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Technology Report: Artificial Intelligence in Radiology 2021

Artificial Intelligence | July 22, 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.

 

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Find more artificial intelligence news and video

 

 

 

Conference Coverage

Enterprise Imaging | May 10, 2017

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.

Enterprise Imaging | May 02, 2017

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.

Digital Radiography (DR) | April 20, 2017

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/

Enterprise Imaging | March 13, 2017

TeraMedica, a division of Fujifilm Medical Systems USA, demonstrates Connext Mobile V2 and other new product features.

HIMSS | March 10, 2017

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 | March 03, 2017

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."

Artificial Intelligence | March 01, 2017

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.”

 

Angiography | February 03, 2017

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

Interventional Radiology | February 03, 2017

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.

Enterprise Imaging | February 02, 2017

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.

Enterprise Imaging | January 18, 2017

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. 

Enterprise Imaging | January 18, 2017

Contributing Editor Greg Freiherr offers an overview of enterprise imaging advances at the Radiological Society of North America (RSNA) 2016.

Enterprise Imaging | January 18, 2017

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.

Ultrasound Imaging | January 10, 2017

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.

Breast Density | January 09, 2017

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.

Flat Panel Displays | January 08, 2017

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.

Radiation Oncology | January 05, 2017

Join Chris Toth, president, Oncology Systems Americas, for a look at Varian’s new product introductions and major initiatives highlighted at ASTRO this year:

  • The 360 Oncology care management platform, the first software system designed to integrate and coordinate integrates relevant health information so cancer patients and their care teams can collaborate on the best care. 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 collaborative and coordinated care.
  • HyperArc high definition radiotherapy, technology that unlocks the potential of using highly non-coplanar treatment strategies to usher in a new era of precision. HyperArc is designed to automate and simplify sophisticated treatments such as stereotactic radiosurgery (SRS), and make them available to more cancer patients around the world.
  • Varian’s cyber-security initiative, which is transforming the company’s software platforms to help maximize the security of patient information, maintain the integrity of treatment delivery, and enhance clinical uptime by helping defend against cyber-attacks.
Radiology Business | December 23, 2016

Kim Garriott, principal consultant for Logicalis Healthcare Solutions, explains the concept of value-based imaging and how it fits into healthcare reforms at RSNA 2016. Watch the related VIDEO "Value–based Imaging,” an interview with Daniel Berman, M.D., FACC, chief of Cardiac Imaging and Nuclear Cardiology, professor of imaging, Cedars-Sinai Medical Center. 
 

 

Radiology Business | December 23, 2016

A discussion with Andy Colbert, managing director and founding member of Ziegler’s Healthcare Investment Banking practice, on the reasons for and strategy involved in the business trend of radiology practice consolidation. He spoke to ITN at RSNA 2016. Read the blog “Risk Abatement May Determine the Future of Radiology,” and the article “Opportunities for Growth in a Competitive Radiology Climate.”
 

 

 

 

Quality Assurance (QA) | December 20, 2016

Learn more about myQA, IBA’s unique platform that connects QA applications, people, and know-how through a central database and the Cloud. It offers full support throughout all of your QA, and enables you access to the different software modules and all of your data from one intuitive interface – anywhere and anytime.

RSNA 2016 | December 19, 2016

ITN and DAIC Editor Dave Fornell takes a tour of some of the most innovative new technologies being displayed on the expo floor at the Radiological Society of North America (RSNA) 2016 meeting. For key take away trends at RSNA, watch the video "Key Trends, New Technology at RSNA 2016."

CT Angiography (CTA) | December 19, 2016

A discussion with Simon Dixon, M.D., MBChB, on the use of fractional flow reserve-computed tomography (FFR-CT) to evaluate chest pain patients in the emergency department. He is chairman of the Department of Cardiovascular Medicine at Beaumont Health System and a professor of Medicine at the Oakland University William Beaumont School of Medicine. He discussed the first year of experience with FFR-CT at Beaumont Hospital in Royal Oak, Mich., during the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Read the article “Clinical Applications of FFR-CT.”

