Publisher Description

Thoroughly revised to present the very latest in PACS-based multimedia in medical imaging informatics—from the electronic patient record to the full range of topics in digital medical imaging—this new edition by the founder of PACS and multimedia image informatics features even more clinically applicable material than ever before. It uses the framework of PACS-based image informatics, not physics or engineering principles, to explain PACS-based multimedia informatics and its application in clinical settings and labs. New topics include Data Grid and Cloud Computing, IHE XDS-I Workflow Profile (Integrating the Healthcare Enterprise Cross-enterprise Document Sharing for Imaging), extending XDS to share images, and diagnostic reports and related information across a group of enterprise health care sites. PACS-Based Multimedia Imaging Informatics is presented in 4 sections. Part 1 covers the beginning and history of Medical Imaging, PACS, and Imaging Informatics. The other three sections cover Medical Imaging, Industrial Guidelines, Standards, and Compliance; Informatics, Data Grid, Workstation, Radiation Therapy, Simulators, Molecular Imaging, Archive Server, and Cloud Computing; and multimedia Imaging Informatics, Computer-Aided Diagnosis (CAD), Image-Guide Decision Support, Proton Therapy, Minimally Invasive Multimedia Image-Assisted Surgery, BIG DATA.

• New chapter on Molecular Imaging Informatics
• Expanded coverage of PACS and eHR's (Electronic Health Record), with HIPPA compliance
• New coverage of PACS-based CAD (Computer-Aided Diagnosis)
• Reorganized and expanded clinical chapters discuss one distinct clinical application each
• Minimally invasive image assisted surgery in translational medicine
• Authored by the world's first and still leading authority on PACS and medical imaging

PACS-Based Multimedia Imaging Informatics: Basic Principles and Applications, 3rd Edition is the single most comprehensive and authoritative resource that thoroughly covers the critical issues of PACS-based hardware and software design and implementation in a systematic and easily comprehensible manner. It is a must-have book for all those involved in designing, implementing, and using PACS-based Multimedia Imaging Informatics. 

Back Cover

Thoroughly revised to present the very latest in PACS-based multimedia in medical imaging informatics--from the electronic patient record to the full range of topics in digital medical imaging--this new edition by the founder of PACS and multimedia image informatics features even more clinically applicable material than ever before. It uses the framework of PACS-based image informatics, not physics or engineering principles, to explain PACS-based multimedia informatics and its application in clinical settings and labs. New topics include Data Grid and Cloud Computing, IHE XDS-I Workflow Profile (Integrating the Healthcare Enterprise Cross-enterprise Document Sharing for Imaging), extending XDS to share images, and diagnostic reports and related information across a group of enterprise health care sites. PACS-Based Multimedia Imaging Informatics is presented in 4 sections. Part 1 covers the beginning and history of Medical Imaging, PACS, and Imaging Informatics. The other three sections cover Medical Imaging, Industrial Guidelines, Standards, and Compliance; Informatics, Data Grid, Workstation, Radiation Therapy, Simulators, Molecular Imaging, Archive Server, and Cloud Computing; and multimedia Imaging Informatics, Computer-Aided Diagnosis (CAD), Image-Guide Decision Support, Proton Therapy, Minimally Invasive Multimedia Image-Assisted Surgery, Big Data. New chapter on Molecular Imaging Informatics Expanded coverage of PACS and eHR's (Electronic Health Record), with HIPPA compliance New coverage of PACS-based CAD (Computer-Aided Diagnosis) Reorganized and expanded clinical chapters discuss one distinct clinical application each Minimally invasive image assisted surgery in translational medicine Authored by the world's first and still leading authority on PACS and medical imaging PACS-Based Multimedia Imaging Informatics: Basic Principles and Applications, 3rd Edition is the single most comprehensive and authoritative resource that thoroughly covers the critical issues of PACS-based hardware and software design and implementation in a systematic and easily comprehensible manner. It is a must-have book for all those involved in designing, implementing, and using PACS-based Multimedia Imaging Informatics.

