Automated Integration of AI Results into Radiology Reports Using Common Data Elements

Integration of artificial intelligence (AI) into radiology practice can create opportunities to improve diagnostic accuracy, workflow efficiency, and patient outcomes. Integration demands the ability to seamlessly incorporate AI-derived measurements into radiology reports. Common data elements (CDEs) define standardized, interoperable units of information. This article describes the application of CDEs as a standardized framework to embed AI-derived results into radiology reports. The authors defined a set of CDEs for measurements of the volume and attenuation of the liver and spleen. An AI system segmented the liver and spleen on non-contrast CT images of the abdomen and pelvis, and it recorded their measurements as CDEs using the Digital Imaging and Communications in Medicine Structured Reporting (DICOM-SR) framework to express the corresponding labels and values. The AI system successfully segmented the liver and spleen in non-contrast CT images and generated measurements of organ volume and attenuation. Automated systems extracted corresponding CDE labels and values from the AI-generated data, incorporated CDE values into the radiology report, and transmitted the generated image series to the Picture Archiving and Communication System (PACS) for storage and display. This study demonstrates the use of radiology CDEs in clinical practice to record and transfer AI-generated data. This approach can improve communication among radiologists and referring providers, harmonize data to enable large-scale research efforts, and enhance the performance of decision support systems. CDEs ensure consistency, interoperability, and clarity in reporting AI findings across diverse healthcare systems.