Author Guidelines for

BIRADS collection

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Access• To access, login to https://cases.rsna.org/ with your RSNA account

• To create a free account - https://www2.rsna.org/shared_society_pages/CreateAccount/

• To retrieve an existing account login or password -https://www2.rsna.org/shared_society_pages/forgotpassword/

• Google Chrome is the recommended browser followed by Edge

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Access• To create a new case click “Submit New Case” button

• To access any drafts you already started, click “My cases” from the menu under your name

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Author Dashboard• The Author dashboard consists of 5 areas

• My bookmarks will list any cases you bookmarked

• My follows will list any subspecialties or author you follow

• My cases will display all your draft and submitted cases

• Messages will display any correspondence

• Email preferences will allow you to opt in to receive weekly emails from the case collection

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Author Dashboard – My cases• My Cases area will display all your cases broken down by tabs

• Drafts – Any cases you have started but have not yet submitted for review

• Submitted – Any cases you have submitted for review, including cases that may return to you for revisions

• Published – View only access to any cases that have been published after completing the peer-review process

• Not Published/rejected – View only access to any cases that completed the peer-review process but have not been published

• Co-authored case – view only access to cases where you have been added as a co-author

• You can only edit cases in draft or when returned to you for revisions

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Creating a case• Please review the authoring guidelines for successfully submitting cases for review (Figure

legend guide | Full guide | Quick guide)

• To create a new case click “Submit New Case” button

• Give your case a title to get started. In most cases this will be the final diagnosis, you may enter the BIRADS category or the feature you are trying to teach

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Creating a case – Images/Videos• Upload image in the same order as the clinical

presentation

• For mammograms, upload images in CC and MLO views as well as any additional pertinent views (such as spot compression or magnification views)

• Upload US images in transverse and/or long axis view. Upload MR images when appropriate

• Upload movie clips/cine clips for US if pertinent

• Recommended minimum file size of at least 500px wide and max file size of 10MB for digital figures and max file size of 30MB for media files

• The system supports PNGs, JPGs, and TIFF files for images and video file types of MPG, MOV, AVI, WMV, GIF

• Media cannot be cropped within the submission site. All media needs to be cropped to take out the blank frame (usually black in CT & MRI) around media. Remove logo from ultrasound images

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Creating a case – Images/Videos Continued• When uploading more than 1 file, the system will prompt to

create a set or keep media separated individually on the case

• Cases may have up to 10 images per set

• Case can have one video per set. This should be followed by another set containing still images which show the same findings

• Media must be original files and can not be copied from a PPT or Word document

• Remove manufacturer logo from attached media

• Media that includes a person (photo) must have patient consent (click here for consent form)

• Media that includes a person (photo) belongs to the pathology/other images segment unless they contribute to the diagnosis when people are viewing the case as a quiz

• Pathology images related to biopsy or surgical excision results can be uploaded in the pathology/other images

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Creating a case – Images/Videos- Continued

• Order the set of images/videos by the sequence that you would like the viewer to see the media. Sets should be arranged as the case is being presented in the clinical setting or as the author would like the viewer to review the study

• The system will allow you to re-order images, delete images, and create sets

• Note: Creating a new set or adding new media to an existing set where details have already been added will remove the individual image details(figure legend, keywords, and timecode)

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Creating a case – Images/Videos Details

• Click on “Edit image and add details” on each image or image set in the uploaded media section to add the required detail and annotate images

• Figure legend and keywords are required for each set

• The figure legend is a caption, or a short description of the media uploaded (Figure legend guidelines)

• The format of the figure legends must follow provided author guidelines for successful case submission

• Add keywords from the designated list provided using the type ahead search feature or add your own

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Creating a case – Editing Images

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• 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

• Pre-annotated images uploaded onto the

platform will not be accepted

• To keep consistency, use the same color, shape,

and size annotation for a specific finding

throughout different sets

• The system will remove annotations for the quiz

created for the case as to not reveal the answer

• Videos cannot be annotated in the system, and if

required, should be annotate outside the system

before uploading

• Make sure to click the Save button before leaving

the Image Editor

Creating a case – Clinical Information

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• The clinical information tab includes:

Age & Gender, Clinical History &

Presentation, Physical Exam, Other

Diagnostic Testing, Pathology and

Other relevant information, and

Pathology and Other Images

• Clinical history and presentation -

add information on how the person

came to be imaged

• Do not include the actual diagnosis

and work up in this segment

Creating a case – Clinical Information -Continued

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• The rest of the fields on this tab are

not required and can be completed

only if relevant

• Other diagnostic testing can include

work up not shown by already

uploaded images (author guidelines)

• Pathology images cannot be edited

or annotated in the system, and if

needed, should be pre-annotated prior

to upload

Creating a case – Diagnosis

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• Keywords will be used to search

within the collection

• Keywords for the BI-RADS have

been created from the ACR BI-RADS

Atlas using standardized terminology

• This section displays ALL of the

keywords that were previously added

within the image details areas

• You can also enter additional

keywords that apply to the case as a

whole

• If you delete previously entered

keywords, they will be deleted from

the image section as well

Creating a case – Diagnosis - Continued

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• Final diagnosis and differential

diagnosis will be required if you

choose to use the default quiz

and optional if you choose the

custom quiz

• Final diagnosis should be the

BIRADS category for the case

• Similar cases will display

published cases from the

collection that match on the final

or differential diagnosis

Creating a case – Quiz

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• This is your quiz heading when

the case is presented as an

unknown case

• Add a full sentence that does not

include the diagnosis

• You may select to use the

default quiz question “What is

the diagnosis?” that will use the

information you entered on the

diagnosis tab, or select to create

a custom quiz

Creating a case – Quiz (Custom)

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• If you select to create a custom quiz

you will need to provide:• Question stem

• Minimum of 3 and maximum of 5

answer choices and identify which is

the correct answer

• Rationale/Justification for each

possible answer

• Optional: related resources

• Suggestions for custom questions• Ask about the BI-RADS category

• Ask about the management (follow-

up) recommendation

• Guide to writing custom quiz

Creating a case – Discussion

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• The discussion tab includes Clinical

presentation & general epidemiology,

Imaging features, Prognosis, treatment or

therapeutic options

• Add any pearls regarding reporting or

management

• Add information regarding other or additional

imaging modalities

• Add information regarding management

options if relevant and recommended by

BIRADS

Creating a case – References

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• Add a minimum of two and maximum of five references. If a reference is not found in PubMed search

you will be able to add it manually. Search PubMed by typing PMID, author name, or title of reference

and click Search (at least 5 characters are needed to search). After identifying the reference in

PubMed click the reference to add it. Call out references in order they appear in text and verify accuracy

of your references

Creating a case – Co-Authors

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• The case submitter is the primary author of

the case

• You may add up to 3 co-authors

• If the co-author is not found within the RSNA

directory, click “Add them manually”

• You may change the primary author by using

the sort arrows (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

• Only authors found in the directory can be a

primary author

• If you are a member of the BIRADS

committee, you may add the group as a co-

author

Creating a case – Case Tags

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• Select all relevant subspecialties for

the case

• After selecting the case tags, you

can use type ahead search in

anatomy parts to select from the

system database

• At this time, only terms within

our system can be applied

• Once an anatomy part is

selected, you will then be able

to refine your selection from

the RadLex anatomical

selection

Creating a case – Navigation and submission

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• You can use the tabs on the top of the previous and next buttons to navigate through the different case

area

• You may click “Save for later” at anytime to save your progress

• When you are ready to submit the case for peer review click “Submit for review”• You may click “Preview case” at any time to see a preview of how the case will be displayed to reviewers