Systematic Review and Bibliometric Mapping on Image Processing in Electronic Health Records

Authors

  • Amir Hamzah Dinnillah Universitas Nusa Mandiri
  • Fikri Maulana Universitas Nusa Mandiri

DOI:

https://doi.org/10.57152/malcom.v6i2.2462

Keywords:

Bibliometric Analysis, Data Security, Deep Learning, Electronic Health Records, Medical Image Processing

Abstract

The integration of medical image processing techniques into Electronic Health Records (EHR) has become a vital element in the transformation of modern digital healthcare services. This study aims to conduct a Systematic Literature Review (SLR) and bibliometric analysis to evaluate current research trends, patterns, and gaps from 2021 to 2025. Using the PRISMA framework and data from the Scopus database, this study analyzes 23 selected articles visualized using VOSviewer software. The results reveal a significant surge in publications, driven by the adoption of Artificial Intelligence (AI) and Deep Learning, which have been proven to improve diagnostic accuracy and facilitate early detection of critical diseases. Although these technologies support better clinical decision-making, major challenges related to system interoperability, data standardization, and patient privacy security remain substantial obstacles that need to be overcome. The study also highlights the role of emerging technologies such as the Internet of Medical Things (IoMT) and blockchain as potential solutions for data security. In conclusion, this research provides strategic guidance for developers and policymakers to create a more interoperable, secure, and efficient EHR ecosystem.

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References

M. Van Assen, A. Tariq, A. C. Razavi, C. Yang, I. Banerjee, and C. N. De Cecco, ‘Fusion Modeling: Combining Clinical and Imaging Data to Advance Cardiac Care’, Circulation: Cardiovascular Imaging, vol. 16, no. 12, pp. 986–997, 2023, doi: 10.1161/CIRCIMAGING.122.014533.

E. Hsu, I. Malagaris, Y.-F. Kuo, R. Sultana, and K. Roberts, ‘Deep learning-based NLP data pipeline for EHR-scanned document information extraction’, JAMIA Open, vol. 5, no. 2, 2022, doi: 10.1093/jamiaopen/ooac045.

A. Cao, D. Klabjan, and Y. Luo, ‘Open-set recognition of breast cancer treatments’, Artificial Intelligence in Medicine, vol. 135, 2023, doi: 10.1016/j.artmed.2022.102451.

N. Ghaffar Nia, E. Kaplanoglu, and A. Nasab, ‘Evaluation of artificial intelligence techniques in disease diagnosis and prediction’, Discov Artif Intell, vol. 3, no. 1, p. 5, Jan. 2023, doi: 10.1007/s44163-023-00049-5.

R. Gomes, T. Pham, N. He, C. Kamrowski, and J. Wildenberg, ‘Analysis of Swin-UNet vision transformer for Inferior Vena Cava filter segmentation from CT scans’, Artificial Intelligence in the Life Sciences, vol. 4, 2023, doi: 10.1016/j.ailsci.2023.100084.

R. Aggarwal et al., ‘Diagnostic accuracy of deep learning in medical imaging: a systematic review and meta-analysis’, npj Digit. Med., vol. 4, no. 1, p. 65, Apr. 2021, doi: 10.1038/s41746-021-00438-z.

P. Singh et al., ‘Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach’, Sci Rep, vol. 15, no. 1, p. 26058, Jul. 2025, doi: 10.1038/s41598-025-11023-9.

L. Mercedes et al., ‘A prospective protocol for remotely investigating brain-behaviour-genetics associations in adolescent patients in a paediatric health system with pre-existing clinical brain MRIs’, BMJ Open, vol. 15, no. 10, 2025, doi: 10.1136/bmjopen-2025-106431.

R. D. Folks, B. I. Naik, D. E. Brown, and M. E. Durieux, ‘Computer vision digitization of smartphone images of anesthesia paper health records from low-middle income countries’, BMC Bioinformatics, vol. 25, no. 1, p. 178, May 2024, doi: 10.1186/s12859-024-05785-8.

G. Jagadamba, R. Shashidhar, V. Ravi, S. Mallu, and T. J. Alahmadi, ‘Design of Interoperable Electronic Health Record (EHR) Application for Early Detection of Lung Diseases Using a Decision Support System by Expanding Deep Learning Techniques’, Open Respiratory Medicine Journal, vol. 18, 2024, doi: 10.2174/0118743064296470240520075316.

