Nancy M. Cappello, Ph.D., executive director and founder, Are You Dense Inc. and Are You Dense Advocacy. Read the article “The Evolution of Breast Imaging Technology.” Watch the VIDEO “Implementing Advanced Breast Imaging Technology.”
Technology Report: Artificial Intelligence in Radiology 2021
This is an overview of trends and technologies in radiology artificial intelligence (AI) applications in 2021. Views were shared by 11 radiologists using AI and industry leaders, which include:
• Randy Hicks, M.D., MBA, radiologist and CEO of Reginal Medical Imaging (RMI), and an iCAD Profound AI user.
• Prof. Dr. Thomas Frauenfelder, University of Zurich, Institute for Diagnostic and Interventional Radiology, and Riverain AI user.
• Amy Patel, M.D., medical director of Liberty Hospital Women’s Imaging, assistant professor of radiology at UMKC, and user of Kios AI for breast ultrasound.
• Sham Sokka, Ph.D., vice president and head of innovation, precision diagnosis, Philips Healthcare.
• Ivo Dreisser, Siemens Healthineers, global marketing manager for the AI Rad Companion.
• Bill Lacey, vice president of medical informatics, Fujifilm Medical Systems USA.
• Karley Yoder, vice president and general manager, artificial intelligence, GE Healthcare.
• Georges Espada, head of Agfa Healthcare digital and computed radiography business unit.
• Pooja Rao, head of research and development and co-founder of Qure.ai.
• Jill Hamman, world-wide marketing manager at Carestream Health.
• Sebastian Nickel, Siemens Healthineers, global product manager for the AI Pathway Companion.
There has been a change in attitudes about AI on the expo floor at the Radiological Society of North America (RSNA) over the last two years. AI conversations were originally 101 level and discussed how AI technology could be trained to sort photos of dogs and cats. However, in 2020, with numerous FDA approvals for various AI applications, the conversations at RSNA, and industry wide, have shifted to that of accepting the validity of AI. Radiologists now want to discuss how a specific AI algorithm is going to help them save time, make more accurate diagnoses and make them more efficient.
With a higher level of maturity in AI and the technology seeing wider adoption, radiologists using it say AI gives them additional confidence in their diagnoses, and can even help readers who may not be deep experts in the exam type they are being asked to read.
With a myriad of new AI apps gaining regulatory approval from scores of imaging vendors, the biggest challenge for getting this technology into hospitals is an easy to integrate format. This has led to several vendors creating AI app stores. These allow AI apps to integrate easily into radiology workflows because the apps are already integrated as third-party software into a larger radiology vendors' IT platform.
There are now hundreds of AI applications that do a wide variety of analysis, from data analytics, image reconstruction, disease and anatomy identification, automating measurements and advanced visualization. The AI applications can be divided into 2 basic types — AI to improve workflow, and AI for clinical decision support, such as diagnostic aids.
On the workflow side, several vendors are leveraging AI to pull together all of a patients' information, prior exams and reports in one location and to digest the information so it is easier for the radiologist to consume. Often the AI pulls only data and priors that relate to a specific question being asked, based on the imaging protocol used for the exam. One example of this is the Siemens Healthineers AI Clinical Pathway and Siemens AI integrations with PACS to automate measurements and advanced visualization.
AI is also helping simplify complex tasks and help reduce the reading time on involved exams. One example of this is in 3-D breast tomosythesis with hundreds of images, which is rapidly replacing 2-D mammography, which only produces 4 images. Another example is automated image reconstruction algorithms to significantly reduce manual work. AI also is now being integrated directly into several vendors' imaging systems to speed workflow and improve image quality.
Vendors say AI is here to stay. They explain the future of AI will be automation to help improve image quality, simplify manual processes, improved diagnostic quality, new ways to analyze data, and workflow aids that operate in the background as part of a growing number of software solutions.
Several vendors at RSNA 2020 noted that AI's biggest impact in the coming years will be its ability to augment and speed the workflow for the small number of radiologists compared to the quickly growing elder patient populations worldwide. There also are applications in rural and developing countries were there are very low numbers of physicians or specialists.
Related AI in Medical Imaging Content:
ITN and DAIC Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies on the expo floor at the 2017 Radiological Society of North America (RSNA) meeting. Watch the editor’s choice video for new health IT technologies at HIMSS 2017, new advances in cardiac ultrasound at ASE 2017, and CT advances at the SCCT 2017 meeting.
A post-game roundup by ITN Contributing Editor Greg Freiherr and ITN Editor Dave Fornell on the key trend of artificial intelligence seen on the show floor at the Radiological Society of North America (RSNA) 2017 meeting.
For more on artificial intelligence at RSNA 2017, watch the VIDEO "How Utilization of Artificial Intelligence Will Impact Radiology." For more trends in imaging, watch the VIDEO "Key Imaging Technology Trends at RSNA 2017." ITN also created an indepth VIDEO Technology Report — Artificial Intelligence at RSNA 2017 with interviews with numerous AI vendors.
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, discusses the heightened concerns about gadolinium, which may cause adverse effects in some patients. Watch the VIDEO: How Serious is MRI Gadolinium Retention in the Brain, Body? with Max Wintermark, M.D. Read the articles “FDA: No Harm in MRI Gadolinium Retention in the Brain,” and “European Medicines Agency Issues Update on Gadolinium Contrast Agents.”
