Benjamin Movsas, M.D., chair of the American Society for Radiation Oncology (ASTRO) Scientific Committee, explains how research presented at the 2017 Annual Meeting was chosen to reflect new trends in radiation therapy.
VIDEO: CT Coronary Plaque Quantification Will Become Major Risk Assessment
Todd Villines, M.D., FACC, FAHA, MSCCT, explains how coronary plaque assessment will become a new risk assessment tool in cardiac CT. This was a key take away during the Society of Cardiovascular Computed Tomography (SCCT) 2020 virtual meeting in July. He is the Julian Ruffin Beckwith Professor of Medicine, Division of Cardiovascular Medicine, University of Virginia; editor-in-chief of the Journal of Cardiovascular CT (JCCT), and SCCT past-president.
While basic plaque assessments have been available for several years on CT vendor and third-party advanced visualization software, it lacked automation standardization for what various values meant and clinical evidence it was relevant. However, several speakers in SCCT sessions said that is now changing, with more specific analysis being tested clinically and automation using artificial intelligence.
Several key opinion leaders in cardiac CT said this new information and automation lwill likely lead to a revision of the current CAD-RADS scoring system used by radiologists and cardiologists when assessing the coronary event risk of patients. They are calling for the new CAD-RADS 2.0 to include a detailed plaque assessment.
Other Key Trends and CT Technology at SCCT:
The new Visicoil MR is a helically-wound, flexible linear fiducial marker. The Visicoil MR hollow core design and multiple sizes mitigates the CT artifact often created by traditional gold seeds, offering you clearer visualization of the tissue to aid in faster and more accurate contouring. Visicoil MR's linear flexible design fixates and remains stable in soft tissue, giving you the confidence in accurate marker localization. Visicoil MR is available in some of the smallest needle sizes available for fiducial markers, including 21g and 22g needles. The benefits of smaller needles are improved patient safety and comfort during implantation. The smaller needles may also allow for faster CT sim after implant and ultimately treatment for your patients. The new Visicoil MR with enhanced MRI visibility allows you to see the marker more easily in MRI, both in T1 and T2. This makes for easier and faster MR/CT fusion.
Philips PerformanceBridge Practice dashboard, developed on the HealthSuite digital platform, offers at-a-glance insights into uptime, operations and performance across your imaging equipment. The dashboard also provides actionable recommendations, case studies and training alerts.
Melissa Martin, MS, president of the American Association of Physicists in Medicine (AAPM), discusses her vision of the role of medical physics in healthcare and highlights the association's initiatives at the 2017 AAPM annual meeting in Denver.
Jared Houk, vice president, imaging business unit, for Agfa HealthCare North America, previews the DR800 at AHRA 2017. Read the article "Agfa HealthCare Previews New DR 800 Imaging System at AHRA 2017."
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Mark Pankuch, Ph.D., director of medical physics at the Northwestern Medicine Chicago Proton Center, discusses the clinical applications and practical aspects of operating a proton therapy center at the 2017 American Association of Physicists in Medicine (AAPM) annual meeting.
Nancy Cappello, Ph.D., executive director and founder of Are You Dense Inc. and Are You Dense Advocacy, explains how a personalized breast screening program can improve cancer detection for women with dense breasts at the 2017 AHRA annual meeting in Anaheim. Read an article by Cappello “Fake News: Having Dense Breast Tissue is No Big Deal,” or the article "Raising the Bar For Cancer Detection in Dense Breast Tissue."
Angelic McDonald, MSRS, CRA, FAHRA, regional director of imaging, Baylor Scott & White Health and the president-elect of AHRA, discusses the biggest challenges she and other radiology administrators face at the 2017 AHRA annual meeting in Anaheim. Read the related article "Two Key Issues Keeping Radiologists Up at Night in 2017."
Woojin Kim, M.D., chief medical information officer, Nuance Communications, explains how analytics solutions can help healthcare providers practice high-quality care and how to implement the technology at the 2017 Association for Medical Imaging Management (AHRA) annual meeting. Read the article "Analytics: The Next Big Health IT Undertaking," and the blog "Will Big Data Analytics Kickoff a New Golden Age for Radiology?"
DAIC and ITN Editor Dave Fornell discusses some of the most innovative new computed tomography (CT) technology and trends at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Read the article "Advances in Cardiac CT Technology" and watch VIDEO: Advances in Cardiac CT Imaging.
Association for Medical Imaging Management (AHRA) President Jason Newmark, CRA, FAHRA, and CEO Ed Cronin highlight the association's accomplishments in the last 12 months and discuss how it will help its members face coming changes in healthcare.
Matthew Budoff, M.D., FACC, professor of medicine, David Geffen School of Medicine at UCLA, endowed chair of preventive cardiology, Harbor-UCLA Medical Center, discusses the PROMISE and PICTURE trials at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Watch the VIDEO "The Role of Cardic CT in Value-based Medicine."
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.
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.
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.
Contributing Editor Greg Freiherr offers an overview of enterprise imaging advances at the Radiological Society of North America (RSNA) 2016.
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.