Eu somii newsletter 2014 web

European Society of
Medical Imaging Informatics
2014 Newsletter

Dear Members of EuSoMII,
It is my great pleasure to address you in
my capacity as President of the European
Society of Radiology (ESR) and to warmly
welcome your society as one of ESR’s 15
European Subspecialty and Allied Sci-
ences Members.
The ESR fully acknowledges the impor-
tance of integrating information and com-
munication technology into medical imag-
ing and that your society represents an
important interface to do so along with
IHE-Europe, for which as you may be
aware the ESR has taken over the man-
agement services as of autumn 2013.
It is essential to join forces and collabo-
rate on interoperability and ehealth issues
and the ESR has a dedicated subcommit-
tee dealing with ehealth and informatics
to tackle these challenges.
Big data has become a buzzword and the
imaging community needs to develop
adequate storage, codification, stan-
dardisation and interoperability in regard
to imaging data in strong collaboration
with the colleagues from medical imaging
informatics.
The establishment of imaging biobanks is
essential, which is why the ESR has set up
a dedicated Working Group on Imaging
Biobanks. Imaging biobanks have the po-
tential to make a significant contribution
to the future development of personalised
medicine and the role of imaging and
would facilitate European research activi-
ties.
The availability of open, high-quality and
large scale imaging biobanks and proc-
essing facilities in terms of data, services
and resources will significantly simplify
access to knowledge, improve interopera-
bility, standardisation and data manage-
ment and will ensure a harmonised ap-
proach to quality assurance of data.
The ESR has also gone digital in educa-
tional matters and has set up a new
eLearning Platform by providing facili-
tated access to electronic learning mate-
rial and fully acknowledges the important
role of IT in the field of education and
training.
I wish EuSoMII a lot of success in its en-
deavours and look forward to strengthen-
ing our collaboration.
With best regards,
Guy Frija
ESR President
ESR President’s Note
European Society of Medical Imaging Informatics
EuSoMII Newsletter
In this issue:
 From EuroPACS to EuSoMII
 EuSoMII 2014 Meeting
Announcement
 Tablet’s in Radiology
 ESR eHealth and Computer
Application Committee Plans
and Projects
 Society of Imaging Infor-
matics in Medicine (SIIM)
 The Fifth Iranian Imaging
Informatics Conference in
Shiraz
 Imaging Informatics Blog
Inside this issue:
President’s Report 4
Secretary’s Report 6
Editor’s Note 6
EuSoMII Academies 20
Imaging Biobanks 7
Personalized
Medicine
10
Corporate Members 22
February 2014
Guy Frija, ESR President

EuSoMII President’s Note
Dear Member,
2013 has been characterized by great changes in the
history of the Society.
The main has been the change of name, with the
transition of EuroPACS to EuSoMII (European Society of
Medical Imaging Informatics), and in parallel the
definition of the new mission statement, both officially
approved during the General Assembly which was held
at the CARS 2013 meeting in Heidelberg (Germany).
Below is the new mission statement :
The vision of the Society is the integration of information
and communication technology with diagnostic and
therapeutic medical imaging .
• The mission is to foster the transition from research to
clinical application and education in the Following fields:
• Intelligent infrastructures and processes for image and
knowledge management in medical diagnosis and therapy
• Clinical application of medical computer images
• Seamless information sharing for healthcare delivery
and for clinical research purposes
• Standards and quality assurance methods and tools .
Such big changes allows EuSoMII to widen its scientific
horizons and place itself in the european landscape as
a multidisciplinary environment of reference for medical
doctors, computer scientists, engineers, etc, in the field
of medical imaging informatics.
But more happen in 2013, since the Society has been
definitively welcomed in the european radiological
community and affiliated by the European Society of
Radiology as Institutional member.
My gratitude on behalf of the EuSoMII board to the
Executive Council of ESR for making this real.
In consequence of this definitive affiliation, members of
the EuSoMII board are officially serving the Society in
the following ESR bodies: Research Committee, Education
Committee, Subspecialty and Allied Science, and
Professional organization Committee.
The strong relationship with ESR is testified through the
work done by many members of the EuSoMII board in
other ESR bodies: MIR, EIBIR, WG on Imaging Biobanks,
eHealth and Informatics Subcommitte, and eLearning .
European Congress of Radiology and Computer
Applications Subcommittee
You are welcome to our ECR booth at the EuSoMII Booth
(Entrance level - Society Booths) and the EuSoMII
hospitality suite (room C 141 second floor, Foyer C). I
look forward to meet members and non-members to
exchange opinions and get suggestions how to improve
the Society.
I would like to highlight a special ECR/EuSoMII/
Computer Applications
scientific event that will be
held in the Conference, the
Multimedia Classroom,
coordinated by myself and
Daniele Regge. The
multimedia classroom
(located in the 2nd floor) is a
special auditorium with a
network of workstations from
several leading vendors, that
represent the latest progress
in computer applications at
the congress. In this
dedicated classroom,
participants get a chance to
solve cases on workstations,
kindly supplied by several different companies. The aim is
to provide direct (doctor-to-doctor) training on the
workstation for the interpretation of cases in CT
colonography, trauma MDCT, cardiac CT and oncologic
imaging. Onsite registration is necessary.
My special thanks to the Computer Applications
subcommittee for having proposed an excellent program
in the field of medical imaging informatics at ECR 2014.
The subcommitte is chaired by Josep Fernandez Bayo and
members are F.H. Barneveld Binkhuysen/NL, U.W.
Engelmann/DE;  B. Gibaud /FR, D. Regge/IT, P. Sögner/
AT, Z. Tarján /HU).
Looking at the final ECR program I would like to
emphasize 2 hot topic in imaging informatics that will be
discussed in the refresher course on Mobile IT in
Radiology and the Special Focus session on Structure
reporting.
Upcoming Annual meeting
The annual meeting will be held under the local
organization of our board member Wojciech Glinkowski
in Warsaw the 24-27th of September in the Nałęcz
Institute of Biocybernetics and Biomedical Engineering
PAS. Your are welcome to submit abstract in all fields of
your research and clinical application of medical imaging
informatics. The following topics will be highlighted in the
program: Quantitative Imaging, Image processing and
visualization, Imaging Biobanks, Computer Aided
Diagnosis, PACS-CAD Integration, Computer Aided
Surgery and Interventions, Personalized medicine,
Electronic Patient Record, Telemedicine/Teleradiology,
PACS Architecture, Workflow and Ontologies, PACS
Ontologies, Structured reporting, Image Sharing, Open
EuSoMII Newsletter—2014Page 4
Emanuele Neri, EuSoMII President

