1. Speaker’s Disclaimer The speaker is an employee of Agfa HealthCare
This presentation is not meant to offer medical, legal, regulatory compliance or advice, and is not intended to establish a standard of care
The speaker is not promoting any service or product
References have been cited for publicly available information, copyrighted material including figures, quotes etc.
The content has been created for educational purposes, and many not be distributed without permission from the presenter

2. History and Future of Imaging Information Technology
Franz Tiani

3. History of Medical Imaging Technology
History and Future of Imaging Information Technology
History of Medical Imaging Technology
1895 X-rays
1955 Ultrasound
1957 Endoscope
1967 Computer Tomography
1970s NMR cancer detection
MRI images
PET Camera
1980s MRI in hospitals
Digital Pathology
Educational Presentation

4. History of Medical Image Management
History and Future of Imaging Information Technology
History of Medical Image Management
First PACS Precursor DIOGENE
1979 Theoretical PACS Groundwork
First PACS Conference
First PACS in a Health System
DICOM Standards Committee founded
VNA Concepts Presented
IHE Founded
2016 Enterprise Imaging
Educational Presentation

5. VISUALIZATION CHALLENGES
History and Future of Imaging Information Technology
VISUALIZATION CHALLENGES
1895
NOW
Educational Presentation

6. VISUALIZATION CHALLENGES
History and Future of Imaging Information Technology
VISUALIZATION CHALLENGES
Educational Presentation

7. Hospital District of Helsinki and Uusimaa
Real World Example
Hospital District of Helsinki and Uusimaa
Educational Presentation

8. Hospital District of Helsinki and Uusimaa
Real World Example
Hospital District of Helsinki and Uusimaa
Educational Presentation

9. Hospital District of Helsinki and Uusimaa
Real World Example
Hospital District of Helsinki and Uusimaa
Educational Presentation

10. BIG DATA CHALLENGES Digital Universe Digital Health Digital Health
History and Future of Imaging Information Technology
BIG DATA CHALLENGES
Digital Universe
Consolidation
Future proof platform
2020
By the year 2020, about 1.7 megabytes of new information will be created every second for every human being on the planet 04 03
Data Silos
Stand alone systems
Governance
Where to begin
Digital Health
Digital Health
2020
2020
Avalanche of new research, clinical trials, scientific studies, and patient health information.
Challenge for doctors and medical researchers to keep up 02 01
Technology
Older IT Systems
Ref:
Educational Presentation

11. HEALTHCARE EXPENDITURE vs. QUALITY
History and Future of Imaging Information Technology
HEALTHCARE EXPENDITURE vs. QUALITY
Healthcare expenditures as % of GDP
Health Expenditure per capita, 2014 (OECD stat)
Health Care Access and Quality Index
How well do countries’ healthcare systems
treat preventable deaths?
Private Public & Compulsory
Health outcomes that matter to patients
VALUE BASED CARE =
Cost of delivering those outcomes
Educational Presentation

12. HEALTHCARE IS UNDERGOING TRANSFORMATION
History and Future of Imaging Information Technology
HEALTHCARE IS UNDERGOING TRANSFORMATION
Hospital-Centric Model
FROM
Population-Centric Model
TOWARDS
Drivers of Model Transformation
Coordinated, collaborative care across the continuum
Standardized care approaches to reduce care variation
Optimized service distribution to ensure the right care at the right site
New value-based models and other financial incentives
Visionary frameworks:
DHA 2021, HIMMS DIAM, AI,
Machine Learning….
Integrated
Care
Hospital Services
Prescription Services
Physician and Clinical Services
Home Health and Nursing Home Care
All Other
Educational Presentation

13. History and Future of Imaging Information Technology
EVOLUTION OF EMR
Pharmacy
Medical Insurance
Forms
Clinical
Reports
Appointment
Physician Documents
Lab Results
OB-Gyn
Nurse
Charts
Medical Reports
Referral Documents
Scheduling
Transition to some Digital Solutions improved specialty efficiencies, and helped reduce busy paper work
Paper based medical records, difficult to understand, comprehension challenges, and error prone
Educational Presentation

14. MEDICAL IMAGING IS EXPANDING
Multispecialty Medical Imaging
MEDICAL IMAGING IS EXPANDING
Bifurcation
Educational Presentation

