CLICKVIEW 9i Tumor Surveillance Tracking

One common characteristic, shared by all suspicious tumor lesions, provides the paramount rationale for long-term radiological surveillance of the potential to threaten life. The unique function of surveillance reports is to document the image and growth features of suspicious chronic lesions over weeks, months, and years.

According to the Centers for Disease Control and Prevention (CDC), 605,213 people died of cancer in the United States in 2022; cancer is the second leading cause of death behind cardiovascular disease, which took 695,547 lives in 2022.

Initial Detection

Eight of the ten most deadly cancers manifest as primary tumors and develop secondary metastases in distant organs. The sizes of the primary tumors and metastases are mostly measurable and used as an index in assessing the response to therapeutic intervention with serial Ultrasound, CT, and MRI studies.

Systematic Surveillance

Systematic radiological surveillance screening is not new. The American College of Radiology has developed an ongoing series of Reporting and Data Systems (RADS) report formats “to provide standardized imaging findings terminology, report organization, assessment structure and classification for reporting and data collection in patient imaging.” The RADS systems seek to reduce the reporting variability with descriptions of image findings, a lexicon, and a structured reporting format. The RADS series, many of which are used routinely in many practices, encompasses reporting for breast (BI-RADS), liver (LI-RADS), thyroid (TIRADS), lung (LUNG-RADS), and others.

However, a similar standardized, systematic reporting protocol for surveillance of non-RADS reporting over timelines extending from weeks, months, and years that automatically compares prior and current reports for chronic lesions is infrequent. Although necessary, it has historically been a slow and cumbersome process, requiring manual comparison of prior studies and entered data.

However, CLICKVIEW 9i changes that.

CLICKVIEW 9i Surveillance database vastly improves tumor surveillance by:

1. Reducing the radiological reporting process, including review of priors, to minutes
2. Standardizing the reporting process and user-defined formats (image descriptions, lexicon, report format) over serial exams that may extend over years.
3. Automating instant display of past data from prior reports
4. Incorporating uncomplicated trend charts, measurements, and impressions
5. Incorporating context-sensitive Macro Libraries
6. Linking Findings, Impressions, and Recommendations