Source Software for Medical Imaging, Standardization
(DICOM, HL7, IHE), E-Learning in Radiology and
Medical Sciences, Managing Contrast Media and
Radiation Dose Information, Social Media In Medical
Imaging, Clinical use of Tablets in Medical Imaging,
Workstation Design and Ergonomics, Economic and
Management Issue, Security, Legal and Ethical Aspects.
The annual meeting will be followed by the EuSoMII
Academy dedicated to "Imaging Informatics in
Orthopedics", focused on the following topics: Image
based Orthopaedic Surgical Navigation, Preoperative
planing and templating, Image based Custom made
implants, Image analysis in orthopaedics, 3D / 2D
Images merging, Virtual Reality Orthopedics,
Interventional Radiology in Orthopaedics.
My sincere thanks to Wojciech for serving the Society in
the organization of the Annual Meeting and the
Academy.
I wish a great success!
Cooperation with CARS
EuroPACS has found since several years in the CARS the
ideal multidisciplinary environment to exchange the
scientific expertise of its community and held the annual
meeting; widening its scope in EuSoMII the Society will
continue to growth in the CARS community and my
personal auspice is that will become the point of
reference for the translational research and clinical
applications in computer aided radiology, as stated in
our maxim "Linking research to clinical practice".
Therefore, despite in 2014 the CARS conference will
not be held in Europe, EuSoMII will follow it in Japan
and will be present in clinically focused events:
 EuSoMII / CAD Joint session: Real-Time demo on the
use of CAD in CT Colonography
 15th IFCARS / SPIE / EuSoMII / ISCAS Joint
Workshop on Surgical PACS and the Digital Operating
Room
 CARS Clinical Day
We look forward to see you in Fukuoka
Corporate members
My special thanks to all Corporate Members of
EuSoMII, AGFA, BAYER, ESAOTE, FIRST CLASS,
FUJIFILM and TOSHIBA/VITAL that renewed their
membership for 2014 and are giving a concrete
support to the life and development of the Society.
It is also my pleasure to welcome as new Member
BRACCO, that very recently applied for membership.
EuSoMII Newsletter—2014 Page 5

EuSoMII Membership Report
2013 was a year of change
and the efforts of the EuSoMII
board were mainly focused on
widening the scopes of our soci-
ety to include all field of medi-
cal imaging informatics. We
expect success of these land-
mark changes to be fully ap-
preciated starting from 2014.
Even though last year was a
year of transition, membership
numbers remained substantially
stable. The 70 members of the
society were very widely dis-
tributed in the 5 continents in-
cluding the following countries:
Australia, Japan, Tunisia, South
Korea, Iran, Thailand and USA.
The largest number of members
were in the order from Italy,
The Netherlands and Belgium.
The pie diagram shows member
distribution for the year 2013.
Registration data for 2014 is
still incomplete but we already
know that the number members
will bypass 100, for the first time
in EuSoMII history.
Recruitment strategies include
favorable fees for first time
members and for members that
will be participating to the soci-
ety’s educational activities, in-
cluding the autumn EuSoMII Con-
gess in Warsaw.
Secretary of EuSoMII
Daniele Regge
Daniele Regger, EuSoMII Secretary
EuSoMII Newsletter Editor-in-chief’s Note
Mansoor Fatehi,
EuSoMII Board Member
Moving from EuroPACS to EuSoMII after intense discussions of the founders/senior members and
new generation of this rather old association, indicated the need to broaden the perspectives of
society to cover more diverse issues not limited to the title of EuroPACS. This concept has been al-
ready taken care in the past three years by looking for more institutional connections, industry sup-
port and higher number of members.
EuSoMII needed to make its activities more visible to a wide range of audience. So, Emanuele
started composing and preparing a newsletter by the help of board members and some external
friends since 2012. But the first two issues were solely dependent on Emanuele’s personal effort.
Last year in Vienna, EuSoMII board decided to assign an editorial board for the newsletter and
website to get more people involved in the process of authorship, collection and preparation of the
communication media of the society. So, 5 persons were elected as the editorial board.
The newsletter in intended to provide some information about the society’s goals and ongoing ac-
tivities.

EuSoMII newsletter is published
every year in February and
distributed at CARS, ECR and
EuSoMII meetings.
Editor in chief:
 Mansoor Fatehi (IR)
Editorial board:
 Peter Van Ojien (NL)
 Riccardo Ferrari (IT)
 Wojciech Glinkowski (PL)
 Frits Barneveld Binkhuysen (NL)
Imaging Biobanks
An enormous amount of medical imaging data acquired in the clinical routine and in differ-
ent population studies throughout Europe hold an immense amount of information relevant
for the understanding of the causes, prevention and treatment of different disease. Due to
the data protection regulations in the EU and because of the size and complexity of medi-
cal imaging data only a small portion is available for the prospective and retrospective
medical research.
To develop a general ESR concept on general characteristics of imaging biobanks and to
implement a strategy to establish a European platform for imaging biobanks, a new work-
ing group was recently established under the umbrella of the ESR Research Committee.
One of the first tasks of this WG chaired by Prof. Emanuele Neri will be to define rules
for the set-up, and implementation as well as use of imaging biobanks. A major challenge
will be the interface between the image bank and tissue or liquid biobanks as well as
registries with patient-related data, which also has to observe the data protection rules.
Medicine in 21st Century is becoming more and more tailored and personalized. Medical imaging provides a power-
ful, non-invasive tool for detection, localization and staging of pathologies in each individual patient. In line with other
`omics` data such as genomics, proteomics and metabolomics, imaging biomarkers enable individualized prediction,
prevention and treatment of disease. To obtain standardized, validated and reliable imaging biomarkers a large
number of medical imaging data needs to be analyzed. High-capacity imaging biobanks are essential for the acquisi-
tion, storage and analysis of the ´Big-Data´. This will provide a new dimension with regard to an image-related
knowledge base which will have substantial impact on science- and cognition-led personalized medicine. But before
efficient imaging biobanks are established a general consensus on imaging modality setup, imaging protocols and
image post-processing guidelines must be reached in the imaging community.
Page 7EuSoMII Newsletter—2014
Hans-Ulrich Kauczor,
Chairman of ESR Research
Committee
Annual meetings of the society together with or independent from CARS, spe-
cially focusing on the EuSoMII Academy series (now reaching to #6) which are
expected to bridge technical concepts into real clinical needs and in addition,
related events like imaging informatics conferences will be addressed.
As EuSoMII is now officially an institutional member of ESR, activities of the re-
lated subcommittees of ESR will be covered in our newsletter. International col-
laborators of EuSoMII including SIIM and Radiology Informatics Committee of
RSNA will be a constant part of the newsletter.
We intend to have a glimpse at hot topics of imaging informatics in each issue
by pioneers and leaders of this field worldwide. And finally we will try to high-
light corporate members of the society who support our activities
As a member, reader or someone interested in imaging informatics, you are
invited to submit your articles, reports and events to be published in EuSoMII
newsletter. (fatehi@irsr.org)

