Angelic Bush, CRA, FAHRA, president of the Association for Medical Imaging Management (AHRA), and Bill Algee, AHRA president-elect, discuss the key themes of the 2018 AHRA annual meeting and how radiology can define its value in a patient-centered care environment.
VIDEO: Walk Around of a Varian Identify Image-guided Patient Positioning System
This is a quick demonstration of the Varian Identify image-guided patient positioning system at the American Association of Physicists in Medicine (AAPM) 2019 meeting. It helps align patients on the radiotherapy system treatment table to match the position they were in when the computed tomography (CT) scan was created. This ensures the radiation beams are delivered according to the treatment plan and will not be aimed accidentally at health tissue. It uses real-time tracking of the surface of the patient's skin using three visible light emitters, so it does not add dose, such as when on-board X-ray imaging is used. The system compares the patients position to the treatment plan CT scan and color codes in red any areas that are not in the proper position. It also uses RFID tags on the table to help know the exact position of the patient.
The system can show the radiotherapist if the patient is no longer aligned with the plan and the therapist can manually stop the therapy. The vendor said in the future, they plan to integrate the system with Varian's therapy systems so treatment will be stopped automatically by the Identify system.
The system also uses a biometric scanner to ensure the correct plan is being used with the correct patient.
Robert Junk and Tobias Gilk, MRSO, MRSE, of architectural firm RAD-Planning, discuss the different types of safety hazards associated with magnetic resonance imaging (MRI) and how to assess your own protocols to find and eliminate inefficiencies that could lead to safety hazards.
Watch the related VIDEO New App Improves MRI Safety For Implantable Devices
Read the related article "Closing the Loopholes in MRI Safety"
A discussion with Steve Jiang, Ph.D., director of the medical artificial intelligence and automation lab and vice-chair of the Department of Radiation Oncology, University of Texas Southwestern. He spoke in sessions at AAPM 2018 about how AI will change treatment planning, radiation oncology and medical imaging.
Watch the VIDEO: Real-world Implementation of Deep Learning for Treatment Planning — a discussion with Kevin Moore, Ph.D., DABR, deputy director of medical physics and associate professor, University of California San Diego, about his daily clinical use of an artificial intelligence treatment planning software.
This is an example of how Cherenkov radiation glow can be collected with image intensifier cameras during radiotherapy to show the exact location of the beam and the amount of dose delivered. This can be used to quickly verify everything matches the treatment plan and dosimetry. This video was shot in the booth of DoseOptics at the 2018 American Association of Physicists in Medicine (AAPM). The company is developing this technology and hopes to submit it to U.S. Food and Drug Administration(FDA) for review in the next year.
American Association of Physicists in Medicine (AAPM) President Bruce Thomadsen, M.D., professor of medical physics at the University of Wisconsin, Madison, discusses the future direction of medical physics in a changing healthcare environment at the 2018 AAPM meeting.
A discussion with Patricia Dickson, LRT(CT), director of imaging and outpatient services, Capital Cardiology Associates, Albany, N.Y., and Nikki Weber, a lead CT technologist at the Mayo Clinic, Rochester, Minn. They presented in sessions at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting.
At SIIM 2018, Alexander J. Towbin, M.D., Radiologist, Department of Radiology and Medical Imaging, Neil D. Johnson Chair of Radiology Informatics, Associate Chief of Radiology Informatics, at Cincinnati Children’s Hospital, discusses the meaning of patient engagement and describes some of the patient engagement initiatives that he has seen successfully implemented in various practices.
Read the article "Essentials of Pediatric Imaging" with input from Towbin.
Change Healthcare is looking at how to apply AI into enterprise imaging by using algorithms to change data into knowledge. For more information go to www.changehealthcare.com.
ITN Contributing Editor Greg Freiherr interviews Eliot Siegel, M.D., radiology professor at the University of Maryland School of Medicine and chief of Imaging Services at the VA Maryland Health Care System.
It’s ridiculous to think that in the coming two decades, artificial intelligence will replace radiologists, says AI expert Eliot Siegel, M.D. Even if AI got good at reading medical images, “radiologists do much more than that,” he says.
In the accompanying video interview, Siegel, a radiology professor at the University of Maryland School of Medicine and chief of Imaging Services at the VA Maryland Health Care System, will highlight these and other reasons why it’s ridiculous to think computers will replace radiologists. He’ll discuss them during a SIIM debate on the subject June 2 that will include Bradley J. Erickson, M.D., associate research chair in the radiology department at Mayo Clinic in Rochester.
AI might not replace radiologists, but it could radically change the practice of radiology in just a few years, he says. During a SIIM session June 1, Siegel will moderate discussions among executives from several companies, including GE Healthcare and newcomer Aidoc, who will look at radiology AI applications and roadmap how these and future applications will incorporate AI.
