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VIDEO: Artificial Intelligence Automatic Contouring and Segmentation For Radiotherapy

Treatment Planning | August 21, 2019

This is an example of the Mirada DLCExpert deep learning software that automatically identifies organs, segments and auto-contours them as the first step in creating radiation oncology treatment plans. This example of a segmented prostate computed tomography (CT) scan being used to plan radiotherapy was created without any human intervention. It was demonstrated at the American Association of Physicists in Medicine (AAPM) 2019 meeting. 

This example shows OAR Space hydrogel (outlined in blue) injected to create space between the prostate and the rectum to prevent damage to that radiation sensitive structure. The gel is hard to identify on the CT scan because it looks like part of the rectum or prostate. But the softwares AI has been trained to identify it when present.

The DLCExpert software was cleared by the FDA in July 2018 and was first shown at ASTRO 2018. It automatically identifies anatomical structures and contours them to save staff time. The files created by the software are vendor neutral and can be imported into any vendor’s treatment planning system. Read more about this software. 

Find more news and video from AAPM

Conference Coverage

Artificial Intelligence | December 21, 2018

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.

Artificial Intelligence | December 18, 2018

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.
 

 

Enterprise Imaging | December 14, 2018

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.

Find more RSNA coverage

 

 

Ultrasound Imaging | December 14, 2018

Based on Mindray’s Living Technology, the Resona 7 (Sapphire), ZS3 (Diamond) and TE7 (Crystal) new ultrasound upgrades offer significant enhancements in support of the company’s commitment to providing state-of-the-art ultrasound imaging. Maher Elhihi, director of marketing, North America Ultrasound, summarizes the key benefits included in the company's Gem Series introduction.

Artificial Intelligence | December 13, 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.

Find more RSNA coverage

 

 

SPECT-CT | December 12, 2018

This is a walk around of the new Spectrum Dynamics Veriton SPECT-CT nuclear imaging system introduced at the 2018 Radiological Society of North America (RSNA) meeting. 

This is a walk around of an innovative new SPECT-CT nuclear imaging system shown at the Radiological Society Of North America (RSNA) 2018 meeting this week. It's CT system with comes in 16, 64 or 128 slice configurations. It has 12 SPECT detector robotic arms that automatically move toward the patient and use a sensor to stop a few millimeters from the skin to optimize photon counts and SPECT image quality. It also uses more sensitive CZT digital detectors, which allows either faster scan times, or use of only half the radiotracer dose of analog detector scans.

Read the article “Nuclear Imaging Moves Toward Digital Detector Technology.” 

Read the article "Spectrum Dynamics Sues GE for Theft, Misappropriation of Trade Secrets and Unfair Competition."

RSNA | December 11, 2018

Imaging Technology News (ITN) closed out the Radiological Society of North America's (RSNA) 2018 conference with its highest social media reach numbers ever. Join us in our social media journey by following ITN on FaceBook and Twitter!

Mammography | December 10, 2018

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.

Cybersecurity | December 06, 2018

Anton S. Becker, M.D., radiology resident at the University Hospital of Zurich, Switzerland, discusses the long-term risks of cyberattacks on medical imaging data at the 2018 Radiological Society of North America (RSNA) annual meeting.

Radiation Therapy | December 06, 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:

Conversations with Greg Freiherr: The Accuray Philosophy

ASTRO Puts Patients First

Radiation Oncology | November 30, 2018

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.

Advanced Visualization | November 30, 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.

Read more about this technology

 

Related VR and AR Content:

VIDEO: Using Virtual and Augmented Reality to Examine Brain Anatomy and Pathology at MD Anderson

Virtual Reality Boosts Revenues and Patient Understanding

Augmented Reality is Taking Over Radiology Training

VIDEO: Augmented Reality for Surgical Planning Example

Philips and Microsoft Showcase Augmented Reality for Image-Guided Minimally Invasive Therapies

Reimagining Brain Surgery 

VR in the OR 

Radiologist Uses Virtual Reality as Interventional Radiology Teaching Tool 

 

Digital Radiography (DR) | November 30, 2018

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

 

Artificial Intelligence | November 28, 2018

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.

 

Ultrasound Imaging | November 28, 2018

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.

 

Read more about this technology. 

 

Watch a VIDEO showing the fetal ventricular contractibility measures.

 

Artificial Intelligence | November 28, 2018

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.

Read more in the article “How Artificial Intelligence Will Change Medical Imaging.”

Watch the VIDEO AI Technogy Report from RSNA 2017.

 

Computed Tomography (CT) | November 25, 2018

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.

Read more about the system.

 

ASTRO | November 08, 2018

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.

Find links to all the ASTRO 2018 latebreakers, key news and VIDEOS in the article "Late-breaking Radiation Therapy Clinical Trials at ASTRO 2018."
 

Brachytherapy Systems, Women's Healthcare | November 07, 2018

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. 

Radiation Oncology | November 07, 2018

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. 

 

Radiation Oncology | November 06, 2018

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

Find more news, videos and late-breating studies from ASTRO 2018.

 

 

Proton Therapy | October 30, 2018

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.

Read the article "Beaumont Hospital Cancer Institute Performs First Irradiation of Spot Scanning Proton Arc Therapy Plan."
 

 

 

 

 

October 29, 2018

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

Read more about the start-up company that created the system.

 

 

ASTRO | October 29, 2018

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.

Read the related article "ASTRO: CMS Report on Radiation Therapy Payment Model Charts Path to Value-Based Cancer Care."

Radiation Therapy | October 29, 2018

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

 

 

 

Treatment Planning | September 27, 2018

Eric Morris, a Ph.D. candidate at Henry Ford Hospital and Wayne State University, explains his project to automate registration and segmentation of cardiac structures in treatment planning scans for breast cancer radiation therapy.

Find more content on Henry Ford Hospital

Radiation Therapy | September 07, 2018

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.

Treatment Planning | August 28, 2018

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.

Find other videos and coverage from AAPM 2018

Artificial Intelligence | August 23, 2018

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.

 

 

Magnetic Resonance Imaging (MRI) | August 13, 2018

Haojie Wang, M.D., director of advanced cardiovascular MRI and a member of the heart valve clinic at Baylor Scott White Heart Hospital, Dallas, explains the utility of magnetic resonance imaging (MRI) in cardiology and the implementation of the cardiac MRI program at his hospital.

Radiation Therapy | August 13, 2018

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.

Click here for more coverage of the 2018 AAPM annual meeting.

Radiation Therapy | August 13, 2018

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.
 

Proton Therapy | August 10, 2018

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.

Radiomics | August 09, 2018

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."

For other AAPM 2018 videos and coverage

Contrast Media | August 03, 2018

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.

Clinical Decision Support | August 03, 2018

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

Watch part 2 of the conversation with Sferrella and Finerfrock on the CR to DR transition

Watch part 3 on site-neutral payment

Digital Radiography (DR) | August 03, 2018

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

Watch part 1 of the conversation with Sferrella and Finerfrock on clinical decision support updates

Watch part 3 on site-neutral payments

Radiology Business | August 03, 2018

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

AAPM | August 03, 2018

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.

Additional AAPM news and videos