ECR 2014 - RC 1605: Improving workflow efficiency and
quality
It will be my distinct pleasure to chair this Refresher Course on PACS, that will see the
participation of friends such as Peter Mildenberger “Improving the quality and efficiency of
computerized order entry through decision support”, Emanuele Neri “Improving quality
and efficiency of reporting through structure and templates”, and Eliseo Vaño “Improving
quality and efficiency of dose management trough exchange between modalities and reg-
istries”.
My hospital in one of the oldest in Italy. It was founded in 1257, and now is the hub of a
regional-wide integrated RIS/PACS system provided as a commercial service by Esaote
and Fujifilm. Presently, our central archive stores 140 terabyte, corresponding to
3,800,000 exams.
Our group has been active in PACS research and implementation since two decades:
my first paper on this topic published in European Radiology dates back to 1994 and
was entitled: “Transmission of radiological images using broadband communications”.
Being a teaching hospital we developed a PACS add-on software aimed at allowing the seamless production of
teaching files directly from the reporting environment. This is now a commercial product sold worldwide by Fujifilm.
More recently, we have been very active in testing software tools for the automatic tracking of radiation dose and
contrast medium administration. These tools allow to easily discover bad practices and have the potential to greatly
improve efficiency and quality.
In fact, we believe that being medical care an information-intensive activity, its overall quality is impaired if imaging-
related data are not managed comprehensively and efficiently.
It is now apparent that just “storing” images and reports is not enough. This is why there are so many new develop-
ments in the area of CPOE with integrated clinical decision support, critical results reporting software, and dose man-
agement software able to automatically report and log
radiation dose information and contrast media informa-
tion.
I cordially invite you to attend this session at ECR 2014,
that will tke place on Monday, March 10, 08:30–10:
Davide Caramella,
Honorary Member of EuSoMII Board

In the last couple of years the ESR eHealth and Informatics Subcommit-
tee aiming at playing a more active role in initiatives concerning new
technologies in clinical practice and academic settings. Among the most
prominent initiatives one should mention the work of a special task
force on Teleradiology under the leadership of Dr. Erick Ranschaert,
with the contribution of several other co-authors for the preparation
and publication of a white paper on teleradiology published in In-
sights into Imaging in January 2014. The project also included the plan
to setup an online “interactive” version of the paper allowing further
updates of the different topics of that paper as well a section for in-
teractive discussion and comments to be posted. This project is currently
under evaluation. The subcommittee also initiated a test project of de-
velopment of a Wiki platform under the initiative of Dr. Peter Pokieser
that would provide access to different sources of information and
documents related to IT in radiology. The prototype could not be im-
plemented as is on the current ESR web server and will be evaluated
in the near future with a completely restructured architecture of the
ESR website.
Another major effort was to join forces with RSNA in its initiative under
the leadership of Dr. Charles Kahn to collect and
host structured report templates in a standard
way. A major attractivity of this project is its inte-
gration of the Radlex syntax that allows for eas-
ier translation in different language of the basic
content of a structured report. This joint effort was
initiated through a first survey to the different
national and subspecialty societies, and gathered
over 35 responses. These results of the survey was
summarized and presented by Dr. Jan Bosmans
during the ECR 2013 meeting. During that meet-
ing a special introductory session was organized
by Drs. Ratib and Kahn, and more that 40 dele-
gates from different national societies attended.
During the following month the RSNA project was
significantly restructured and a new standard
format for structured reports was adopted in con-
formance with the IHE Management of Radiology
Report Templates (MRRT) format. In a recent
meeting of executive committees of ESR and
RSNA, the decision of joint collaboration of the
two societies in this initiative was approved. More
information on the future modality of this collabo-
ration and the process of submission and review
of the structured reports will be announced at the
ECR 2014 meeting.
Prof. Osman Ratib
Chair of the eHealth and Infomatics subcommittee
Update on activities and projects of the ESR eHealth and
Informatics Subcommittee
Osman Ratib, EuSoMII Past President

