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Published on: October 27, 2023
Ocular Imaging Challenges, Current State, and a Path to Interoperability: A HIMSS-SIIM Enterprise Imaging Community
Kerry E Goetz1, Michael V Boland2, Zhongdi Chu3
1Office of Data Science and Health Informatics, National Eye Institute, National Institute of Health, Bethesda, MD, USA. kerry.goetz@nih.gov.
Ocular imaging and AI offer rapid eye disease diagnosis. However, interoperability challenges hinder widespread clinical adoption, especially in smaller eye clinics, impacting patient care and collaboration.
Area of Science:
- Ophthalmology
- Medical Imaging
- Artificial Intelligence in Healthcare
Background:
- Office-based ocular imaging is standard for assessing eye structure and function.
- Advances in imaging and AI present opportunities for rapid eye disease diagnosis.
- Current clinical workflows often lack integration, particularly in smaller practices.
Purpose of the Study:
- To describe the current state of ocular imaging.
- To identify challenges in interoperability, reporting, and clinical workflow.
- To highlight barriers to optimizing patient care in eye care settings.
Main Methods:
- Review of current practices in office-based ocular imaging.
- Analysis of digital workflow adoption in large institutions versus smaller clinics.
- Examination of interoperability issues in healthcare, specifically within eye care.
Main Results:
- Large institutions leverage integrated digital workflows (EHR, imaging archives, diagnostic viewers).
- Smaller and independent eye clinics lag in adopting these advanced digital workflows.
- Fragmented interoperability practices impede seamless data sharing and collaboration among healthcare providers.
Conclusions:
- Interoperability, reporting, and workflow inefficiencies are key challenges in ocular imaging.
- Addressing these issues is crucial for improving clinical practice and patient outcomes in eye care.
- Enhanced collaboration is essential, given the scarcity of specialized eye care centers.
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