Flap

Thoroughly revised to present the very latest in PACS-based multimedia in medical imaging informatics--from the electronic patient record to the full range of topics in digital medical imaging--this new edition by the founder of PACS and multimedia image informatics features even more clinically applicable material than ever before. It uses the framework of PACS-based image informatics, not physics or engineering principles, to explain PACS-based multimedia informatics and its application in clinical settings and labs. New topics include Data Grid and Cloud Computing, IHE XDS-I Workflow Profile (Integrating the Healthcare Enterprise Cross-enterprise Document Sharing for Imaging), extending XDS to share images, and diagnostic reports and related information across a group of enterprise health care sites. PACS-Based Multimedia Imaging Informatics is presented in 4 sections. Part 1 covers the beginning and history of Medical Imaging, PACS, and Imaging Informatics. The other three sections cover Medical Imaging, Industrial Guidelines, Standards, and Compliance; Informatics, Data Grid, Workstation, Radiation Therapy, Simulators, Molecular Imaging, Archive Server, and Cloud Computing; and multimedia Imaging Informatics, Computer-Aided Diagnosis (CAD), Image-Guide Decision Support, Proton Therapy, Minimally Invasive Multimedia Image-Assisted Surgery, Big Data. New chapter on Molecular Imaging Informatics Expanded coverage of PACS and eHR's (Electronic Health Record), with HIPPA compliance New coverage of PACS-based CAD (Computer-Aided Diagnosis) Reorganized and expanded clinical chapters discuss one distinct clinical application each Minimally invasive image assisted surgery in translational medicine Authored by the world's first and still leading authority on PACS and medical imaging PACS-Based Multimedia Imaging Informatics: Basic Principles and Applications, 3rd Edition is the single most comprehensive and authoritative resource that thoroughly covers the critical issues of PACS-based hardware and software design and implementation in a systematic and easily comprehensible manner. It is a must-have book for all those involved in designing, implementing, and using PACS-based Multimedia Imaging Informatics.

Author Biography

H.K. "Bernie" Huang, D.Sc., FRCR (Hon.), is Professor Emeritus of Radiology and Biomedical Engineering at the University of Southern California, and Professor at the Shanghai Institute of Technical Physics, The Chinese Academy of Sciences. He was former Professor and Vice Chair of Radiology at the University of California, Los Angeles; and the University of California, San Francisco; and Chair Professor of Imaging informatics at the Hong Kong Polytechnic University.