CARS 2014, June 25-28, 2014, Fukuoka Convention Center, Japan
The CARS congress is the annual event for a distinguished
international community of scientists, engineers and physi-
cians to present and discuss the key innovations that shape
modern medicine on a worldwide basis.
Founded in 1985, CARS has played a leading role in
medical and imaging informatics for more than 25 years
by focusing on research and development on novel algo-
rithms and systems and their applications in radiology
and surgery. Its growth and impact is due to CARS’s close
collaboration with the ISCAS and EuroPACS (now EuSoMII)
societies, and CAR, CAD and CMI organizations.
Following the long term successful cooperation, in many
parts of the world, in 2014 these prestigious scientific
communities will jointly hold their annual meetings as part
of the 28th CARS Congress in Fukuoka, Japan.
The CARS Congress Organizing Committee invites you to
come to Fukuoka in June 25 – 28, 2014, for an extraordi-
nary event in which scientific/medical presentations as
well as stimulating discussions will foster new visions on the
future of medicine.
Page 13EuSoMII Newsletter—2014
At the CARS Congress you will have the opportunity to meet
scholars and practising experts in the fields of radiology, surgery,
engineering, informatics and healthcare management who have
an interest in topics, such as
image- and model-guided interventions
advanced medical imaging
image processing and visualization
intelligent operating room of the future
decision and action support in surgical management
computer aided diagnosis
medical simulation and evaluation, and e-Learning
surgical navigation and robotics
model-guided and personalised medicine
New PACS applications, including IT-infrastructures adapted for
the operating room, related results from the DICOM and IHE
working groups, but in particular, new methods and IT-tools for
modelling the patient and medical processes are increasingly
shaping the scope of CARS. Clinical specialties represented at
CARS include:
Computer Aided Neuro-, ENT-, Orthopaedic and Spinal Sur-
gery, Cardiovascular- and Thoracic Surgery, Gastroenterological-
, Gynaecological- and Urological Surgery
Imaging and Interventional Radiology
Computed Maxillofacial Imaging
Computer Assisted Radiation Therapy
Image Guided Navigation Surgery
Minimally Invasive and Robotic Surgery
Additional events will take place during CARS 2014 in Fukuoka,
such as tutorials and hands-on training for biomedical engineers,
a full IFCARS/ISCAS clinical day on management of liver tumour
as well as the IPCAI and ACCAS annual conferences. Social events
will accompany the conference, such as the opening ceremony
and a boat cruise in Hakata’s bay. Scholarships are available for
helping students and junior researchers to attend the conference.
Please note that the deadline for paper and abstract submis-
sions for CARS 2014 in Fukuoka is January 10, 2014.
Recent successful CARS congresses have taken place in Berlin,
Paris, Tokyo, San Francisco, London, Chicago, Osaka, Barcelona,
Geneva, Pisa, and Heidelberg.
We would be delighted to welcome you at CARS 2014, which
will take place for the first time in Fukuoka, a renowned Japanese
city for culture and industry as a centre of Kyushu Island with
many geographic attractions.
Makoto Hashizume, MD, PhD, CARS 2014 President
Heinz U. Lemke, PhD, CARS Organizer

Tablet Computers
Since their introduction, tablet PCs have evolved extensively.
They have become very popular, filling the gap between
laptop computers and smart mobile phones. Tablets are de-
signed for general purpose uses. They are not designed for
primary radiologic diagnosis; however, some of their display
characteristics and parameters make them attractive for
viewing images, and they are great devices for consulting
and reviewing radiologic images.
In February 2011, the US Food and Drug Administration ap-
proved the first mobile application for limited diagnostic
viewing, but its use is restricted to situations in which no diag-
nostic reading room facility with workstations is available.
Even in these cases, certain precautions are necessary—one
should take steps to ensure optimal conditions, for instance,
cleaning off the fingerprints that normally cover the screen
and going to the dimmest part of the room. Most importantly,
the display should be DICOM-calibrated [1] like the displays
used in primary diagnostic workstations in the reading room.
Tablets lack the hardware for automatic DICOM calibration
and do not provide access to the video subsystem, so DICOM
GSDF calibration is not easy. However, nowadays tools are
available to calibrate the tablet display to make it DICOM
conformant. If we use one
of these tools, then using
tablets for diagnostic
reading is a better option
than using a conventional
laptop without calibra-
tion.
Tablets can make access
easier, improving image
distribution and making
reports available to re-
ferring clinicians; they
may be especially useful
for patient rounds, communicating with patients about
findings, and non-diagnostic consultations. However,
the images they display should look the same as those
available in the reading room, and their quality should
be similar, too. Clinicians need to know how to create
the appropriate viewing conditions with these devices.
They need to develop good viewing habits like setting
the auto-brightness to “OFF” to ensure they always use
the maximum allowed brightness and going to a dim-
mest part of the room to avoid direct reflections on the
screen from windows or lighting lamps.
Focusing on displays, we can see how far tablets are
from matching the display characteristics of a diagnos-
tic workstation display in a reading room. The differ-
ence in some of those characteristics and parameters is
not great. For instance, tablets generally have more
spatial resolution than diagnostic displays because
they are able to show more pixels per inch (pixel den-
sity). In this sense, they are even better than diagnostic
monitors. But one should take in consideration the
working distance: on workstations the eye is around
Josep Fernandez Bayo, EuSoMII
Treasurer

60cm from the screen, while on a tablet this distance is reduced to half (around 30cm). Therefore, the tablet should have
higher pixel density. One clear drawback is the image size, which is smaller on tablets than on workstations, even considering
the working distance factor.
However, many other factors should be taken into consideration: brightness, contrast, color and grayscale accuracy, brightness
uniformity, etc. Brightness is probably one of the most important parameters. According to the ACR-AAPM-SIIM Technical
Standard for Electronic Practice of Medical imaging [2], the minimum luminance for a diagnostic workstation display, including
the ambient luminance, should be 1cd/m2, and the maximum luminance should be 350cd/m2. But these values should be kept
proportional, for instance, if due to high ambient light the display is adjusted to give us 2cd/m2 as the minimum luminance,
then the maximum luminance should be 700cd/m2. Tablets normally have maximum luminance values that range from 370cd/
m2 to 430cd/m2 resulting in minimum luminance values from 1.06cd/m2 to 1.23cd/m2. This is one of the reasons why ambi-
ent light is so important. Tablets tend to be used in brighter environments, so if the ambient light raises the minimum luminance
above the values listed above, then tablets cannot be used for diagnosis and it will be impossible to calibrate them.
References
[1]Digital Imaging and Communication in Medicine (DICOM). Part 14: Grayscale Standard Display Function. Rosslyn, Va: Na-
tional Electrical Manufacturers Association, 2004.
[2] ACR-AAPM-SIIM Technical Standard for Electronic Practice of Medical Imaging. http://www.acr.org:/.../
ElectronicpactriceMedImg.pdf. October 2012.
Display Diagonal MegaPixels Pixel Pitch PPI
LCD 2MP 21” 2MPx 0.280 mm 90 PPI
LCD 3MP 21” 3MPx 0.210 mm 120 PPI
LCD Fusion 30” 6MPx 0.200 mm 127 PPI
iPad 10” 0.8MPx 0.192 mm 132 PPI
iPad Retina 10” 3MPx 0.096 mm 264 PPI
iPhone 3.5” 0.6MPx 0.078 mm 325 PPI

