itnTV "Conversations": Creating an Interoperability Strategy
At the Society of Breast Imaging (SBI)/American College of Radiology (ACR) 2019 Symposium, Rasu Shrestha, M.D., MBA, chief strategy officer for Atrium Health, discusses his new role with Atrium, the hype cycle of artificial intelligence (AI) and the key elements of getting AI in radiology — and in healthcare — right.
Listen to the podcast Is Artificial Intelligence The Doom of Radiology?, a discussion with Shrestha.
Wendie Berg, M.D., Ph.D., FACR, chief scientific advisor to DenseBreast-info.org and professor of radiology at University of Pittsburgh School of Medicine/Magee-Women’s Hospital of UPMC, spoke with ITN Editorial Director Melinda Taschetta-Millane about some of the proposed amendments to the language being used for mammography reporting and quality improvement.
Vital Images has developed a strategy that allows its customers to capture revenues that are otherwise missed while building the infrastructure for the future. In an interview with itnTV, Vital Images executives Larry Sitka and Geoffrey Clemmons describe how the company has reconciled this vision of the future with near-term realities.
Paul Chang, M.D., professor of radiology, vice chair of radiology informatics and medical director for enterprise imaging, University of Chicago, explains some of the issues with artificial intelligence (AI) and how hospitals can better prepare for its eventual implementation across the field medicine. A key takeaway is that hospitals need an infrastructure and roadway for AI and deep-learning algorithms to operate. Chang said most health systems will not invest directly in AI, but will invest in analytics, which Chang said uses much of the same infrastructure required by AI.
Chang spoke on this topic at an AIMed breakfast briefing seminar in Chicago April 9, 2019. Listen to a webcast of this hour and 15 minute talk.
ITN Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies displayed on the expo floor at the 2018 Radiological Society of North America (RSNA) meeting. The video includes new technologies for fetal ultrasound, CT, MRI, mobile DR X-ray, a new generation of fluoroscopy systems, MRI contrast mapping to better identify tumors, and a new technique to create moving X-ray images from standard DR imaging.
Watch the related VIDEO: Editor’s Choice of the Most Innovative New Artificial Intelligence Technologies at RSNA 2018. This inlcudes a tour of some of the recently FDA-cleared AI technologies for medical imaging at RSNA 2018.
GE Healthcare goes beyond core equipment maintenance to help clients solve some of their most important asset and clinical performance challenges through digital solutions.
ITN Editor Dave Fornell takes a tour of some of the most interesting new artificial intelligence (AI) imaging technologies on the expo floor of 2018 Radiological Society of North America (RSNA) annual meeting.
Watch the related VIDEO: Editor's Choice of the Most Innovative New Technology at RSNA 2018.
Related AI Imaging Technology Content:
VIDEO: Managing a Multi-site Radiology Practice With AI-based Workflow — Interview with Andrew Deutsch, M.D.
At RSNA 2018, GE launched a new brand that covers AI. The company showed several works-in-progress -- a critical care suite of algorithms and experimental applications for brain MR. Each is being built on GE's Edison Platform.
GE Healthcare Centricity Clinical Archive (CCA) Analytics, shown at RSNA 2018, works directly with the vendor neutral archive (VNA), allowing users to evaluate clinical, financial and operational processes across the healthcare system. The analytics solution shows how all of the different components of the archive and all of the imaging sources — departments, facilities and modalities — are working across the enterprise.
As a VNA, GE Healthcare Centricity Clinical Archive weaves together data from many different sources and systems. The cloud-based system, shown at RSNA 2018, offers analytics that can help physicians and administrators make decisions about the many types of data contained in this VNA, just as it can help make the VNA more efficient.
At RSNA 2018, iCad showed how its ProFound AI for digital breast tomosynthesis technology might help in the interpretation of tomosynthesis exams. Rodney Hawkins, vice president of marketing for iCad, discusses how this technology can better help detect the cancer.
Mike Ciancio, imaging systems administrator at CarolinaEast Health System in North Carolina, explains how newer enterprising imaging software can improve how the backend administration of radiology PACS administration. He spoke at the 2019 Healthcare Information Management and Systems Society at (HIMSS) conference.
Ciancio said newer cloud-based systems allow for easier IT management of the backend of a PACS or enterprise imaging system.
Karl Poterack, M.D., medical director, applied clinical informatics, Mayo Clinic, explains the role wearable devices will play in healthcare. He presented in several sessions at the 2019 Healthcare Information Management and Systems Society at (HIMSS) conference.
Poterack said there is a brewing tsunami of data in wearable technologies that healthcare systems will have to figure out how to integrate in the coming years. He said the key issue with wearable data is that there needs to be outcomes data showing the value of how many steps a patient accumulates, changes in heart rate over time, or blood pressure changes in patients with specific aliments. Without this , he said there is limited value in the information.