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) 2017 meeting. The biggest overarching trend for this year at RSNA was the explosion of artificial intelligence integration into imaging systems and medical imaging information technology. For more on the AI trend, watch the VIDEO "How Utilization of Artificial Intelligence Will Impact Radiology," with Adam Flanders, M.D.
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains the new mobile application he developed, which lets users visually model the forces at work during an MRI exam on patients with implanted medical devices, at the 2017 Radiological Society of North America (RSNA) meeting.
Read the related article “The Changing Relationship Between MRIs and Pacemakers.”
J. Anthony Seibert, Ph.D., professor and chair of informatics, University of California Davis, describes the security vulnerabilities specific to radiology departments and how they can be combated at the 2017 Radiological Society of North America (RSNA) meeting.
Max Wintermark, M.D., professor of radiology and chief of neuroradiology, Stanford Hospital and Clinics, discussed MRI contrast safety issues at RSNA 2017. Read the article “FDA: No Harm in MRI Gadolinium Retention in the Brain,” and “European Medicines Agency Issues Update on Gadolinium Contrast Agents.” Watch the VIDEO “Big Concerns Remain for MRI Gadolinium Contrast Safety at RSNA 2017,” and interview with Emanuel Kanal, M.D.
Dianna Bardo M.D., director of body MR and co-director of the 3-D Innovation Lab at Phoenix Children's Hospital, discusses how 3-D printing and other advanced imaging modalities can help improve outcomes in complex cases. Read the article “The Use of 3-D Printing in Cardiology.” Watch the WEBINAR “Innovation and Success in 3D-inspired Development of the Business and Clinical Practice,” presented by Bardo.
Adam Flanders, M.D., co-director, neuroradiology and vice-chair of informatics at Jefferson University Hospitals, Philadelphia, and chair of the RSNA Radiology Informatics Committee, discusses the impact of AI at RSNA 2017. Read the article “How Artificial Intelligence Will Change Medical Imaging.” Watch the related VIDEO “Machine Learning and the Future of Radiology,” an interview with Eliot Siegel, M.D.
Martin Yaffe, Ph.D., FAAPM, senior scientist, physical sciences/imaging research, Sunnybrook Health Sciences Centre, and professor of medical biophysics and medical imaging, University of Toronto, discusses how contrast-enhanced mammography can improve breast cancer detection at the 2017 Radiological Society of North America (RSNA) meeting.
Stamatia Destounis, M.D., FACR, associate professor, University of Rochester School of Medicine, attending radiologist, Elizabeth Wende Breast Care, explains recent advances in mammography and dense breast imaging at the 2017 Radiological Society of North America (RSNA) meeting.
Related Breast Imaging Content:
VIDEO: Explaining Dense Breasts — Interview with Christiane Kuhl, M.D.
VIDEO: Use of Breast MRI Improved Cancer Detection in Dense Breasts in Dutch Study — Interview with Gillian Newstead, M.D.
Dee Dee Wang, M.D., Director, Structural Heart Imaging at Henry Ford Hospital, Detroit, explains how her center uses 3-D printing and computer aided design (CAD) software to improve patient outcomes. She spoke to ITN at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read the articles “The Use of 3-D Printing in Cardiology” and “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”
Chris Toth, president, global commercial and field operations for Varian, takes a tour of Varian’s new product introductions and major initiatives highlighted at ASTRO 2017. These include:
• The Halcyon system, a new platform for cancer treatment that simplifies and enhances virtually every aspect of image-guided volumetric intensity modulated radiotherapy (IMRT). Halcyon is a powerfully intuitive platform designed to help improve and strengthen the fight against cancer and enable access to high quality care anywhere in the world.
• The 360 Oncology care management platform, designed to integrate and coordinate patient care across the entire treatment and post-treatment journey. 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 collaboration and coordination.
• The latest release of Varian’s Eclipse treatment planning software, incorporating both Multi-Criteria Optimization (MCO) and Graphics Processing Unit (GPU) Support. MCO enables planners to look at tradeoffs in a treatment plan when different clinical criteria are varied, greatly enhancing control over optimization. GPU support decreases the dose calculation and inverse planning optimization times, providing a significant leap forward in speed.
• HyperArc high definition radiotherapy, technology that unlocks the potential of non-coplanar treatment strategies to usher in a new era of precision in the delivery of stereotactic radiosurgery (SRS).
For more information: www.varian.com
William Hall, M.D., radiation oncologist in the Department of Radiation Oncology at PeaceHealth St. Joseph Medical Center in Bellingham, Wash., discusses study results presented at theAmerican Society of Radiation Oncology (ASTRO) 2016. Video courtesy of Dr. Hall. You can read Dr. Hall's article on this topic, Breast Cancer Radiation Planning, here.
David Beyer, M.D., chairman of the board for the American Society of Radiation Oncology (ASTRO), discusses the key themes of the 2017 Annual Meeting and the issues ASTRO will focus on going into 2018.
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.
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."
Click here for more information from the vendor.
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. He discusses some of the advanced technology in development and early deplyment for CT imaging.
Watch the related VIDEO “The Future of Cardiac CT in the Next Decade,” an interview with Leslee Shaw, Ph.D.
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 or AI) is impacting radiology today and its role in the future.
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 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.