Taking Radiology Personally: Making Radiology Relevant in
the Era of Big Data and Artificial Intelligence
The past few years have seen a renewed interest in artificial
intelligence (AI) including the use of personal assistants such
as Apple’s Siri and IBM’s Watson Deep Q/A which outper-
formed the two best human Jeopardy! players of all time.
This Renaissance of interest in AI applications in medicine has
important implications in the coming era of “big data” and
“personalized medicine”. Medical information in healthcare
doubles every five year and 80% of that data is unstruc-
tured. Our need for systems that keep up on the latest litera-
ture and provide clinical decision support is greater than
ever. Radiology runs the risk of becoming a relatively invisi-
ble and irrelevant non-participant in healthcare if we are
unable to make our pixel, reporting, and quantitative data
available in a format that can be consumed in a more struc-
tured way.
We are on the verge of a major change from an
anecdotal to a data driven practice of medicine using a com-
bination of guidelines, decision support, and safety, quality
and performance metrics. The term “personalized medicine”
has been most recently been widely applied to describe the
concept of providing medical care based on genetic differ-
ences in patients and also, in the case of oncology, of the
genetic characteristics of their cancers. Similarly, patient clini-
cal records will become more highly structured and there will
be vanishingly small differences between the type of data
collected for routine patient care and clinical trials which cur-
rently constitute only 2-3% of patients with cancer in the
United States. This will, in effect, make all patient clinical,
lab, and eventually genomic data available for analysis and
decision support. It is absolutely critical that the data that we
create in radiology become similarly structured available to
those algorithms.
There are several things that radiology will need to do to get
ready for this coming era:
1. Collaborative efforts with industry such as the RSNA’s
Quantitative Imaging Biomarkers Alliance (QIBA) will help us
to make our measurements more reproducible and accurate.
2. Image findings, meas-
urement, and analysis
should be tagged using
the Annotation and Image
Mark-up (AIM) standard
rather than the current
“Tower of Babel” which
exists currently in which
each vendor may have
multiple different means
of storing quantitative
measurements, CAD mark-
ings, and delineation of
abnormal findings.
3. It is important to move
in the direction of greater
structure in our reports
using a combination of
reporting templates such
as the RSNA’s Reporting Initiative, a controlled Lexicon
such as RadLex, and natural language processing
4. We should separate out the metadata stored for a
given diagnostic imaging study such as acquisition pa-
rameters, CAD markings, automated analysis of organ
size, texture, bone mineral density etc. from the clinical
report
5 We need to create incentives to encourage and fa-
cilitate discovery and sharing of imaging research
databases, not only for additional publication but also
as a basis for decision support tools.
For example, my colleagues and I have created a
prototype decision support tool using the National
Lung Screening Trial images and associated metadata
that estimates the likelihood that a given lung nodule is
benign or malignant. This allows us to create a per-
sonalized version of the Fleishner criteria based not
only on nodule size, but on patient, age, sex, smoking
history, nodule morphology and density characteristics,
location and geographic area.
Radiology diagnosis and treatment recommendations
can be “personalized” and data driven beyond the
“expert consensus based” recommendations made in
guidelines such as the Fleishner criteria and tailored to
specific patients and specific findings. This will allow us
to evolve into the era of personalized radiology to
optimize our added value to patients and will keep us
highly relevant in the coming era of personalized
medicine.
Eliot Siegel,
University of Maryland
Member of RSNA Radiology
Informatics Committee

The Society for Imaging Informatics in Medicine (SIIM) is a unique professional organization
that includes among its members radiologists, other clinical specialists who use medical im-
ages, clinical IT and imaging informatics professionals, physicists, imaging researchers, and
imaging and IT industry professionals. SIIM has 47 European members, 2% of total mem-
bership. The SIIM 2014 Annual Meeting will be held 15-17 May, 2014, in Long Beach,
California. It includes learning tracks on enterprise imaging, new archiving strategies, data
mining, quality and safety, and career development for imaging informatics professionals.
Among the most exciting opportunities this year are a hackathon based on HL7 FHIR, DI-
COMweb and RESTful objects, and a vibrant Open Source Plug Fest. SIIM also runs a one-
day Imaging Informatics Professional Bootcamp, the most widely used exam resource for
the ABII CIIP exam, and an excellent course to update imaging informatics skills. The meet-
ing also has hands-on workshops in areas from Nagios monitoring to hacking Mirth, and
focus sessions on radiation optimization, mHealth, analytics, interoperability, quantitative
imaging, and reporting.
With the explosion in medical images across all specialties and the widespread shift to
enterprise EMRs and VNAs, SIIM is responding with a renewed effort to explore the issues
of managing all medical images, not just radiology. At the same time, SIIM continues to
support basic research in radiology informatics. An important result of this research is work
under the leadership of Brad Erickson, MD, PhD to produce the SIIM Workflow Initiative in
Medicine (SWIM). SWIM provides a common definition of workflow steps inside medical
imaging departments, defines key performance indicators using these workflow steps, and
defines data elements used to capture information about the KPIs and workflow steps. This
is a major resource for imaging departments that implement workflow engines to improve
productivity, quality and safety. SWIM workflow terms are integrated into RadLex, and
IHE has expressed interest in it. SIIM expects these definitions will be included in IHE pro-
files in the next few years.
SIIM is also participating with ACR and RSNA in a major
new initiative known as Imaging 3.0. Among other goals,
Imaging 3.0 will help radiologists become ‘IT savvy’ by
defining IT tools and the knowledge needed to use them to
improve radiologists’ productivity and quality, and describ-
ing how to use analytics to demonstrate radiologists’ value
throughout the healthcare system. While this is primarily a
USA-centric response to the change from volume-based
reimbursement to value-based payment, the resulting IT
tools should be universally applicable.
For more information and to view SIIM’s education offer-
ings, please visit SIIM online at siim.org.
J. Raymond "Raym" Geis, MD
Chair, Society for Imaging Informatics in Medicine
Society for Imaging Informatics in Medicine (SIIM)
J. Raymond "Raym" Geis, MD
Chair, Society for Imaging
Informatics in Medicine
Member of RSNA Radiology
Informatics Committee

