Use of Social Media in Radiology

Use of Social Media
in Radiology
Erik R. Ranschaert, MD
Radiologist
“The doctor
will see
tweet you
now”
E. R. Ranschaert, UKRC 2015

• No conflict of interests
E R Ranschaert, UKRC 2015, Liverpool

Goals
• Introduction to social media
• Overview of evolution
• Value for radiologists
• Engagement or not?

What are “Social Media”?

Evolution
• Early days -Web 1.0
– “Static” web pages
– Users are “consumers of content”
– Little interaction between users
• Social interaction via
– e-mail
– Mail-based discussion groups, newsgroups
• Difficult for users to create online content

Web 1.0 example
• Eufora .org website for radiologists, 1998
• Discussion group using mailing list
• Linked to image database (jpg)
• Users:
• > 455 members
• > 45 countries
• 2-3 messages/day
• Goal:
– to support radiologists in electronic
communication & education
– to create interaction between radiologists

HP Scanjet lightbox

Create discussion
Join the discussion!

Allows CREATION and EXCHANGE
of USER GENERATED CONTENT

Web 2.0
• Users provide content
themselves
• “Architecture of
participation”
• Users control data
provided
• Creation of “collective
intelligence”

Spectacular evolution of SoMe
• As of January 2014, 74%
of all online adults use
social networking sites.
http://www.pewinternet.org/data-trend/social-media/social-media-use-by-age-group/
Total 74%
18-29y 89%
30-49y 82%
50-64y 65%
65+ 49%

Most popular social media
• Facebook
• LinkedIn
• Pinterest
• Twitter
• Instagram

Types of SoMe for Radiology
• News and Information on Radiology (Society pages on Facebook etc)
• Social & Professional networking (Facebook, LinkedIn)
• Scientific networking (ResearchGate, BiomedExperts)
• Micro-blogs (Twitter)
• Blogs (WordPress, Tumblr)
• Educational video’s (YouTube, iTunes)
• Social bookmarking in Radiology (marking & sharing of interesting documents)
• Clinical cases and images (quizzes and crowd advise)
• Slideshows (SlideShare)
• Ever expanding list …!

Example: ResearchGate
• Scientific Social
Network
• RG score
• Measure & leverage
standing within
scientific community

Interaction with peers

Use of SoMe by physicians
• Engagement with social media can be
personal, professional, or both
• Professional = for health-related, educational
and scientific purposes.

SoMe Survey Radiologists
• RANSOM survey
• 516 participants
• Radiologists &
residents
• March - May 2015
RANSOM survey 2015, unpublished data

Radiologists and SoMe
85% use them
professionally

Preference of radiologists

Professional
Favorite Social Media platforms for professional purposes
Choice # Name Europe USA Total
1 LinkedIn 56% 32% 45%
2 Facebook 32% 15% 21%
3 Twitter 24% 47% 19%

Professional use in medicine - 2014
Source: 2014 report from MedData Group
56% use them
professionally

For what reason(s) are you using Social Media professionally? Total %
To stay informed about the latest news & developments in radiology 65
To communicate with colleagues about radiological topics (national & international) 49
To share and discuss interesting or difficult cases/images with colleagues 34
To increase my influence and promote my ideas/vision among radiologists 29
To make our profession more visible for patients 27
To make my expertise and knowledge available for teaching purposes 25
To market our team and services 19
To become more "social" with both patients and clinicians 18
To enable people and patients to communicate with radiologists 17
To inform patients about the examinations they will undergo 7
To get feedback from patients (both positive and negative) 6
To discuss radiological images with patients 4
To apply for a job or to be visible for recruiters 3

What concerns do physicians have?
Source: 2014 report from MedData Group

Reasons to avoid SoMe
in RANSOM-survey
1. The fear of mixing private and professional
messages/communication
2. The 2nd most important reason is the lack of
time to use them

Top concerns for radiologists
about using social media
Insufficient legislation, guidelines and policies for SoMe in healthcare 75%
Risk for privacy of the patients 39%
Risk for privacy of radiologists 39%
Insufficient knowledge about social media among radiologists 37%
Distraction from clinical activities 28%
Deprivation from real social contact with others 18%
Danger of negative comments on our practice 13%

