Leslee Shaw, Ph.D., director of clinical research and professor of medicine at Emory University, Atlanta, and past-president of the Society of Cardiovascular Computed Tomography, discusses how cardiac computed tomography angiography (CTA) offers value in today's cost-conscience environment at the SCCT 2017 meeting. Watch the VIDEO “Value–based Imaging,” and interview with Daniel Berman, M.D., Cedars-Sinai Medical Center. Watch the VIDEO ”The Value of the Cardiovascular Service Line.” An interview with Linda Gillam, M.D., Atlantic Health System, who suggests how cardiology-related services can demonstrate their value to providers and patients.
VIDEO: Advances in Pancreatic CT and MR Imaging
Elizabeth M. Hecht, M.D., professor of radiology, Columbia University, New York, explains the latest advances to help visualize the difficult to image pancreas. She was a moderator of a session on pancreatic imaging advances at the 2019 Radiological Society of North America (RSNA) meeting.
She explained computed tomography is the front line imaging modality, followed by MRI for more detailed examination of the soft tissue details. MRI tissue elastography can also help to differentiate pancreatitis from pancreatic cancer. Hecht also said PET-CT and endoscopic ultrasound also play roles in pancreatic imaging. She said new software is helping automate measurements and artificial intelligence (AI) is in development to help improve pancreatic imaging and to find new radiomic markers that might be missed by the human eye to better detect disease or risk stratify patients.
Todd Villines, M.D., FACC, FAHA, FSCCT, director of cardiac CT, Georgetown Medical Center, and president of the Society of Cardiovascular CT (SCCT), at the SCCT 2017 meeting. Watch the related VIDEO “The Future of Cardiac CT in the Next Decade,” an interview with Leslee Shaw, Ph.D. Read the related article “Advances in Cardiac CT Technology.”
Nationwide adoption of the Enterprise Imaging Health Record is inevitable as networks strive to improve patient safety and cost-to-diagnosis. But to optimize the EHR successfully requires thoughtful selection of systems, partners and governance processes. Enjoy this brief overview of what the successful selection should deliver.
David Bluemke, M.D., Ph.D., FAHA, professor of radiology, University of Wisconsin - Madison, incoming editor of RSNA’s journal Radiology and previously the radiologist in chief of imaging services at the NIH, at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Watch the related VIDEO “The Future of Cardiac CT in the Next Decade,” an interview with Leslee Shaw, Ph.D. Read the related article “Advances in Cardiac CT Technology.”
SIIM Chair Paul Nagy, Ph.D., FSIIM, CIIP, associate professor of radiology and deputy director of the Technology Innovation Center at Johns Hopkins Medicine, discusses how informatics technology is changing medical imaging, and highlights SIIM's recent accomplishments and future endeavors.
Eliot Siegel, M.D., associate vice chair of diagnostic radiology and nuclear medicine, vice chair of information systems, University of Maryland, and chief of radiology, VA Maryland Healthcare System, discusses how machine learning (aka artificial intelligence) is impacting radiology today and its role in the future. Read the article “How Artificial Intelligence Will Change Medical Imaging.” See examples of how AI can assess clinical images in the VIDEO “Examples of Artificial Intelligence in Medical Imaging Diagnostics.”
ITN also created an indepth VIDEO Technology Report — Artificial Intelligence at RSNA 2017 with interviews with numerous AI vendors.
In this video, NTT DATA Services describes enterprise imaging as the secure capture, retention, management, access and sharing of clinical images and associated data. The impact of dark data, disparate media and lack of consistent tools to access imaging are explored in terms of productivity and efficacy in a value-based care environment. This video discusses beyond the traditional VNA approach to explore ideas to consider in planning and how analytics as part of an enterprise strategy integrates into value-based care.