Blogging on Medical Imaging Informatics
In the past decades, developments in radiology have been
rapidly introduced. Most of those development would not
have been possible without informatics. Therefore, Medical
Imaging Informatics is an area of growing interest. Medical
Imaging Informatics is not just about Picture Archiving and
Communication Systems (PACS) and advanced visualization
but is involved in the full medical imaging chain on the topics
of acquisition, reconstruction, archiving, distribution, visualiza-
tion, and reporting.
Imaging informatics developments on the one hand relies on
the high-end computing developments and expensive, dedi-
cated, hard- and software but on the other hand also on the
developments in consumer electronics. One example is the
gaming industry which demands on the graphic capabilities of
gaming hardware led to the development of low-price, high
quality, video cards that could be utilized also to benefit the
advanced visualization application in radiology.
To keep track of these developments and to collect and regis-
ter anything related to Medical Imaging Informatics a blog
was started in September 2009 with the following purpose:
This blog provides information on conferences and novelties in
the area of Medical Imaging Informatics (MII). MII has a broad
scope ranging from the Radiology Information System and
Picture Archiving and Communication System (PACS) to Ad-
vanced Visualization and Computer Aided Diagnosis (CAD). To
find new opportunities in healthcare we need to look at infor-
matics solutions in other areas to apply them into the medical
field to achieve higher level healthcare at lower costs.
Currently 285 posts have been included and a total of close
to 27.500 pageviews are registered (status February 17,
2014).
If you are interested please access the blog at http://
medicalimaginginformatics.blogspot.com or through the link at
the EuSoMII webpage.
Leave your comments at a post on the blog or send us your
contributions at: p.m.a.van.ooijen.mymessage@blogger.com
P.M.A. van Ooijen, MSc, PhD, CPHIT
Scientific Researcher,
Dept. of Radiology, UMCG

The Iranian Imaging Informatics Conferences have always been scientifically supported by EuSoMII (former EuroPACS). The first
conference hosted Bernie Huang as honorary president and Davide Caramella as guest speaker. The second one had honorary
presidency of Heinz Lemke and Peter Mildenberger also attended as guest speaker. For the third conference Emanuele Neri was
the honorary president together with kind contribution of Daniele Regger. In the fourth conference the Peter Mildenberger was the
honorary president and Utku Senol from Turkey took part as guest speaker.
This time in Shiraz, we hosted Josep Fernandez Bayo and Ustun Aydingoz from Turkey. Also Emenuele gave the opening lecture
from Pisa by kind support of ESR office. So, Iranian Imaging Informatics Conferences should and has been considered as local
EuroPACS/EuSoMII meetings.
In the fifth conference, the major themes were selected as: RIS, Teleradiology, Image Processing and Tablets. The meeting was
very successful in attracting audience although mostly from local province but also from all over the country. The number of par-
ticipants was above 400, among which 92 persons applied for EuSoMII membership. Alireza Shakibafard has been instrumental
in this success by competent organization of the local facilities and people to actualize this event.
41 papers were submitted to the conference and as usual the award of the winner of the best paper was travel support to par-
ticipate in CARS meeting. The title of the best paper was:
Evaluation of the Delicacy of Dynamic – SPECT with
common gamma camera systems
The award was granted under the name of late
Paolo Inchingolo who was supposed to be one of
the guest speakers of the first IIC but could not
manage to attend due to serious illness ended in
his unexpected passing away.
Medical Imaging Informatics Research Center
(MIIRC) that was established nearly a year ago in
Tehran is a non-profit organization affiliated to
Iranian Society of Radiology trying to play the
role of a bridge between clinical and technical
professionals and students for teaching and re-
search purposes. At the same time, the center pro-
vides consultancy services to hospitals and institu-
tions looking for a digital transformation. IICs are
currently events under the leadership of MIIRC.
Mansoor Fatehi, MD, CIIP
Director, Medical Imaging Informatics Research
Center, Tehran
Dr Ustun Aydingoz
Professor of Radiology, Hacettepe University School of Medi-
cine, Ankara, Turkey
"I was honored and delighted to take part in the 5th
Iranian Imaging Informatics Conference. I was able to
share with my Iranian colleagues some of my experi-
ence regarding HIS-RIS-PACS integration, RIS workflow
issues, and workplace ergonomics in radiology. One of
the pleasant surprises that I had during the conference in beautiful Shiraz
was the high number of radiologists and radiologists-in-training who at-
tended the meeting. Honestly, we were not able to bring together such a
satisfactory number of medical doctors to our national medical informatics
meetings in Turkey. I was also impressed with the eagerness of the Iranian
industry participants in terms of developing new hardware and software.
Although it may be that HIS and RIS development and implementation has
a long way to go in Iran, enthusiasm and talent of Iranian technical people
and medical doctors promises a successful future in these fields. I believe
we have reasons to believe that collaboration between Turkish and Ira-
nian radiology and medical informatics communities will bear fruits for
both nations, which have a time-honored tradition of good relations."
The Fifth Iranian Imaging Informatics Conference – Shiraz/IRAN

