Informatics

The goal of health informatics systems is to enable smooth transfer of data and cybersecurity across the healthcare enterprise. This includes patient information, images, subspecialty reporting systems, lab results, scheduling, revenue management, hospital inventory, and many other health IT systems. These systems include the electronic medical record (EMR) admission discharge and transfer (ADT) system, hospital information system (HIS), radiology picture archiving and communication systems (PACS), cardiovascular information systems (CVIS), archive solutions including cloud storage and vendor neutral archives (VNA), and other medical informatics systems.

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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.

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AI program ChatGPT now has a published article in Radiology—is it any good?

The human author reviewing the article wrote about the benefits and inherent risks of utilizing AI in a medical publication setting, concluding that, overall, it could be “a powerful tool” used in the future of medical publishing—when used with caution.

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. 

Sky Lakes Medical Center, Oregon, discusses how the hospitals IT team overcame a ransomware attack in 2020 during the height of COVID that took down their entire network and how radiology recovered within two weeks.. 

VIDEO: How radiology was restored after a ransomware attack at Sky Lakes Medical Center in Oregon

John Gaede, director of information systems, Sky Lakes Medical Center, Oregon, discusses how the hospital's IT team overcame a ransomware attack in 2020 and restored radiology in about two weeks.

How EHR 'choice architecture' for imaging could be wasting time and money

When choosing and implementing an electronic health record system, it is important to consider how the system’s architecture might affect providers’ decision-making. 

Example of AI automated detection and highlighting of critical lung findings on a chest X-ray for a possible lung cancer nodule and fibrosis. Example shown by AI vendor Lunit.

VIDEO: Radiology AI trends at RSNA 2022

Sanjay Parekh, PhD, senior market analyst with Signify Research, discusses trends in radiology AI seen on the expo floor and in sessions at RSNA 2022.

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PocketHealth launches network-free image sharing and storage platform

PocketHealth has launched a platform that lets patients and providers securely request, share and store medical images without the use of CD-ROMS or networks.

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Around the web

Cardiovascular Business
Global shortage of nuclear imaging isotopes may be over

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

Cardiovascular Business
‘A huge win’: CMS significantly increases Medicare payments for cardiac CT

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

Cardiovascular Business
FDA clears AI tool that flags signs of heart disease in chest CT scans

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

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