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Case Collection
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RSNA Case CollectionAuthor Guidelines 2020
Table of ContentsSection 1: Submitting to the RSNA Case Collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Login- To submit a new case or edit an existing case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Preparing your submission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Section 2: Creating a New Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3*Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3*Images- Attaching/Uploading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Re-Order Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Image Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Delete Images or Image Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Image Details- Editing Images, *Figure Legend, Timecode, *Keywords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Clinical Information- *Quiz Title, Age & Gender, *Clinical History & Presentation, Physical Exam, Other
Diagnostic Testing, Relevant Pathology Images & Findings, and Pathology Images . . . . . . . . . . . . . . . . . . . . . . . . .6Diagnosis- Keywords, *Final Diagnosis, *Differential Diagnoses, *Rationale Explanation for Final vs. Differential Diagnoses, Similar Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Preview Quiz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Discussion- *Clinical presentation & general epidemiology, Imaging features, *Prognosis, treatment or
therapeutic options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8*References- Adding references to case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Preview Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Co-authors- Adding co-authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9*Case Tags- Subspecialties and Anatomy Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
March 12 2020
Case Collection
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Section 1: Submitting to the RSNA Case Collection
Preparing your submission
When submitting, Google Chrome is the recommended browser followed by Edge.
Recommended minimum file size of at least 500px wide and max file size of 10mb for digital figures.The system supports JPG, JPEG, PNG, and TIFF files only.Spellcheck is available during the submission, but scientific terminology is limited.You may ‘Start’, ‘Save for later’, and ‘Edit’ a case before submitting. ‘Save for later’ saves the entire case data including compressing the images even if no other changes have been made. It is not necessary to save in each tab, but only if you plan to leave the site.Do NOT use the browser back button while submitting a case.
Login- To submit a new case or edit an existing case
Go to https://cases.rsna.org
Figure 1.1: RSNA Case Collection login.
*Note: Once the case is submitted (clicking the ‘Submit for review’ button), the case will become ‘Read Only’ for authors while going through the peer review process. If the case is submitted by mistake, please contact [email protected] for assistance.
Please be prepared to provide the following required fields* for your case.
There are additional fields that are optional. Fill in the optional fields if the information is relevant to the case and different from the material entered into the required fields* listed above.
Submission Key Notes:
Type in your RSNA account credentials (username & password) and click Log in.
An RSNA Account is needed to submit a case. (RSNA account is free to create)
To view the RSNA Case Collection authoring video tutorial, go to https://youtu.be/oVDUfMcOJGI
*Title*Attach Image(s)*Figure Legend (Figure Legends Guidelines)
*Keywords*Quiz Title*Clinical History & Presentation*Final Diagnosis
*Differential Diagnosis*Explain the rationale for the Final vs. Differential Diagnosis
*Clinical Presentation & General Epidemiology*Prognosis, Treatment or Therapeutic Options*Add References*Case Tags
To view a list of high-quality cases as a reference when submitting a case, go to https://cases.rsna.org/sample-cases
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*Images- Attaching/Uploading
Recommended minimum file size of at least 500px wide and max file size of 10mb for digital figures.The system supports JPG, JPEG, PNG, and TIFF files only.Crop before uploading. Images cannot be cropped within the submission site.When uploading more than 1 file, the system will prompt to create a set or keep images separated individually on the case.Cases may have up to 5 sets of images with up to 10 images per set.Images must be separate files and can not be copied from a PPT or Word document.
*Note: Once images are uploaded, they will display under ‘Uploaded Images’ in order (Figure 2.3) .
Section 2: Creating a New Case
Figure 2.2: Attach an image to case.
Attach Images
Drag and drop files within the ‘Attach Images’ box or click on the Browse Files button to browse files from your computer, upload im-age(s) and click Open when the image file is selected (Figure 2.2).
*Title
After logging in, your dashboard page will appear.Editing or Submitting a New Case
• When editing a case before completing a submission, click Save for later.
To get started, give your case a title (Figure 2.1) and click Next.
Images should not include any identifying information regarding the patient, submitting institution, and equipment vendors unless they are relevant to the case.
Images Key Notes:
Create your new case by filling in the information for each tab: Images, Clinical Information, Diagnosis, Discussion, References, Co-authors, Case Tags
You will then be able to upload images and provide details for your case (suggested max. 70 characters).
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Click Edit under ‘Actions’ next to your case title to edit an existing case (Figure 1.2).
Click on the Submit New Case button to create and submit a new case.
Figure 2.1: Case Title.
Figure 1.2: Existing Case or New Case.
• This should be the final diagnosis and can be edited at a later time.
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Click the Delete button and select the image(s) you’d like to delete. • A blue check mark image will appear on the selected image or image sets to delete (Figure 2.4). Click the Delete Selected button above the images. • To delete images within a set, click on the set to open set, then click the Delete link under the specific images you would like to delete. Select Cancel or Delete within the confirmation pop-up.