The 4th EuSoMII Academy Course, Imaging Informatics in Oncology
When Emanuele Neri called to ask me if I was willing to or-
ganize the 2013 Academy course in Torino I was initially a
bit reluctant. Academy courses are clinically oriented but lean
heavily on informatics and the two worlds are not always so
easy to reconcile. It is commonplace to think that informatics is
for computer scientists and not for doctors. However, imaging
doctors heavily rely on informatics for image processing, re-
porting (e.g. structured reporting) and recently also for man-
aging contrast agents and radiation dose. Finally it was de-
cided, we would explore the role of imaging informatics in
oncology.
Cancer has important social and economic implications. In
industrialized countries cancer is the second cause of death
and an invalidating disease. Costs of therapy are increasing
rapidly due to the extended life expectancy of patients and
to the widespread use of the new target therapies. In 2030
the number of people living with cancer will be 3 times more
than in 2013. The wide spectrum of therapeutic options re-
quires accurate pre and post-treatment assessment, and im-
aging is in the frontline. Tools to assess response to treatment
are entering more and more into clinical practice and imag-
ing doctors must know how to deal with them. Not only, but
accurate monitoring requires standardization of imaging pro-
tocols: same technique, same contrast media and same injec-
tion protocol. Accurate monitoring means that radiologists
must learn how to measure tumor changes in a reliable man-
ner in one or more dimensions, by means of anatomical and
functional imaging.
The course was held on September 20-21. The faculty was
very experienced and lectures state-of-the-art; large part of
the second day was dedicated to the discussion of clinical
cases using specialized software. Over 70 delegates from all
over Europe attended Turin for the 4th Academy Course.
Next stop Warsaw, good luck Wojciech!
Daniele Regge
Organizer of the 4th Academy Course in Torino, Italy
Day 1: September 20
Moderators: Emanuele Neri, Wojciech Glinkowski
Session I: Fundamentals of Imaging Informatics applied to Oncol-
ogy (14.00 - 15.40)
Patient Protocol Standardization - Mathias Prokop
Basic principles of image processing - Marleen de Bruijne
Measuring cancer: from 2D to 4D - Irene Bargellini
CAD: From benchmark to bedside - Daniele Regge
Session II: Imaging Response to Therapy (16.00 - 18.00)
Target therapies: what imaging specialists must know - Mas-
simo Aglietta
RECIST and beyond - Francesco Sardanelli
Advanced imaging techniques to monitor treatment response
- DW and perfusion imaging - Vicky Goh
- PET/CT and PET/MRI - Osman Ratib
- Dual energy CT - Heinz-Peter Schlemmer
Day 2: September 21
Moderators: Daniele Regge, Davide Caramella
Session I: Practical Session: assessing response to treatment
Case review 1: Metastatic Disease
Case review 2: Locally Advanced Cancer
Session II: Practical Session: Computer Aided Diagnosis
Case review 3: Lung CAD
Case review 4: Colon CAD
Case review 5: Prostate CAD
Final Lecture:
Advanced representation and sharing of image processing
data (16.30 - 17.00) –
Faculty
Massimo Aglietta
Irene Bargellini
Hans-Christoph Becker
Delia Campanella
Davide Caramella
Marleen de Bruijne
Lorenzo Faggioni
Nicola Flor
Wojciech Glinkowski
Vicky Goh
Anna Rita Larici
Emanuele Neri
Mathias Prokop
Osman Ratib
Daniele Regge
Marco Rengo
Filippo Russo
Francesco Sardanelli
Heinz-Peter Schlemmer
Agenda

The 5th EuSoMII Academy on “Tablets in Radiology”– Shiraz / IRAN
The fifth EuSoMII academy was planned to be held in Iran
after the successful organization of the second academy on
CAD. The subject of the 5th academy: “Tablets in Radiology”
turned out to be very much attractive to the local audience
leading to above 100 participants.
In this program, we tried to organize the content in three
separate groups: general information about tablets, ra-
diologic applications, and hands-on experience with real time
reading by the aid of tablets.
So, the hands-on session was based on a local server to help
participants browse cases and follow the instructions of the
mobile viewer.
The academy was honored by kind participation of Josep
Fernandez Bayo, EuSoMII treasurer who gave an in-depth
overview of technical aspects of tablets in radiology.
But majority of the lectures were delivered by local faculty.
The academy was part of the 5th Iranian Imaging Informatics
Conference.
Organizer of 5th EuSoMII Academy in Shiraz
Agneda
Session I: Introduction to Tablets
The 5th EuSoMII Academy: Learning Objective and Course
Outline: Mansoor Fatehi, MD, CIIP
Tablet-computers: a technical overview: Josep Fernandez
Bayo
Principle of iOS: Hossein Khalili, MD
Introduction to Android Tablets: Hossein Khalili, MD
Software Installation: Mohammad Farjadian
Session II: Tablets & Radiology
Osirix Viewer: Mojtaba Ebrahimi, MD
Tablet-based Radiology Apps: Mojtaba Ebrahimi, MD
Session III: Tablets & PACS
Tablets for Clinical Radiology & Non-Radiology Practice:
INFINITT Mobile PACS Viewer: A Live Demo
Hands-on Exercises Using INFINITT PACS Viewers for Both
iPAD & Android Tablets

Agfa HealthCare is a global leader in the fast growing market of integrated IT and imaging systems, offer-
ing healthcare facilities a seamless flow of information and a 360º view of patient care. The company has
a unique, holistic approach, enabling it to provide in-depth clinical know-how and fully integrated hospital-
wide solutions. These specialized solutions integrate IT and imaging systems for Radiology, Cardiology,
Mammography and Orthopedics. Agfa Healthcare's enterprise-wide IT platform integrates all administra-
tive and clinical data within a healthcare facility and is designed to match the unique needs of specific
healthcare professionals.
Agfa HealthCare in Radiology: Agfa has over 100 years experience in radiology imaging and one out of
two hospitals worldwide uses Agfa HealthCare customized applications today. The wide range of Agfa's
solutions combined with speech technology and integrated IT applications allows radiologists to keep a
clear, accessible, and structured overview of all relevant patient data and images.
Agfa HealthCare in Cardiology: Agfa HealthCare offers cardiovascular specialist a single point of access
to patient-centric clinical information and radiology results. Structured reporting supports your quality diag-
nostic decision process, enabling rapid turnaround and improved communication. Point-of-care data cap-
ture and multi-modality integration optimizes efficient workflows.
Agfa HealthCare in healthcare IT: Agfa HealthCare's enterprise-wide IT platform, ORBIS, integrates all
administrative and clinical data within a healthcare facility and its network and is designed to match the
unique needs of specific healthcare professionals. ORBIS is the result of 10 years' of healthcare IT experi-
ence and is used by over 400,000 healthcare facility employees daily. The ORBIS platform and its unique
workflow and information management capabilities contain over 70 modules that can be used to build and
customize the system at the point of care, according to each healthcare facility's changing needs.
EuSoMII Corporate MembersPage 22

EuSoMII Corporate Members Page 23

FUJIFILM constantly sets new standards for diagnostic imaging technology.

