Welcome to ‘Imaging Informatics Unplugged,’ the podcast where host Jason Nagels delves into the dynamic world of medical imaging informatics. From interoperability standards like DICOM, HL7, and FHIR to the latest AI innovations and enterprise imaging, Jason brings you insightful discussions and expert interviews illuminating the path toward seamless healthcare technology integration. Whether you’re a seasoned professional or new to the field, join us as we explore the technologies and trends shaping the future of medical imaging. nagelsconsulting.com / learn.nagelsconsulting.com
Imaging Informatics Unplugged
Claim This Podcastby Nagels Consulting
33 episodes
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Podcast Overview
Welcome to ‘Imaging Informatics Unplugged,’ the podcast where host Jason Nagels delves into the dynamic world of medical imaging informatics. From interoperability standards like DICOM, HL7, and FHIR to the latest AI innovations and enterprise imaging, Jason brings you insightful discussions and expert interviews illuminating the path toward seamless healthcare technology integration. Whether you’re a seasoned professional or new to the field, join us as we explore the technologies and trends shaping the future of medical imaging. nagelsconsulting.com / learn.nagelsconsulting.com
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Publishing Since
4/3/2025
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Recent Episodes
July 3, 2026
Task Shifting & Radiology IT: How Nunavut Closed Its Imaging Access Gap | Greg Toffner
<p>What happens when a remote Arctic community with zero medical radiation technologists needs a chest x-ray — and the nearest one is a plane ride away? In this special crossover episode with SIIMCast, Jason and Mohannad sit down with Greg Toffner, a PhD researcher training local Inuit community members across 25 Nunavut communities to become Basic Radiological Technicians (BRTs). Greg breaks down the concept of task shifting, how it’s reshaping radiology IT access in one of the most geographically isolated regions on earth, and what six years of hands-on curriculum design, mobile x-ray equipment, and government policy work have taught him about building a sustainable imaging informatics workforce from the ground up.You’ll hear real numbers on health disparities in the North, how a 60-procedure competency framework turns a health center janitor into a trusted member of the care team, and where AI might eventually fit into enterprise imaging and radiology workflows in low-resource settings. It’s a conversation about access, dignity, and what imaging informatics looks like when PACS, DICOM, and specialist radiologists aren’t around the corner.If you’re building your own credential in imaging informatics, check out the CIIP Foundations Program at nagelsconsulting.com, and keep an eye out for our upcoming DICOM training program featuring hands-on, live imaging learning labs: Learn more at nagelsconsulting.comKey Topics Covered• What “task shifting” means and how it’s applied to solve radiology workforce shortages in remote Arctic communities• Life inside Nunavut’s 25 flying communities — the geography, climate, and health disparities driving the program (life expectancy, respiratory disease, and smoking rates)• How Greg’s team built a simplified radiology curriculum for learners with no formal healthcare background• The three-phase, hands-on training model — from image critique to a 60-procedure competency audit• Why government policy recognition, not just curriculum quality, is what makes a task-shifted role sustainable• Early findings from Greg’s PhD research: pride, community trust, and the ripple effects on local health outcomes• Where the program is headed next — expanded scope into lab work and ECGs, and where AI might fit inhealthcare IT, medical imaging, radiology technology, healthcare interoperability, PACS administration, DICOM standard, HL7 integration, radiology informatics, imaging workflows, vendor neutral archive, enterprise imaging, radiology AI, medical imaging data, PACS migration, rural health access</p>
June 25, 2026
AI Coding, DICOM Sync & the Future of PACS | Chris Hafey
