Paul Nagy, Ph.D., CIIP, and Christopher Meenan, CIIP, discuss some of the opportunities available for Imaging Informatics Professionals (IIPs) at the Society of Imaging Informatics in Medicine (SIIM) annual meeting and through SIIM's programs and website — all of which are especially relevant in light of today's explosion of innovation in the imaging informatics arena.
J. Raymond Geis, M.D., SIIM Chair, and Mitchell M. Goldburgh, Dell Healthcare and Life Sciences, discuss the "Corporate Leadership Circle," a partnership allowing vendors to communicate with SIIM members in expanded ways about new technology and to create vendor/provider collaborations to resolve technology challenges.
Elizabeth Krupinski, Ph.D., FSIIM, and David Brown, BSCS, CNMT, CIIP, discuss the new SIIM Knowledge Center, a specialized website housing new educational material, including the updated "Need to Know" series, as well as discussion forums and top 10 lists.
Gary Levine, M.D., program chair/incoming president of the National Consortium of Breast Centers, gives an overview of current trends in technology, diagnosis and treatment of breast cancer, and regulatory activity that will impact women's health.
Philips' new Microdose digital mammography system provides comfort for the patient, efficiency for the physician and department manager, plus 50 percent less dose.
Gary Levine, M.D., program chair/incoming president of the National Consortium of Breast Centers, discusses legislation regarding breast density at the 22nd annual National Interdisciplinary Breast Center Conference (NCoBC), held in Las Vegas in March.
Gary Levine, M.D., program chair/incoming president of the National Consortium of Breast Centers, discusses the role of politics on women's health in an election year, during the 2012 National Interdisciplinary Breast Center Conference (NCoBC), held in Las Vegas in March.
Gary Levine, M.D., program chair/incoming president of the National Consortium of Breast Centers, discusses how breast centers can use social media to educate the public regarding breast health and their services at the 2012 NCoBC meeting, held in Las Vegas in March.
Gary Levine, M.D., program chair/incoming president of the National Consortium of Breast Centers, discusses the emergence of interoperative radiation therapy (IORT) at the 22nd annual National Interdisciplinary Breast Center Conference (NCoBC), held in Las Vegas in March.
The Chicago Zoological Society's (CZS) Brookfield Zoo is the first North American zoo to use 3-D advanced visualization imaging technology. This video shows a video fly-through of reconstructed 3-D computed tomography (CT) images of an aardvark, Humboldt penguin and African crested porcupine. The zoo is using Web-based software from Vizua to create animal CT scan advanced visualization reconstructions. Read the related article.
Vendors showcase the latest medical imaging technological advances each year during the annual Radiological Society of North America (RSNA) meeting in Chicago, always held the week following Thanksgiving. After spending a week walking the show floor and meeting with scores of vendors, the following are some of ITN Editor Dave Fornell's choices for the most innovative new radiology technologies introduced in 2011.
Michael L. Steinberg, M.D., incoming president of the American Society for Radiation Oncology (ASTRO), presents highlights of the 2011 annual meeting, including an overview of educational programs and scientific sessions held during the event. Presentations included study findings regarding IMRT versus other forms of radiation therapy treatment for prostate cancer, as well as a study regarding hypofractionation of prostate cancer to decrease treatment time. Steinberg also describes some of ASTRO's other activities and gives his thoughts about challenges facing the membership during the coming year.
For more information: www.astro.org
IBA ProteusONE offers uncompromised treatment solutions enabling physicians to leverage the clinical effectiveness of proton beam therapy. While Pencil Beam Scanning enables the delivery of Intensity Modulated Proton Therapy (IMPT) treatment plans, the latest imaging techniques make Image Guided Proton Therapy (IGPT) possible. ProteusONE has been inspired by everyday clinical practice. Its design enhances the patient experience by fostering a soothing environment while making the medical staff's daily practice safer and easier. Finally ProteusONE is IBA's response to making protons affordable. It is a proton therapy system that is smaller, more affordable, easier to install, easier to operate and ultimately easier to finance. With ProteusONE, protons are possible for more patients worldwide.
