Imaging Informatics Unplugged

In this episode of Imaging Informatics Unplugged, Jasonwelcomes back Don Dennison, CIIP, FSIIM, and Mohannad Hussain for a deep dive into the evolution of the Imaging Informatics Career Development Matrix — nowreborn as a fully web-based platform at IIPCareers.com.

The discussion continues from our last conversation(https://www.youtube.com/watch?v=7KIMlAsngBA&t=751s), where the team explored how imaging professionals can define, assess, and grow their skills inthis rapidly evolving field.

In this episode:

• Don demos the new web interface that replaces the originalExcel matrix.
• Mohannad explains how the tool’s database-driven backendenables real-time updates and community feedback.
• Learn how to use role-based skill mapping, AI-poweredcareer planning, and prompt templates for job descriptions and quizzes.
• See how institutions can apply this tool to standardizejob roles, guide professional development, and identify training needs acrossimaging domains.

 

Whether you’re a PACS admin, analyst, or imaging leader —this conversation will show you how to take control of your growth in imaginginformatics and empower your teams to do the same.

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 🔗 Featured Resource

 🧠 Explore the tool: https://iipcareers.com

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 👏 Special Acknowledgment

 A huge thank you to Ghadeer Albattarni for her contributionsin helping develop the IIPCareers.com platform. Your expertise and collaboration helped bring this resource to life!

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🎓 Advance your Imaging Informatics Skills

• Courses: https://learn.nagelsconsulting.com
• Consulting & Solutions: https://nagelsconsulting.com

• LinkedIn:https://www.linkedin.com/company/nagels-consulting

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📺 Watch on YouTube

https://www.youtube.com/@NagelsConsulting

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 📌 Stay Connected

🌐 Website: https://www.nagelsconsulting.com

🎓 Courses: https://learn.nagelsconsulting.com

🔗 LinkedIn:https://www.linkedin.com/company/nagels-consulting

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What happens when large language models (LLMs) move from casual conversations into clinical practice?

In this episode of Imaging Informatics Unplugged, Dr. Woojin Kim joins Jason Nagels to explore the hype, reality, and future of AI in radiology.

Dr. Kim is the Chief Strategy Officer and CMIO at HOPPR, Chief Medical Officer at the ACR Data Science Institute, and a musculoskeletal radiologist at the Palo Alto VA Medical Center. He’s also a proven entrepreneur, co-founding Montage Healthcare Solutions and Equium Intelligence, both acquired by major players in imaging AI.

We cover:

• How Dr. Kim consumes 4–6 hours of AI research daily using tools like Notebook LM and Recall 
• The underestimated risk of silent degradation in clinical AI models and why continuous monitoring matters 
• The difference between prompt engineering vs. context engineering for PACS and RIS integration 
• Opportunities and pitfalls of structured reporting with LLMs 
• Critical discussions on bias, fairness, and synthetic data in radiology AI 
• Where Dr. Kim sees the field heading: multimodal models, agentic AI, and the evolving role of the radiologist 

If you’ve ever wondered how much we can really trust AI in clinical imaging, this episode offers an unfiltered look at the challenges and opportunities shaping the next decade.

🔔 Don’t forget to like, subscribe, and hit the bell to stay updated on future episodes exploring the intersection of imaging, informatics, and AI.

👉 Learn more at:

🌐 https://www.nagelsconsulting.com

📘 https://learn.nagelsconsulting.com

🎙️ Featuring Toni Skokovic | Imaging Informatics Unplugged | Ep. 2Why is healthcare interoperability still so difficult—even with mature standards like HL7, DICOM, and FHIR? In this episode of Imaging Informatics Unplugged, Jason sits down with Toni Skokovic, a 25-year health tech veteran and founder of YourRevenuePlan, to explore what’s really blocking progress.Whether you’re a provider, vendor, PACS admin, or health IT strategist, this conversation goes deep on what’s broken—and what we can finally do about it.🔍 What we cover in this episode: • Why “integration” ≠ interoperability • The real cost of automation without alignment • How agentic AI fits into healthcare workflows (and where it doesn’t) • Why adoption still fails after go-live • Practical steps for providers to tackle real workflow bottlenecks • How vendors can sell solutions instead of specs • The importance of measuring outcomes, not just implementing features📅 UPCOMING TRAINING:Join us for EIB_110: Enterprise Imaging for Business Professionals, a 1-day course split across two half-day live sessions on September 17th and 18th.Ideal for imaging IT teams, clinical ops leaders, and vendor staff.📘 Register here → https://learn.nagelsconsulting.com/course/eib-110-september—🔔 Don’t forget to like, subscribe, and hit the bell to stay updated on future episodes exploring the intersection of imaging, informatics, and AI.👉 Learn more at:🌐 https://www.nagelsconsulting.com📘 https://learn.nagelsconsulting.com🔗 https://www.linkedin.com/company/nagels-consulting#HealthcareInteroperability #ImagingInformatics #HealthIT #EnterpriseImaging #FHIR #DICOM #HL7 #AgenticAI #PACS #MedicalImaging #DigitalHealth

In this episode of Imaging Informatics Unplugged, Dr. Mana Moassefi (incoming Radiology resident at Mayo Clinic) shares insights from a groundbreaking multi-institutional study that evaluated the use of large language models (LLMs) to annotate radiology reports — without any model training.

