Using RADPEER

 

PHYSICIAN

 

To Login as PHYSICIAN go to:    https://radpeer.acr.org

 

 

 

Figure 1

 

GROUP ID: You will be asked to enter your pre-assigned Group ID number.  158

USER ID: Pre-assigned ID number (i.e., 101)

PASSWORD: Enter pre-assigned password.  This will take you to the RADPEER™ Input Form. 

REMEMBER ME: Check this box to keep password, after the initial password has been changed. 

 


 

  

Figure 2

 

Password From the navigation bar at top of page. This will allow you to create your individual password for all future eRADPEER™ functions. The password must be a minimum of 8 characters and contain characters from at least 3 of the following 4 sets:  uppercase letter, lowercase letter, number or special character: @ # $ %  ^ & *  ( ) such as Doctorxx1.   Your “home page” will be the RADPEER™ Input Form and you can make your selections from the navigator bar at the top of page.

 

You are ready to begin entering scores. Select Reviewed Physician ID from the drop down menu, select Site if available, select Modality, select Score, and click “save”. SAVE means that this case has been saved to your group’s record, but will not be SENT to the ACR until reviewed and submitted by your group administrator. This provides an opportunity for any score of 2b, 3, and 4 to be reviewed prior to submission to the ACR.  If you have scored a case a 2b, 3 or 4, you will need to enter “Comments” before being able to save.

 
 

 

Figure 3

 

You can select “Review ” for a list of cases that you have completed. Select “ALL” from the drop down menu if you want to see a complete list.  This menu defaults to “Score 2b, 3 or 4 cases”.
 

 

 

 Figure 4

 

Figure 4 The group administrator may return the case to you for reconsideration if your original score is questioned.  Any cases that have scores of 2b, 3, or 4 will have a EDIT/VIEW icon in Action Column.  To change the original score click on Edit, make the change, then click Save.  The record will return to the administrator.

 

To continue entering RADPEER™ scores, simply select eRADPEER™ INPUT FORM from navigator bar at top of page OR use the Input Form button.

 

RADPEER™ Lexicon

Examples of Scoring:

Note:  Scoring should include both primary finding and incidental findings on the imaging study.  Both misses and overcalls can be included.

 

Score of 1: “Concur with original reading” – self explanatory

 

Score of 2: “Discrepancy in Interpretation/not ordinarily expected to be made (understandable miss)”

 

2a.  “unlikely to be clinically significant”

·         Small knee collateral ligament tear (i.e., subtle or difficult to appreciate finding)

·         Osteopoikilosis that is not clinically significant  (i.e., esoteric finding)

·         7mm mesenteric lymph node on CT abdomen

·         Small (5mm) apical pneumothorax on overpenetrated portable chest radiograph following subclavian line placement

·         Minimally calcified (<3cm) abdominal aortic aneurysm on KUB

·         Old, healed long bone fracture (i.e., apparent on single view)

·         Subtle mass (probable benign lymph node) on mammography

 

2b.  “likely to be clinically significant”

·         Subtle or early lung cancer seen on chest CT in retrospect (i.e., difficult to diagnose prospectively)

·         Subtle meningeal enhancement on CT or MRI brain

·         Small subdural hematoma around cerebellar tentorium

·         Subtle scapholunate separation

·         Small minimally radiopaque soft tissue glass foreign body in hand radiograph

·         Subtle 1.5cm pancreatic tail mass

·         Early vascular calcifications on screening mammography, recalled for additional imaging (overcall)

 

Score of 3: “Discrepancy in Interpretation/ should be made most of the time”

 

3a.  “unlikely to be clinically significant”

·         2cm bone cyst noted on MRI knee

·         Pneumoperitoneum on abdominal film of patient 1 day after abdominal surgery

·         Vertebral body hemangioma on MRI spine

·         3cm thyroid mass on CT chest

·         5mm calcified renal calculus without associated hydronephrosis on CT urogram 

 

3b.  “likely to be clinically significant”

·         Small subdural hematoma on CT brain

·         Skin fold interpreted as pneumothorax in newborn with subsequent placement of chest tube

·         Assymmetric 2cm breast mass on CT chest

·         2cm para-aortic or pelvic lymph node

·         Peri-appendiceal or peri-colic fat stranding

·         1.5cm adrenal mass in patient with lung mass

·         Cluster of pleomorphic microcalcifications on mammography

·         Pericardial effusion on CT chest

·         Short single segment Crohn’s disease on small bowel follow-through exam

·         Lateral meniscus tear on knee MRI

 

Score of 4:  “Discrepancy in Interpretation/ should be made almost every time - misinterpretation of finding”

4a.  “unlikely to be clinically significant”

·         4cm pelvic lymph node in patient beginning chemotherapy for lymphoma

·         2cm calcified gallstone on CT of a patient with LLQ pain and diverticulitis

 

4b.  “likely to be clinically significant”

·         Displaced fracture of base of fifth metatarsal

·         25% slipped capital femoral epiphysis in 12 y/o

·         Tension pneumothorax

·         Large medial meniscus tear on MRI knee

·         3 cm hilar lymph node on CT chest

·         2cm lung nodule on chest radiograph

·         “Classic” molar pregnancy on pelvic ultrasound

·         Obvious hamartoma on mammography for which biopsy was recommended (overcall)