For more information: www.iba-worldwide.com
IBA showcased its noninvasive radiation oncology treatment systems during the American Association of Physicists in Medicine (AAPM) 2011 annual meeting. This included its new Proteus One proton therapy system, advanced dose management and the addition of cone-beam computed tomography (CT) to help guide therapy.
For more information: www.IBA-protontherapy.com
The American Association of Physicists in Medicine (AAPM) is taking steps to help guide the future of its specialty, said AAPM President Tony Seibert, Ph.D. During the group's 2011 meeting, Seibert explained there is a shift in healthcare priorities from research to a more clinical emphasis. AAPM is encouraging younger members to get involved and keep research as an important part of medical physics, so advances can be made to eventually improve patient care.
Imaging is expanding its role in radiotherapy systems, which will require additional medical physics in that area, he said. In addition, AAPM is working with both government agencies and industry in efforts to push forward new protocols, and technology.
For more information: www.aapm.org
Tony Seibert, Ph.D., president of the American Association of Physicists in Medicine (AAPM), explained the key initiatives of the group during its 2011 annual meeting. These include:
• AAPM is working with its members to reduce patient radiation dose across radiology modalities.
• It is developing physics-based Web training modules for diagnostic radiology residents.
• Members are working to create residency programs for both radiation therapy and diagnostic radiologists.
• AAPM is also working with several states to create license certification programs to ensure who is a qualified medical physicist.
For more information: www.aapm.org
Society of Nuclear Medicine (SNM) President George Segall, M.D., chief of the nuclear medicine service at the VA Palo Alto Health Care System, and is a professor of radiology and professor of cardiology (by courtesy) at Stanford University School of Medicine, offers insights into the trends he saw at the society's 2011 annual meeting.
Trends in nuclear imaging include the creation of PET/MRI systems, use of time of flight (TOF) imaging, new technqiues to image amyloid plaque in Alzheimer's Disease, and the movement toward multimodlaity imaging rather than radiologists specializing in justy one modality.
Eliot Siegel, M.D., FSIIM, FACR, who is on the Board of Directors of the Society for Imaging Informatics in Medicine (SIIM), gives an overview of several programs that are part of the 2011 SIIM annual meeting and exoplains the benefits of the society. Siegel is professor and vice chair radiology for the University of Maryland School of Medicine Department of Diagnostic Radiology and chief of imaging for the VA Maryland Healthcare System.
Among the programs Siegel describes are the opening session on meaningful use rules; the "Ghost of Radiology Future," a look at the future challenge of regulations on the industry, and "Mind the Gap," about managing healthcare reform with informatics. The meeting also includes several new learning tracks, including ones on image sharing, improving efficiency in the reading room and imaging department, and new archival and storage models. There also will be round table sessions and a Sunday morning hands-on "Tools of the Trade" series.
For more information: www.siim.org
Eliot Siegel, M.D., FSIIM, FACR, who is on the Board of Directors of the Society for Imaging Informatics in Medicine (SIIM), discusses a number of the society's initiatives and benefits of membership with ITN Editorial Director Helen Kuhl. Siegel is professor and vice chair radiology for the University of Maryland School of Medicine Department of Diagnostic Radiology and chief of imaging for the VA Maryland Healthcare System.
Siegel elaborates on a number of benefits of SIIM membership, which extend beyond the society's annual meeting. These include: the TRIP initiative, a workflow efficiency aid; the Imaging Informatics Marketplace buyer's guide; a mentoring program, and access to numerous resources on the website. SIIM also is considering several exciting initiatives for the future, including webinars and regional meetings.
For more information: www.siim.org
This podcast explains how syngo Dynamics can be used to integrate cardiac imaging picture archiving and communication (PACS) and cardiology reporting systems into one platform.
