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.
William Pinsky, M.D., a pediatric cardiologist and CEO of the Educational Commission for Foreign Medical Graduates (ECFMG), and Mandeep Mehra, M.D., medical director of the Brigham and Women’s Hospital (BWH) Heart and Vascular Center and professor of medicine at Harvard Medical School, explain the U.S. doctor shortage and how foreign doctors help fill the gap.
According to 2017 data provided by the Association of American Medical Colleges (AAMC), 40 percent of interventional cardiologists, 30 percent of cardiovascular disease specialists, and 26 percent of pediatric cardiologists in the United States are international medical graduates (IMGs). However, as the physician shortage continues to impact primary care doctors, psychiatrists, OB/GYNs, among others, the U.S. also expects to see a shortage of cardiologists within the next 10 years, according to a spotlight cardiology study issued by the professional services firm PYA, which specialized in healthcare consulting.
Deborah Levine, M.D., professor of radiology at Harvard Medical School and vice chair for academic affairs in the Department of Radiology at Beth Israel Deaconess Medical Center, Boston, describes scenarios where magnetic resonance imaging (MRI) could be more useful than ultrasound in issues with the female pelvis.
American Society of Radiologic Technologists (ASRT) President Melissa Jackowski, Ed.D., R.T.(R)(M), FASRT, explains efforts by the society to have states implement licensure laws to ensure that only highly qualified RTs perform medical imaging procedures. She spoke at the Radiological Society of North America (RSNA) 2018 meeting.
Magid Awadalla, MBBS, is an advanced cardiac imaging research fellow at Massachusetts General Hospital. He has been involved in an imaging study of cardiac changes from photon radiotherapy in breast cancer patients using serial cardiac magnetic resonance imaging (MRI). The radiotherapy beams used to treat breast cancer pass close to the neighboring heart, which can cause cardiac cell damage leading to issues like heart failure later on. He spoke on the topic of cardio-oncology at the American College of Cardiology (ACC) 2019 meeting.
Raza Alvi, M.D., a research fellow in radiology at Massachusetts General Hospital, has been involved in a study of a positron-emission tomography (PET) FDG radiotracer agent to image sarcoidosis. The inflammatory disease affects multiple organs and usually include abnormal masses or nodules (granulomas) consisting of inflamed tissues that can form in the heart. Alvi presented on this topic at American College of Cardiology (ACC) 2019 meeting.
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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.
ITN Associate Editor Jeff Zagoudis speaks with Bill Hartsell, M.D., medical director at the Northwestern Medicine Chicago Proton Center, about operating costs, reimbursement and other financial aspects of proton therapy.
Watch the VIDEO: Proton Therapy Treatment at Northwestern Medicine, part 1 of the interview with Hartsell.
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.
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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.
ITN Associate Editor Jeff Zagoudis speaks with Bill Hartsell, M.D., medical director at the Northwestern Medicine Chicago Proton Center, about day-to-day operations and cutting-edge treatments at the Warrenville, Ill. center.
ITN Associate Editor Jeff Zagoudis speaks with Christy Kesslering, M.D., medical director of radiation oncology at the Northwestern Medicine Cancer Center, about the different radiation therapy options for breast cancer patients offered at the center.
Watch the VIDEOs Advancements in Radiation Therapy for Brain Cancer and Multidisciplinary Treatment of Brain Tumors with Vinai Gondi, M.D., director of research and CNS neuro-oncology at the Northwestern Medicine Cancer Center.
ITN Associate Editor Jeff Zagoudis speaks with Vinai Gondi, M.D., director of research and CNS neuro-oncology at the Northwestern Medicine Cancer Center, about the Neuro-Oncology Multidisciplinary Clinic (NOMDC) at the center that emphasizes collaboration between clinicians to take a patient-centered approach to brain tumor cases.
Watch the VIDEO: Advancements in Radiation Therapy for Brain Cancer, part 1 of the interview with Gondi.
At RSNA 2018, Philips Healthcare introduced Performance Bridge as an integral part of its IntelliSpace Enterprise Edition. The insights help drive improvements and efficiencies.
ITN Associate Editor Jeff Zagoudis speaks with Vinai Gondi, M.D., director of research and CNS neuro-oncology at the Northwestern Medicine Cancer Center, about the cutting-edge radiotherapy treatments and research being done at the Warrenville, Ill. center.
Watch the VIDEO: Multidisciplinary Treatment of Brain Tumors, part 2 of the interview with Gondi.
This is an example of an arterial venous malformation (AVM) in the brain imaged on a Canon Alphenix Alpha angiography system. It shjows a contrast injection highlighting the vessels, which have been color coded to show the position of the veins and arteries involved in this vascular defect.
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.
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Gregory Videtic, M.D., staff physician in radiation oncology at the Cleveland Clinic, and David Johnstone, M.D., professor of surgery at the Medical College of Wisconsin, discuss the factors in deciding how to treat patients with marginally operable non-small cell lung cancer at the 2018 Radiological Society of North America (RSNA) annual meeting.
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.
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VIDEO: Managing a Multi-site Radiology Practice With AI-based Workflow — Interview with Andrew Deutsch, M.D.
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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 includes a tour of some of the recently FDA-cleared AI technologies for medical imaging at RSNA 2018.
- Varian’s new Bravos afterloader system for high-dose-rate (HDR) brachytherapy;
- Varian’s new ProBeam 360 single-room proton therapy system, with its lower-cost, 30 percent smaller footprint;
- The company’s vision of — and development work towards — an artificial intelligence-powered multimodality adaptive radiotherapy suite; and
- Pre-clinical research into ultra-high-dose-rate cancer treatment with protons.
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.
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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.
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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.
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Supplemental screening with ABUS helps personalize breast care for women with dense breasts and offers advanced clinical confidence for radiologists. ABUS can play an important role in early diagnosis of small, node negative, invasive cancers. Hear from Georgia Giakoumis Spear, M.D., from NorthShore University HealthSystem in the Chicagoland Area of Illinois as she speaks with Lucas Delaney, general manager for ABUS at GE Healthcare. As an early adopter of ABUS, she discusses the clinical need and her results with ABUS. She also provides her impressions of the newly introduced Invenia ABUS 2.0, and demonstrates a case utilizing the coronal view.