Review
. 2016 Sep; 29(5):583-614.
doi: 10.1007/s10278-016-9899-4.

Technical Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper

David A Clunie 1 Don K Dennison 2 Dawn Cram 3 Kenneth R Persons 4 Mark D Bronkalla 5 Henri Rik Primo 6 
Affiliations
  • PMID: 27576909
  •     59 References
  •     17 citations

Abstract

This white paper explores the technical challenges and solutions for acquiring (capturing) and managing enterprise images, particularly those involving visible light applications. The types of acquisition devices used for various general-purpose photography and specialized applications including dermatology, endoscopy, and anatomic pathology are reviewed. The formats and standards used, and the associated metadata requirements and communication protocols for transfer and workflow are considered. Particular emphasis is placed on the importance of metadata capture in both order- and encounter-based workflow. The benefits of using DICOM to provide a standard means of recording and accessing both metadata and image and video data are considered, as is the role of IHE and FHIR.

Keywords: Anatomic pathology; Archive; Dermatology; Digital Imaging and Communications in Medicine (DICOM); Digital image management; EXIF; Endoscopy; Enterprise Image Repository; Enterprise PACS; Enterprise imaging; Enterprise imaging platform; FHIR; Image compression; Image distribution; Image file format; Integrating the Healthcare Enterprise (IHE); Interoperability; Medical image sharing; Metadata; Migration; Multimedia; PACS; PACS implementation; Photography; Vendor neutral archive (VNA); Visible light; Whole slide imaging; XDS; XDS-I.

The art and science of photography in hand surgery.
Keming Wang, Evan J Kowalski, Kevin C Chung.
J Hand Surg Am, 2013 Jun 13; 39(3). PMID: 23755927    Free PMC article.
Review.
A Foundation for Enterprise Imaging: HIMSS-SIIM Collaborative White Paper.
Christopher J Roth, Louis M Lannum, Kenneth R Persons.
J Digit Imaging, 2016 Jun 02; 29(5). PMID: 27245774    Free PMC article.
Review.
Medicolegal-Malpractice and Ethical Issues in Radiology.
Leonard Berlin.
AJR Am J Roentgenol, 2016 May 05; 207(2). PMID: 27145243
Informatics in radiology: DICOM-RT-based electronic patient record information system for radiation therapy.
Maria Y Y Law, Brent Liu, Lawrence W Chan.
Radiographics, 2009 May 19; 29(4). PMID: 19448106
Review.
Enterprise Imaging Governance: HIMSS-SIIM Collaborative White Paper.
Christopher J Roth, Louis M Lannum, Carol L Joseph.
J Digit Imaging, 2016 Jun 16; 29(5). PMID: 27301709    Free PMC article.
Review.
Standardizing the use of whole slide images in digital pathology.
Christel Daniel, Marcial García Rojo, +4 authors, Thomas Schrader.
Comput Med Imaging Graph, 2011 Jan 19; 35(7-8). PMID: 21242058
"Permanent" records: experience with data migration in radiology information system and picture archiving and communication system replacement.
F M Behlen, R E Sayre, J B Weldy, J S Michael.
J Digit Imaging, 2000 Jun 10; 13(2 Suppl 1). PMID: 10847391    Free PMC article.
Ophthalmic manifestations of systemic diseases--part 1: phakomatoses, hematologic malignancies, metastases, and histiocytosis.
Sanjay Sharma, Ananya Panda, +2 authors, Shefali K Sharma.
Curr Probl Diagn Radiol, 2014 Jun 21; 43(4). PMID: 24948211
Review.
Requirements for an enterprise digital image archive.
B J Erickson, K R Persons, +3 authors, D G Gehring.
J Digit Imaging, 2001 Jul 07; 14(2). PMID: 11440257    Free PMC article.
Regulatory barriers surrounding the use of whole slide imaging in the United States of America.
Anil V Parwani, Lewis Hassell, Eric Glassy, Liron Pantanowitz.
J Pathol Inform, 2014 Nov 08; 5(1). PMID: 25379344    Free PMC article.
Special requirements for electronic health record systems in ophthalmology.
Michael F Chiang, Michael V Boland, +9 authors, American Academy of Ophthalmology Medical Information Technology Committee.