J. Han et al., ‘On-patient medical record and mRNA therapeutics using intradermal microneedles’, Nat. Mater., vol. 24, no. 5, pp. 794–803, May 2025, doi: 10.1038/s41563-024-02115-4.

W. Liyun, ‘Efficient Processing and Intelligent Diagnosis Algorithm for Internet of Things Medical Data Based on Deep Learning’, International Journal of Advanced Computer Science and Applications, vol. 16, no. 5, 2025.

S. N. Ashraf, R. Siddiqi, and H. Farooq, ‘Auto encoder-based defense mechanism against popular adversarial attacks in deep learning’, PLoS ONE, vol. 19, no. 10, p. e0307363, Oct. 2024, doi: 10.1371/journal.pone.0307363.

Z. Makhlouf, A. Meraoumia, L. Lakhdar, and M. Y. Haouam, ‘ENHANCING MEDICAL DATA SECURITY IN E-HEALTH SYSTEMS USING BIOMETRIC-BASED WATERMARKING’, Appl. Comput. Sci., vol. 20, no. 1, Mar. 2024, doi: 10.35784/acs-2024-03.

H. Kamran, S. J. Hussain, S. Latif, I. A. Soomro, M. M. Alnfiai, and N. N. Alotaibi, ‘FedGAN: Federated diabetic retinopathy image generation’, PLoS One, vol. 20, no. 7, p. e0326579, Jul. 2025, doi: 10.1371/journal.pone.0326579.

J. Chen et al., ‘Interpretable and reproducible machine learning model for coronary calcification and segment-level stenoses stratification on computed tomography angiography’, BMC Medicine, vol. 23, no. 1, 2025, doi: 10.1186/s12916-025-04478-0.

P. Thaware, A. A. Khurshid, C. Sonkusare, and Y. Agrawal, ‘Leveraging fundus images for on device eye disease diagnosis with AI powered lightweight software hardware framework’, Sci Rep, vol. 15, no. 1, p. 38536, Nov. 2025, doi: 10.1038/s41598-025-20990-y.

G. Parashar, A. Chaudhary, and A. Rana, ‘Systematic Mapping Study of AI/Machine Learning in Healthcare and Future Directions’, SN Computer Science, vol. 2, no. 6, 2021, doi: 10.1007/s42979-021-00848-6.

V. Gowda, T. Kwaramba, C. Hanemann, J. A. García, and P. C. Barata, ‘Artificial Intelligence in Cancer Care: Legal and Regulatory Dimensions’, Oncologist, vol. 26, no. 10, pp. 807–810, 2021, doi: 10.1002/onco.13862.

P. Worragin, S. Chernbumroong, K. Puritat, P. Julrode, and K. Intawong, ‘Towards Intelligent Virtual Clerks: AI-Driven Automation for Clinical Data Entry in Dialysis Care’, Technologies, vol. 13, no. 11, 2025, doi: 10.3390/technologies13110530.

N. Ben Chaabane and M. Bal-Ghaoui, ‘Visual question answering for medical diagnosis’, Intelligent Systems with Applications, vol. 27, 2025, doi: 10.1016/j.iswa.2025.200545.

A. Gleason et al., ‘Detection of neurologic changes in critically ill infants using deep learning on video data: a retrospective single center cohort study’, eClinicalMedicine, vol. 78, 2024, doi: 10.1016/j.eclinm.2024.102919.

Å. Ingvar et al., ‘Minimum labelling requirements for dermatology artificial intelligence-based Software as Medical Device (SaMD): A consensus statement’, Australasian Journal of Dermatology, vol. 65, no. 3, pp. e21–e29, 2024, doi: 10.1111/ajd.14222.

Á. Szonyi, G. Balázs, B. B. Nyárády, M. Philippovich, T. Horváth, and E. Dósa, ‘Effect of Sex, Age, and Cardiovascular Risk Factors on Aortoiliac Segment Geometry’, Journal of Clinical Medicine, vol. 13, no. 6, 2024, doi: 10.3390/jcm13061705.

B. Rahimi, S. Karimian, A. Ghaznavi, and M. Jafari Heydarlou, ‘Requirements specification, design, and evaluation of dental image exchange and management system with user-centered approach: A case study in Iran’, Health Science Reports, vol. 6, no. 12, 2023, doi: 10.1002/hsr2.1760.