James Whitfill, M.D., chief medical officer, Innovation Care Partners, and Christopher Roth, M.D., director of imaging informatics strategy, Duke Health, explain how the joint HIMSS-SIIM Enterprise Imaging Workgroup is working to enhance collaboration between various medical specialties to improve patient care.
Related Enterprise Imaging Content:
Rasu Shrestha, M.D., MBA, chief innovation officer, University of Pittsburgh Medical Center (UPMC), executive vice president, UPMC Enterprises and SIIM board of directors, discusses how the Society for Imaging Informatics in Medicine (SIIM) is leading the transformation of healthcare into value-based medicine.
Rami Doukky, M.D., system chair, Division of Cardiology, professor of medicine, Cook County Health and Hospitals System, Chicago, discusses the new CMS requirements for clinical decision support (CDS) appropriate use criteria (AUC) documentation in cardiac imaging starting on Jan. 1, 2018. He spoke at the 2017 American Society of Nuclear Cardiology (ASNC) Today meeting. Read the article "CMS to Require Appropriate Use Criteria Documentation for Medical Imaging Orders."
Konica Minolta takes a top-down approach to looking at an entire facility and removing the departmental approach. Featured is the Exa Platform. It provides the infrastructure for managing data across the imaging workflow.
Alex Towbin, M.D., Neil D. Johnson Chair of Radiology Informatics at Cincinnati Children's Hospital, discusses the growing importance of translational and reproducible research in medical imaging informatics at SIIM 2017.
Read the article "Essentials of Pediatric Imaging" with input from Towbin.
Philips' mission is to build intuitive, scalable and customizable products that can be easily adapted to customers' needs. This approach is the foundation for the new Philips IntelliSpace Enterprise Edition. For more information, visit www.usa.philips.com/healthcare/resources/landing/enterprise-imaging-solutions.
Mach7 offers an enterprise imaging platform built around neutrality. The platform is more than just a VNA. Eric Rice, chief technology officer, discusses the importance of workflow protocols.
Rob Fabrizio, director of strategic marketing at Fujifilm Medical Systems USA, discusses the latest innovations in digital X-ray, including the new, portable miniature system, the FDR Aqro. For more information: www.fujifilmusa.com/products/medical/digital-x-ray/
TeraMedica, a division of Fujifilm Medical Systems USA, demonstrates Connext Mobile V2 and other new product features.
ITN Editor Dave Fornell takes a tour of some of the most innovative new technology that was displayed on the expo floor at the 2017 Healthcare Information and Management Systems Society (HIMSS) annual meeting. The two most significant technology advances are discussed in Fornell's blog "Two Technologies That Offer a Paradigm Shift in Medicine at HIMSS 2017." This includes examples of artificial intelligence in Medical Imaging, radiology.
Enterprise imaging system expert Louis Lannum was in charge of Cleveland Clinic's efforts to connect images and other data from 33 of its departments into a single, centralized database that could deliver the content through a viewer in the electronic medical record. He spoke on the key requirements for enterprise imaging systems at HIMSS 2017. Read the article and watch related videos at "RSNA Technology Report 2016: Enterprise Imaging."
Machine learning is now being commercialized in medical imaging products designed to help improve workflow efficiency and augment the clinical user, not replace them. Steve Holloway with the U.K.-based healthcare market intelligence firm Signify Research discussed the expanding roles of artificial intelligence in radiology at the 2017 HIMSS healthcare IT conference. He also offers examples of artificial Intelligence in medical imaging. Read the article “How Artificial Intelligence Will Change Medical Imaging.”
Tom Kloetzly, sales and marketing VP for Shimadzu Medical Systems USA, explains the evolution of Shimadzu Corporation since its founding 142 years ago. Kloetzly focuses on the Trinias Interventional X-ray lineshown at RSNA. Kloetzly states “A key feature of Trinias, is the ability to image from fingertip to fingertip during a transradial approach which makes for much shorter hospital stay with the patient up and moving almost immediately after the procedure. Features Like RSM-DSA, a type of motion correction subtraction, eliminates patient movement during acquisition while STENTVIEW, is an enhanced visualization during stent placement in real-time." For more information, visit www.shimadzu.com/med/products/angio/index.html
Discover GE Healthcare’s Interventional Image Guided Systems and find out how our latest technologies including the Discovery IGS 730 and Discovery IGS 740 products and our ASSIST solutions can help you provide better outcomes for your patients.
