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Cloud Computing Make Sharing Medical Images Easier and More Efficient

By MedImaging International staff writers
Posted on 11 Jun 2012

A new medical image-sharing project reveals that cloud technology is proving to be a faster, more effective way to store and distribute their medical images than current options, according to the early findings of an image-sharing project.

The project was led by the Mount Sinai Medical Center (New York, NY, USA) in conjunction with four other academic medical institutions. The phase I results of the Radiological Society of North America (RSNA) Image Share project were presented April 30, 2012, at the American Roentgen Ray Society annual meeting in Vancouver (BC, Canada).

Mount Sinai was the first site to go live in August 2011 and currently has about 190 patients enrolled in project. A total of about 600 patients are participating in all sites, which also include University of California-San Francisco (USA), University of Chicago Medical Center (IL, USA), Mayo Clinic (Rochester, MN, USA), and the University of Maryland Medical Center (Baltimore, MD, USA).

Cloud computing involves using a network of remote servers hosted on the Internet to store, manage, and process data, instead of than a local server or a personal computer (PC). “This is the next revolution in digital imaging,” said David Mendelson, MD, FACR, chief of clinical informatics at The Mount Sinai Medical Center and chief clinical investigator for RSNA Image Share. “It gives the patient ownership over their records and makes the information more accessible to physicians. Plus it decreases unnecessary radiation exposure that can be caused by physicians ordering duplicate examinations due to records not being easily available.”

To utilize RSNA Image Share, patients create an account and password and then are given access to import their images and reports into the personal health record account. For patient confidentiality and security reasons, when the information leaves the server at each local radiology site and goes outside a hospital’s firewall, it remains encrypted until it arrives in the patient’s account, where it is unencrypted so the patient can see it.

“We’re dealing with sensitive health information, so creating a secure and confidential system is of the utmost importance,” said Dr. Mendelson. “But if you look at online banking or shopping, which both transport sensitive financial information; we know creating a secure, widely used system is an attainable goal.”
In phase two of the trial, patients will be allowed to share their images without the images first being uploaded to an Internet-based personal health record. This should be useful in the instance of severe acute trauma, with transfer to a trauma center. In phase three, the data will be deidentified and then made available for clinical trials.

The RSNA Image Share project was funded by the US National Institute of Biomedical Imaging and Bioengineering at the National Institutes of Health (NIH; Bethesda, MD, USA).

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68 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE id=294741062 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741062 AND published='1' LIMIT 1

69 (43.153762817383): 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 (499.01008605957): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (417.94776916504): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (63.896179199219): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): 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 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

105 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

106 (101.08947753906): 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=294741062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (97.036361694336): 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=294741062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

109 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

110 (62.942504882812): 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=294741062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (599.14588928223): 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=294741062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (693.08280944824): 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 (468.96934509277): 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 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

115 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

116 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

117 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

120 (354.05158996582): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 27765.989303589): 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 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

123 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

124 (454.18739318848): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741062 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741062 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 507641.07704163): ( 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 (102.99682617188): ( 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 (56.982040405273): 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 (41.007995605469): 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 (121.11663818359): 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 (57.93571472168): 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 (51.021575927734): 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 (37.908554077148): 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 (659.94262695312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (479.93659973145): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=216

136 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=216

137 (521.89826965332): 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 (408.88786315918): 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 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

140 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

141 (!!!!! 10887.861251831): TRUNCATE TABLE jos_trademed_module

142 (169.99244689941): 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=294741062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (81.062316894531): 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=294741062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (669.00253295898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

147 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

148 (!!!!! 1595.0202941895): 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 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

150 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

151 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741062 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741062 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 (43.153762817383): 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 (61.03515625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

156 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741062 AND published='1' LIMIT 1

157 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

158 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

159 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

160 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

161 (370.97930908203): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1770.01953125): insert into jos_banners_delta values (14615,'2025-06-19 02:37:46','216.73.216.120','view'),(14202,'2025-06-19 02:37:46','216.73.216.120','view'),(14203,'2025-06-19 02:37:46','216.73.216.120','view')

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