M. W. Wagner, N. Bernhard, G. Mndebele, L. Vidarsson, and B. B. Ertl-Wagner, ‘Volumetric differences of thalamic nuclei in children with trisomy 21’, Neuroradiology Journal, vol. 36, no. 5, pp. 581–587, 2023, doi: 10.1177/19714009231166100.

V. Voronin, A. Zelensky, and S. Agaian, ‘3-D Block-Rooting Scheme with Application to Medical Image Enhancement’, IEEE Access, vol. 9, pp. 3880–3893, 2021, doi: 10.1109/ACCESS.2020.3047461.

S. Knox et al., ‘AI approaches for phenotyping Alzheimer’s disease and related dementias using electronic health records’, Alzheimer’s and Dementia: Translational Research and Clinical Interventions, vol. 11, no. 2, 2025, doi: 10.1002/trc2.70089.

M. Ahmad, ‘Regulating intelligence: a systematic analysis of safety, ethics, and equity in artificial intelligence driven healthcare’, Intelligence-Based Medicine, vol. 12, 2025, doi: 10.1016/j.ibmed.2025.100320.

R. Danciulescu and R. Ivanescu, ‘Automatic medical report generation and specialist referral prediction’, presented at the Procedia Computer Science, 2025, pp. 4461–4468. doi: 10.1016/j.procs.2025.09.571.

R. Devi and D. Mehrotra, ‘Data convergence techniques from different health records into single platform- a survey’, International Journal of Control Theory and Applications, vol. 9, no. 19, pp. 9267–9277, 2016.

A. Haris and Q. Aini, ‘Bibliometric Analysis of Electronic Medical Records (EMR) Acceptance and Adoption: Trends, Insights, and Future Directions’, Journal of Angiotherapy, vol. 8, no. 5, 2024, doi: 10.25163/angiotherapy.859700.

C. Malathi and S. Jayachandran, ‘Application of image processing methods in the healthcare sector’, in Advanced Computing Solutions for Healthcare, 2025, pp. 197–231. doi: 10.2174/9789815274134125010015.

K. Natarajan and S. T. Jonna, ‘Healthcare using image recognition technology’, in Data Science in the Medical Field, 2024, pp. 261–273. doi: 10.1016/B978-0-443-24028-7.00018-0.

P. Radhakrishnan, A. Anbarasi, K. Srujan Raju, and B. V. Sai Thrinath, ‘Detection of Colon Cancer Using Image Processing’, Cybernetics and Systems, vol. 56, no. 5, pp. 498–510, 2025, doi: 10.1080/01969722.2023.2175131.

A. Shahul et al., ‘An analysis of algorithms and methods based on image processing for medical applications’, in Emerging Engineering Technologies and Industrial Applications, 2024, pp. 173–186. doi: 10.4018/979-8-3693-1335-0.ch007.

F. Y. Shih and J. S. Tse, ‘Medical image processing technology for diagnosing and treating cancers’, Recent Patents on Biomedical Engineering, vol. 2, no. 2, pp. 141–147, 2009, doi: 10.2174/1874764710902020141.

I. R. D. Silva, E. A. I. C. Cabulon, F. S. S. Mendonça, F. M. D. S. Oussaki, and M. D. C. F. L. Haddad, ‘Applicability of electronic health records in the hospital Nursing Process: a scoping review’, Revista brasileira de enfermagem, vol. 78, p. e20240520, 2025, doi: 10.1590/0034-7167-2024-0520.

S. C. Y. Wang, G. Nickel, K. P. Venkatesh, M. M. Raza, and J. C. Kvedar, ‘AI-based diabetes care: risk prediction models and implementation concerns’, npj Digit. Med., vol. 7, no. 1, pp. 36, s41746-024-01034–7, Feb. 2024, doi: 10.1038/s41746-024-01034-7.

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Published

2026-04-19

How to Cite

Dinnillah, A. H., & Maulana, F. (2026). Systematic Review and Bibliometric Mapping on Image Processing in Electronic Health Records. MALCOM: Indonesian Journal of Machine Learning and Computer Science, 6(2), 555-567. https://doi.org/10.57152/malcom.v6i2.2462