Mitchell Goldburgh, enterprise imaging and analytics manager for NTT Data Services, formerly Dell Services, highlights how the company has transitioned clinical imaging from pure images into clinical intelligence at RSNA 2016.
Contributing Editor Greg Freiherr offers an overview of enterprise imaging advances at the Radiological Society of North America (RSNA) 2016.
Watch this video to gain an understanding of the strategic purpose and clinical value of the enterprise imaging platform. Gain control of the custody of multispecialty images being acquired and managed inconsistently throughout your health system today. Learn how to convert image and information silos into collaborative assets to advance your transformation to value-based, connected care.
Sectra provides industry-leading enterprise image management solutions comprising PACS for radiology, cardiology, and pathology, VNA and Cross Enterprise Workflow. Through 25 years of innovation and 1,700 installations, our experience in radiology has paved the way to deliver enterprise solutions that consolidate image handling and maintain workflow efficiency in the most image intense departments.
The next generation of ZONE Sonography Technology (ZST) has arrived and its living technology continues to evolve. Leveraging ZONARE’s revolutionary ZST and Mindray’s rich repertoire of workflow and user interface features, the Resona 7 is poised to become the new industry leader in premium ultrasound imaging platforms. The Resona 7 presents crystal clear B-mode imaging capabilities with unrivaled detail resolution and image uniformity across all radiology applications. Ultrasensitive Doppler modes and high-speed digital signal processing permit accurate display of hemodynamic states from skin line to depths up to 40 cm without compromising frame rate. An intuitive, customizable gesture-powered touchscreen enables logical and efficient workflow and enhanced user experience.
At its core, ZST provides unique imaging advances for the Resona 7 such as Advanced Acoustic Acquisition which renders superb imaging by using large zones to acquire up to 90 percent more acoustic data per frame and at speeds of 10 times faster than conventional technology. Dynamic Pixel Focusing creates a perfectly focused image every pixel, every frame, in every patient and in every application. Sound Speed Compensation enables a one button touch that automatically calculates the true speed of sound in a specific soft tissue and recalibrates the imaging system to optimize spatial and contrast resolution.
Finally, ZST provides Total Recall Imaging which is powerful software that allows manipulation of raw acoustic data from archived and cine images (clips) permitting a broad range of post-processing functions. This eliminates the need for repeat scanning which, in turn, aids in increasing patient throughput.
ZST is a constantly evolving software-based “living technology.” It is Mindray’s approach to providing customers with easily upgradeable ultrasound enhancements. These upgrades secure product investment protection by ensuring that ZST systems remain at the cutting-edge of imaging performance excellence throughout the system’s entire life cycle.
In summary, coupling premium imaging with advanced workflow features and user-directed ergonomic design, the Resona 7 advances premium level ultrasound imaging into the next generation.
Monica Saini, M.D., consultant medical director — ABUS at GE Healthcare, discusses the necessity for personalized breast care, and how Automated Breast Ultrasound (ABUS) helps meet the challenges of screening and diagnostic imaging of dense breast tissue. To learn more about Automated Breast Ultrasound, please visit gehealthcare.com/inveniaabus.
EIZO is proud to be entering into its 45th year of expertise, meeting hospital demands worldwide in over 80 countries. This year we are excited to unveil a few never-seen before, brand new products.
Our newest release is the RadiForce RX660, a 30-inch 6 megapixel monitor ideal for multi-modality applications. With this monitor we’re introducing the new “Work-and-Flow” that benefits radiologists today in creating an efficient and cleaner workspace.
