Timeline: The Development of Medical Imaging Based of the Evolution of Computers

Some Early Computers:

1938 – Zuse Z1 – The Z1 was a mechanical computer designed by Konrad Zuse from 1935 to 1936 and built by him from 1936 to 1938. 

1942 – The Atanasoff-Berry Computer – The Atanasoff Berry Computer, later named the ABC, was built at Iowa State University from 1939-1942 by physics professor Dr. John Vincent Atanasoff and his graduate student, Clifford Berry.

1945 – The ENIAC ( 18,000 vacuum tubes. ) – The first programmable general-purpose electronic digital computer, built during World War II by the United States. In the United States, government funding during the war went to a project led by John Mauchly, J.

The use of vacuum tube memory

The use of magnetic core memory

The use of semiconductor memory

Hopkins CT Experience: 1980-2017

Siemens Medical Systems: DEC-PDP11

Pixar: Pixar I and II Image Computer

‘ image rendering’

‘volume rendering’

12-192 Megabyte picture data

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SUN Workstations 3/160 thru Sparc 2

Silicon Graphicsn Onyx: Infinite Grahics Workstations

Silicon Graphics O2 workstation

SGI O2 with VP500/VP1000 board

Dell 8100 with VolumePro 1000 board and/or

nVidia G-Force 4

InSpace on Leonardo Workstation (HP) with NVIDIA board

iPad 3 with NVIDIA boards

went from “binary classification” to “volume rendering”

“server side processing and post processing”

“multiplanar reconstruction”

  • In 1967 Sir Godfrey Hounsfield invented the first CT scanner at EMI Central Research Laboratories using x-ray technology.

By the early 1980s, more than three million CT studies had been performed. Presently that number has grown to well over 100 million CT studies annually,8 with CT becoming the modern doctor’s “truth machine.

filmless radiology

Control computers

parallel processing imaging computers

convolution

backprojection

» The market for Computed Tomography imaging includes the 16-slice, 32/40-slice, 64-slice and ultra-premium (over 64-slice) markets. There is a clear tendency in this market toward higher slice systems because they produce more accurate images. This explains the higher growth of the 64-slice segment.

The development of PACS servers

archival storge costs have decreased

The trend toward cloud storage – acquisition, annotation, collaberation

Development of AI in diagnosis

 it generates large digitized data sets that can be subjected to advanced analytics and deep learning.

dataexplosion – an enormous amount of data

“Deep Learning”: – neural network

‘decision trees’

‘random forests’

3D imaging

‘isotropc data sets’ – in multidetector CT

precision medicine

population studies

use of computers in training and educastion

‘enterprise networking’ in hospitals, and displaying images in surgery suite, due to networking – HL7

2013 – US probes that plug into smart phones or tablet

making 3D anatomical models:
three steps: image segmentation, mesh refinement and 3D printing

VR and medical imaging- diagnosis, treatment and medical education

Intuitive surgical

computational power – abilty to use graphical interfaces

ultrasound on a chip” –
“capacitive micromachined ultrasound transducer”

Multi Core Platforms:

Currently the largest super computer for processing and analysis of mass volumes accumulating raw data provides 129,600 processor cores. A super computer however is not a suitable option for a hospital as they are very large and extremely costly installations. Only a few large research centers can afford such investments.

‘medical imaging servers’

 Knowledge-Based Auto Contouring for Radiation Therapy

IMRT -image modulated radio therapy

an advanced form of 3D Conformal Radiotherapy that allows the physician to administer higher and varying doses of radiation to the tumor while sparing healthy surrounding tissue

IGRT – image-guided radio therapy

When undergoing IGRT, high-quality images are taken before each radiation therapy treatment session. IGRT may make it possible to use higher doses of radiation, which increases the probability of tumor control and typically results in shorter treatment schedules.

Moore’s Law and pixel scaling

‘spatial resolution’

the advent of (CCD) charge coupled devices

CMOS sensors – CCD and CMOS sensors power digital cameras. … Both CCD (charge-coupled device) and CMOS (complementary metal-oxide semiconductor) image sensors start at the same point — they have to convert light into electrons.

Parallel Processing Computers:

Cray I- 1976

AI and clinical decision making:

  1. disease detection
  2. lesion segmentation
  3. diagnosis
  4. treatment assesment
  5. response assessment
  6. clinical prediction (of response or future disease)

radiomics -mineable databases from radiological images

a method that extracts large amount of features from radiographic medical images using data-characterisation algorithms. These features, termed radiomic features, have the potential to uncover disease characteristics that fail to be appreciated by the naked eye.

ePAD platform – ePAD is a freely available quantitative imaging informatics platform, developed by the Rubin Lab at Stanford Medicine Radiology at Stanford University. Thanks to its plug-in architecture, ePAD can be used to support a wide range of imaging-based projects.

REFERENCES:

https://epad.stanford.edu/

https://www.mayoclinic.org/tests-procedures/image-guided-radiation-therapy/about/pac-20385267

https://keck.usc.edu/radiation-oncology/patient-care/intensity-modulated-radiotherapy/

https://www.doc.ic.ac.uk/~jce317/history-medical-imaging.html

https://www.sciencedirect.com/science/article/abs/pii/S0895611107000262