First Class ideates and organizes conferences, meetings and educational courses, with a special expertise in the
field of medical sciences. Full respect of the rules and regulations is considered a must in each and every event.
A leading conference organizer both in Italy and abroad, First Class boasts prestigious collaborations with major
Scientific Societies, Institutions and Universities.
A dynamic team specialized in the organization of educational courses, workshops and international master classes
for specialist physicians (expertise in the field of Radiology), hosted within the most prestigious University and Hos‐
pital Centers in the world.
A unique meeting opportunity for both participants and the Faculty, which allows for an in‐depth and authoritative
educational experience. Master classes can further be optimized with a series of customized and interactive activi‐
ties.
First Class is an accredited CME Provider approved by the Italian Ministry of Health and the European UEMS‐
EACCME. The accreditation allows First Class to organize residential and online continuing education courses both
in Italy and Europe. The strategic support and organizational competence of the group are an added value to the
scientific content of each course and are a key contributor to the professional experience of each participant.
In order to understand the real expectations and needs and to be successful in achieving important results in view
of ever changing goals, each client is followed with great care and accuracy. This is the only approach possible to
organize impeccably successful events, to emphasize talent and generate value.
To choose First Class means opting for a complete and carefully planned service.

Head Office
Viale Italia, 173 – 57127 Livorno – Italy
Ph. +39 0586 849811 – Fax. +39 0586 349920
Registered Office
Via Malasoma, 14/16 – 56126 Pisa – Italy
UK Office
U.K. Office: 37 Middle Stoke, Limpley Stoke, Bath BA2 7GF 01225 723 243
info@fclassevents.com - www.fclassevents.com

SYNAPSE Suite
FUJIFILM constantly sets new standards for diagnostic imaging technology.
SYNAPSE continues this tradition, with thousands of proven implementations worldwide benefiting from SYNAPSE’s im-
provements in efficiency and workflow.
SYNAPSE is a suite of software products developed by FUJIFILM for integrated workflow and digital imaging in the
medical field.
SYNAPSE Suite is the global solution of FUJIFILM able to provide the best tool for managing clinical data and diagnostic
images in a safe and complete way, in all areas of medical imaging, whether for radiology or cardiology.
SYNAPSE PACS is the System for storage and distribution of radiological diagnostic images entirely based on web tech-
nology.
SYNAPSE 3D is the software for advanced post-processing of medical imaging; state of the art system, allows for a pow-
erful and full support for reading, interpretation and reporting, regardless of the type of modalities and vendors.
SYNAPSE Mobility is the application that allows access to Synapse PACS from any device platform based on PC/Mac via
a multi-browser support, and from devices such as iPad/iPhone or based on Android.
SYNAPSE Cardiovascular is the innovative software solution, vendor and hardware-neutral, which allows a complete and
effective integration of all specialties in cardiovascular care.
SYNAPSE Workflow (*) is the system for the integrated and safe management of patient data and workflow, not only in
radiology, but in virtually every field concerned with medical imaging.
SYNAPSE Theca (*) is the software solution for the storage and preservation of documents, in full compliance with Italian
law.

Head Office Corner
The EuSoMII has been managed by Arnold
Stipsits since 2005, back when it was still
called "EuroPACS". In 2009, he received
support from Andreas Sonnleitner and ever
since, they have been in charge of the daily
business of the EuSoMII. In their capacity as
"head office", they keep the membership
database up to date, collect the annual fees,
organize meetings and telephone
conferences for the board and collect,
archive and disseminate relevant information.
They keep up with the daily tasks of running
a society and are in constant contact with the
president and the secretary. The EuSoMII
office is located in the heart of Vienna and if
you would like to drop by, feel free to do so
any time during office hours.
EuSoMII
EuSoMll office
Mr. Arnold Stipsits, EuSoMll Head Office
Neutorgasse 9/6, 1010 Vienna - AUSTRIA
phone: 0043-1-533 40 64 - 10 - fax: 0043-1-535 70 37 -
arnold.stipsits@myesr.org
European Society of
Medical Imaging Informatics
EuSoMII
The vision of the Society is the integration of information
and communication technology with diagnostic and thera-
peutic medical imaging.
•The mission is to foster the transition from research to clini-
cal application and education in the following fields:
•Intelligent infrastructures and processes for image and
knowledge management in medical diagnosis and therapy
•Clinical computer application of medical images
•Seamless information sharing for healthcare delivery and
for clinical research purposes
•Standards and quality assurance methods and tools.
President
Emanuele Neri (IT)
Past President
Osman Ratib (CH)
Secretary
Daniele Regge (IT)
Treasurer
Josep Fernandez Bayo (ES)
Board members
Aslak Aslaksen (Norway) 
Frits Barneveld Binkhuysen (NL)
Erwin Bellon (BE) 
Mansoor Fatehi (IR)
Bernard Gibaud (FR) 
Wojciech Glinkowski (PL)
Hiroshi Kondoh (JP) 
Wiro Niessen (NL) 
Peter Sögner (AT) 
Honorary Board Members
Albert R. Bakker (NL)
Davide Caramella (IT)
H.K. Huang (US)
Heinz U. Lemke (DE)
Hiromu Nishitani (JP)
Osman Ratib (CH)
Auditors
Davide Caramella (IT)
Arnold Stipsits (AT)

EuSoMll office
Mr. Arnold Stipsits, EuSoMll Head Office
Neutorgasse 9/6, 1010 Vienna - AUSTRIA
phone: 0043-1-533 40 64 - 10 - fax: 0043-1-535 70 37 - arnold.stipsits@myesr.org

Eu somii newsletter 2014 web

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