With the Work-and-Flow, you have access to two great features:
The “Hide-and-Seek” function enables users to easily hide the Picture-in-Picture window eliminating the need for an extra monitor while still being able to access reports, patient charts, and other information.
In another feature called the “Switch-and-Go”, users can move across two workstations.
The RX660 uses the DisplayPort 1.2 Daisy Chain Connectivity for a tangle-free, easy, single cable management – this means eliminating excess wires.
Also new this year, is the RadiForce GX550, a 21.3-inch 5 megapixel, FDA approved-monitor for viewing detailed digital breast tomosynthesis and mammography images. Like the RX660, this monitor also features EIZO’s ergonomic design features.
In our CuratOR surgical solutions area, we are featuring two new products that complement our industry leading operating room video management system that allows quick access to multiple image sources and flexible arrangements across different monitors. Different workflow scenarios can be pre-defined and recalled on demand with the simple touch of a touchscreen.
Our EIZ1000 mobile large monitor tower is a turnkey large monitor mounting alternative to costly ceiling suspensions. Its sleek design and easy maneuverability enables use in multiple surgical suites. The EIZ1000 can be installed with little to no downtime, and is the optimum solution for hospitals that do not have the infrastructure to support complex ceiling suspension.
We are also expanding our OR portfolio with the release our new line of CuratOR surgical panels. These digital viewing systems consist of one or more integrated monitors – as well as IT and video management components that function as the central console in the operating room. Integrated into the hospital’s IT structure, it is ideal for work performed by operating room or nursing staff.
Finally, we are showing our CuratOR SP2-24-49 HIS/PACS configuration for viewing images and documentation. This configuration contains a 24-inch touchscreen and a 49-inch monitor forming a space-saving combination of HIS and PACS station. Different applications are covered by just one device. The polished and sealed design allows for easy cleaning.
Join Chris Toth, president, Oncology Systems Americas, for a look at Varian’s new product introductions and major initiatives highlighted at ASTRO this year:
- The 360 Oncology care management platform, the first software system designed to integrate and coordinate integrates relevant health information so cancer patients and their care teams can collaborate on the best care. 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 collaborative and coordinated care.
- HyperArc high definition radiotherapy, technology that unlocks the potential of using highly non-coplanar treatment strategies to usher in a new era of precision. HyperArc is designed to automate and simplify sophisticated treatments such as stereotactic radiosurgery (SRS), and make them available to more cancer patients around the world.
- Varian’s cyber-security initiative, which is transforming the company’s software platforms to help maximize the security of patient information, maintain the integrity of treatment delivery, and enhance clinical uptime by helping defend against cyber-attacks.
A discussion with Andy Colbert, managing director and founding member of Ziegler’s Healthcare Investment Banking practice, on the reasons for and strategy involved in the business trend of radiology practice consolidation. He spoke to ITN at RSNA 2016. Read the blog “Risk Abatement May Determine the Future of Radiology,” and the article “Opportunities for Growth in a Competitive Radiology Climate.”
Kim Garriott, principal consultant for Logicalis Healthcare Solutions, explains the concept of value-based imaging and how it fits into healthcare reforms at RSNA 2016. Watch the related VIDEO "Value–based Imaging,” an interview with Daniel Berman, M.D., FACC, chief of Cardiac Imaging and Nuclear Cardiology, professor of imaging, Cedars-Sinai Medical Center.
Learn more about myQA, IBA’s unique platform that connects QA applications, people, and know-how through a central database and the Cloud. It offers full support throughout all of your QA, and enables you access to the different software modules and all of your data from one intuitive interface – anywhere and anytime.
ITN and DAIC Editor Dave Fornell takes a tour of some of the most innovative new technologies being displayed on the expo floor at the Radiological Society of North America (RSNA) 2016 meeting. For key take away trends at RSNA, watch the video "Key Trends, New Technology at RSNA 2016."
