchanged since 06/03/2022 13:50. 2 of 6 priors selected as relevant.

  4. Signed and delivered.

    The report goes straight to the ordering physician, and a critical result can be called through from the study.

    ASR · CT head w/o

    Signed
    Findings
    No intracranial hemorrhage. No mass effect. Chronic small-vessel change, unchanged from 06/11/2024 14:05.
    Impression
    No intracranial hemorrhage. No early ischemic change; ASPECTS 10.
    Delivered to Dr. ReyesOakridge ED · ordering physician · secure message

How CIVIE helps

Faster to the read.
Fuller at the read.

One ecosystem

Neuro reading
on one record.

The worklist, viewer, priors and report share the same study record, so the neuroradiologist opens a study with its history already in place.

On one CIVIE platform

Connects to what you keep

  • Imaging AI servicesAI results over DICOM, alongside the study
  • Your EHROrders in and results out over HL7 and FHIR. The EHR stays the system of record.
  • Stroke team and emergency departmentCritical results by one-click call, secure chat as the record

Solutions involved

What it runs on.

FAQ

Questions,
answered.

  • No. CIVIE integrates results from your stroke AI vendor and uses them in the worklist and the report. Detection stays with the vendor you've chosen.

Next steps

The right neuroradiologist,
with every prior.

See an urgent head CT move through CIVIE, from the scanner to the signed report.

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