One of the biggest issues discussed at the 2011 National Consortium of Breast Centers (NCoBC) annual meeting was the controversy over proposed mammography recommendations to increase the age for when women should begin regular mammogram screenings. NCoBC Program Director and Incoming President John Bell, FACS, explains how this issue was approached and discussed for presentation at this year's meeting. NCoBC President Don Dizon, M.D., FACP, also discusses some of the highlights from the 2011 show and the fact it was the most well attended event in the show's 22-year history.
The 2011 National Consortium of Breast Centers (NCoBC) annual meeting broke all attendance records, according to Yuri Parisky, M.D., vice president of NCoBC. He said the event highlighted the biggest trends in breast cancer imaging and treatment from specialties including radiology, radiation therapy, oncology, pharmaceuticals and plastic surgery. Parisky said digital mammography, which makes up about 75 percent of the U.S. market, continues to grow. In addition, tomosynthesis and molecular breast imaging are gaining ground. Three major trends in breast imaging and oncology include attempts to lower imaging radiation dose exposure, earlier detection of cancer and more minimally invasive interventions to both preserve breast tissue and reduce scarring.
Paul Chang, M.D., professor of radiology, vice chair of radiology informatics and medical director for enterprise imaging, University of Chicago, is a lead investigator on a closed-loop imaging research study that looks at all stages of imaging to optimize the imaging system at a hospital. The goal of the Philips-sponsored trial is to reduce errors and improving quality care and outcomes. He said it is important to optimize all stages of the imaging process. Chang explains the process they used for reviewing efficiencies and inefficiencies in the radiology department.
Watch another interview with Chang in the 2019 VIDEO: How Hospitals Should Prepare for Artificial Intelligence Implementation.
At ASTRO 2010, one of the big topics was how radiation oncology as a profession is in a period of retrenchment due to the economic crisis. There is also a growing demand from payors to show value for these treatments, said American Society for Radiation Oncology (ASTRO) President Anthony Zeitman, M.D., director, Harvard Radiation Oncology Residency Program, Jenot and William Shipley Professor of Radiation Oncology at Harvard Medical School. He said the radiotherapy technologies used need to undergo rigorous clinical testing to show what technologies and techniques work best and what is most cost-effective. Part of ASTRO's push is for a national registry to help advance this data collection.
IBA introduced its new Proteus One proton treatment system during ASTRO 2010. It is about one-third the size of current proton treatment systems, taking up about the same amount of space as two linac rooms side-by-side. The Proteus One is designed to offer more patient access to proton therapy by making the treatment system easier to install. It is also designed to be used as a single treatment room installation, rather than sharing a larger cyclotron and beam with several treatment rooms. For more information: www.iba-worldwide.com
An interview with Peter Herscovitch, M.D., chief of the positron emission tomography (PET) department, senior attending physician, National Institutes of Health (NIH) Clinical Center, who explains why it is important to develop comparative effectiveness trials of PET. He was the chair of the 2010 committee on scientific program at Society of Nuclear Medicine (SNM - SNMMI) annual meeting.
American Association of Physicists in Medicine (AAPM) President Mike Herman, Ph.D., radiation oncology medical physicist, Mayo Clinic, explains the role of the society and its goal to improve patient care. Activities include sharing the latest scientific research, developing best practices, education, setting guidelines for certification and the roles of various staff under mediacl physicists, and how physicists can better serve their hospitals. The main focus in sessions at the AAPM annual meeting include patient safety concerning radiation dose and how to lower these doses in practice. Herman said AAPM is also calling for a national patient safety event recording process to make it easier to see where there are mistakes so they can be addressed. The society is also Herman said the process needs to be easy to access and use. He spoke to ITN at the some 2010, 52nd annual AAPM meeting
An interview with Peter Herscovitch, M.D., chief of the positron emission tomography (PET) department, senior attending physician, National Institutes of Health (NIH) Clinical Center, who discusses key topics in molecular imaging, including how how the introduction of new radiotracers will affect the use of PET and SPECT in nuclear imaging and patient therapies. He was the chair of the 2010 committee on scientific program at Society of Nuclear Medicine (SNM - SNMMI) annual meeting.