15. Artificial Intelligence
History and Future of Imaging Information Technology
IMAGING HEALTH RECORD
PACS
Care-centric
Workflow
Clinical Imaging
Diagnostic
Imaging
VNA
Documents
Universal
Viewer
Image
Exchange
Cloud
Mobility
Analytics
Artificial Intelligence
RIS
Reporting
Mobile
& Web
Consolidated Archive
Educational Presentation

16. Integrated Care Specialist Nurse GP Psychiatrist Home nurse
History and Future of Imaging Information Technology
Integrated Care
Specialist
Nurse GP
Psychiatrist
Home nurse
Nutritionist
Specialist
Educational Presentation

17. MAMMO SCREEING CHALLENGE
What have we learned so far
Educational Presentation

18. BREAST CANCER CHALLENGE
History and Future of Imaging Information Technology
BREAST CANCER CHALLENGE
Educational Presentation

19. BREAST CANCER CHALLENGE
History and Future of Imaging Information Technology
BREAST CANCER CHALLENGE
In 2010, nearly 1.5 million people were told “you have breast cancer”
Dramatically, one-third of these cancer deaths could be decreased if detected and treated early. In a worldwide context, this means nearly 400,000 lives could be saved every year.*
( figures)
Educational Presentation

20. Educational Presentation
Breast Cancer in UAE
More than 20 per cent of all female deaths in the UAE are caused by breast cancer
The deadly disease is attributed to almost 40 per cent of all cancer cases
Girls as young as 17 are at risk
‘UAE’s median age of breast cancer diagnosis years younger than in West’
Breast cancer deaths rates have declined from 8.7 per 100,000 women in 2009 to five per 100,000 women in 2014, with late detection of the disease going down from 64 per cent in 2009 to 16 per cent in 2013.
Educational Presentation

21. BREAST CANCER CHALLENGE IN UAE
History and Future of Imaging Information Technology
BREAST CANCER CHALLENGE IN UAE
More than 20 per cent of all female deaths in the UAE are caused by breast cancer
The deadly disease is attributed to almost 40 per cent of all cancer cases
Girls as young as 17 are at risk
‘UAE’s median age of breast cancer diagnosis years younger than in West’
Breast cancer deaths rates have declined from 8.7 per 100,000 women in 2009 to five per 100,000 women in 2014, with late detection of the disease going down from 64 per cent in 2009 to 16 per cent in 2013.
Educational Presentation

22. HOW CAN ARTIFICIAL INTELLIGENCE HELP
Machine Learning – Cognitive Computing – Artificial Intelligence
Educational Presentation

23. AI ENABLED CLINICAL INTELLIGENCE
Analytics: The Next Frontier
AI ENABLED CLINICAL INTELLIGENCE
Cancer Diagnostics, Chronic Diseases
Population Health
Analytics performed prior to review for immediate classification of studies
Clinical Triage
Clinical intelligence delivered in real-time to the clinician at the time of exam review
Point of Care Analysis
Educational Presentation

24. Educational Presentation
Clinical Challenges in Mammography
High volume of cases assigned to each radiologist
Unable to intelligently sort and prioritize worklists
Inter-observer variability among radiologists
High cost to recall patients
High cost of unnecessary biopsies
Educational Presentation

25. Educational Presentation
Workflow Triage
Task-based Rules Optimization:
It is the coupling of artificial intelligence – the AI’s quantification of a lesion - and real intelligence – the doctor’s interpretation of a lesion – and creating of automated rules to achieve the highest standard of patient care with workflow automation.
Work List Prioritization
Clinical Protocol Optimization
Resource Utilization
Real-time Notifications
Educational Presentation

26. TB (TUBERCULOSIS) CHALLENGE
Roughly one-third of the world's population has been infected with M. tuberculosis
Global figures released last year by the WHO showed that in 2015,
some 1.8 million people died from TB.
Educational Presentation

27. TB (Tuberculosis) detection – First World Challenge
Educational Presentation

28. Educational Presentation
TB (Tuberculosis) detection – First World Challenge
Educational Presentation

29. Dubai Health Authority – Region’s First AI Project
Work in Progress

30. VALUE-BASED VALIDATION OF AI – Excellent Results
Work in Progress

31. What’s Next?
Intersection of machine learning and advanced applications, where clinical knowledge and medical data converge.
Realize benefits using AI in context of workflows and systems that healthcare practitioners operate & interact with.
Amplify human intelligence.
Work in Progress

32. THANK YOU