title: Challenges in image-guided therapy system design.
abstract: System development for image-guided therapy (IGT), or image-guided interventions (IGI), continues to be an area of active interest across academic and industry groups. This is an emerging field that is growing rapidly: major academic institutions and medical device manufacturers have produced IGT technologies that are in routine clinical use, dozens of high-impact publications are published in well regarded journals each year, and several small companies have successfully commercialized sophisticated IGT systems. In meetings between IGT investigators over the last two years, a consensus has emerged that several key areas must be addressed collaboratively by the community to reach the next level of impact and efficiency in IGT research and development to improve patient care. These meetings culminated in a two-day workshop that brought together several academic and industrial leaders in the field today. The goals of the workshop were to identify gaps in the engineering infrastructure available to IGT researchers, develop the role of research funding agencies and the recently established US-based National Center for Image Guided Therapy (NCIGT), and ultimately to facilitate the transfer of technology among research centers that are sponsored by the National Institutes of Health (NIH). Workshop discussions spanned many of the current challenges in the development and deployment of new IGT systems. Key challenges were identified in a number of areas, including: validation standards; workflows, use-cases, and application requirements; component reusability; and device interface standards. This report elaborates on these key points and proposes research challenges that are to be addressed by a joint effort between academic, industry, and NIH participants.
authors.affiliation: Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, USA. simond@bwh.harvard.edu
authors.forename: Simon
authors.initials: S
authors.lastname: Dimaio
authors.forename: Tina
authors.initials: T
authors.lastname: Kapur
authors.forename: Kevin
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authors.lastname: Cleary
authors.forename: Stephen
authors.initials: S
authors.lastname: Aylward
authors.forename: Peter
authors.initials: P
authors.lastname: Kazanzides
authors.forename: Kirby
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authors.lastname: Vosburgh
authors.forename: Randy
authors.initials: R
authors.lastname: Ellis
authors.forename: James
authors.initials: J
authors.lastname: Duncan
authors.forename: Keyvan
authors.initials: K
authors.lastname: Farahani
authors.forename: Heinz
authors.initials: H
authors.lastname: Lemke
authors.forename: Terry
authors.initials: T
authors.lastname: Peters
authors.forename: William Bill
authors.initials: WB
authors.lastname: Lorensen
authors.forename: David
authors.initials: D
authors.lastname: Gobbi
authors.forename: John
authors.initials: J
authors.lastname: Haller
authors.forename: Laurence Larry
authors.initials: LL
authors.lastname: Clarke
authors.forename: Stephen
authors.initials: S
authors.lastname: Pizer
authors.forename: Russell
authors.initials: R
authors.lastname: Taylor
authors.forename: Robert
authors.initials: R
authors.lastname: Galloway
authors.forename: Gabor
authors.initials: G
authors.lastname: Fichtinger
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Hata
authors.forename: Kimberly
authors.initials: K
authors.lastname: Lawson
authors.forename: Clare
authors.initials: C
authors.lastname: Tempany
authors.forename: Ron
authors.initials: R
authors.lastname: Kikinis
authors.forename: Ferenc
authors.initials: F
authors.lastname: Jolesz
mesh_terms: D000465:Algorithms; D019295:Computational Biology; D003199:Computer Systems; D006801:Humans; D051188:Knowledge Bases; D017146:Models, Organizational; D009316:National Institutes of Health (U.S.); D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000639:trends*; D017063:Outcome Assessment, Health Care; D015203:Reproducibility of Results; D012371:Robotics; D012984:Software; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000639:trends*; D016896:Treatment Outcome; D014481:United States