Online Identity Crisis
• Is it possible to have 2 separate
identities?
• Web search quickly connects personal
content to professional content
• Overlap
• Professional identity is determined to
some extent by personal identity,
blurred demarcation lines
• Lack of user consensus
• Need to separate them?
• “Nonsensical ” or unrealistic expectation

Celebrities &Twitter

Security risk of social media
• Medical images can be shared
through public platforms or
social media apps, or stored in
the “cloud”
• These media are not designed
for safe distribution and
archiving patient information /
images
McEntee et al: 5 April 2012; Proc. of SPIE Vol. 8318 DOI: 10.1117/12.913754

Protection
• “In the next half of this
decade, as much
attention must be paid to
deep medical learning to
pre-empt illness as to
data security to protect
the privacy of
individuals.”
Eric J Topol et al., Digital medical tools and sensors, JAMA, 2015 vol. 313 (4) pp. 353-354.

Opportunities of SoMe
• Build, develop and maintain a professional network
– contact with colleagues from personal network , national & international
– new relationships based upon common interests & experience
• Remove barriers for collaboration among peers
– share media in all kinds of formats
– discuss latest radiology news, articles, conferences
– seek help from a community of experts
– learn from other radiologists with common clinical interests/expertise
– promotion and discussion of scientific work
• Discover new career, research or business opportunities
– establish research collaborations
– develop business relationships
– discover new opportunities (unpublished)

Crowd-sourcing radiology reads

Within 90 days after a consumer puts a case online, CrowdMed's algorithm generates a
list of the most probable diagnoses submitted by its "medical detectives," along with
their explanations. Patients are asked to give those suggestions to their physicians for
consideration and possible treatment.
The sensitive information patients post anonymously on the site, from medical records
to test results -- even X-rays -- is private, and that the site is audited for security.
It has an 80 % success rate in coming up with a correct diagnosis.
Patients can post their cases on the site for free, but adding cash rewards motivates
more detectives to work cases.

Solve a case

Solution

Instagram for Doctors
• Founded by Joshua Landy,
Canadian IC doctor
• iOS and Android
• For sharing images of
tough & interesting
medical cases
• Archiving of interesting
cases

Officially approved
• Free App
• Started in UK, Ireland, US,
Canada,Australia, New
Zealand
• Growing European presence,
recently the Netherlands
• Approved by health
authorities in each country
• HC professionals sign up and
need to go through process to
validate their medical license
• Automated protection tools
removing sensitive patient
details
• Human privacy moderation
team

Figure 1 patient privacy
• Patients' faces are
automatically obscured by
the app
• Users must manually block
identifying marks like
tattoos.
• Each photo is reviewed by
moderators before it is
added to the database

Video chat example

Q16: Do you like platforms like Figure1 ?

Should radiologists engage?
• Are we easy to reach? Always nearby? Never
too busy? Always easy to communicate with?
• Should we engage in SoMe as radiologists, or
stay away from them?

Social networking no longer optional
• We HAVE to engage
– To help residents & colleagues with
difficult cases
– To communicate with clinicians more
often and more efficiently
– To interact online, even with patients
– To improve clinical care and advance
scientific research
– To promote scientific research &
increase impact
• “Become more social again”
Source: Erik Ridley, Auntminnie Oct. 8, 2014 - http://www.auntminnie.com/index.aspx?sec=sup&sub=imc&pag=dis&ItemID=108728&wf=1
Academic Radiology, William Auffermann et al. – (Acad Radiol, September 25, 2014)

The use of social media for professional
purposes is growing rapidly in medicine,
despite a degree of skepticism from many
academicians that is accompanied by
concerns about scientific rigor, privacy, and
the uncertainty about the effectiveness and
overall value of social media. Our study
provides additional evidence suggesting that
dissemination of scientific findings and
discussion via social media results may
increase the reach and visibility of such
research relative to traditional peer-reviewed
journal publication alone.
Jennny K. Hoang et al., JACR 2015
Sharing Radiology Research on Social Media

Summary
• Important to understand the concept of social networking
• SoMe can be used by radiologists to enhance
collaboration, networking, education/training and to keep
up with information
• Health professionals need tips to enhance use and avoid
pitfalls in their use of SoMe and to uphold their
professional values.
• Appropriate use should result in better patient care.

Our advice
• Explore social networking / social media
websites and evaluate how these tools can be
integrated in your unique workflow and needs

Let’s prepare for the future!
Thank you!

Use of Social Media in Radiology

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