Medical Imaging
Medical imaging in clinical trials
Cardinal Systems Medical Imaging can manage all aspects of the imaging component of your clinical trial, from protocol consultation and development to independent expert blinded review and image archival.
Imaging workflow
| Imaging protocol design | Multi-site imaging coordination | Image management | Central blinded review | Query management | Databases and reporting systems |
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| Modality section | Site training and certification | Image retrieval and DICOM image conversion | Independant review charter writing | Real time imaging project reporting | Secured image storage |
| Imaging parameters standardisation | Study specific supplies | DICOM file editing demographic anonymisation | Selection, training, validation and monitoring of readers | Pro-active query resolution | 21 CFR part 11 platform |
| Review criteria evaluation | Expert project management | Quality assurance and pre-processing | eCRF / Leading edge reading workstation |
Expertise in methodology
Cardinal Systems is recognised for its expertise in methodology and its knowledge in innovative designs. This strength gives Cardinal Systems Medical Imaging a real advantage in reading protocol development in different therapeutic areas.
Therapeutic areas
With a large network of experts in various therapeutic areas, Cardinal Systems Medical Imaging can support appropriate surrogate endpoints and provide streamlined workflow for blinded reading.
Areas of therapeutic expertise include :
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Modalities
Cardinal Systems Medical Imaging has significant experience with a wide range of imaging modalities including :
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Support
Cardinal Systems Medical Imaging solution benefits from a proprietary platform, InfoGate®, which can be easily integrated into external systems and innovative algorithms to enhance image transfer and consistent information workflow. It allows central data storage and real-time review for tracking and reporting.Cardinal Systems’ technology platform is 21CFR Part 11 compliant, with 24/7 online support.
Expert Project Management
Cardinal Systems Medical Imaging Team, located in Europe and North America, is specialised in imaging management within clinical trials. Working closely with our partners to ensure FDA compliant imaging solutions, we aim at delivering the best software environment for image assessment.
Examples of reading endpoints
| Neurology | Dermatology | Oncology |
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Using Functional Diffusion Mapping we can monitor the early impact of anti-cancer drugs and radiation therapy • 2D and 3D ROI measurements • Diffusion and perfusion • Region activation using fMRI • Volume measurements |
We ensure accurate and reproducible comparison over time of a lesion’s digital photograph by using colour calibration validated algorithm. |
We provide a complete set of tools for response assessment in a multi-modality environment: RECIST/ WHO response rate, volumetric analysis, PET/CT image fusion, SUV calculation |


