This paper review the evolution of clinical neuroinformatics domain in the passed and gives an outlook how this research field will evolve in clinical neurology (e.g. Epilepsy, Multiple Sclerosis, Dementia) and neurosurgery (e.g. image guided surgery, intra-operative imaging, the definition of the Operation Room of the future). These different issues, as addressed by the VisAGeS research team, are discussed in more details and the benefits of a close collaboration between clinical scientists (radiologist, neurologist and neurosurgeon) and computer scientists are shown to give adequate answers to the series of problems which needs to be solved for a more effective use of medical images in clinical neurosciences.