X-Ray Images — lost in space

chest CT

Laura Landro of the Wall Street Journal published the article:  “Image Sharing Seeks to Reduce Repeat Scans” on April 1, 2013.  Ms. Landro reported on an academic project to store x-ray pictures on the Internet called the “Imaging Sharing Project” (image share news release).  The idea is to have patients own a secure copy of their personal x-rays.  By having this storehouse of x-rays in the “cloud” they can be given to any health care provider or hospital as needed.

Any patient who has had to take x-ray images from one provider to another understands the problem.   The provider handed the disk of images may or may not be able to look at them because of incompatible ways of recording the material.  Of course, this means another visit to the provider (or worse, a repeat x-ray and unnecessary x-ray exposure).

Storage of images is nothing new.  But, the concept of the patient owning the images is indeed  something new.  It allows a patient to seek a second opinion without all the hassle of getting the disk.  This is a real asset to a patient who keeps copies of their own medical information.  The typed radiologist report is usually very brief and does not allow for alternate interpretations.

The difficulty transmitting images is partly intentional.   Radiologists fear someone else far away could be a business competitor.   It would be very bad for local radiologists if patients always wanted their brain CT evaluated by some expert in Boston or London.

Cancer patients will find this service very helpful.  If a woman has an abnormal mammogram she can pick the oncologist or surgeon and then share the images with them.  If she has a mammogram at a different facility she can share the older image for the purpose of comparison.

People who move from city to city would still retain easy access to x-ray images.  The US population is much more mobile than in the past so this is very important.

The Image Share project is not available everywhere.  There is a commercial product called LifeIMAGE.  It is a great idea so hopefully the idea will spread.  It would be a step forward if all insurance programs and x-ray offices were required to provide this as a benefit.  If you know of other similar products please leave a reply.

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