One thing is for sure, says Siegel: AI is going to dramatically increase radiologists’ use of lab data, genomics and digital pathology. Several of these data types may become integral parts of reading oncologic images, according to Siegel, who will provide details at SIIM May 31 in “Point-of-Care Precision Medicine: Real-time Radiomics-Genomics in the Reading Room.”
Editor’s note: This pre-SIIM video interview is the first in a series of three by Greg Freiherr. The series features industry luminaries discussing key issues associated with the upcoming SIIM conference. The first interview, Building An Effective Enterprise Imaging Strategy featuring Kim Garriott, can be viewed here.
Related Video: ITN Editorial Director Melinda Taschetta-Millane discusses "Machine Learning and the Future of Radiology" with Eliot Siegel at SIIM 2017.
ITN Contributing Editor Greg Freiherr interviews Kim Garriott, Principal Consultant, Logicalis
The rapidly expanding volume of unstructured data, exemplified by medical images, underscores the need to develop an enterprise imaging strategy, says Kim Garriott, principal consultant at Logicalis, a global provider of IT solutions and managed services.
In the accompanying video interview, Garriott explains how the combination of these two may form a convincing argument for the leadership of your organization to move forward with enterprise imaging.
On June 1, at the upcoming SIIM 2018 convention, she will co-host the continuing education session “Achieving Enterprise Imaging Maturity,” during which she and the HIMSS-SIIM Workgroup will present the new Digital Imaging Adoption Maturity Model. DIAM, as it is called, is designed to support real-time collaboration and patient-centric care by providing a method to address enterprise-wide imaging challenges.
When developing an enterprise imaging strategy, organizations must consider their specific needs, which are characterized in “use cases.” Garriott, who is the global chair of the HIMSS analytic DIAM Development team and co-chair of the HIMSS-SIIM Enterprise Imaging Workgroup, explains that these use cases constitute one very important element of the enterprise imaging strategy. Another is construction of a “data governance model.” This model is needed to guide the capture of data and is essential to the success of enterprise imaging.
Editor’s Note: This pre-SIIM video interview is the first in a series of three by ITN Contributing Editor, Greg Freiherr. The series features industry luminaries discussing key issues associated with the upcoming SIIM conference.
Related Video: ITN Associate Editor Jeff Zagoudis discusses, "Enterprise Imaging and the Digital Imaging Adoption Model" with Kim Garriott at HIMSS 2018.
ITN Editorial Director Melinda Taschetta-Millane speaks to DenseBreast-info Executive Director JoAnn Pushkin as the website celebrates three years as an information resource on breast density for patients and providers. Pushkin also discusses the latest developments in breast density notification and screening guidelines.
Related Dense Breast Imaging Content:
Organizations who are embarking on an enterprise imaging journey share many of the same questions and concerns regarding how to best optimize workflow across providers, departments and facilities; which technologies will provide the best fit for achieving the future vision; and how to maximize value and accelerate return on investment by driving adoption and improving satisfaction among providers and healthcare consumers (patients).
We, Paragon Consulting Partners LLC (PCP Imaging), are a team of passionate healthcare professionals that bring over 100 years of collective clinical, technical and business leadership experience within the healthcare IT and imaging informatics industries. In this video we address the key challenges and considerations faced by organizations undertaking an Enterprise Imaging journey, and how a trusted partner can contribute valuable expertise and guidance that enable healthcare organizations and vendors of any size to successfully tackle even their most challenging enterprise imaging initiatives. For more information, visit pcpimaging.com.
ITN Contributing Editor Greg Freiherr offers an overview of artificial intelligence advances at the Radiological Society of North America (RSNA) 2017 annual meeting. AI was by far the hottest topic in sessions and on the expo floor at RSNA 2017. Here are links to related deep learning, machine learning coverage:
Jonathan Teich, M.D., chief medical information officer for InterSystems, discusses the growth of clinical decision support in the United States, what he believes will drive further growth and the ways it may be used in the future
Kim Garriott, principal consultant, healthcare solutions, at Logicalis Healthcare Solutions, describes the remaining obstacles to enterprise imaging adoption and explains how the new DIAM for Enterprise Imaging, launched at HIMSS18, can provide a roadmap for future technology adoption.
Related Enterprise Imaging Content:
Fujifilm details its latest innovations in women's health including its ASPIRE Cristalle mammography system with digital breast tomosynthesis software option and its Synapse 5 PACS and VNA, enabling secure, easy-to-manage storage and access to the complete patient imaging record throughout the healthcare enterprise.
FUJIFILM Medical Systems U.S.A., Inc. and FUJIFILM SonoSite Inc., are offering a full-suite pediatric solutions portfolio, complete with digital radiography (DR), healthcare IT and point-of-care ultrasound to serve the world's most unique patients.