RSNA 2016 | December 16, 2016

A post-game roundup by ITN Contributing Editor Greg Freiherr and ITN Editor Dave Fornell on the trends and new technology in radiology seen on the show floor at the Radiological Society of North America (RSNA) 2016 meeting.

Artificial Intelligence | December 16, 2016

At RSNA 2016, the key buzzwords were “deep learning,” “machine learning” and “artificial intelligence.” Vendors and major academic centers are developing a wide array of artificial intelligence neural networks to aid radiologists in clinical diagnosis and clinical decision support. In the future, AI may also be able to help train radiologists on both normal and abnormal presentations of various organs and body systems so as to more easily identify related disease states and conditions. The following video offers two examples of how the IBM Watson system examines imaging studies.

The first case seen here demonstrates how Watson can arrive at a differential diagnosis of an aortic dissection by analyzing an abdominal computed tomography (CT) scan. The second case involves the discovery of a fibroadenoma of the breast from Watson’s analysis of a mammogram.

Watson first analyzes the text of the radiology report, identifying and pulling out key words or phrases that may indicate the potential diagnosis. It then examines the CT scan to locate relevant visible anatomic structures such as the heart, aorta and pulmonary artery. Each structure is examined for anomalies, which identifies a possible aortic dissection; the dissection is displayed within the context of the entire 3-D CT scan. Finally, Watson applies its existing clinical knowledge to the findings from the CT scan and the radiology report, establishing pathways to numerous possible conclusions until arriving at the right one.

See examples of real products using AI at RSNA 2017 in the VIDEO "Examples of How Artificial Intelligence Will Improve Medical Imaging."  ITN also created an in-depth VIDEO: Technology Report — Artificial Intelligence at RSNA 2017,  with interviews with numerous AI vendors.

Watch the VIDEO: “Development of Artificial Intelligence to Aid Radiology,” an interview with Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explaining the basis of artificial intelligence in radiology.

Radiology Imaging | December 14, 2016

Patricia Oliveira-Szejnfeld, M.D., and Fernanda Tovar-Moll, M.D., Ph.D., explain what radiologists should be looking for to aid early diagnosis of Zika virus. They were among the key investigators for the first large-scale, multimodality assessment of the Zika in Brazil, the epicenter of the 2016 Zika outbreak. They spoke to ITN at RSNA 2016 and neuro-imaging for Zika virus. 

Read the article “Imaging Zika Virus - Radiologic Assessment and Tracking in Prenatal Development.”

 

Radiation Dose Management | December 14, 2016

Mahadevappa Mahesh, MS, Ph.D., chief physicist and professor of radiology and radiological science at Johns Hopkins Hospital, explains the basics of medical imaging dose monitoring technologies. This includes radiation dose monitoring and recording software meet new Joint Commission requirements, state dose laws and to improve patient safety regarding X-ray radiation exposure. 

Read the article “The Role of Dose Tracking Systems in Radiation Safety Programs.”
 

 

Neuro Imaging | December 12, 2016

Max Wintermark, M.D., professor of radiology and chief of neuroradiology, Stanford Hospital and Clinics, explains trends and recent advances in brain imaging at Radiological Society of North America (RSNA) 2016 meeting. He summerizes the lastest imaging technologies and hot topics in neoradiology in RSNA sessions. Wintermark has specific interest and expertise in stroke, traumatic brain injury, epilepsy, movement disorders and psychiatric disorders.

 

Magnetic Resonance Imaging (MRI) | December 12, 2016

Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains what is known about MRI contrast retention in the brain and other MRI safety concerns. He spoke to ITN at RSNA 2016. 

Gadolinium-based contrast agents have been used for diagnosis and treatment guidance in more than 100 million patients worldwide over the past 25 years. These agents enhance the quality of MR images by altering the magnetic properties of nearby water molecules in the body. By improving the visibility of specific organs, blood vessels or tissues, contrast agents help physicians diagnose and treat a wide variety of medical conditions. On its own, gadolinium can be toxic. Therefore, when used in contrast agents, gadolinium is bonded with a molecule called a chelating agent, which controls the distribution of gadolinium within the body. 

