
SIIMcast 36 - Reflection on the Imaging Informatics Field
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Nov 4, 2019 Join experts Paul G. Nagy, an imaging informatics veteran from Johns Hopkins, and David E. Avrin, a pioneering interventional radiologist, as they delve into the evolution of imaging informatics. They share intriguing historical anecdotes, from early RIS issues to the cultural impact of DECRAD. The duo discusses the adoption of DICOM, challenges posed by EMRs, and the slow integration of artificial intelligence. Engaging insights on radiologist-patient communication highlight the need for better collaboration tools in modern healthcare.
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Pushing Vendors To Adopt DICOM
- David Avrin told how he convinced buyers to demand DICOM-capable scanners, citing three paths to standards.
- He also recalled meeting Andy Grove who advised pushing vendors by customer demand to adopt standards.
Moore’s Law Enabled PACS Scaling
- Storage and display costs dropped with Moore's Law, enabling PACS growth despite increasing image sizes.
- Paul notes personnel and operational costs now dominate over physical storage costs.
Digitalization Reduced Clinical Consults
- Digital transition increased productivity and access but reduced in-person radiologist-referrer consultation.
- Paul warns loss of face-to-face consults diminished clinical collaboration and may harm care.





