Informatics in Medical Imaging

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ISBN 9781439831243
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  • Covers both fundamentals and the state of the art as well as major challenges for future advances
  • Provides practical coverage of standards used to support the different aspects of information in the health care enterprise
  • Addresses issues concerning pathology, dermatology, and radiation therapy informatics
  • Discusses procurement, operations, teleradiology, and ethics in the radiology department
  • Offers a detailed overview of key technologies, including operating systems, networks, and storage and image compression


Informatics in Medical Imaging provides a comprehensive survey of the field of medical imaging informatics. In addition to radiology, it also addresses other specialties such as pathology, cardiology, dermatology, and surgery, which have adopted the use of digital images. The book discusses basic imaging informatics protocols, picture archiving and communication systems, and the electronic medical record. It details key instrumentation and data mining technologies used in medical imaging informatics as well as practical operational issues, such as procurement, maintenance, teleradiology, and ethics.


  • Introduces the basic ideas of imaging informatics, the terms used, and how data are represented and transmitted
  • Emphasizes the fundamental communication paradigms: HL7, DICOM, and IHE
  • Describes information systems that are typically used within imaging departments: orders and result systems, acquisition systems, reporting systems, archives, and information-display systems
  • Outlines the principal components of modern computing, networks, and storage systems
  • Covers the technology and principles of display and acquisition detectors, and rounds out with a discussion of other key computer technologies
  • Discusses procurement and maintenance issues; ethics and its relationship to government initiatives like HIPAA; and constructs beyond radiology

The technologies of medical imaging and radiation therapy are so complex and computer-driven that it is difficult for physicians and technologists responsible for their clinical use to know exactly what is happening at the point of care. Medical physicists are best equipped to understand the technologies and their applications, and these individuals are assuming greater responsibilities in the clinical arena to ensure that intended care is delivered in a safe and effective manner. Built on a foundation of classic and cutting-edge research, Informatics in Medical Imaging supports and updates medical physicists functioning at the intersection of radiology and radiation.

Table of Contents

Introduction to Informatics in Healthcare
Ontologies in the Radiology Department
Dirk Marwede
Informatics Constructs
Steve G. Langer

Standard Protocols in Imaging Informatics
Health Level 7 Imaging Integration
Helmut König
Steven C. Horii
Integrating the Healthcare Enterprise IHE
Steve G. Langer

Key Technologies
Operating Systems
Christos Alexakos and George C. Kagadis
Networks and Networking
Christos Alexakos and George C. Kagadis
Storage and Image Compression
Craig Morioka, Frank Meng, and Ioannis Sechopoulos
Elizabeth A. Krupinski
Digital X-Ray Acquisition Technologies
John Yorkston and Randy Luhta
Efficient Database Designing
John Drakos
Web-Delivered Interactive Applications
John Drakos
Principles of Three-Dimensional Imaging from Cone-Beam Projection Data
Frédéric Noo
Multimodality Imaging
Katia Passera, Anna Caroli, and Luca Antiga
Computer-Aided Detection and Diagnosis
Lioner T. Cheng, Daniel J. Blezek, and Brad J. Erickson

Information Systems in Healthcare Informatics
Picture Archiving and Communication Systems
Brent K. Stewart
Hospital Information Systems, Radiology Information Systems, and
Electronic Medical Records
Herman Oosterwijk

Operational Issues
Boris Zavalkovskiy
Operational Issues
Shawn Kinzel, Steve G. Langer, Scott Stekel, and Alisa Walz-Flannigan
Dimitris Karnabatidis and Konstantinos Katsanos
Ethics in the Radiology Department
William R. Hendee

Medical Informatics beyond the Radiology Department
Imaging Informatics beyond Radiology
Konstantinos Katsanos, Dimitris Karnabatidis, George C. Kagadis, George C. Sakellaropoulos, and George C. Nikiforidis
Informatics in Radiation Oncology
George Starkschall and Peter Balter


Editor Bio(s)

George C. Kagadis, Ph.D. is currently an assistant professor of Medical Physics & Medical Informatics at the University of Patras, Greece. He received his Diploma in Physics from the University of Athens, Greece, in 1996 and both his MSc and Ph.D. in medical physics from the University of Patras in 1998 and 2002, respectively. He is a Greek State Scholarship Foundation grantee, a Fulbright Research Scholar, and a Full AAPM member. He has authored approximately 70 journal papers and had presented over 20 talks at international meetings. He has been involved in European and national projects, including e-health. His current research interests focus on IHE, CAD applications, medical image processing and analysis as well as studies in molecular imaging. Currently he is a member of the AAPM Molecular Imaging in Radiation Oncology Work Group, European Affairs Subcommittee, Work Group on Information Technology, and an associate editor of Medical Physics.

Steve G. Langer, Ph.D. is currently co-director of the radiology imaging informatics lab at the Mayo Clinic in Rochester, Minnesota, and formerly served on the faculty of the University of Washington, Seattle. His formal training in nuclear physics at the University of Wisconsin Madison and Michigan State has given way to a new mission: to design, enable, and guide into production high-performance computing solutions to implement next-generation imaging informatics analytics into the clinical practice. This includes algorithm design, validation, performance profiling, and deployment on vended or custom platforms as required. He also has extensive interests in validating the behavior and performance of human and machine-based (CAD) diagnostic agents.

Editorial Reviews

Because of the comprehensive nature of this book with many topics in medical imaging informatics, the targeted readers include professionals in medical physics and biomedical imaging, as well as students and researchers. It may also be used as a helpful reference guide for medical physicists, radiologists, and administrative staff seeking additional information on medical imaging informatics. …most chapters are well written and easy to read even for readers without much prior knowledge in medical imaging informatics. … the book provides a comprehensive survey of the field of medical imaging informatics. Overall, this book is well written by experts in their respective fields and has good coverage. Readers may also obtain a wealth of information in medical imaging informatics from references listed at the end of each chapter … .
—Yu Liu, Medical Physics, March 2012