Table of Contents

Foreword 1 xxix Foreword 2 xxxi Foreword 3 xxxiii Preface to the Third Edition xxxv Preface to the Second Edition xxxix Acknowledgments xliii H.K. Huang Short Biography xlv List of Acronyms xlvii Part 1 The Beginning: Retrospective 1 1 Medical Imaging, PACS and Imaging Informatics: Retrospective 3 PART I TECHNOLOGY DEVELOPMENT AND PIONEERS 4 1.1 Medical Imaging 4 1.2 PACS and its Development 8 1.3 Key Technologies: Computer and Software, Storage, and Communication Networks 15 1.4 Key Technologies: Medical Imaging Related 17 PART II COLLABORATIONS AND SUPPORTS 22 1.5 Collaboration with Government Agencies, Industry and Medical Imaging Associations 22 1.6 Medical Imaging Informatics 29 1.7 Summary 32 1.8 Acknowledgments 34 References 35 Part 2 Medical Imaging, Industrial Guidelines, Standards, and Compliance 37 2 Digital Medical Imaging 39 2.1 Digital Medical Imaging Fundamentals 39 2.2 Two-Dimensional Medical Imaging 46 2.3 Three-Dimensional Medical Imaging 55 2.4 Four-Dimensional, Multimodality, and Fusion Imaging 78 2.5 Image Compression 85 Further Reading 93 3 PACS Fundamentals 97 3.1 PACS Components and Network 97 3.2 PACS Infrastructure Design Concept 101 3.3 Generic PACS-Based Multimedia Architecture and Workflow 103 3.4 PACS-Based Architectures 105 3.5 Communication and Networks 110 Further Reading 121 4 Industrial Standards: Health Level 7 (HL7), Digital Imaging and Communications in Medicine (DICOM) and Integrating the Healthcare Enterprise (IHE) 123 4.1 Industrial Standards 124 4.2 The Health Level 7 (HL7) Standard 124 4.3 From ACR-NEMA to DICOM 127 4.4 DICOM 3.0 Standard 129 4.5 Examples of Using DICOM 136 4.6 DICOM Organizational Structure and New Features 138 4.7 IHE (Integrating the Healthcare Enterprise) 142 4.8 Some Operating Systems and Programming Languages useful to HL7, DICOM and IHE 151 4.9 Summary of Industrial Standards: HL7, DICOM and IHE 153 References 153 Further Reading 154 5 DICOM-Compliant Image Acquisition Gateway and Integration of HIS, RIS, PACS and ePR 155 5.1 DICOM Acquisition Gateway 156 5.2 DICOM-Compliant Image Acquisition Gateway 157 5.3 Automatic Image Data Recovery Scheme for DICOM Conformance Device 162 5.4 Interface PACS Modalities with the Gateway Computer 164 5.5 DICOM Compliance PACS Broker 166 5.6 Image Preprocessing and Display 167 5.7 Clinical Operation and Reliability of the Gateway 168 5.8 Hospital Information System (HIS), Radiology Information System (RIS), and PACS 169 References 178 6 Web-Based Data Management and Image Distribution 179 6.1 Distributed Image File Server: PACS-Based Data Management 179 6.2 Distributed Image File Server 179 6.3 Web Server 181 6.4 Component-based Web Server for Image Distribution and Display 183 6.5 Performance Evaluation 188 6.6 Summary of PACS Data Management and Web]based Image Distribution 189 Further Reading 189 7 Medical Image Sharing for Collaborative Healthcare Based on IHE XDS-I Profile 191 7.1 Introduction 192 7.2 Brief Description of IHE XDS/XDS-I Profiles 193 7.3 Pilot Studies of Medical Image Sharing and Exchanging for a Variety of Healthcare Services 194 7.4 Results 206 7.5 Discussion 209 Acknowledgements 212 References 212 Part 3 Informatics, Data Grid, Workstation, Radiotherapy, Simulators, Molecular Imaging, Archive Server, and Cloud Computing 215 8 Data Grid for PACS and Medical Imaging Informatics 217 8.1 Distributed Computing 217 8.2 Grid Computing 219 8.3 Data Grid 222 8.4 Fault-Tolerant Data Grid for PACS Archive and Backup, Query/Retrieval, and Disaster Recovery 226 References 230 Further Reading 230 9 Data Grid for Clinical Applications 233 9.1 Clinical Trials and the Data Grid 233 9.2 Dedicated Breast MRI Enterprise Data Grid 239 9.3 Administrating the Data Grid 247 9.4 Summary 250 References 251 Further Reading 251 10 Display Workstations 253 10.1 PACS-Based Display Workstation 254 10.2 Various Types of Image Workstation 260 10.3 Image Display and Measurement Functions 263 10.4 Workstation Graphic User Interface (GUI) and Basic Display Functions 267 10.5 DICOM PC-Based Display Workstation Software 269 10.6 Post-Processing Workflow, PACS-Based Multidimensional Display, and Specialized Post-Processing Workstation 276 10.7 DICOM-Based Workstations in Progress 277 References 289 11 Multimedia Electronic Patient Record (EPR) System in Radiotherapy (RT) 291 11.1 Multimodality 2-D and 3-D Imaging in Radiotherapy 292 11.2 Multimedia ePR System in Radiation Treatment 298 11.3 Radiotherapy Planning and Treatment 301 11.4 Radiotherapy Workflow 302 11.5 The ePR Data Model and DICOM-RT Objects 303 11.6 Infrastructure, Workflow and Components of the Multimedia ePR in RT 306 11.7 Database Schema 309 11.8 Graphical User Interface Design 311 11.9 Validation of the Concept of Multimedia ePR System in RT 312 11.10 Advantages of the Multimedia ePR system in RT for Daily Clinical Practice 319 11.11 Use of the Multimedia ePR System in RT For Image-Assisted Knowledge Discovery and Decision Making 320 11.12 Summary 321 Acknowledgement 321 References 321 12 PACS-Based Imaging Informatics Simulators 325 12.1 Why Imaging Informatics Simulators? 