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Reports/Papers/Presentations
Presentations at the AMIA Annual Symposia
AMIA 2003 -
Biomedical and Health Informatics: From Foundations to Applications
Panel: Imaging as the Phenotypic Expression of Human Disease: Need for the Creation and Linking of Imaging Databases
E. V. Staab, Wake Forest University School of Medicine, Winston-Salem, NC, M. Greberman, Walter Reed Health Care System, Washington, DC, C. Jaffe, National Cancer Institute, NIH, Rockville, MD, T. S. Yoo, National Library of Medicine, NIH, Bethesda, MD, J. Haller, National Institute for Biomedical Imaging and Bioengineering, NIH, Bethesda, MD, L. Clarke, National Cancer Institute, NIH, Rockville, MD, M. Vannier, University of Iowa, Iowa City, IA, and Elaine Collier, National Center for Research Resources, NIH, Bethesda, MD
The importance of images in research that results in improved healthcare products, in better educational methods for healthcare providers and consumers, and in safer and more effective clinical practice continues to expand. There are issues that remain and, to varying degrees being addressed, that are important to the development and implementation of high quality systems that are more readily available and useful to researchers, clinicians, patients, and others. Among these issues are standardization in data collection, quality control, indexing, storage, communication, and display, as well as factors that influence data sharing. The panelists will discuss these issues and actions to address them.
Panel: Emerging Techniques and Concepts in Public Health and Disease Surveillance
M. J. Hopmeier, Unconventional Concepts, Inc., Mary Esther, FL, M. Greberman, Walter Reed Health Care System, Washington, DC, K. Schafer, Compressus, Inc., Washington, DC, B. Jones, ScenPro, Richardson, TX, and J. Freeman and R. Levin, Cheirologic Partners, Inc, MA.
Healthcare providers, clinical laboratory personnel, infection control professionals, and health departments play critical and complementary roles in monitoring, recognizing, and responding to naturally occurring illnesses and those caused by intentional release of biologic or chemical agents. The syndrome descriptions, epidemiological clues, and laboratory recommendations discussed by this panel provide basic guidance that can be implemented immediately to improve recognition of these events.
AMIA 2002 -
Bio*Medical Informatics: One Discipline
Session 7
Panel: Molecular and Functional Imaging - Opportunities for Increased Synergy Between Molecular Medicine and Clinical Imaging
Authors: M. Grebernan, MD, MPH, Walter Reed Army Medical Center, Washington, DC, K.C. P. Li, MD, MBA, National Institutes of Health, Clinical Center, Bethesda, MD, P.L. Miller, MD, PhD, Yale University, New Haven, CT, U. Shankavaram, PhD, SRA International, Inc., Rockville, MD, and B.D. Sarachan, PhD, General Electric Corporate Research & Development, Schenctady, NY.
For the past century, correlating medical images with pathologic specimens has helped clinicians use medical images as surrogates for gross and, to some extent, histologic pathology. Advances in functional and molecular imaging provide much more than anatomic data from living tissues. As an example, research demonstrating the use of fMRI to study the effect of odors on the olfactory bulb will be presented. In addition, the mapping of the human genome and the advancing technologies of functional genomics and proteomics will enable quantification of the level of expression of genes and proteins from tissue samples. Methods used to study protein expression levels and obtain other biologically important information about possible sequence modifications that may have clinical relevance will be discussed, as will the technologies and data types that need to be supported by an information system dewgned to effectively store, retrieve, and analyze such data. Making effective clinical use of the large amount of data obtained through these and other methodologies provides new opportunities for the informatics community. Research using data mining and other advanced computational approaches to develop predictive models from diverse image and non-image data will be discussed from the standpoint of defining a comprehensive regimen of diagnostics.
AMIA 2000 -
Converging Information, Technology, and Health Care
Session 33
Panel: Integrating Images into the Medical Enterprise: A Real World Example
Participants: D. Piraino, MD, Cleveland Clinic Foundation, Cleveland, OH, K. Lawton, RT, IDX Systems Corporation, Burlington, VT, C. Zapf, B.S. M.S., Siemens Health Services GmbH & Co. KG, Erlangen, Germany, and A. Edwards, Cleveland Clinic Foundation, Cleveland, OH USA
This panel discussion will present the issues involved in interfacing images and image distribution systems into the medical enterprise. The implementation at the Cleveland Clinic Foundation Division of Radiology will be used to illustrate the advantages and difficulties of interfacing imaging systems or picture archiving and communication systems (PACS) to text based hospital information systems (HIS) and radiology information systems (RIS). Issues discussed will include technical interface issues, availability of standards to address these issues, cost issues, multi-vendor cooperation, enterprise availability of images and workflow issues.
AMIA 1999 -
Cornerstones for a New Information Management Paradigm
Session 23
Panel: Electronic Imaging in the Health Care Enterprise
Session Chair: D.W. Piraino, MD, Cleveland Clinic Foundation, Cleveland, OH
Participants: D.W. Piraino, MD, C.M. Harris, MD, B. Richmond, MD, N. Mehta, MD, C. Bergsneider,Cleveland Clinic Foundation, Cleveland, OH, and M. Greberman, MD, MPH, FDA Center for Devices and Radiological Health, Rockville, MD
This panel will present an overview of electronic imaging in a health care enterprise. Strategies for image acquisition, transmission, archiving, display, and review will be shown with examples from a large integrated health network. The focus will be on how electronic imaging facilitates patient care and cost-effective implementation strategies for health care institutions. Panelists will discuss acquisition, interpretation, and workflow issues in the radiology department; techniques for integration of electronic images into an electronic medical record; government regulations that impact on electronic imaging; the advantages and disadvantages of electronic imaging from the perspective of a primary care physician; and how electronic imaging fits into the information structure of a health care enterprise.
AMIA 1998 -
A Paradigm Shift in Health Care Information Systems: Clinical Infrastructures for the 21st Century
Panel
The Medical Imaging Systems WG will conduct a panel discussion on "Electromagnetic Interference as a Barrier to Effective Use of Telemedicine." As a telemetry has come to assume an increased role in telemedicine applications, the potential for problems with electromagnetic interference has also grown. In particular there have been a number of incidents recently involving digital television (DTV) transmissions interfering with medical telemetry systems that use TV channels. This year DTV has begun transmitting wgnals on previously unused channels in 10 major market areas, and by 2003 many more DTV stations will be on-line. This panel will discuss the nature of this problem, what facilities can do to address potential interference problems, and how organizations such as the FCC, AHA, FDA, and the Federal Joint Working Group on Telemedicine are working to alleviate the situation over the long term.
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