![]() ![]() The Radiology Information System Consortium (progenitor of the Society for Imaging Informatics in Medicine) teamed up with the Digital Equipment Corporation to create DECrad, 1 a breakthrough in the transition from hardcopy reports and manual billing to the digital reports and billing of the digital era. One of the first was the development, in 1982, of the radiology information system. ![]() There have been many critical milestones along that journey of imaging informatics. Nearly instantaneous results for information by searching the Internet (“ the inter-what?”) rather than by pulling old textbooks off reading room shelves.Artificial intelligence (AI) that swiftly detects and diagnoses cancer and microcalcifications on mammograms and other studies-in the place of a second, human, reader.“Wet Reads” for the emergency department appearing digitally just seconds after images are obtained, rather than being grabbed while actually still wet from being hand dipped into processing solution.Images optimized for contrast and brightness digitally rather than with a mounted light bulb and floor pedal.High-resolution images immediately available on monitors with automated hanging protocols, rather than being hung manually on a film alternator by the film librarian.Radiologists-not transcriptionists-creating their own reports using speech recognition, with turnaround times measured in minutes instead of days.Upwards of 50,000 images being reviewed each day, rather than just a few hundred.Universal and instant access to images using computer workstations.Wiping the sleep from his eyes, the good doctor would see: Despite the many amazing developments in MRI, CT, and other modalities, our radiologist might be most astounded by how radiology itself has changed during those intervening years, thanks to advances in imaging informatics. Imagine a radiologist who, like Rip van Winkle, falls into a deep slumber in 1971 and wakes up 50 years later. ![]()
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