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DICOM SR in Radiology: Why Automation Is Harder Than Expected

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Articles with the latest insights not found anywhere else to improving structured reporting quality and productivity with reporting software.

Radiologist improving productivity with DICOM SR automation
DICOM SR in Radiology: Why Automation Is Harder Than Expected

DICOM SR in Radiology: Why Automation Is Harder Than Expected

29 December 2025 Andy Milkowski

What is DICOM SR in radiology? Imagine a radiologist reviewing a mass for a renal ultrasound and confirming its location, size, and characteristics. With DICOM SR (Structured Reporting), these numeric measurements are sent directly to the reporting system, so there’s no need to dictate them. DICOM Structured Reporting (DICOM SR) is an imaging informatics…

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Radiologist doing structured reporting with assistance from Imrogon
The 4 Levels of Structured Reporting in Radiology: A Framework for Enterprise Automation

The 4 Levels of Structured Reporting in Radiology: A Framework for Enterprise Automation

28 December 2025 Andy Milkowski

For many years, structured reporting has been a goal in radiology to enhance report quality 1. However, clinical practice results have been inconsistent, with varying opinions regarding the impact of enterprise structured reporting solutions on productivity and quality. Executive Summary: This article shares my experiences with structured reporting implementations. I use ‘levels’ of structured…

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Research showing that 50% of radiology report findings are qualitative worksheet data vs. 50% measurements
Radiology Reporting Efficiency: Why Measurements only Solve 50% of the Workflow

Radiology Reporting Efficiency: Why Measurements only Solve 50% of the Workflow

27 December 2025 Andy Milkowski

Introduction Radiologists face various challenges, including the need for greater efficiency and quality in reporting. Implementing structured reporting is widely recognized as a means to improve communication and enhance satisfaction for BOTH referring clinicians and radiologists [1 Radiology]. However, due to the current shortage of radiologists and the increasing volume of imaging studies, there…

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Radiology Efficiency: Metrics, Bottlenecks, Staffing & AI with a Practice CEO

Radiology Efficiency: Metrics, Bottlenecks, Staffing & AI with a Practice CEO

14 December 2025 Andy Milkowski

Overview In this episode of Radiology Efficiency, Andy Milkowski sits down with Wayne Baldwin, CEO of GemState Radiology and Intermountain Medical Imaging, for a grounded, operator-level discussion on what it truly takes to run a modern outpatient radiology practice. With decades of leadership experience, Wayne offers a candid look at the financial metrics, workflow…

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Cover image for Radiology and Efficiency podcast with Andy Milkowski and Maria Budhwani
R&E 2: Radiology Efficiency from a Radiology COO—Interview with Maria Budhwani

R&E 2: Radiology Efficiency from a Radiology COO—Interview with Maria Budhwani

7 December 2025 Andy Milkowski

How Private Centers Drive 4X ROI and Maximize Every Scan In this installment of the Radiology & Efficiency (R&E) Series, Maria Budhwani shares a clear, data-driven view of how Georgia Health Imaging, a single independent imaging center, has remained profitable, stable, and innovative in a consolidated market. Her perspective is shaped by 20+ years…

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Radiology and Efficiency Interview Series Cover
R&E 1: Scaling & AI in Imaging Centers – Interview w CEO Andreia Santos Lima

R&E 1: Scaling & AI in Imaging Centers – Interview w CEO Andreia Santos Lima

14 November 2025 Andy Milkowski

CEO Playbook: Financial Health, Staff Retention, and Automation for Radiology Efficiency The first episode of the Radiology & Efficiency (R&E) series! We interview top executives about the strategies that drive imaging practices to excel. In each episode, we strive to bring to you insights regarding radiology efficiency. In this episode, Andy Milkowski speaks with…

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Ultrasound Reporting Automation: 3 Features Improve Efficiency and Achieve Level 3 Automation

Ultrasound Reporting Automation: 3 Features Improve Efficiency and Achieve Level 3 Automation

17 October 2025 Andy Milkowski

As we enter 2026, Radiology departments face a compounding operational crisis: a 5% annual increase [MarketsandMarkets] in imaging volume paired with a 2.83% fee schedule reduction [CMS]. This article examines the three features to achieve full Automation (Level 3 Automation) and restore focus to clinical practice by eliminating wasteful mechanics of report creation. As…

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Reporting Automation in Radiology: The Enterprise Standard

Reporting Automation in Radiology: The Enterprise Standard

9 January 2025 Andy Milkowski

Recently, innovations such as the large language model (LLM) ChatGPT have passed Radiology Board Exams. Additionally, some of the most-cited articles in Radiology in 2023 involve ChatGPT [Radiology Link]. However, my research finds that most Radiologists have not taken advantage of reporting automation opportunities available in enterprise ultrasound reporting software for many years. This…

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Challenges in Ultrasound Exam Interpretation

Challenges in Ultrasound Exam Interpretation

27 February 2015 GreenTeam_2001

Roy A. Filly, M.D., Emeritus Professor of Radiology and Biomedical Imaging, of Surgery, and of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco. Ultrasound is a unique imaging modality due to the variability of image acquisition. Unlike other modalities where images are acquired linearly with fixed slices in a predictable order, ultrasound…

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Maximizing Ultrasound Reading: Reading Dynamic Clips in Acquisition Order

Maximizing Ultrasound Reading: Reading Dynamic Clips in Acquisition Order

24 October 2014 GreenTeam_2001

Maximizing Ultrasound Reading: Reading Dynamic Clips in Acquisition Order Ann Podrasky, M.D., Radiology Associates of South Florida, Baptist Health South Florida. As changes in the Radiology landscape are brought on by both healthcare reform and radiation dose minimization efforts, departments will experience an escalation in the volume of ultrasound studies with an even greater…

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Recent Posts

  • DICOM SR in Radiology: Why Automation Is Harder Than Expected
  • The 4 Levels of Structured Reporting in Radiology: A Framework for Enterprise Automation
  • Radiology Reporting Efficiency: Why Measurements only Solve 50% of the Workflow
  • Radiology Efficiency: Metrics, Bottlenecks, Staffing & AI with a Practice CEO
  • R&E 2: Radiology Efficiency from a Radiology COO—Interview with Maria Budhwani

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