Imaging Technology News Editor Cristen Bolan talks with Society for Imaging Informatics in Medicine (SIIM) Chair Bradley Erickson, M.D., Ph.D., Mayo Clinic, about how this year's annual meeting provides a glimpse into the future of imaging informatics. At the SIIM 2010 annual meeting, SIIM rolled out new interactive programs, such as "Doctor Is In" and the "Vendor Tie-In" sessions, to address problems with the application of information technology in the clinical setting.
The show's Opening General Session set the stage for the first annual Year in Review. SIIM's board of directors and other invited members were asked to identify hot topics for this session. The review covered the following topics:
• Politics and business intelligence: Meeting the challenge, as more administrators and radiologists are asked to justify expenditures and new equipment acquisitions while growing their imaging businesses.
• Advanced image visualization, quantitation and morphometric measurement of normal and abnormal structures: These tools are important, especially when using web clients and engaging clinicians has emerged as a high interest topic.
• Communication of patient data, 3-D, computed tomography and magnetic resonance processing, digital radiography, cloud-based storage: These examine aspects of healthcare reform and the role of informatics.
• Communication tools: Advancements in tools for communicating critical results.
Erickson said that SIIM is committed to providing more of this type of content radiologists are looking via the web. As Erickson looked toward the exciting developments in imaging informatics in the coming year, he had a take-home message for all of the attendees at SIIM 2010. "SIIM is the home for informatics professionals to learn what is new and exciting in the field and to establish connections with new people and refresh the connections they have established in the past," he said. "Having that sort of a network is critical. The annual meeting is a platform to establish connections amongst SIIM members throughout the year."
For more information: www.siim.org
"Most people have no idea what a tremendous impact radiology and telemedicine have on poor and remote regions of the world," said Rebecca Cornelius, M.D., professor of radiology, neuroradiology, department of radiology, University Hospital, University of Cincinnati, College of Medicine. Cornelius was one of the physicians on the panel and video presentation "Zero Footprint Radiology and Telemedicine Build a Platform for Sustainable Care," which Imaging Technology News (ITN) hosted at the SIIM 2010 annual meeting.
The panelists described how physicians based in the United States used teleradiology and telemedicine technology to treat patients located in a remote clinic in Honduras. The panelists made the case that this technology suite is the basis for sustainable health care outreach programs in the future. ITN Editor Cristen Bolan then presented a video illustrating how physicians and technicians equipped The Roy and Melanie Sanders Frontera Medical Center in Honduras with the digital imaging and informatics infrastructure.
Several providers donated the suite of imaging technology. The equipment included a telemedicine system and ultrasound probe from Global Media, the VirtualPACS Web-based picture archiving and communication system (PACS) from MedWeb, a portable digital x-ray system from MinXray and a computed radiography (CR) unit from iCRco.
In this video, Dr. Juan Vasquez gives a live demonstration of how the imaging suite quickly and seamlessly operates. Vasquez started by taking an X-ray image, processing and reviewing it on the CR, and uploading the data set to the PACS in under 10 minutes. The guest of honor, Honduran Minister of Health Arturo Bendaña, himself a trained physician, easily toggled through the streamlined digital workflow. Vasquez explained how the transition from film to digital x-ray would save the clinic on significant costs incurred from developing film. Vasquez then examined a patient's thyroid gland with the ultrasound probe connected to a laptop computer. Next, he used a high-definition telemedicine camera to capture superficial anatomical images. Finally, he uploaded the images and consulted with physicians over Global Media's video-conferencing system. Jeffrey E. Heck, M.D., executive director and founder of Shoulder to Shoulder, explained to onlookers this was a model for delivering high-tech care, including expert specialty consultations, to some of the most remote and isolated areas of the developing world.
"With the addition of this technology, poor people have access to the same set of services that any well-equipped health center in the United States has access to," Heck said.