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Click the Re-order button above the uploaded images. Click and drag the image(s) you’d like to rearrange. • To reorder images within a set, click Re-Order, click Open Set, drag and drop images, and click Done. • Click Sort by Timecode above images if you have images or image sets tagged with timecodes. After you have reordered your images or images within a set, click the Save re-order button.
Uploaded ImagesWhen images are attached and uploaded, click the action buttons to reorder, create sets or delete images.
Delete Images or Image Sets
Figure 2.4: Delete Image.
Image Sets
To create sets of your uploaded images:
Figure 2.3: Create Image Sets.
To remove an image from a set, click on the image and the click the Remove from set link below image.
Once images are added, you can create sets.
*Note: Creating sets after you have added information will remove the individual figure legend, keywords and timecode.
*Note: Deleting a set will remove all images associated within that set. Selecting Delete, image(s) and all information associated with the image will be deleted.
To delete an uploaded image:
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Re-Order Images
To re-order your uploaded images or image sets: Order the set of images by the sequence that you would like the viewer to see the images.
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Click the Create image sets button and select the images to combine into a set (up to 10 images). • A blue check mark image will appear on the selected images (Figure 2.3). Click Save Set. You will then need to confirm the move of images into a set by clicking Cancel or Yes within the pop-up. • If you select ‘Yes’, the images will be combined into a set and the icon will appear below the 1st image of set.
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• Figure legend description will appear below the image after you click Done when finished.Enter in the figure legend within the text field (Figure 2.5).
*Figure Legend
*Note: Make sure to click the Save button before leaving the Image Editor.
If annotations are created through RSNA Case Collection’s editor, the system will remove them for the quiz created for the case as to not reveal the answer.To have the annotations appear on your quiz, create them within an image editor prior to uploading in the Case Collection.
Annotations designations will help identify the image with the finding.
Click on each image or image set to create a Figure legend, add a Timecode if relevant and give a description of the Keywords.
Image Details- Editing Images, *Figure Legend, Timecode, *Keywords
Editing Images
Click the Edit Image link below your image(s) to open image Tools (flip/rotate and windowing) and to create annotations through RSNA Case Collection’s image editor (Figure 2.5).
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• Once a color is selected, choose the tool you’d like to use for your annotation including arrow, rectangle, circle, and free form drawings (Figure 2.5).
Click and drag to draw the annotation.
• Options: Baseline, Hours Later, Days Later, Months Later, Years Later.
Within the ‘Additional Info’ field, add in a description for clarification on your timecode (Figure 2.5).
To undo or change the timecode information, click on the drop down and change the timecode to None.
If the images reflect the case over time, specify the relative timepoint of the image by clicking on the drop down menu (Figure 2.5).
Timecode
• (Example: Progression of disease over time).
Timecode is a timepoint of an image or image set.
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The figure legend is a caption or a short description of the image or sets of images.
Figure 2.5: Image Details.
• To move annotation: Click on the annotation and drag to new area.• To delete annotation: Hit the delete button on your keyboard or select the Delete Annotation option from Annotation menu.
Select the arrow next to Annotations to 1st select a color.
For Figure Legend details, See Guidelines to Write Figure Legend Document.
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• To remove a keyword, select the Delete link next to the keyword.When you are finished adding your Keywords description and all other image edit details, click Done at the bottom of the page.
*Keywords
List relevant keywords that are specific to the image or sets of images (Figure 2.5).• If there is more than one keyword on the image, identify one per line and click Add.
Keywords are searchable keywords for uploaded images for the case.
Clinical Information- *Quiz Title, Age & Gender, *Clinical History & Presentation, Physical Exam, Other Diagnostic Testing, Relevant Pathology Images & Findings, and Pathology Images
*Quiz Title
Age & Gender
Enter an alternate title within the text box to display when a case is presented as an unknown case (Figure 2.6).
Age: Select the drop down to choose Years, Months, or Days and type the age or use the up and down arrows. Gender: Select the drop down to choose your gender (Male, Female, or Nonbinary).
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*Clinical History & PresentationDescribe any clinical history, presentation, and disease progression that is relevant to the case (Figure 2.6).
Physical Exam
Other Diagnostic Testing
Describe any findings on the physical exam(s) that is relevant to the case (Figure 2.6).
Describe results of other diagnostic tests or procedures that are relevant to the case (Figure 2.6).
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Relevant Pathology Images & Findings
Pathology Images
Within the text box, describe gross pathology or histology findings relevant to the case (Figure 2.6).
Provide relevant pathologic images if there are images available by clicking the ‘Choose Files’ button, select image file, and click Open (Figure 2.7).
• To delete one of the selected images, click Delete under the image.
Figure 2.7: Pathology Findings.
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• Any annotations should be done before uploading since pathology images can not be edited.
Figure 2.6: Clinical Information.
*Note: At the bottom of each page, click the Previous button to go back or the Next button to move forward with creating your case.