<p>What happens when a 25-year medical imaging veteran retires, then comes back with an AI coding assistant and rebuilds his entire mental model of how PACS gets built? Chris Hafey, founder of Merkalis and longtime fixture in the imaging informatics community, joins Imaging Informatics Unplugged to talk about coding with Claude and other LLMs, why he believes solo founders can now out-build 50-person dev teams, and what that means for PACS administration, Radiology IT, and Enterprise Imaging going forward. We dig into the real story behind his Monday-morning community meetups, the skill-degradation risk facing junior engineers as AI takes over more of the coding, and the Merkle-tree-based architecture Chris built to solve DICOM synchronization — a problem that's plagued Vendor Neutral Archives and Imaging Informatics teams trying to keep on-prem and cloud PACS in sync. Chris also explains why he thinks some legacy PACS vendors would be better off rebuilding from scratch than fighting decades of technical debt, and what AI in Radiology and HL7-connected systems need to actually trust the data they're syncing. If you work anywhere near PACS, DICOM, or healthcare IT and want an unfiltered, practical conversation instead of a vendor pitch, this one's for you.Jason also shares an update on the CIIP Foundations Program for imaging informatics professionals working toward their credential, plus a first look at the new DICOM training program featuring hands-on live imaging learning labs. Learn more at nagelsconsulting.com.Key Topics Covered• How Chris's Monday-morning imaging community meetup started during COVID, went on hiatus, and came back unfiltered• Going from hand-coding for a month to building a full DICOM web server with OHIF integration in about two hours of real thinking time using Claude• Why Chris believes a small domain-expert team using LLMs can now do what used to require a 50-person dev team and tens of millions in funding• The skill-degradation risk for junior and senior engineers as LLMs take over more of the actual coding• Why some legacy PACS vendors might be better off rebuilding from scratch than maintaining decades of technical debt• Applying a Git-like delta model to DICOM so PACS, VNAs, and AI pipelines can stay in sync without re-sending whole studiesTags• healthcare IT• medical imaging• radiology technology• healthcare interoperability• PACS administration• DICOM standard• HL7 integration• radiology informatics• imaging workflows• vendor neutral archive• enterprise imaging• radiology AI• AI coding assistants• PACS migration• healthcare data management</p>
June 20, 2026
Why VNAs Were Never Really About Storage — And What That Means for AI | Larry Sitka
<p>If you've ever fought through a PACS migration, wrestled with malformed DICOM data, or wondered why two systems that supposedly speak the same standard can't talk to each other — this one's for you.</p><p>Jason sits down with Larry Sitka, founder of Acuo Technologies and one of the earliest architects of the Vendor Neutral Archive (VNA) concept, to unpack three decades of building enterprise imaging infrastructure from the ground up. </p><p>Larry got his start writing network drivers at Bell Labs, helped shape DICOM 3.0 at 3M, and then built Acuo — a company he grew from a sketch on a napkin in 1997 into an enterprise imaging powerhouse acquired twice over.In this episode, Larry and Jason dig into why DICOM interoperability is still a mess, how AI false positives are driving radiologist frustration, and why the next evolution of enterprise imaging isn't about storing data — it's about perceiving it. They also tackle the knowledge gap that's forming as experienced imaging IT professionals retire, what AI governance for radiology actually looks like, and why Larry thinks the industry has been building things for the wrong user all along.</p><p>Whether you're a PACS administrator, imaging informatics professional, or just someone who cares about getting radiology AI right, this conversation will give you a lot to chew on.If you're looking to build a stronger foundation in imaging informatics or sharpen your DICOM knowledge, check out the CIIP Foundations Program and the upcoming DICOM training with hands-on live imaging learning labs at <a href="www.nagelsconsulting.com" target="_blank" rel="noopener noreferer">nagelsconsulting.com</a>.</p><p>Learn more at nagelsconsulting.comKey Topics Covered</p><ul><li>The origin story of Acuo and why the VNA concept emerged in 1997 — before anyone had a name for it</li><li>Why DICOM interoperability remains broken and what a real conformance testing standard would look like</li><li>The shift from data persistence to data perception — and how AI changes what we actually need from a VNA</li><li>How AI false positives are burning out radiologists and what multi-algorithm inference engines could do instead</li><li>The knowledge gap in imaging IT: what gets lost when experienced DICOM engineers retire</li><li>AI governance for enterprise imaging — why recalibrating AI models is the next big challenge in PACS/VNA</li><li>The future of enterprise imaging: running a million AI inferences a night at population scale</li></ul>
33 total episodes available
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