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Biomedical Optics & Medical Imaging

Plenary talk: Re-Engineering Medical Imaging in an Electronic and Flattened World: Meaningful Innovation and Translation

Presented at SPIE Medical Imaging 2012 by Paul J. Chang, M.D.

27 February 2012, SPIE Newsroom. DOI: 10.1117/2.3201202.13

Paul J. Chang, M.D.The successful translation of medical imaging innovation into clinical practice has clearly been an important contributor to improvements in efficiency, diagnostic accuracy, and therapeutic outcomes. However, an explosion in rising expectations and requirements in an increasingly complex health care environment with decreasing resources requires significant improvements in the translation of medical imaging research into the clinical environment. Unfortunately, current research translation and integration of innovative advances into clinical practice has frequently been suboptimal and has failed to maximally leverage these innovations. There is a great need for a more agile, aggressively collaborative relationship amongst investigators, clinicians, IT, and industry partners in order to provide the solutions necessary to truly add measurable improvements in efficiency, quality, and safety and to avoid the increasing risk of marginalization and commoditization of medical imaging. Improved models for collaboration and integration will be required to more efficiently provide "meaningful" innovation and translation.

Dr. Paul J. Chang is Professor and Vice-Chairman of Radiology Informatics and Medical Director of Pathology Informatics at the University of Chicago School of Medicine. He is also Medical Director of Enterprise Imaging and the Informatics Architect for the Service Oriented Architecture (SOA) initiative at the University of Chicago Hospitals.

He was the founder and director of the Division of Radiology Informatics at the University of Pittsburgh Medical Center (UPMC). The UPMC digital image management infrastructure supported over 1.3 million clinical studies per year from 19 physically distributed hospitals/facilities throughout Western Pennsylvania. This image management infrastructure also supported cardiac and visible light (ophthalmology, dermatology, and pathology) images as well as numerous large-scale multi-institutional research trials.

Chang is active in numerous research and development projects related to imaging informatics as well as enterprise-wide informatics integration issues. His work in workstation design has resulted in presentation and navigation models that have been adopted by most PACS vendors. He is co-inventor of a novel lossless wavelet-based image distribution mechanism, dynamic transfer syntax (DTS). This PACS system is used by several hundred hospitals worldwide.