Ophthalmology, 2011 Jun 18; 118(8). PMID: 21680023
Implementation of whole slide imaging in surgical pathology: A value added approach.
Mike Isaacs, Jochen K Lennerz, +3 authors, John D Pfeifer.
J Pathol Inform, 2011 Oct 05; 2. PMID: 21969920    Free PMC article.
The use of digital cameras by US dermatologists.
Peter Accetta, Julia Accetta, James Kostecki.
J Am Acad Dermatol, 2013 Oct 16; 69(5). PMID: 24124827
Storage and distribution of pathology digital images using integrated web-based viewing systems.
Alberto M Marchevsky, Ronda Dulbandzhyan, +2 authors, Raymond G Duncan.
Arch Pathol Lab Med, 2002 Apr 18; 126(5). PMID: 11958657
Review.
Image acquisition context: procedure description attributes for clinically relevant indexing and selective retrieval of biomedical images.
W D Bidgood, B Bray, +8 authors, M Berg.
J Am Med Inform Assoc, 1999 Jan 30; 6(1). PMID: 9925229    Free PMC article.
Fundus Photography in the 21st Century--A Review of Recent Technological Advances and Their Implications for Worldwide Healthcare.
Nishtha Panwar, Philemon Huang, +6 authors, Rupesh Agrawal.
Telemed J E Health, 2015 Aug 27; 22(3). PMID: 26308281    Free PMC article.
Review.
The history of pathology informatics: A global perspective.
Seung Park, Anil V Parwani, +15 authors, Liron Pantanowitz.
J Pathol Inform, 2013 Jul 23; 4. PMID: 23869286    Free PMC article.
The Current State and Path Forward For Enterprise Image Viewing: HIMSS-SIIM Collaborative White Paper.
Christopher J Roth, Louis M Lannum, Donald K Dennison, Alexander J Towbin.
J Digit Imaging, 2016 Jul 31; 29(5). PMID: 27473474    Free PMC article.
Review.
Scalable analysis of Big pathology image data cohorts using efficient methods and high-performance computing strategies.
Tahsin Kurc, Xin Qi, +7 authors, David J Foran.
BMC Bioinformatics, 2015 Dec 03; 16. PMID: 26627175    Free PMC article.
Considerations for Exchanging and Sharing Medical Images for Improved Collaboration and Patient Care: HIMSS-SIIM Collaborative White Paper.
Amy Vreeland, Kenneth R Persons, +6 authors, Chris Bashall.
J Digit Imaging, 2016 Jun 29; 29(5). PMID: 27351992    Free PMC article.
Review.
Usability of irreversible image compression in radiological imaging. A position paper by the European Society of Radiology (ESR).
European Society of Radiology (ESR).
Insights Imaging, 2012 Feb 22; 2(2). PMID: 22347940    Free PMC article.
Enterprise-wide PACS: beyond radiology, an architecture to manage all medical images.
David Bandon, Christian Lovis, Antoine Geissbühler, Jean-Paul Vallée.
Acad Radiol, 2005 Aug 10; 12(8). PMID: 16087095
[Compression of digital images in radiology - results of a consensus conference].
R Loose, R Braunschweig, +3 authors, M Wucherer.
Rofo, 2008 Dec 31; 181(1). PMID: 19115165
Effects of JPEG2000 data compression on an automated system for detecting clustered microcalcifications in digital mammograms.
Mónica Penedo, María J Lado, +2 authors, Juan J Vidal.
IEEE Trans Inf Technol Biomed, 2006 Apr 19; 10(2). PMID: 16617624
The virtual microscope.
Umit Catalyürek, Michael D Beynon, +3 authors, Joel Saltz.
IEEE Trans Inf Technol Biomed, 2004 Mar 06; 7(4). PMID: 15000350
Image management systems.
ASGE Technology Committee, Faris M Murad, +12 authors, Sarah A Rodriguez.
Gastrointest Endosc, 2013 Nov 19; 79(1). PMID: 24239253
Review.
Digital dynamic telepathology--the Virtual Microscope.
A Afework, M D Beynon, +8 authors, H Tsang.
Proc AMIA Symp, 1999 Feb 03;. PMID: 9929351    Free PMC article.
Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper.
