A wide range of imaging technologies are becoming increasingly important to
the practice of medicine. In addition, many medical specialties are highly
visual, independent of their use of new imaging modalities. Because today'
s medical record contains text, images, and physiologic signals, it is inhe
rently multimedia in nature. However, most electronic medical record system
s handle only the textual portion of the patient record, resulting in a fra
gmentation of the database that physicians need to make timely, effective c
linical decisions. Advances in database-, storage-, data-compression, and n
etworking technologies will facilitate the development of multimedia electr
onic medical record systems for the 21st century. These systems will become
widely used over the next decade, and in addition to enhancing patient car
e, will also present new opportunities for using clinical imaging data for
biomedical research and education.