Mana and her collaborators from institutions including Mayo Clinic, UCSF, Moffitt Cancer Center, Harvard Medical School, UC Irvine, and Emory used prompt engineering to guide commercial LLMs in extracting diagnostic labels from 3,000 radiology reports. The study found:

🧠 LLMs outperformed traditional NLP due to better contextual understanding

🛠️ Prompt engineering was critical, often outperforming chat-based approaches

📊 Structured reporting improved accuracy, but radiologist variability still introduced challenges

😵‍💫 Hallucinations occurred, especially when LLMs were uncertain — leading to verbose, off-topic answers

📈 Consistency matters: AI may not be perfect, but it’s reliably imperfect — a surprising edge over human variability

We also explore future use cases, from structured patient-facing summaries to multi-agent AI workflows that could quantify uncertainty and improve communication across clinical systems.

🔔 Don’t forget to like, subscribe, and hit the bell to stay updated on future episodes exploring the intersection of imaging, informatics, and AI.

👉 Learn more at:

🌐 https://www.nagelsconsulting.com

📘 https://learn.nagelsconsulting.com

🔗 https://www.linkedin.com/company/nagels-consulting

In this episode of Imaging Informatics Unplugged, we sit down with Dr. Jay Crawford—educator, innovator, and one of the foundational voices in imaging informatics. With over 30 years of experience, Jay has helped shape the field from the early days of PACS and digital imaging to global training initiatives in places like Malawi.We explore why technical skills alone are no longer enough, how to build transferable knowledge beyond button-clicking, and the soft skills today’s professionals need to truly thrive. Jay also shares hard-won lessons from training imaging professionals across dramatically different healthcare environments and the importance of adapting to local realities.This episode is packed with insight for PACS admins, imaging analysts, healthcare IT professionals, educators, and anyone looking to level up in this space.🌐 Website: https://www.nagelsconsulting.com🎓 Courses: https://learn.nagelsconsulting.com🔗 LinkedIn: /nagels-consulting

In this episode of Imaging Informatics Unplugged, we explore one of the standout tools from SIIM 2025 — the Imaging Informatics Career Development Matrix, presented by Don Dennison during this year’s Dwyer Lecture.

The matrix serves as a practical guide for:

• Defining key roles and career paths in imaging informatics

• Supporting individual growth and team development

• Identifying gaps and planning workforce capabilities

• Leveraging AI for training, interviews, and performance alignment

• Advancing a collaborative, open-access framework for the field

Don Dennison is joined by Brad Genereaux and Mohannad Hussain, offering insights into the development process, real-world applications, and the vision for community stewardship moving forward.

🔗 Explore the Imaging Informatics Career Matrix

https://siim.org/resource/imaging-informatics-career-matrixdefine-compare-and-advance-your-imaging-informatics-knowledge/

🎓 Advance your imaging informatics skills

• Courses: https://learn.nagelsconsulting.com

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#ImagingInformatics #SIIM2025 #RadiologyIT #CIIP #CareerMatrix #HealthcareIT #PACS #NagelsConsulting #DwyerLecture #MedicalImaging #AIinHealthcare #HealthcareCareers

In this episode of Imaging Informatics Unplugged, Jason sits down with Robert MacDougall to unpack one of the most talked-about — and often misunderstood — concepts in healthcare: the digital twin.

🎯 What exactly is a digital twin in the context of radiology?

💡 How can it be used to optimize imaging operations, increase access, improve patient satisfaction, and boost revenue?

📊 Why are semantic interoperability and a unified data layer critical for success?

Robert shares insights into building a digital twin of the radiology department — modelling scanner usage, staffing, scheduling, quality, and operational efficiency using DICOM, HL7, and proprietary semantic layers.

We also discuss:

• The real-world barriers to digital twin adoption in radiology

• How AI and agentic automation are starting to reshape radiology ops

• The evolution from dashboards to dynamic, intervention-driven systems

• Governance and trust in AI-powered recommendations

• Why the future of radiology needs smarter, interoperable infrastructure

📌 Whether you’re a PACS admin, imaging department lead, healthcare CIO, or just digital health curious — this episode is full of practical insights on the future of imaging operations.