Quiz title needs to be a full sentence. • (Example: Patient presents with fever and abdominal pain).
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Preview Quiz
Diagnosis- Keywords, *Final Diagnosis, *Differential Diagnoses, *Rationale Explanation for Final vs. Differential Diagnoses, Similar Cases
*Explain the Rationale for the Final vs. Differential Diagnoses
Keywords
*Final Diagnosis
*Differential Diagnoses
• Additional keywords should be entered within the text field, then click Add (Figure 2.8).
*Note: If you delete previously entered keywords, they will be deleted from the image section as well.
Keywords are searchable for cases that are similar in the collection and this section displays ALL of the keywords that were previously added within the image details areas.
Figure 2.8: Case Findings.• Enter one item per line and click Add (Figure 2.8).
Final Diagnosis will be the correct answer for your case’s quiz.• Enter in the cases’s final diagnosis and click Add (Figure 2.8) .
Differential Diagnoses will be the distractors for your quiz.
• Minimum of 1 differential diagnoses is required.
After you have entered in the final diagnosis and added differential diagnoses items, click Preview Quiz to view what your quiz question will look like for your case with the final diagnosis and differential diagnoses randomized (Figure 2.9).
• Here you should explain why the other diagnoses you listed are not correct.
Within the text field, discuss the differential diagnoses as well as explain the rationale for the accurate diagnosis for the individuals who answer the quiz (Figure 2.8).
Similar Cases
Similar cases will display published cases in the collection with the same diagnosis or differential diagnosis of your case.
• Select the View Case link clicking and highlighting the case next to the search to view all case information within a new tab.
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• You should select those which you wish to be displayed as links in your published case (Figure 2.8).
Figure 2.9: Preview Quiz.
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*References- Adding references to case
You are able to search PubMed for reference information or add a reference manually.
Discussion- *Clinical presentation & general epidemiology, Imaging features, *Prognosis, treatment or therapeutic options
*Clinical Presentation & General Epidemiology
Imaging Features
*Prognosis, Treatment or Therapeutic Options
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1Describe general information for the disease include epidemiology, usual, and atypical presentation.
Describe relevant multimodality imaging keywords related to the disease.
Describe the typical treatment and therapeutic options and prognosis for the diagnosis.
• Within the pop-up, fill out the citation text field and insert a URL for the reference and click Add.• If you cannot find the reference for your case, you can add it manually by clicking the Add manually link.
Search PubMed by typing in a PMID, author name, or a title of the reference and click Search.
When you have identified the reference for your case, click the reference which will then highlight (Figure 2.11).
Allowed a minimum of 2 references and a maximum of 5.
Abbreviations used for periodicals cited should follow the style of the National Library of Medicine. It is the responsibility of the author(s) to ensure the accuracy of all references.Example: Traumatic life events and posttraumatic stress disorder (PTSD) are endemic among American civilians(1).Modern scientific nomenclature really began with Linnaeus in botany(1), but other disciplines(2,3) were not many years behind in developing various systems(4) for nomenclature and symbolization
References Key Notes:
Figure 2.10: Discussion.
Figure 2.11: References.
• Minimum of 5 characters are required to perform a search.
*Note: Please place a parentheses around the reference you are calling out. References are cited in text with full-size Arabic numerals on the line and in the parentheses. A comma but no space separates two numbers. A reference may be cited within the text of the case only. Please don’t cite references in figure legends or title of the case.
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*Case Tags- Subspecialties and Anatomy Parts
Select all relevant subspecialties for the case.
Enter a partial search term and click the suggestion. Then click the Add button.
• At this time, only terms within our system can be applied.
Example: By selecting the ‘Head and Neck’ subspecialty case tag, you can type in ‘ly’ and select ‘lymph node’ as the anatomy part.
• You will then be able to select the drop down to choose an anatomical selection from Radlex (Figure 2.14).
Anatomy PartsAfter selecting the case tags, type in anatomy parts from the system database.
Co-authors- Adding co-authors
The case submitter is the primary author of the case.
Click the arrow up and down.
Each author requires an institution and an email address.• If an author does not have an institution or an email address listen in the directory, fields need to be filled in and an RSNA editorial staff member will verify the information.• Only authors found in the directory can be a primary author.
When you are done editing, click Submit for review to send your case to the peer review process!
Figure 2.14: Case Tags.
Figure 2.13: Co-authors.
*Note: The primary author will be displayed first on the published case, but the user who initially submits the case will remain the only person with access to editing the case.
Once an anatomy part is selected, you will then be able to refine your selection from the RadLex anatomical selection. Click the selection and click the Accept button.
Preview Case
At the bottom of each tab, you have the option to select the Preview case link.• This will show the view of how reviewers will see your case (Figure 2.12).
Figure 2.12: Preview Case.
To change the primary author:
You may add co-authors. There are a maximum of 3 co-authors each case.
If a co-author is not found within the RSNA directory, click Add them manually (Figure 2.13).