This 5 megapixel, high-brightness color monitor has the high-definition display necessary for breast imaging. It combines ease-of-use, such as a narrow bezel design to help your eyes swiftly move from one monitor to another, with new functions to help you focus on your work and maintain high performance.
Read more about the display and its FDA clearance in the article "Eizo RadiForce RX560 Monitor Receives FDA 510(k) for Tomosynthesis and Digital Mammography."
David Widmann, president and CEO of Konica Minolta, looks at what the future of healthcare can bring to its customers, focusing on the imaging space.
ITN Contributing Editor Greg Freiherr offers an overview of enterprise imaging advances at the Radiological Society of North America (RSNA) 2017 annual meeting. Read the article RSNA Technology Report 2017: Enterprise Imaging.
Related Enterprise Imaging Content:
Built on an over 25-year pioneering legacy in the advanced visualization industry, Vital continues to expand on three product lines that make up its Vitrea Enterprise Imaging portfolio: Vitrea Vision, Vitrea Connection and Vitrea Intelligence. Vital’s comprehensive enterprise imaging portfolio enables facilities to build a consolidated and standardized enterprise imaging strategy to meet the demands of today’s healthcare environment without the typical barriers associated with consolidating and standardizing. To introduce you to the full line of solutions, we’ll follow a fictional patient through an episode of care to see how Vital Images’ technologies help caregivers to efficiently provide high-quality care.
For more information: www.vitalimages.com
ITN and DAIC Editor Dave Fornell shows several examples of how vendors are incorporating AI, deep learning algorithms into their medical imaging information system and the modalities themselves to speed workflow, improve imaging accuracy, improve reimbursements, monitor analytics in real time and eliminate the need for humans to do tedious, time consuming tasks. These examples were seen on the show floor at at the Radiological Society of North America (RSNA) 2017 meeting. For more on deep learning, watch the VIDEO "Deep Learning is Key Technology Trend at RSNA 2017," and an interview with Adam Flanders, M.D., chair of the RSNA Radiology Informatics Committee, in the VIDEO "How Utilization of Artificial Intelligence Will Impact Radiology." ITN also created an indepth VIDEO Technology Report — Artificial Intelligence at RSNA 2017 with interviews with numerous AI vendors.
Max Wintermark, M.D., professor of radiology and chief of neuroradiology, Stanford Hospital and Clinics, discussed MRI neurology quantification apps at the Radiological Society of North America (RSNA) 2017 meeting. Read the article “Software Advances in MRI Technology.” Watch the VIDEO “Neuroimaging Advances.”
ITN and DAIC Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies on the expo floor at the 2017 Radiological Society of North America (RSNA) meeting. Watch the editor’s choice video for new health IT technologies at HIMSS 2017, new advances in cardiac ultrasound at ASE 2017, and CT advances at the SCCT 2017 meeting.
Nancy M. Cappello, Ph.D., executive director and founder, Are You Dense Inc. and Are You Dense Advocacy. Read the article “The Evolution of Breast Imaging Technology.” Watch the VIDEO “Implementing Advanced Breast Imaging Technology.”
A post-game roundup by ITN Contributing Editor Greg Freiherr and ITN Editor Dave Fornell on the key trend of artificial intelligence seen on the show floor at the Radiological Society of North America (RSNA) 2017 meeting.
For more on artificial intelligence at RSNA 2017, watch the VIDEO "How Utilization of Artificial Intelligence Will Impact Radiology." For more trends in imaging, watch the VIDEO "Key Imaging Technology Trends at RSNA 2017." ITN also created an indepth VIDEO Technology Report — Artificial Intelligence at RSNA 2017 with interviews with numerous AI vendors.
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, discusses the heightened concerns about gadolinium, which may cause adverse effects in some patients. Watch the VIDEO “How Serious is MRI Gadolinium Retention in the Brain, Body?” with Max Wintermark, M.D. Read the articles “FDA: No Harm in MRI Gadolinium Retention in the Brain,” and “European Medicines Agency Issues Update on Gadolinium Contrast Agents.”
A post-game roundup by ITN Contributing Editor Greg Freiherr and ITN Editor Dave Fornell on the trends and new tech seen on the show floor at the Radiological Society of North America (RSNA) 2017 meeting. The biggest overarching trend for this year at RSNA was the explosion of artificial intelligence integration into imaging systems and medical imaging information technology. For more on the AI trend, watch the VIDEO "How Utilization of Artificial Intelligence Will Impact Radiology," with Adam Flanders, M.D.
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains the new mobile application he developed, which lets users visually model the forces at work during an MRI exam on patients with implanted medical devices, at the 2017 Radiological Society of North America (RSNA) meeting.