Alexander J Towbin, Christopher J Roth, Mark Bronkalla, Dawn Cram.
J Digit Imaging, 2016 Aug 17; 29(5). PMID: 27527613    Free PMC article.
Review.
Standardization in digital pathology: Supplement 145 of the DICOM standards.
Rajendra Singh, Lauren Chubb, Liron Pantanowitz, Anil Parwani.
J Pathol Inform, 2011 Jun 03; 2. PMID: 21633489    Free PMC article.
Using Object Storage Technology vs Vendor Neutral Archives for an Image Data Repository Infrastructure.
Brian Bialecki, James Park, Mike Tilkin.
J Digit Imaging, 2016 Feb 14; 29(4). PMID: 26872657    Free PMC article.
Where next for the endoscope?
Ricardo A Natalin, Jaime Landman.
Nat Rev Urol, 2009 Nov 06; 6(11). PMID: 19890341
Review.
Enterprise PACS and image distribution.
H K Huang.
Comput Med Imaging Graph, 2003 Mar 07; 27(2-3). PMID: 12620314
Review.
A DICOM document-oriented approach to PACS infrastructure.
F Behlen.
J Digit Imaging, 1998 Sep 15; 11(3 Suppl 1). PMID: 9735429    Free PMC article.
Review.
Enterprise imaging and multi-departmental PACS.
Björn Bergh.
Eur Radiol, 2006 Aug 17; 16(12). PMID: 16912852
Strategies for efficient virtual microscopy in pathological samples using JPEG2000.
Marcela Iregui, Francisco Gómez, Eduardo Romero.
Micron, 2007 Jun 29; 38(7). PMID: 17596952
Digital DICOM in Dentistry.
Jeff Burgess.
Open Dent J, 2015 Oct 16; 9. PMID: 26464603    Free PMC article.
Digital storage of echocardiograms offers superior image quality to analog storage, even with 20:1 digital compression: results of the Digital Echo Record Access Study.
T H Karson, R C Zepp, +2 authors, J D Thomas.
J Am Soc Echocardiogr, 1996 Nov 01; 9(6). PMID: 8943436
Metadata matters: access to image data in the real world.
Melissa Linkert, Curtis T Rueden, +13 authors, Jason R Swedlow.
J Cell Biol, 2010 Jun 02; 189(5). PMID: 20513764    Free PMC article.
Highly Cited.
Effect of image compression and resolution on retinal vascular caliber.
Thomas W Pauli, Sapna Gangaputra, +6 authors, Ronald P Danis.
Invest Ophthalmol Vis Sci, 2012 Jun 28; 53(9). PMID: 22736618
ACR-AAPM-SIIM technical standard for electronic practice of medical imaging.
James T Norweck, J Anthony Seibert, +7 authors, Tariq A Mian.
J Digit Imaging, 2012 Sep 21; 26(1). PMID: 22992866    Free PMC article.
American Telemedicine Association's Practice Guidelines for Teledermatology.
Elizabeth Krupinski, Anne Burdick, +23 authors, Jonathan Linkous.
Telemed J E Health, 2008 Jun 24; 14(3). PMID: 18570555
Modular extension of the ACR-NEMA DICOM standard to support new diagnostic imaging modalities and services.
W D Bidgood, S C Horii.
J Digit Imaging, 1996 May 01; 9(2). PMID: 8734576
Review.
Orders- Versus Encounters-Based Image Capture: Implications Pre- and Post-Procedure Workflow, Technical and Build Capabilities, Resulting, Analytics and Revenue Capture: HIMSS-SIIM Collaborative White Paper.
Dawn Cram, Christopher J Roth, Alexander J Towbin.
J Digit Imaging, 2016 Jul 16; 29(5). PMID: 27417208    Free PMC article.
Review.
Image data sharing for biomedical research--meeting HIPAA requirements for De-identification.
John B Freymann, Justin S Kirby, +2 authors, C Carl Jaffe.
J Digit Imaging, 2011 Nov 01; 25(1). PMID: 22038512    Free PMC article.
Review.
Optical coherence tomography in dermatology.
Elke Sattler, Raphaela Kästle, Julia Welzel.
J Biomed Opt, 2013 Jan 15; 18(6). PMID: 23314617
Review.
Providing a complete online multimedia patient record.