A discussion with Simon Dixon, M.D., MBChB, on the use of fractional flow reserve-computed tomography (FFR-CT) to evaluate chest pain patients in the emergency department. He is chairman of the Department of Cardiovascular Medicine at Beaumont Health System and a professor of Medicine at the Oakland University William Beaumont School of Medicine. He discussed the first year of experience with FFR-CT at Beaumont Hospital in Royal Oak, Mich., during the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Read the article “Clinical Applications of FFR-CT.”
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) 2016 meeting.
At RSNA 2016, the key buzzwords were “deep learning,” “machine learning” and “artificial intelligence.” Vendors and major academic centers are developing a wide array of artificial intelligence neural networks to aid radiologists in clinical diagnosis and clinical decision support. In the future, AI may also be able to help train radiologists on both normal and abnormal presentations of various organs and body systems so as to more easily identify related disease states and conditions. The following video offers two examples of how the IBM Watson system examines imaging studies.
The first case seen here demonstrates how Watson can arrive at a differential diagnosis of an aortic dissection by analyzing an abdominal computed tomography (CT) scan. The second case involves the discovery of a fibroadenoma of the breast from Watson’s analysis of a mammogram.
Watson first analyzes the text of the radiology report, identifying and pulling out key words or phrases that may indicate the potential diagnosis. It then examines the CT scan to locate relevant visible anatomic structures such as the heart, aorta and pulmonary artery. Each structure is examined for anomalies, which identifies a possible aortic dissection; the dissection is displayed within the context of the entire 3-D CT scan. Finally, Watson applies its existing clinical knowledge to the findings from the CT scan and the radiology report, establishing pathways to numerous possible conclusions until arriving at the right one.
See examples of real products using AI at RSNA 2017 in the VIDEO "Examples of How Artificial Intelligence Will Improve Medical Imaging." ITN also created an in-depth VIDEO: Technology Report — Artificial Intelligence at RSNA 2017, with interviews with numerous AI vendors.
Watch the VIDEO: “Development of Artificial Intelligence to Aid Radiology,” an interview with Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explaining the basis of artificial intelligence in radiology.
Patricia Oliveira-Szejnfeld, M.D., and Fernanda Tovar-Moll, M.D., Ph.D., explain what radiologists should be looking for to aid early diagnosis of Zika virus. They were among the key investigators for the first large-scale, multimodality assessment of the Zika in Brazil, the epicenter of the 2016 Zika outbreak. They spoke to ITN at RSNA 2016. Read the article “Imaging Zika Virus - Radiologic Assessment and Tracking in Prenatal Development.”
Mahadevappa Mahesh, MS, Ph.D., chief physicist and professor of radiology and radiological science at Johns Hopkins Hospital, explains the basics of medical imaging dose monitoring technologies. This includes monitoring and recording software meet new Joint Commission requirements, state dose laws and to improve patient safety regarding X-ray radiation exposure. Read the article “The Role of Dose Tracking Systems in Radiation Safety Programs.”
Max Wintermark, M.D., professor of radiology and chief of neuroradiology, Stanford Hospital and Clinics, explains trends and recent advances in neuroradiology at RSNA 2016.
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains what is known about MRI contrast retention in the brain and other MRI safety concerns. He spoke to ITN at RSNA 2016.
Gadolinium-based contrast agents have been used for diagnosis and treatment guidance in more than 100 million patients worldwide over the past 25 years. These agents enhance the quality of MR images by altering the magnetic properties of nearby water molecules in the body. By improving the visibility of specific organs, blood vessels or tissues, contrast agents help physicians diagnose and treat a wide variety of medical conditions. On its own, gadolinium can be toxic. Therefore, when used in contrast agents, gadolinium is bonded with a molecule called a chelating agent, which controls the distribution of gadolinium within the body. Read the article "Gadolinium May Remain in Brain after Contrast MRI."