Cree Gaskin, M.D., professor, vice chair and associate chief medical officer, University of Virginia Health System, explains how new technology can be used to improve radiology reports without additional workload. His health system uses a new generation integrated RIS/PACS system that allows URL links and new graphical data presentations to be embedded into radiology reports to make them more interactive. This information can include quantifications, key images from the exam, access to full datasets, 3-D reconstructions and ability to immediately link to prior exams. He spoke is sessions on this topic at the 2019 Healthcare Information Management and Systems Society (HIMSS) conference.
This is an example of a new endoscopic virtual peritoneal inflation tool on the patient's computed tomography (CT) imaging to aid in pre-procedural planning of endoscopic procedures. This is a new software feature on Fujifilm's Synapse 3D advanced visualization software released at the Healthcare Information Management and Systems Society (HIMSS) 2019 meeting. The software also enables 3-D imaging for surgical pre-procedural planning to assess the best entry points and angles.
This is an example of a 3-D printed pelvis that had multiple hip fractures and a second printed pelvis is from a post surgical repair CT scan, showing the pins and plates in pink. This was on display at the GE Healthcare booth at the Healthcare Information Management and Systems Society (HIMSS) 2019 conference. The files for printing were created from the CT datasets using the AW Advanced Visualization software.
This is an example of a new endoscopic 3-D imaging simulator created from a patient's computed tomography (CT) scan using Fujifilm's Synapse 3D advanced visualization software. The feature was released at the Healthcare Information Management and Systems Society (HIMSS) 2019 meeting. The software enables surgical pre-procedural planning to assess the best entry points and angles. The software also enables users to perform a virtual peritoneal inflation using the advanced imaging platform.
The software shows the anatomy color coded so structures are easier to identify and to aid navigation. In this example, a pancreatic tumor is highlighted in green, which is the target of this virtual simulation.
Andrew Deutsch, M.D., MBA, chairman and CEO of Renaissance Imaging Medical Associates (RIMA), an affiliate of Radiology Partners, describes RIMA’s use of an artificial intelligence (AI) based worklist workflow to manage reads across 70 sites and load balance between 120 radiologists. He spoke in sessions on this topic at the 2019 Healthcare Information Management and Systems Society at (HIMSS) conference.
Deutsch, a nationally respected expert in skeletal radiology and magnetic resonance imaging (MRI) and in addition to his roles at RIMA, serves as medical director of the imaging departments at Northridge Hospital Medical Center and Valley Presbyterian Hospital.
This is a virtual heart with the same electrophysiology characteristics as the real patient unveiled by Siemens at the Healthcare Information Management and Systems Society (HIMSS) 2019 annual meeting in February. This "digital twin" technology is in development and will be able to create virtual, digital organs from a patient’s medical imnaging and other physiological data. In this case, the model was created using an ECG, MRI scan and other clinical data. It was shown as a way to help optimize cardiac resynchronization therapy (CRT) lead placement. CRT currently has a 30 percent nonresponder rate, which is mainly due to the placement of leads. This model allows virtual placement of the leads In various locations to test response prior to the implantation procedure. The green dot shows the location of the virtual lead. Siemens said the technology also might have applications for testing virtual ablations strategies to save procedure time when the patient is in the EP lab.
Here is an example of new artificial intelligence (AI) driven health information systems that aim to improve efficiency, speed workflow and make finding relevant patient data fast. This is the Philips Intellispace Oncology software displayed at the Healthcare Information Management and Systems Society (HIMSS) 2019 meeting. This dash board page for a cancer patient offers a great overview on a single screen so physicians do not have to do a lot of clicking around to find what they need.
The top of the screen has a timeline showing all patient encounters related to their cancer, including imaging exams, labs, pathology, procedures, etc. All are clickable and show a small pop-up box with a key image and brief description, and a link to the full set of images and the full report. Other boxes on the screen help organize the relevant patient data into easily digestible bits with links to full reports or areas of the patient record. An analytics button at the bottom of the page opens a window showing charts for things like tumor follow-up assessments to quickly show if the patient is responding to treatment.
Steve Holloway, principal analyst and company director for the healthcare market research firm Signify Research, explains the key trends he is seeing in radiology enterprise imaging systems. He spoke to ITN at the 2019 Healthcare Information Management and Systems Society at (HIMSS) conference.
At RSNA 2018, Philips Healthcare introduced Performance Bridge as an integral part of its IntelliSpace Enterprise Edition. The insights help drive improvements and efficiencies.
In this video Johann Fernando, Ph.D., Chief Operating Officer of FUJIFILM Medical Systems U.S.A., Inc. discusses his vision for Fujifilm as an end-to-end imaging partner -- offering high quality solutions for diagnostic imaging, treatment planning, treatment follow-up, and enterprise imaging management. He also shares his point-of-view on developing patient-centric solutions catering to the unique needs for specialized patient populations including solutions for pediatrics and imaging solutions dedicated to the operating room.