R E Dayhoff, P M Kuzmak, G Kirin, S Frank.
Proc AMIA Symp, 1999 Nov 24;. PMID: 10566357    Free PMC article.
Facial recognition software success rates for the identification of 3D surface reconstructed facial images: implications for patient privacy and security.
Jan C Mazura, Krishna Juluru, +3 authors, Eliot L Siegel.
J Digit Imaging, 2011 Nov 09; 25(3). PMID: 22065158    Free PMC article.
Review of the current state of whole slide imaging in pathology.
Liron Pantanowitz, Paul N Valenstein, +5 authors, Terence J Colgan.
J Pathol Inform, 2011 Sep 03; 2. PMID: 21886892    Free PMC article.
Highly Cited.
Informatics challenges-lossy compression in medical imaging.
Don Dennison, Kinson Ho.
J Digit Imaging, 2014 May 06; 27(3). PMID: 24793020    Free PMC article.
Consistency and standardization of color in medical imaging: a consensus report.
Aldo Badano, Craig Revie, +22 authors, Summit on Color in Medical Imaging.
J Digit Imaging, 2014 Jul 10; 28(1). PMID: 25005868    Free PMC article.
DICOM data migration for PACS transition: procedure and pitfalls.
Peter M A van Ooijen, Kadek Yota Aryanto, André Broekema, Steven Horii.
Int J Comput Assist Radiol Surg, 2014 Oct 28; 10(7). PMID: 25346024
Ophthalmic manifestations of systemic diseases--part 2: metabolic, infections, granulomatoses, demyelination, and skeletal dysplasias.
Ananya Panda, Sanjay Sharma, +2 authors, Shefali K Sharma.
Curr Probl Diagn Radiol, 2014 Aug 05; 43(5). PMID: 25088219
Review.
Transmission failure rate for computed tomography examinations in a filmless imaging department.
B Reiner, E Siegel, P Kuzmak, S Severance.
J Digit Imaging, 2000 Jun 10; 13(2 Suppl 1). PMID: 10847369    Free PMC article.
Facial recognition from volume-rendered magnetic resonance imaging data.
Fred W Prior, Barry Brunsden, +4 authors, Linda J Larson-Prior.
IEEE Trans Inf Technol Biomed, 2009 Jan 09; 13(1). PMID: 19129018
Endoscopic electronic medical record systems.
ASGE Technology Committee, Michael A Manfredi, +10 authors, Subhas Banerjee.
Gastrointest Endosc, 2015 Dec 01; 83(1). PMID: 26616725
Review.
Digital pathology: A systematic evaluation of the patent landscape.
Ioan C Cucoranu, Anil V Parwani, +2 authors, Liron Pantanowitz.
J Pathol Inform, 2014 Jul 25; 5(1). PMID: 25057430    Free PMC article.
OpenSlide: A vendor-neutral software foundation for digital pathology.
Adam Goode, Benjamin Gilbert, +2 authors, Mahadev Satyanarayanan.
J Pathol Inform, 2013 Nov 19; 4. PMID: 24244884    Free PMC article.
Linking whole-slide microscope images with DICOM by using JPEG2000 interactive protocol.
Vilppu J Tuominen, Jorma Isola.
J Digit Imaging, 2009 May 06; 23(4). PMID: 19415383    Free PMC article.
The application of JPEG2000 in virtual microscopy.
Vilppu J Tuominen, Jorma Isola.
J Digit Imaging, 2007 Nov 14; 22(3). PMID: 17999112    Free PMC article.
Time-lapsed, large-volume, high-resolution intravital imaging for tissue-wide analysis of single cell dynamics.
David Entenberg, Jessica M Pastoriza, +5 authors, John Condeelis.
Methods, 2017 Sep 16; 128. PMID: 28911733    Free PMC article.
Implementation of Enterprise Imaging Strategy at a Chinese Tertiary Hospital.
Shanshan Li, Yao Liu, +4 authors, Xiaolu Fei.
J Digit Imaging, 2018 Jan 06; 31(4). PMID: 29302768    Free PMC article.
Transforming Dermatologic Imaging for the Digital Era: Metadata and Standards.
Liam J Caffery, David Clunie, +3 authors, Allan C Halpern.
