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Imaging informatics is often lacking in hospitals equipped with digital modalities.
All studies of the digital modalities of CT, MRI, and digital radiography were archived automatically on the PACS server, while selected sets of images from the different ultrasound units were archived and routed to the diagnostic workstation on demand.
We considered an MU to be any X-ray machine used for breast examination, through either analogical or digital modalities.
Other validation studies, such as the one by Fine et al. [ 38], reported on the review of IHC slides but that review was one of multiple components to render primary diagnosis and they did not report on the direct comparison of optical and digital modalities for IHC directly.
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The 'public' face of this digital modality of presentation is perhaps the Facebook, Twitter, Blog, and such like.
Table 1 Estimated volumes of image data generated by the three main digital imaging modalities based on the current number of studies performed Modality Studies/year MB/study Est Total vol. (GB) CT 6000 250 1500 MR 4000 40 160 Dig RX 5000 15 75 Total 1735 These volumes are based on uncompressed data; lossless compression can reduce these volumes by half.
In addition to the three main digital imaging modalities, there is a volume of selected images and dynamic sequences from ultrasound examinations that are being archived for reference and follow-up of patients.
Digital imaging modalities are becoming more widely available even in remote areas of emerging countries extending the capabilities of these areas to provide higher quality of care and diagnostic capabilities locally.
This pilot project of implementing a robust and cost-effective solution for image management and interpretation allowed establishing a model of a system that can easily be disseminated in a large number of institutions around the world that already have digital imaging modalities but cannot afford the purchase and implementation of image management infrastructure and PACS systems.
The current data do not support these clinical applications at the present time, but they provide a solid basis for extending this novel research into larger, more rigorously-designed studies utilizing digital imaging modalities.
Although large-scale comparative morphological analyses based on advanced digital imaging modalities have so far been exploited only in a handful of studies [ 10, 14, 28], the predicted increase in digital data necessitates advances primarily in two areas: the remote visualization of complex data and the creation of a universally accepted morphological database.
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