Imaging Informatics

Imaging informatics (also known as radiology informatics, a component of wider medical or healthcare informatics) includes systems to transfer images and radiology data between radiologists, referring physicians, patients and the entire enterprise. This includes picture archiving and communication systems (PACS), wider enterprise image systems, radiology information. systems (RIS), connections to share data with the electronic medical record (EMR), and software to enable advanced visualization, reporting, artificial intelligence (AI) applications, analytics, exam ordering, clinical decision support, dictation, and remote image sharing and viewing systems.

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Rankings of radiology IT solutions by end-users in the 2023 Best in KLAS program

End-users of various radiology IT systems offer their assessment of the software in the annual KLAS Research 2023 Best in KLAS report.

The integration of artificial intelligence (AI) into radiology PACS and enterprise imaging systems has become a big topic of discussion with IT vendors over the past couple years. This has become a bigger question from hospitals and radiology groups as there are now about 400 radiology related AI algorithms that have U.S. Food and Drug Administration (FDA) clearance. Amy Thompson, a senior analyst at Signify Research, is monitoring AI trends in radiology and discusses trends.

Trends in the adoption and integration of AI into radiology workflows

Amy Thompson, a senior analyst at Signify Research, explains why AI adoption has been slow in radiology, common barriers and trends in the market.

Amy Thompson, a senior analyst at Signify Research, explains what she is seeing in the market for radiology PACS. She said the biggest overall, strategic technology trends are wider adoption of enterprise imaging systems expanding beyond radiology to include other departments, migration to cloud data storage, and adoption of artificial intelligence. Components of these integrate into the 5 trends in radiology IT systems outlined below.

5 key trends in PACS and enterprise imaging from Signify Research

Signify Research explains several key trends in the evolution of radiology PACS and enterprise imaging systems, including adoption of artificial intelligence, streamlining workflow, implementing structured reporting and more.

7 steps to ‘new era of personalized medicine’ by way of radiomic analysis

Quantifiable features of medical images such as pixel intensity, arrangement, color and texture—in a word, radiomics—can help radiologists improve diagnostic accuracy.

Why is cloud computing is being adopted in radiology? Amy Thompson, a senior analyst at Signify Research, explains what she is seeing in radiology PACS and enterprise imaging system in the market in terms of cloud adoption. She said there has been rising interest in adopting cloud over the past few years, and the COVID pandemic showed amity healthcare systems the value of having a cloud-based system for easier remote access to patient data and imaging.

Cloud storage helps solve radiology IT and cybersecurity issues and is growing

Amy Thompson, a senior analyst at Signify Research, explains why radiology is rapidly adopting cloud data storage solutions.

 

An example of an FDA cleared radiology AI algorithm to automatically take a cardiac CT scan and identify, contour and quantify soft plaque in the coronary arteries. The Cleerly software then generates an automated report with images, measurements and a risk assessment for the patient. This type of quantification is too time consuming and complex for human readers to bother with, but AI assisted reports like this may become a new normal over the next decade. Example from Cleerly Imaging at SCCT 2022.

Legal considerations for artificial intelligence in radiology and cardiology

There are now more than 520 FDA-cleared AI algorithms and the majority are for radiology and cardiology, raising the question of who is liable if the AI gets something wrong.

Brent Savoie, MD, JD, vice chair for radiology informatics, section chief of cardiovascular imaging, Vanderbilt University, explains who will get sued when there is a misdiagnosis due to artificial intelligence (AI).

VIDEO: Who gets sued when radiology AI fails?

Brent Savoie, MD, JD, vice chair for radiology informatics, section chief of cardiovascular imaging, Vanderbilt University, explains who will get sued when there is a misdiagnosis due to artificial intelligence (AI).

Example of a cardiovascular information system (CVIS) cath lab reporting module with a coronary tree model that will auto complete sections of the report based on how the cardiologist modifies the model. Image from the ScImage booth at ACC 2022. Photo by Dave Fornell

VIDEO: 4 key trends in cardiovascular information systems, according to Signify Reseach

Signify Research shares the latest big trends in cardiovascular IT systems, including the role of EMR cardiology modules vs. third-party CVIS, structured reporting, integration into enterprise imaging and inclusion of ambulatory surgical centers. 

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