326 12.2 PACS–ePR Simulator 328 12.3 Data Grid Simulator 329 12.4 CAD–PACS Simulator 331 12.5 Radiotherapy (RT) ePR Simulator 335 12.6 Image]assisted Surgery (IAS) ePR Simulator 338 12.7 Summary 344 Acknowledgements 344 References 344 13 Molecular Imaging Data Grid (MIDG) 347 13.1 Introduction 348 13.2 Molecular Imaging 348 13.3 Methodology 351 13.4 Results 358 13.5 Discussion 360 13.6 Summary 361 Acknowledgements 361 References 362 14 A DICOM-Based Second-Generation Molecular Imaging Data Grid (MIDG) with the IHE XDS-i Integration Profile 365 14.1 Introduction 366 14.2 Methodology 369 14.3 System Implementation 371 14.4 Data Collection and Normalization 375 14.5 System Performance 378 14.6 Data Transmission, MIDG Implementation, Workflow and System Potential 380 14.7 Summary 383 Acknowledgements 386 References 386 15 PACS-Based Archive Server and Cloud Computing 389 15.1 PACS-Based Multimedia Biomedical Imaging Informatics 390 15.2 PACS-Based Server and Archive 390 15.3 PACS-Based Archive Server System Operations 396 15.4 DICOM-Compliant PACS-Based Archive Server 397 15.5 DICOM PACS-Based Archive Server Hardware and Software 399 15.6 Backup Archive Server and Data Grid 400 15.7 Cloud Computing and Archive Server 403 Acknowledgements 414 References 414 Part 4 Multimedia Imaging Informatics, Computer-Aided Diagnosis (CAD), Image-Guide Decision Support, Proton Therapy, Minimally Invasive Multimedia Image-Assisted Surgery, Big Data 417 Prologue – Chapters 16, 17 and 18 417 16 DICOM-Based Medical Imaging Informatics and CAD 419 16.1 Computer]Aided Diagnosis (CAD) 420 16.2 Integration of CAD with PACS-Based Multimedia Informatics 425 16.3 The CAD–PACS Integration Toolkit 429 16.4 Data Flow of the three CAD–PACS Editions Integration Toolkit 432 References 433 Further Reading 434 17 DICOM-Based CAD: Acute Intracranial Hemorrhage and Multiple Sclerosis 435 17.1 Computer]Aided Detection (CAD) of Small Acute Intracranial Hemorrhage on CT of the brain 435 17.2 Development of the CAD Algorithm for AIH on CT 436 17.3 CAD-PACS Integration 452 17.4 Multiple Sclerosis (MS) on MRI 456 References 461 Further Reading 461 18 PACS-Based CAD: Digital Hand Atlas and Bone Age Assessment of children 463 18.1 Average Bone Age of a Child 464 18.2 Bone Age Assessment of Children 466 18.3 Method of Analysis 473 18.4 Integration of CAD with PACS-Based Multimedia Informatics for Bone Age Assessment of Children: The CAD System 479 18.5 Validation of the CAD and the Comparison of CAD Result with Radiologists' Assessment 483 18.6 Clinical Evaluation of the CAD System for Bone Age Assessment (BAA) 489 18.7 Integrating CAD for Bone Age Assessment with Other Informatics Systems 493 18.8 Research and Development Trends in CAD–PACS Integration 497 Acknowledgements 499 References 499 Further Reading 500 19 Intelligent ePR System for Evidence-Based Research in Radiotherapy 503 19.1 Introduction 503 19.2 Proton Therapy Clinical Workflow and Data 506 19.3 Proton Therapy ePR System 508 19.4 System Implementation 511 19.5 Results 512 19.6 Conclusion and Discussion 520 Acknowledgements 522 References 522 20 Multimedia Electronic Patient Record System for Minimally Invasive Image]Assisted Spinal Surgery 525 20.1 Integration of Medical Diagnosis with Image]Assisted Surgery Treatment 526 20.2 Minimally Invasive Spinal Surgery Workflow 535 20.3 Multimedia ePR System for Image]Assisted MISS Workflow and Data Model 536 20.4 ePR MISS System Architecture 538 20.5 Pre-Op Authoring Module 543 20.6 Intra-Op Module 547 20.7 Post-Op Module 553 20.8 System Deployment, User Training and Support 554 20.9 Summary 557 References 557 21 From Minimally Invasive Spinal Surgery to Integrated Image-Assisted Surgery in Translational Medicine 559 21.1 Introduction 560 21.2 Integrated Image-Assisted Minimally Invasive Spinal Surgery 561 21.3 IIA-MISS EMR System Evaluation 565 21.4 To Fulfill some Translational Medicine Aims 569 21.5 Summary 571 21.6 Contribution from Colleagues 572 Acknowledgement 572 References 572 22 Big Data in PACS-Based Multimedia Medical Imaging Informatics 575 22.1 Big Data in PACS-Based Multimedia Medical Imaging Informatics 575 22.2 Characters and Challenges of Medical Image Big Data 577 22.3 Possible and Potential Solutions of Big Data in DICOM PACS-Based Medical Imaging and Informatics 581 22.4 Research Projects Related to Medical Imaging Big Data 586 22.5 Summary of Big Data 587 Acknowledgements 588 References 588 Index 591