ITN Contributing Editor Greg Freiherr discusses Fujifilm's AI-enabled Platform REiLI, the benefits of an open AI platform, and how this impacts radiologists' workflow and patient outcomes with FUJIFILM Medical Systems U.S.A., Inc. Vice President of Medical Informatics, Bill Lacy.
Missed your chance for a REiLI demo at RSNA? Visit Fujifilm's booth #4159 at HIMSS February 12–14, 2019.
Artificial intelligence can do more than assist in the interpretation of patient images. At RSNA 2018, Imalogix showed how its unique AI application can help meet compliance requirements, directly improve patient safety and increase efficiencies.
Related Artificial Intelligence Content
In Artificial Intelligence 2018: What Radiologists Need to Know About AI, ITN Contributing Editor Greg Freiherr offers an overview of artificial intelligence (AI) advances at the Radiological Society of North America (RSNA) 2018 annual meeting.
Related Artificial Intelligence Content
In Enterprise Imaging 2018: Balancing Strategy and Technology in Enterprise Imaging, ITN Contributing Editor Greg Freiherr offers an overview of enterprise imaging advances at the Radiological Society of North America (RSNA) 2018 annual meeting.
Related Enterprise Imaging Content:
Julius Chapiro, M.D., research faculty member and an interventional radiology resident at Yale University, describes how artificial intelligence (AI) can be used to revolutionize cancer diagnosis and treatment at the 2018 Radiological Society of North America (RSNA) annual meeting.
ITN Contributing Editor Greg Freiherr discusses how advances in digital technology are giving new meaning to the term dynamic imaging in his conversation with Konica Minolta President and CEO David Widmann.
Vinodh Kumar, M.D., and Komal Shah, M.D., associate professors of radiology at MD Anderson Cancer Center, describe how they are using virtual reality and augmented reality technologies for pre-operative planning and patient education for brain tumor cases. They presented on the technology at the 2018 Radiological Society of North America (RSNA) annual meeting.
Watch the VIDEO: Editor's Choice of Most Innovative Technology at HIMSS 2017 for more examples of augmented reality technology in healthcare.
Read the related article Virtual Reality Boosts Revenues and Patient Understanding.
Robert Quaife, M.D., director of advanced cardiac imaging, University of Colorado Hospital, explains why advanced imaging techniques are required to tackle complex transcatheter procedures and structural heart interventions. The University of Colorado Hospital helped develop the Philips EchoNavigator live image fusion technology, and this video offers an overview of how it came to be and where the technology is going.
Watch the related VIDEO: Evolution of Transcatheter Mitral Valve Repair at the University of Colorado, which shows exaplmes of the navigation technology is use during a MitraClip procedure.
EIZO, which means image in Japanese, is a visual technology company that develops and manufactures high-end display solutions. EIZO has been one of the leading healthcare brands worldwide in medical imaging solutions for the digital era with over 45 years developing and manufacturing innovative display solutions designed for mission-critical applications. Keep your eyes open for the RX360 and GX560 available at the beginning of 2019.
Enhao Gong, Ph.D., founder of Subtle Medical, an artificial intelligence (AI) company that develops products to help medical imaging, explains how AI might be used to reduce the amount of gadolinium contrast needed for magnetic resonance imaging (MRI) exams.
Radiological Society of North America (RSNA) 2018 annual meeting keynote speaker Michael Recht, M.D., chairman of radiology at NYU Langone Health, discusses how artificial intelligence (AI) is being used at his institution to improve the patient experience, and how advanced technologies may impact radiology in the future. He also spoke on NYU's use of advanced analytics to improve workflow, speed patient throughput and how analytics justified the hiring of additional full-time employees because there were numbers supporting how they could help increase the department's bottom line.
He spoke after the opening remarks by RSNA President Vijay Rao, M.D., who highlighted how AI will likely impact radiology and become ingrained in daily workflow to help free up the radiologists to collaborate more as a doctor's doctor. Watch an interview with Rao in the VIDEO: RSNA President Says Artificial Intelligence is Hottest Tech Advancement in Radiology.
ITN Editor Dave Fornell and ITN Contributing Editor Greg Freiherr share their insights on the new technology and vendors highlighting enterprise imaging (EI) products during their coverage of Radiological Society Of North America (RSNA) 2018 meeting.
Watch the "VIDEO: RSNA Post-game Report on Artificial Intelligence" to hear insights from Fornell and Freiherr on the hottest technology trend in radiology at RSNA 2018.
ITN Editor Dave Fornell and ITN Contributing Editor Greg Freiherr share their insights on the vendors showing artificial intelligence (AI) products or works-in-progress for this key trend during their coverage of the Radiological Society Of North America (RSNA) 2018 meeting.
Watch the "VIDEO: RSNA Post-game Report on Enterprise Imaging" to hear insights from Fornell and Freiherr on the newest generation enterprise imaging technology at RSNA 2018.
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: