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[LABORATORY TESTS AND RADIOLOGICAL IMAGING - DIAGNOSTIC TOOLS THAT SHARE INFORMATION AND CAN BE FUNCTIONALLY INTEGRATED].
Harefuah 2017 March
INTRODUCTION: In spite of apparent disparity between the specialties of radiological imaging, pathology and laboratory analysis, the medical diagnostic information that these sources provide have a lot in common and can be effectively utilized by sharing quantitative and qualitative results through modern information technology processes. Informaticsbased integration of radiological imaging, digital images of anatomical and molecular pathology and clinical laboratory results enables earlier, more sensitive and precise diagnosis, resulting in the more efficient treatment of patients. In recent years, leading manufacturers of medical imaging systems have spent billions of dollars to foster the integration of radiology, pathology and laboratory medicine by acquiring major in vitro diagnosis companies. Since both radiology and laboratory medicine generate large amounts of data, these firms also acquire leading companies in the field of information technology, data mining and data processing. Evidently, the large companies are building capabilities to offer integrated systems to handle data from imaging and laboratory testing. This strategy suggests an expectation that the future of diagnostic medicine lies in the effective integration of imaging, pathology and in vitro diagnostics. This approach is based on developing the capabilities of informatics to coordinate the analysis of images produced by clinical radiological imaging, anatomic cellular and molecular pathology, with data obtained from the analysis of biomarkers in the laboratory. This capability fosters the establishment of new "integrated diagnostics" departments in hospitals and academic medical institutions. Certain forms of liver steatosis and breast cancer are examples of conditions that can be effectively diagnosed and assessed by the combined, IT-supported, analysis of imaging and laboratory results, thus almost obliterating the need for invasive procedures.
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