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Instant “Cloud” Access to Medical Images Application Devised for Patients and Physicians

By MedImaging International staff writers
Posted on 07 May 2012

Patients can effectively grab their medical images from the “cloud,” making it faster for them to distribute them to their physicians regardless where those physicians might be, according to a preliminary report of an image share project that involves five different academic institutions.

The image share project includes the University of California, San Francisco (USA, University of Chicago (IL, USA), Mayo Clinic (Rochester, MN, USA), the University of Maryland (Baltimore, MD, USA), and the Mount Sinai Medical Center (New York, NY, USA).

“The patient can arrange with their radiologists’ office to have their images and the radiology reports exported into an Internet-based personal health record [PHR],” said David Mendelson, MD, principal investigator of the image share project. Once the data are in the PHR, the patient has full control over distribution of the images and reports. Images can be viewed immediately online by signing into one’s PHR. Moreover, e-mail links can be sent to physicians, allowing them to view and download the images and reports as needed, according to Dr. Mendelson.

Patients are appreciative of this because they “own” the exam, said Dr. Mendelson. Physicians like this because they have anytime, anywhere access to images and reports, he said. A major benefit to everyone is that fast and easy access to the images and reports could “encourage appropriate utilization of imaging services and diminish the unnecessary radiation exposure secondary to the duplication of recent examinations because those previous examinations are not easily available to providers,” remarked Dr. Mendelson.

Confidentiality and security are of primary importance and the image share project has instituted safeguards to ensure both, according to Dr. Mendelson. One of the biggest hurdles that the project has had to surmount is ensuring that local Health Insurance Portability and Accountability Act of 1996 (HIPAA) issues are addressed.

This is the first phase of the project; in phase two, patients will be allowed to share their images without the images first being uploaded to an Internet-based PHR. This is especially advantageous in the event of severe acute trauma, with transfer to a trauma center. In phase three, the data will be de-identified and then made available for clinical trials, Dr. Mendelson reported.

This updated report’s findings were presented at the American Roentgen Ray Society annual meeting held in April 2012 in Vancouver (BC, Canada).

Related Links:
University of California, San Francisco
University of Maryland
Mount Sinai Medical Center

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69 (38.14697265625): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (401.02005004883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (343.08433532715): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (65.088272094727): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (54.121017456055): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

105 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

106 (64.13459777832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740474 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (51.975250244141): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740474 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

109 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

110 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294740474 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (513.07678222656): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294740474 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (566.00570678711): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (351.1905670166): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

116 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

117 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

118 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

120 (365.01884460449): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 26874.06539917): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

123 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

124 (566.00570678711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740474 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740474 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 596924.06654358): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (136.13700866699): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (66.995620727539): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (75.101852416992): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (621.08039855957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (545.97854614258): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (54.836273193359): SELECT name FROM jos_deeppockets WHERE id=216

136 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=216

137 (756.97898864746): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (602.96058654785): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 3268.9571380615): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

140 (771.99935913086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

141 (!!!!! 24538.993835449): TRUNCATE TABLE jos_trademed_module

142 (150.91896057129): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740474 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (75.101852416992): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294740474 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (517.84515380859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

147 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

148 (!!!!! 1301.0501861572): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

150 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

151 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740474 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740474 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (46.968460083008): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

153 (39.100646972656): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

154 (46.968460083008): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

156 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740474 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740474 AND published='1' LIMIT 1

157 (60.796737670898): select jos_twitters.link from jos_twitters where cat=10

158 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

159 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

160 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

161 (361.91940307617): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1625.0610351562): insert into jos_banners_delta values (14615,'2025-06-19 02:20:08','216.73.216.120','view'),(14202,'2025-06-19 02:20:08','216.73.216.120','view'),(14203,'2025-06-19 02:20:08','216.73.216.120','view')

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