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The Digital rEvolution: The Millennial Change in Medical Imaging¹

¹ From the Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, One Silverstein, Philadelphia, PA 19104. Presented at the 2002 RSNA annual meeting. Received March 24, 2003; revision requested April 28; revision received June 20; accepted June 25. Address correspondence to the author (e-mail: bryan@rad.upenn.edu.)

View larger version (97K): [in a new window]   Figure 1. Population-based atlases were generated from two groups (n = 20) of normal subjects (average age, 65 and 83 years). An individual’s examination results are statistically tested against these atlases for normalcy.

View larger version (82K): [in a new window]   Figure 2. MR imaging-guided resection of left temporal glioblastoma. A, Coronal contrast material-enhanced T1-weighted MR image. B, Computer-assisted tissue classification of enhancing tumor. C, A 3D rendering of the tumor is used to guide, D, craniotomy and, E, cortical incision and eventual tumor resection with an image-registered robotic device.

View larger version (26K): [in a new window]   Figure 3. Basic PACS design

View larger version (33K): [in a new window]   Figure 4a. Work flow process from imaging examination request to final report (a) in a conventional environment and (b) in an electronic RIS and PACS environment. distrib. = distributed, Dx = diagnosis, Phys. = physician, Sched. = schedule.

View larger version (39K): [in a new window]   Figure 4b. Work flow process from imaging examination request to final report (a) in a conventional environment and (b) in an electronic RIS and PACS environment. distrib. = distributed, Dx = diagnosis, Phys. = physician, Sched. = schedule.

View larger version (41K): [in a new window]   Figure 5. Major components of HIPAA, particularly those related to patients’ rights to their medical records.