Stamatia Destounis, M.D., FACR, associate professor, University of Rochester School of Medicine, and attending radiologist, Elizabeth Wende Breast Care, explains the details of a new study showing the benefits of mammography in elderly women at the Radiological Society of North America (RSNA) 2018 annual meeting.
VIDEO: See What Matters in 20/20
EIZO medical monitors were showcased recently at RSNA 2019. Learn how the EIZO approach streamlines the effectiveness of your readings. From the NEW 30.9 inch, super-high-resolution, 12 megapixel multi-modality Radiforce RX1270, to the EIZO built-in features such as Point-and-Focus, EIZO holds to the ideal to harmoniously combine performance, ease-of-use and comfort. Learn the Shape of Comfort with EIZO. Stop by and visit with us at HIMSS, booth #4087.
Radiation therapy has become increasingly effective and safe as vendors continue to innovate technologies that benefit the patient. At ASTRO 2018, this patient-centric approach was exemplified and demonstrated not only in ways that match treatments to patients, but in how technologies can adjust to patient movement and anatomical changes, and to increase the precision of treatments. ITN Contributing Editor Greg Freiherr showcases several new technologies that are helping to advance this field.
For additional patient-centered care coverage, see:
Accuray's philosophy is to personalize treatments to exactly fit the patient. Senior Director of Marketing Andrew Delao explains this philosophy in a conversation with Greg Freiherr at ASTRO 2018.
This is an example of the FDA-cleared OpenSight augmented reality (AR) system for surgical planning from NovaRad at the Radiological Society Of North America (RSNA) 2018 meeting. It uses a Hololens headset to register an overlay of the patient’s MR or Ct scan in the patient. The operator can use hand movements to slice through and manipulate the images.
The vendor gained an FDA indication for AR to be used in surgical planning in 2018. NovaRad is working with the FDA for a second indication for use of the AR in the operating room during procedures.
This video is jerky, slightly misaligned and the hand movements did not always respond because itwas shot with an iPhone inside the visor. The image quality and hand movements are much better when actually wearing it on your head and aligned for the specific user.
Related VR and AR Content:
This is an example of moving X-ray images displayed by Konica Minolta today at the Radiological Society Of North America (RSNA) 2018 meeting. This Dynamic Digital Radiography (DDR) technology shoots 15 frames per second for 20 seconds. The resulting 300 images are stitched together by the software to create a cine loop
This is an example of how artificial intelligence (AI) can help improve patient care by pulling together patient data from numerous sources and then select medical records that are specific to a patient’s diagnosis and treatment for a defined disease state. This is Siemens’ AI-Pathway Companion introduced at the Radiological Society Of North America (RSNA) 2018 meeting. In this examples. A prostate cancer patient has all their data on a single time line that can be accessed by single clicks on the points to open reports, images, procedures or labs.
At the end of the time line it integrates AI driven clinical decision support that recommends the next course of action based on clinical guidelines. The guidelines cited can also be opened for review by the clinician.
This is an example of the new Fetal HQ heart and vascular software from GE Healthcare for fetal ultrasound. The software, for the Voluson E10, helps evaluate the fetal heart shape, size and contractibility. A feature called Radiant Flow shows the blood flow in a 3-D view. It can also help show slow-flow blood, such as neuro-vascular circulation. This was shown for the first time at the 2018 Radiological Society of North America (RSNA) meeting.
Here is an example of how artificial intelligence (AI) is helping radiologists with faster workflow to improve care. This example from the Philips Illumeo system shows a spine CT and how the radiologist can use the tool bar to gain one-click, immediate access to three prior CT studies that will open with the exact slate slice view and orientation as the current exam. This was shown at the 2018 Radiological Society of North America (RSNA) meeting.
The FDA cleared the MaxQ AI Accipio Ix intracranial hemorrhage (ICH) detection software in November 2018. Here it is displayed at the Radiological Society of North America (RSNA) 2018 meeting.
At the 2018 Radiological Society of North America (RSNA) meeting, Hitachi showed a new computed tomography (CT) scanner designed for larger sized patients. The Scenaria View offers both 64 and 128 slice versions (it is also field upgradable from 64 to 128 later on). It has an 80 cm bore and the table has a weight capacity of 550 pounds. The X-ray tube also can achieve high energies up to 700 mA. The system has clearance in Japan and Europe and will be submitted for FDA clearance soon.
ITN Editor Dave Fornell took a tour of some of the most innovative technologies on display on the expo floor at the American Society for Radiation Oncology (ASTRO) 2018 conference. The overview includes new technologies for proton therapy, MRI-guded radiation therapy, PET-guided radiotherapy, brachytherapy, SRS quality assurance, 3-D printing and mobile connectivity to the oncology information system.
An interview with A. M. Niser Syed, M.D., medical director, radiation oncology and endocurietherapy, MemorialCare Cancer Institute, Long Beach, Calif. At the American Society for Radiotherapy and Oncology (ASTRO) 2018 annual meeting, he presented a study of 1,200 patients using a single session of intra-operative radiation therapy (IORT) using the Xoft X-ray emitting brachytherapy system.
Aadel Chaudhuri, M.D., assistant professor of radiation oncology, Washington University, St. Louis, Mo., explains his research on using blood tests to collect circulating lung tumor cells to assess their response to radiotherapy. This use of liquid biopsies can eliminate the need for invasive needle biopsies. He spoke on this topic at the American Society for Radiotherapy and Oncology (ASTRO) 2018 annual meeting.
