The present invention relates to a gesture-based reporting method and system, including a critical results reporting pathway, which is used to communicate critical findings to users according to predetermined methods (i.e., e-mail, facsimile, etc.), and create an electronic auditing trail to document receipt, understanding, bi-directional queries, and track clinical outcomes. Based on a predetermined rule set, predetermined data elements within the structured database could trigger the critical results reporting pathway. There is a quality assurance component to the invention, such that technical deficiencies in an imaging quality can be noted, analyzed, and tracked. There is a workflow and data analysis portion to the invention, wherein workflow is enhanced, and structured data is mapped to a standardized lexicon, such that data mining can be performed. Thus, the present invention extends beyond reporting alone and is a tool to facilitate electronic communication, consultation, education / training, and data mining for quality assurance.