ReportFlow an application for EEG visualization and reporting using cloud platform

S. Bertuccio, G. Tardiolo, F. M. Giambò, G. Giuffrè, R. Muratore, C. Settimo, A. Raffa, S. Rigano, A. Bramanti, N. Muscarà, M. C. De Cola

Research output: Contribution to journalArticlepeer-review


Background: The cloud is a promising resource for data sharing and computing. It can optimize several legacy processes involving different units of a company or more companies. Recently, cloud technology applications are spreading out in the healthcare setting as well, allowing to cut down costs for physical infrastructures and staff movements. In a public environment the main challenge is to guarantee the patients’ data protection. We describe a cloud-based system, named ReportFlow, developed with the aim to improve the process of reporting and delivering electroencephalograms. Methods: We illustrate the functioning of this application through a use-case scenario occurring in an Italian hospital, and describe the corresponding key encryption and key management used for data security guarantee. We used the X2 test or the unpaired Student t test to perform pre-post comparisons of some indexes, in order to evaluate significant changes after the application of ReportFlow. Results: The results obtained through the use of ReportFlow show a reduction of the time for exam reporting (t = 19.94; p < 0.001) and for its delivering (t = 14.95; p < 0.001), as well as an increase of the number of neurophysiologic examinations performed (about 20%), guaranteeing data integrity and security. Moreover, 68% of exam reports were delivered completely digitally. Conclusions: The application resulted to be an optimal solution to optimize the legacy process adopted in this scenario. The comparative pre-post analysis showed promising preliminary results of performance. Future directions will be the creation and release of certificates automatically.

Original languageEnglish
Article number7
Pages (from-to)1-9
Number of pages9
JournalBMC Medical Informatics and Decision Making
Issue number1
Publication statusPublished - Dec 2021


  • Cloud
  • Data sharing
  • Medical reports
  • Privacy
  • Public key
  • Role-based access control
  • Security

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics


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