Read the article "Gadolinium May Remain in Brain after Contrast MRI."

 

 

 

 

Artificial Intelligence | December 08, 2016

Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explains the basis of the utilization of artificial intelligence (aka deep learning and machine learning) in radiology. He also explains where things are at in development of these neuro networks at RSNA 2016. Watch the VIDEO “Examples of Artificial Intelligence in Medical Imaging Diagnostics.” 
 

Angiography | December 08, 2016

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 2016. Kloetzly states, “A key feature of Trinias, is the ability to image from fingertip to fingertip during a Transradial approachwhich 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.”

Ultrasound Imaging | December 07, 2016

Sabrina Newell, MS, RCS, clinical analyst at healthcare consulting firm MD Buyline, explains some of the trends and new technology in ultrasound at RSNA 2016. For more information about cardiac ultrasound advances, watch the video "Trends and Advances in Echocardiography at ASE 2016."

 

 

Radiation Therapy | November 18, 2016

Accuray recently unveiled the company’s newest innovation, the Radixact Treatment Delivery System, a uniquely smart, fully integrated treatment delivery, treatment planning and data management system. Hear from the Accuray team about this new, next-generation TomoTherapy platform, as well as how recent innovations to the CyberKnife platform reduce treatment time while providing leading-edge motion tracking and real-time beam adjustment.  Discover how Accuray systems can help clinicians deliver precise tumor treatments with confidence.

Radiation Oncology | October 07, 2016

ASTRO Chairman of the Board David C. Beyer, MD, FASTRO, discusses the current trends in radiation oncology, key trends presented at this year's conference, and achieving value, and opportunities to improve value, in the treatment of prostate cancer.

Radiation Oncology | October 07, 2016

Rachael Bennett, clinical analyst for MD Buyline, discusses trends in radiation oncology at ASTRO 2016.

Digital Radiography (DR) | October 05, 2016

Contributing Editor Greg Freiherr offers an overview of digital radiography (DR) advances at the Association for Medical Imaging Management (AHRA) 2016 meeting. Read the article “The Coming Push for DR.”  Watch a technology report sidebar video on new DR Systems technology.

 

Digital Radiography (DR) | October 05, 2016

Agfa highlights how its digital radiography (DR) systems capture analytics data to help improve management of the radiology department, show ROI on DR investments, and explains how its image processing software works.  Read the article “The Coming Push for DR.”  Watch the video “Technology Report: DR Systems.”

Enterprise Imaging | August 16, 2016

Interview with Jef Williams, managing partner, Paragon Consulting Partners, on the essential elements of building an enterprise imaging strategy, at the 2016 Association for Medical Imaging Management (AHRA) annual meeting in Nashville, Tenn.  For more information on enterprise imaging technology, watch the video “Enterprise Imaging - RSNA 2015 Technology Report.”
 

Radiology Business | August 16, 2016

How to turn your imaging center into a Swiss army knife to maximize ROI was a key radiology business session at the 2016 Association for Medical Imaging Management (AHRA) annual meeting in Nashville, Tenn. Robert Junk, AIA, and Tobias Gilk, M.Arch, of RAD-Planning, explain how radiology departments can assess their business model to make the most of their capital investments. Read the related article that include Junk and Gilk "Rethinking the Radiology Business Model."
 

 

Breast Imaging | August 16, 2016

Interview with Gerald Kolb, JD, president of The Breast Group in Bend, Ore. Kolb spoke at the 2016 AHRA meeting in Nashville about the challenges of multimodality breast screening, the need for more personalized screening programs and the impact of recent screening recommendations. Read about the lastest advances in breast imaging.

Analytics Software | August 16, 2016

Interview with Kent Hutson, M.D., CPE, of Radiology Alliance in Nashville, Tenn., on the principles of data mining and how they can be used in radiology, at the 2016 Association for Medical Imaging Management (AHRA) annual meeting. For more information, read the article "Analytics: The Next Big Health IT Undertaking."