Dr. Roth serves as Associate Professor of Neuroradiology, as the Vice Chairman of Health Information Technology and Clinical Informatics for Duke University Radiology, and also as the Director of Imaging Informatics Strategy for Duke Health. He leads the enterprise-wide imaging informatics strategic development and governance at Duke University, for such systems as imaging clinical decision support, image exchange, image viewing, image archiving, image analytics, and the imaging informatics of the electronic health record. He serves as an active member of the Radiological Society of North America Informatics committee, the American College of Radiology Informatics Commission, as Chair of the Society for Imaging Informatics in Medicine Annual Meeting, and Co-Chair of the HIMSS-SIIM enterprise imaging community.