1. Better tools to create measurements are required with integration into the PACS to integrate into the regular workflow.
2. Better tools for representing the results (DICOM SR and AIM are available but adoption by vendors is slow).
3. Education.
4. Validation datasets. How to use existing tools and how not to mis-use them.
The main immediate informatics challenge is that the workflow for 3D postprocessing is poor.
QIBA is trying to streamline the process of obtaining quantitative imaging biomarkers. Using standards is a prerequisite in this effort.
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