VISION: Toward a Standardized Process for Radiology Image Management at the National Level

Abstract

Kathryn Knight, Ioana Danciu, Olga Ovchinnikova, Jacob Hinkle, Mayanka Chandra Shekar, Debangshu Mukherjee, Eileen McAllister, Caitlin Rizy, Kelly Cho, Amy C. Justice, Joseph Erdos, Peter Kuzmak, Lauren Costa, Yuk-Lam Ho, Reddy Madipadga, Suzanne Tamang and Ian Goethert

The compilation and analysis of radiological images poses numerous challenges for researchers. The sheer volume of data as well as the computational needs of algorithms capable of operating on images are extensive. Additionally, the assembly of these images alone is difficult, as these exams may differ widely in terms of clinical context, structured annotation available for model training, modality, and patient identifiers. In this paper, we describe our experiences and challenges in establishing a trusted collection of radiology images linked to the United States Department of Veterans Affairs (VA) electronic health record database. We also discuss implications in making this repository research-ready for medical investigators. Key insights include uncovering the specific procedures required for transferring images from a clinical to a research-ready environment, as well as roadblocks and bottlenecks in this process that may hinder future efforts at automation.

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