In this episode of Imaging Informatics Unplugged, we sit down with the legendary David Clunie — radiologist, medical informaticist, and longtime editor of the DICOM standard. If you’ve ever worked in medical imaging, you’ve likely used a tool or reference authored by David, and today, we get to dive deep into his incredible journey.We explore the history of DICOM, the role of open standards, current barriers to interoperability, and what the future of digital pathology could look like. Whether you’re a PACS admin, clinical informaticist, vendor rep, or standards geek, this episode delivers rare insights from one of the most influential minds in the field.💬 What you’ll learn in this episode: • How DICOM emerged and evolved into the global imaging standard • The complementary roles of HL7, FHIR, and IHE frameworks • Why digital pathology has faced more resistance than radiology • The technical and business barriers to interoperability • How metadata and conformance still present challenges for vendors and healthcare organizations • Predictions for the next decade of imaging standards and AI-enabled workflows🔗 Connect with David Clunie on LinkedIn: https://www.linkedin.com/in/dclunie/⸻⏱ Chapters00:00 – The Evolution of DICOM: A Historical Perspective10:10 – The Role of Open Standards in Imaging19:49 – Challenges in Digital Pathology and Interoperability28:20 – Barriers to Interoperability in Pathology30:50 – The Business Case for Digital Pathology35:00 – Evolution of DICOM Standards39:48 – The Future of DICOM and Digital Pathology⸻🎧 Listen on Spotify:https://open.spotify.com/show/4DAxDXd…📺 Watch on YouTube:/@nagelsconsulting⸻📌 Stay Connected:✅ Subscribe for more:/@nagelsconsulting🌐 Website: https://www.nagelsconsulting.com🎓 Courses: https://learn.nagelsconsulting.com🔗 LinkedIn: /nagels-consulting

In this episode of Imaging Informatics Unplugged, we’re joined by Mike Wesolowski, medical physicist and CEO of Luxsonic, to explore how virtual reality (VR) is redefining diagnostic imaging, medical education, and access to care.

From fully immersive diagnostic PACS to collaborative virtual tumor boards, Mike walks us through what it takes to build a regulatory-approved VR platform for radiology—and why immersive environments could be the key to solving real-world workflow and access challenges.

Whether you’re interested in enterprise imaging, med ed, or AI, this conversation offers a bold look at the future of radiology—without the walls of a traditional reading room.

💬 Topics Covered:

• Using VR for diagnostic imaging and PACS access

• How immersive tech improves focus and reduces distractions

• Radiology education and training inside virtual environments

• Regulatory hurdles and clinical adoption of VR platforms

• Future convergence of VR and AI in healthcare

⏱️ Chapters:

00:00 Revolutionizing Radiology with Virtual Reality

02:04 The Evolution of VR in Healthcare

07:31 Overcoming Adoption Barriers in Radiology

10:15 Enhancing Focus and Reducing Distractions

13:12 Transforming Medical Education with VR

16:39 The Future of AI and VR in Healthcare

🎧 Listen on Spotify:

https://open.spotify.com/show/4DAxDXd0kpvRh6NwvSJiVF?si=ececaef484e54034

📺 Watch on YouTube:

https://www.youtube.com/@NagelsConsulting

🔗 Connect with Mike Wesolowski:

https://www.linkedin.com/in/mikewesolowski/

🌐 Learn more about Luxsonic:

https://luxsonic.ca/

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✅ Subscribe for more: https://www.youtube.com/@NagelsConsulting

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Missed the MIIT 2025 Conference in Hamilton? We’ve got you covered.This episode of Imaging Informatics Unplugged features a high-level, AI-generated recap of the Medical Imaging Informatics and Teleradiology (MIIT) conference — one of Canada’s most dynamic and forward-thinking gatherings in the imaging informatics space. Learn more at https://miit.ca.We fed every presentation from MIIT 2025 into Notebook LM, a generative AI tool, and asked it to synthesize key themes, trends, and insights. No fluff. No vendor bias. Just a solid digest of what was shared, debated, and imagined for the future of imaging.

⸻💡 What You’ll Learn🧠 How AI is reshaping imaging: augmentation, not replacement🧩 Why interoperability is central to everything from AI to workflow🏥 What large-scale projects (like Saudi Arabia’s VNA & Canada’s Arctic initiatives) can teach us🔓 How open-source tools and collaborative communities are redefining innovation🌍 Why digital equity, task-shifting, and community-led training matter now more than ever⸻🎧 Listen on Spotify:https://open.spotify.com/show/4DAxDXd0kpvRh6NwvSJiVF?si=ececaef484e54034📺 Watch on YouTube:https://www.youtube.com/@NagelsConsulting⸻🚀 More from Nagels Consulting:🌐 Website: https://www.nagelsconsulting.com🎓 Courses: https://learn.nagelsconsulting.com🔗 LinkedIn: https://www.linkedin.com/company/nagels-consulting📬 Subscribe for updates and insights