The panelists included: - Rebecca Cornelius, M.D., professor of radiology, neuroradiology (Clin Geo), University Hospital; University of Cincinnati, College of Medicine; Department of Radiology - Phillip Silberberg, M.D., head of Shoulder-to-Shoulder Radiology, pediatric radiologist, Kosair Childrenâ??s Hospital, - Roland Talanow, M.D., Ph.D., department of radiology, The Cleveland Clinic - Hayley Holland, MPH, director of grants and projects, Shoulder-to-Shoulder - Kim Guevara, corporate philanthropy officer and director of emergency management, Medweb. For more information: www.shouldertoshoulder.org
Related Radiology and Telemedicine in Honduras:
Collabortaion between physicians using interdisciplinary approach to diagnosing and treating breast cancer is crucial to good patient care, explains Don Dizon, M.D., FACP, president of the National Consortium of Breast Centers (NCBC) at the 20th annual meeting hosted in 2010. He said NCBC stands as a testament to collaboration, cooperation and camaraderie from mammgraphy screening through biopsy and treatments for breast cancer.
Michael Ringold, M.D., interventional radiologist, St. Luke's Hospital and Health Network, Bethlehem, Pa., explains how GEâ??s Innova system is used to perform embolization of hepatic tumors.
Using GEâ??s Innova imaging system for central venous access and hemodialysis fistula management, Innova provides flexible access to the patient. Presented by Kenneth Chin, M.D., FACR, San Fernando Valley Interventional Radiology and Imaging Center, Encino, Calif.
Musculoskeletal injuries are of concern to many interventional radiologists due to the constant positioning, twisting and turning to see the fluoro monitors. Kenneth Chin, M.D., of the San Fernando Valley Interventional Radiology and Imaging Center, explains how GEâ??s Innova imaging system helps to avoid these injuries.
Bob Reinhart, M.D., interventional radiologist, St. Luke's Hospital and Health Network, Bethlehem, Pa., explains how the Innova vascular imaging system helped perform an emergency bronchial embolization.
Prashant Patel, M.D., St. Lukeâ??s Hospital and Health Network, Bethleham, Pa., explains a case where he uses GE's Innova for an arteriogram, embolization and cystography in a single session for a trauma case.
Advanced breast imaging capabilities added elastography to the list, fused MR/CT image data combined with angiography navigation systems to guide percutaneous oncology, and 3.0 Tesla MR debut at the 2009 Radiological Society of North America (RSNA). All these innovations headlined the news at RSNA. To find out where these trends are leading radiology and radiation oncology, Imaging Technology News spoke with The MarkeTech Group's (TMTG) CEO and Founder Dr. Christian Renaudin. In an exclusive interview, Dr. Renaudin analyzes what these key market trends mean to diagnostic imaging. The MarkeTech Group is a CASRO certified international marketing research and consulting firm focused exclusively on medical technology. As a leading ad hoc Voice-of-Customer solution provider in medical imaging, The MarkeTech Group attends the annual RSNA meeting to investigate what new technological innovations in diagnostic imaging manufacturers are displaying on the show room floor. For more information: www.themarketechgroup.com
Dr. Frederic Deschamps of the Institut Gustavy Roussy, France, explains his use of the Innova TrackVision application to plan and guide needle trajectories during vertebroplasty and oncology procedures in the interventional lab under angiographic fluoroscopy.
Performing needle procedures in the interventional suite frees up your CT system and provides better access to the patient. However, under fluoroscopic guidance, it may be challenging and time consuming to find the right entry point and advance the needle to avoid critical structures.
TrackVision 2 provides live 3-D needle guidance during your procedures. It lets you advance the needle down a planned trajectory overlaid on live fluoroscopy, visualizing any deviations from the desired path.
Highlights of the system include:
• Support multiple trajectories.
• 3D trajectories are registered in real time to C-arm and table movements, field of view and Source-to-Image Distance in real time.
• Visualize patient motion with the bone anatomy overlay and correct it at table side.
• Send bull eye's view angle to the gantry in a single click.