J Digit Imaging, 2018 Jan 19; 31(4). PMID: 29344752    Free PMC article.
Review.
Digital Imaging and Communications in Medicine Whole Slide Imaging Connectathon at Digital Pathology Association Pathology Visions 2017.
David Clunie, Dan Hosseinzadeh, +16 authors, Liron Pantanowitz.
J Pathol Inform, 2018 Apr 06; 9. PMID: 29619278    Free PMC article.
Optimized JPEG 2000 Compression for Efficient Storage of Histopathological Whole-Slide Images.
Henrik Helin, Teemu Tolonen, +3 authors, Jorma Isola.
J Pathol Inform, 2018 Jun 19; 9. PMID: 29910969    Free PMC article.
Implementing the DICOM Standard for Digital Pathology.
Markus D Herrmann, David A Clunie, +19 authors, Jochen K Lennerz.
J Pathol Inform, 2018 Dec 12; 9. PMID: 30533276    Free PMC article.
Fundamentals of Enterprise Photodocumentation: Connecting the Clinical and Technical-a Review of Key Concepts.
Cheryl A Petersilge.
J Digit Imaging, 2019 Apr 24; 32(6). PMID: 31011957    Free PMC article.
Review.
Pathology Image Exchange: The Dutch Digital Pathology Platform for Exchange of Whole-Slide Images for Efficient Teleconsultation, Telerevision, and Virtual Expert Panels.
Paul J van Diest, André Huisman, +10 authors, Katrien Grünberg.
JCO Clin Cancer Inform, 2019 Jun 14; 3. PMID: 31194585    Free PMC article.
CAI4CAI: The Rise of Contextual Artificial Intelligence in Computer Assisted Interventions.
Tom Vercauteren, Mathias Unberath, Nicolas Padoy, Nassir Navab.
Proc IEEE Inst Electr Electron Eng, 2020 Jan 11; 108(1). PMID: 31920208    Free PMC article.
Point of Care Image Capture with a Custom Smartphone Application: Experience with an Encounter-Based Workflow.
Oren J Mechanic, Nicholas D Kurtzman, +2 authors, Seth J Berkowitz.
J Digit Imaging, 2019 May 31; 33(1). PMID: 31144150    Free PMC article.
The Enterprise Imaging Value Proposition.
Cheryl A Petersilge.
J Digit Imaging, 2019 Nov 05; 33(1). PMID: 31677010    Free PMC article.
Review.
Interoperability and Considerations for Standards-Based Exchange of Medical Images: HIMSS-SIIM Collaborative White Paper.
Kenneth R Persons, Jason Nagels, +4 authors, Matthew Doyle.
J Digit Imaging, 2019 Nov 27; 33(1). PMID: 31768898    Free PMC article.
Twenty Years of Digital Pathology: An Overview of the Road Travelled, What is on the Horizon, and the Emergence of Vendor-Neutral Archives.
Liron Pantanowitz, Ashish Sharma, +3 authors, Joel Saltz.
J Pathol Inform, 2019 Jan 05; 9. PMID: 30607307    Free PMC article.
Review.
Recent Advancement of Clinical Information Systems: Opportunities and Challenges.
Md Mohaimenul Islam, Tahmina Nasrin Poly, Yu-Chuan Jack Li.
Yearb Med Inform, 2018 Aug 30; 27(1). PMID: 30157510    Free PMC article.
Review.
Quantitative pixel intensity- and color-based image analysis on minimally compressed files: implications for whole-slide imaging.
Douglas J Taatjes, Nicole A Bouffard, +3 authors, Filip Braet.
Histochem Cell Biol, 2019 Apr 15; 152(1). PMID: 30982111
The Importance of Body Part Labeling to Enable Enterprise Imaging: A HIMSS-SIIM Enterprise Imaging Community Collaborative White Paper.
Alexander J Towbin, Christopher J Roth, +3 authors, David A Clunie.
J Digit Imaging, 2021 Jan 23; 34(1). PMID: 33481143    Free PMC article.
Digital media archive for gross pathology images based on open-source tools and Fast Healthcare Interoperability Resources (FHIR).
Emilio Madrigal, Long Phi Le.
Mod Pathol, 2021 May 27; 34(9). PMID: 34035438    Free PMC article.