Long Description

Thoroughly revised to present the very latest in PACS-based multimedia in medical imaging informatics from the electronic patient record to the full range of topics in digital medical imaging this new edition by the founder of PACS and multimedia image informatics features even more clinically applicable material than ever before. It uses the framework of PACS-based image informatics, not physics or engineering principles, to explain PACS-based multimedia informatics and its application in clinical settings and labs. New topics include Data Grid and Cloud Computing, IHE XDS-I Workflow Profile (Integrating the Healthcare Enterprise Cross-enterprise Document Sharing for Imaging), extending XDS to share images, and diagnostic reports and related information across a group of enterprise health care sites. PACS-Based M ultimedia Imaging Informatics is presented in 4 sections. Part 1 covers the beginning and history of Medical Imaging, PACS, and Imaging Informatics. The other three sections cover Medical Imaging, Industrial Guidelines, Standards, and Compliance; Informatics, Data Grid, Workstation, Radiation Therapy, Simulators, Molecular Imaging, Archive Server, and Cloud Computing; and multimedia Imaging Informatics, Computer-Aided Diagnosis (CAD), Image-Guide Decision Support, Proton Therapy, Minimally Invasive Multimedia Image-Assisted Surgery, BIG DATA. New chapter on Molecular Imaging Informatics Expanded coverage of PACS and eHRs (Electronic Health Record), with HIPPA compliance New coverage of PACS-based CAD (Computer-Aided Diagnosis) Reorganized and expanded clinical chapters discuss one distinct clinical application each Minimally invasive image assisted surgery in translational medicine Authored by the worlds first and still leading authority on PACS and medical imaging PACS-Based Multimedia Imaging Informatics: Basic Principles and Applications, 3rd Edition is the single most comprehensive and authoritative resource that thoroughly covers the critical issues of PACS-based hardware and software design and implementation in a systematic and easily comprehensible manner. It is a must-have book for all those involved in designing, implementing, and using PACS-based Multimedia Imaging Informatics.

Feature

Foreword 1 xxix Foreword 2 xxxi Foreword 3 xxxiii Preface to the Third Edition xxxv Preface to the Second Edition xxxix Acknowledgments xliii H.K. Huang Short Biography xlv List of Acronyms xlvii Part 1 The Beginning: Retrospective 1 1 Medical Imaging, PACS and Imaging Informatics: Retrospective 3 Part 2 Medical Imaging, Industrial Guidelines, Standards, and Compliance 37 2 Digital Medical Imaging 39 3 PACS Fundamentals 97 4 Industrial Standards: Health Level 7 (HL7), Digital Imaging and Communications in Medicine (DICOM) and Integrating the Healthcare Enterprise (IHE) 123 5 DICOM?Compliant Image Acquisition Gateway and Integration of HIS, RIS, PACS and ePR 155 6 Web?Based Data Management and Image Distribution 179 7 Medical Image Sharing for Collaborative Healthcare Based on IHE XDS?I Profile 191 Part 3 Informatics, Data Grid, Workstation, Radiotherapy, Simulators, Molecular Imaging, Archive Server, and Cloud Computing 215 8 Data Grid for PACS and Medical Imaging Informatics 217 9 Data Grid for Clinical Applications 233 10 Display Workstations 253 11 Multimedia Electronic Patient Record (EPR) System in Radiotherapy (RT) 291 12 PACS?Based Imaging Informatics Simulators 325 13 Molecular Imaging Data Grid (MIDG) 347 14 A DICOM?Based Second-Generation Molecular Imaging Data Grid (MIDG) with the IHE XDS?i Integration Profile 365 15 PACS?Based Archive Server and Cloud Computing 389 Part 4 Multimedia Imaging Informatics, Computer-Aided Diagnosis (CAD), Image-Guide Decision Support, Proton Therapy, Minimally Invasive Multimedia Image-Assisted Surgery, Big Data 417 Prologue - Chapters 16, 17 and 18 417 16 DICOM-Based Medical Imaging Informatics and CAD 419 17 DICOM?Based CAD: Acute Intracranial Hemorrhage and Multiple Sclerosis 435 18 PACS?Based CAD: Digital Hand Atlas and Bone Age Assessment of children 463 19 Intelligent ePR System for Evidence?Based Research in Radiotherapy 503 20 Multimedia Electronic Patient Record System for Minimally Invasive Image?Assisted Spinal Surgery 525 21 From Minimally Invasive Spinal Surgery to Integrated Image?Assisted Surgery in Translational Medicine 559 22 Big Data in PACS?Based Multimedia Medical Imaging Informatics 575 Index 591

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