Unified Database for Rejected Image Analysis Across Multiple Vendors in Radiography

J Am Coll Radiol. 2017 Feb;14(2):208-216. doi: 10.1016/j.jacr.2016.07.011. Epub 2016 Sep 20.


Reject rate analysis has been part of radiography departments' quality control since the days of screen-film radiography. In the era of digital radiography, one might expect that reject rate analysis is easily facilitated because of readily available information produced by the modality during the examination procedure. Unfortunately, this is not always the case. The lack of an industry standard and the wide variety of system log entries and formats have made it difficult to implement a robust multivendor reject analysis program, and logs do not always include all relevant information. The increased use of digital detectors exacerbates this problem because of higher reject rates associated with digital radiography compared with computed radiography. In this article, the authors report on the development of a unified database for vendor-neutral reject analysis across multiple sites within an academic institution and share their experience from a team-based approach to reduce reject rates.

Keywords: Reject rate; database; dose reduction; radiography; repeat rate.

MeSH terms

  • Database Management Systems / organization & administration*
  • Databases, Factual*
  • Diagnostic Errors / prevention & control
  • Diagnostic Errors / statistics & numerical data
  • Diagnostic Imaging*
  • Electronic Health Records / organization & administration*
  • Information Storage and Retrieval / methods
  • Medical Record Linkage / methods*
  • Radiology Information Systems / organization & administration*
  • Systems Integration
  • Unnecessary Procedures*