Read the related article “The Changing Relationship Between MRIs and Pacemakers.”
J. Anthony Seibert, Ph.D., professor and chair of informatics, University of California Davis, describes the security vulnerabilities specific to radiology departments and how they can be combated at the 2017 Radiological Society of North America (RSNA) meeting.
Max Wintermark, M.D., professor of radiology and chief of neuroradiology, Stanford Hospital and Clinics, discussed MRI contrast safety issues at RSNA 2017. Read the article “FDA: No Harm in MRI Gadolinium Retention in the Brain,” and “European Medicines Agency Issues Update on Gadolinium Contrast Agents.” Watch the VIDEO “Big Concerns Remain for MRI Gadolinium Contrast Safety at RSNA 2017,” and interview with Emanuel Kanal, M.D.
Dianna Bardo M.D., director of body MR and co-director of the 3-D Innovation Lab at Phoenix Children's Hospital, discusses how 3-D printing and other advanced imaging modalities can help improve outcomes in complex cases. Read the article “The Use of 3-D Printing in Cardiology.” Watch the WEBINAR “Innovation and Success in 3D-inspired Development of the Business and Clinical Practice,” presented by Bardo.
Adam Flanders, M.D., co-director, neuroradiology and vice-chair of informatics at Jefferson University Hospitals, Philadelphia, and chair of the RSNA Radiology Informatics Committee, discusses the impact of AI at RSNA 2017. Read the article “How Artificial Intelligence Will Change Medical Imaging.” Watch the related VIDEO “Machine Learning and the Future of Radiology,” an interview with Eliot Siegel, M.D.
Martin Yaffe, Ph.D., FAAPM, senior scientist, physical sciences/imaging research, Sunnybrook Health Sciences Centre, and professor of medical biophysics and medical imaging, University of Toronto, discusses how contrast-enhanced mammography can improve breast cancer detection at the 2017 Radiological Society of North America (RSNA) meeting.
Stamatia Destounis, M.D., FACR, associate professor, University of Rochester School of Medicine, attending radiologist, Elizabeth Wende Breast Care, explains recent advances in mammography and dense breast imaging at the 2017 Radiological Society of North America (RSNA) meeting. Read the article “The Evolution of Breast Imaging Technology.” Watch the VIDEO “Implementing Advanced Breast Imaging Technology.”
Dee Dee Wang, M.D., Director, Structural Heart Imaging at Henry Ford Hospital, Detroit, explains how her center uses 3-D printing and computer aided design (CAD) software to improve patient outcomes. She spoke to ITN at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read the articles “The Use of 3-D Printing in Cardiology” and “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”
Chris Toth, president, global commercial and field operations for Varian, takes a tour of Varian’s new product introductions and major initiatives highlighted at ASTRO 2017. These include:
• The Halcyon system, a new platform for cancer treatment that simplifies and enhances virtually every aspect of image-guided volumetric intensity modulated radiotherapy (IMRT). Halcyon is a powerfully intuitive platform designed to help improve and strengthen the fight against cancer and enable access to high quality care anywhere in the world.
• The 360 Oncology care management platform, designed to integrate and coordinate patient care across the entire treatment and post-treatment journey. 360 Oncology brings together in a single platform, radiation, medical and surgical oncology, social services, primary care physicians, as well as the patient, to facilitate true collaboration and coordination.
• The latest release of Varian’s Eclipse treatment planning software, incorporating both Multi-Criteria Optimization (MCO) and Graphics Processing Unit (GPU) Support. MCO enables planners to look at tradeoffs in a treatment plan when different clinical criteria are varied, greatly enhancing control over optimization. GPU support decreases the dose calculation and inverse planning optimization times, providing a significant leap forward in speed.
• HyperArc high definition radiotherapy, technology that unlocks the potential of non-coplanar treatment strategies to usher in a new era of precision in the delivery of stereotactic radiosurgery (SRS).
For more information: www.varian.com
William Hall, M.D., radiation oncologist in the Department of Radiation Oncology at PeaceHealth St. Joseph Medical Center in Bellingham, Wash., discusses study results presented at theAmerican Society of Radiation Oncology (ASTRO) 2016. Video courtesy of Dr. Hall. You can read Dr. Hall's article on this topic, Breast Cancer Radiation Planning, here.
David Beyer, M.D., chairman of the board for the American Society of Radiation Oncology (ASTRO), discusses the key themes of the 2017 Annual Meeting and the issues ASTRO will focus on going into 2018.
Benjamin Movsas, M.D., chair of the American Society for Radiation Oncology (ASTRO) Scientific Committee, explains how research presented at the 2017 Annual Meeting was chosen to reflect new trends in radiation therapy.