Genomics can be used to assess a patient's radiosensitivity, which can be used to increase or decrease the radiation that needs to be delivered to treat the tumor and spare surrounding healthy tissue. Javier Torres-Roca, M.D., associate professor of radiation oncology, Moffit Cancer Center, and co-founder of the genomics company Cvergenx, spoke on this topic at the ASTRO 2018 conference.
Interview with Peyman Kabolizadeh, M.D., the medical director of Beaumont Proton Therapy Center, Royal Oak, Mich. He explains how proton therapy fits into Beaumont's overall strategy of cancer treatment. He also explains Beaumont's development of proton arc therapy that is in development. He spoke on these topics at that ASTRO 2018 meeting.
Kristin Higgins, M.D., medical director of radiation oncology at the Emory Clinic at the Winship Cancer Institute, and associate professor, Department of Radiation Oncology, Emory University School of Medicine, explains how the use of a novel positron-emission tomography, computed tomography (PET-CT) system combined with a linac in a single gantry might offer a new approach to real-time adaptive therapy. She spoke to ITN at the 2018 ASTRO conference.
Read the article about the technology displayed at ASTRO 2018 — Biology Guided Radiotherapy May Improve Physician Confidence in Treatment of Multiple Tumors
Anne Hubbard, MBA, director of health policy for the American Society for Radiation Oncology (ASTRO), gives an update on where things are at for radiotherapy reimbursement, CMS conversion factors and MACRA. She spoke on this topic at the 2018 ASTRO conference.
Elizabeth Chabner-Thompson, M.D., MPH, radiation oncologist, Northern Westchester Hospital, Northwell Health, Mt. Kisco, N.Y., and CEO of Masthead, explains an FDA-cleared bra she designed for improved patient positioning of women undergoing radiation therapy. She spoke to ITN at the 2018 ASTRO conference.
A discussion with Ehsan Samei, Ph.D., DABR, FAAPM, FSPIE, director of the Duke University Clinical Imaging Physics Group and head of the Duke medical physics graduate program. He spoke on this topic at the American Association of Physicists in Medicine (AAPM) 2018 meeting.
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. He spoke on this at the American Association of Physicists in Medicine (AAPM) 2018 meeting.
Also watch the VIDEO: The Impact of Artificial Intelligence on Radiation Therapy — an interview with Steve Jiang, Ph.D.
Radiological Society of North America (RSNA) President Vijay Rao, M.D., the David C. Levin professor and chair of radiology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, spoke to ITN at the 2018 AAPM meeting. She said artificial intelligence is by far the most impactful new technology in radiology and it will be by far be one of the hottest topics at the 2018 RSNA annual meeting.
ITN Editor Dave Fornell takes a tour of some of the innovative new technologies on the expo floor at the 2018 American Association of Physicists in Medicine (AAPM) meeting.
A discussion with Mahadevappa Mahesh, Ph.D., FAAPM, FACR, FACMP, FSCCT, professor of radiology and cardiology and chief physicist at Johns Hopkins, Baltimore. He also serves as treasurer for the American Association of Physicists in Medicine (AAPM) and spoke to ITN at the 2018 meeting.
Watch the VIDEO Radiation Dose Monitoring in Medical Imaging, an interview with Mahesh at the 2016 Radiological Society of North America (RSNA) annual meeting.
A discussion with Matthew Freeman, Ph.D., scientist at Los Alamos National Laboratory, New Mexico. He spoke about his research using direct proton imaging on the treatment table without the need for other external or on-board imaging systems. He spoke at the 2018 American Association of Physicists in Medicine (AAPM) meeting.
A discussion with Martin Vallieres, Ph.D., post-doctoral fellow at McGill University, Montreal, Canada. He spoke on this topic in sessions at the American Association of Physicists in Medicine (AAPM) 2018 meeting. He explains radiomics and how it can be used in both medical imaging and radiation therapy.
Read the related article "Hidden Information Behind Imaging Tests for Cancer May Unlock New Approaches to Radiation Therapy."
Read the related article "Computer Program Beats Physicians at Brain Cancer Diagnoses."
Lawrence Tanenbaum, M.D., FACR, vice president and director of advanced imaging at RadNet, discusses the latest research on the effects of gadolinium contrast retention following magnetic resonance imaging (MRI) exams, and how facilities can best manage its use.
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss the latest updates to clinical decision support (CDS)/appropriate use criteria (AUC) requirements from the Centers for Medicare and Medicaid Services (CMS). Sferrella is the chair and Finerfrock is a member of the AHRA Regulatory Affairs Committee.
Watch the related VIDEO Clinical Decision Support of the Future
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss the national progress in transitioning from computed radiography (CR) to digital radiography (DR) systems. Sferrella is the chair and Finerfrock is a member of the AHRA Regulatory Affairs Committee.
Watch the related Technology Report on Digital Radiography Systems
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss the new proposed rule for site-neutral imaging payments from the Centers for Medicare and Medicaid Services (CMS). Sferrella is the chair and Finerfrock is a member of the AHRA Regulatory Affairs Committee.
Watch part 1 of the conversation with Sferrella and Finerfrock on clinical decision support updates
Watch part 2 on the CR to DR transition
Ehsan Samei, Ph.D., DABR, FAAPM, FSPIE, director of the Duke University Clinical Imaging Physics Group and head of the Duke medical physics graduate program, explained this new program at the American Association of Physicists in Medicine (AAPM) 2018 meeting.
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.
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.