ITN Editor Dave Fornell took a tour of some of the most innovative technologies on display on the expo floor at the American Society for Radiation Oncology (ASTRO) 2018 conference. The overview includes new technologies for proton therapy, MRI-guded radiation therapy, PET-guided radiotherapy, brachytherapy, SRS quality assurance, 3-D printing and mobile connectivity to the oncology information system.
An interview with A. M. Niser Syed, M.D., medical director, radiation oncology and endocurietherapy, MemorialCare Cancer Institute, Long Beach, Calif. At the American Society for Radiotherapy and Oncology (ASTRO) 2018 annual meeting, he presented a study of 1,200 patients using a single session of intra-operative radiation therapy (IORT) using the Xoft X-ray emitting brachytherapy system.
Aadel Chaudhuri, M.D., assistant professor of radiation oncology, Washington University, St. Louis, Mo., explains his research on using blood tests to collect circulating lung tumor cells to assess their response to radiotherapy. This use of liquid biopsies can eliminate the need for invasive needle biopsies. He spoke on this topic at the American Society for Radiotherapy and Oncology (ASTRO) 2018 annual meeting.
Genomics can be used to assess a patient's radiosensitivity, which can be used to increase or decrease the radiation that needs to be delivered to treat the tumor and spare surrounding healthy tissue. Javier Torres-Roca, M.D., associate professor of radiation oncology, Moffit Cancer Center, and co-founder of the genomics company Cvergenx, spoke on this topic at the ASTRO 2018 conference.
Interview with Peyman Kabolizadeh, M.D., the medical director of Beaumont Proton Therapy Center, Royal Oak, Mich. He explains how proton therapy fits into Beaumont's overall strategy of cancer treatment. He also explains Beaumont's development of proton arc therapy that is in development. He spoke on these topics at that ASTRO 2018 meeting.
Kristin Higgins, M.D., medical director of radiation oncology at the Emory Clinic at the Winship Cancer Institute, and associate professor, Department of Radiation Oncology, Emory University School of Medicine, explains how the use of a novel positron-emission tomography, computed tomography (PET-CT) system combined with a linac in a single gantry might offer a new approach to real-time adaptive therapy. She spoke to ITN at the 2018 ASTRO conference.
Read the article about the technology displayed at ASTRO 2018 — Biology Guided Radiotherapy May Improve Physician Confidence in Treatment of Multiple Tumors
Anne Hubbard, MBA, director of health policy for the American Society for Radiation Oncology (ASTRO), gives an update on where things are at for radiotherapy reimbursement, CMS conversion factors and MACRA. She spoke on this topic at the 2018 ASTRO conference.
Elizabeth Chabner-Thompson, M.D., MPH, radiation oncologist, Northern Westchester Hospital, Northwell Health, Mt. Kisco, N.Y., and CEO of Masthead, explains an FDA-cleared bra she designed for improved patient positioning of women undergoing radiation therapy. She spoke to ITN at the 2018 ASTRO conference.
Scott Schwartz, M.D., interventional radiologist and program director for IR residencies and the vascular and interventional radiology fellowship at Henry Ford Hospital, explains how the department uses Yttrium-90 (Y90) embolization therapy to treat liver cancer.
Related Articles on Y-90 Radiotherapy:
Benjamin Movsas, M.D., chair of radiation oncology at Henry Ford Cancer Institute, describes the benefits the department has realized from using the first FDA-approved magnetic resonance imaging (MRI)-guided radiation therapy system to allow real-time treatment tracking.
Register to view a webinar on the ViewRay MRI-guided radiation therapy system.
Carri Glide-Hurst, Ph.D., director of translational research, radiation oncology at Henry Ford Health System, describes how the department uses magnetic resonance imaging (MRI) scans to create synthetic computed tomography (CT) images for use in radiation therapy treatment planning.
Also watch the VIDEOs Using Advanced CT to Enhance Radiation Therapy Planning and MRI-Guided Radiation Therapy Trial for Pancreatic Cancer, which also feature Glide-Hurst.
Carri Glide-Hurst, Ph.D., director of translational research, radiation oncology at Henry Ford Health System, describes how the department uses advanced computed tomography (CT) software and techniques to improve radiation therapy treatment plans.
Related Content With Glide-Hurst:
Carri Glide-Hurst, Ph.D., and Benjamin Movsas, M.D., discuss Henry Ford Hospital's involvement in a national clinical trial assessing the effectiveness of magnetic resonance imaging (MRI)-guided radiation therapy in pancreatic cancer.
Watch the related VIDEO: Clinical Use of the ViewRay MRIdian Linac System at Henry Ford — Interview with Benjamin Movsas, M.D.
Register to view a webinar on the ViewRay MRI-guided radiation therapy system.
Leveraging years of industry-leading expertise in flat-panel display technology, LG Business Solutions has expanded their medical imaging device portfolio of the most accurate displays possible.
A discussion with Ehsan Samei, Ph.D., DABR, FAAPM, FSPIE, director of the Duke University Clinical Imaging Physics Group and head of the Duke medical physics graduate program. He spoke on this topic at the American Association of Physicists in Medicine (AAPM) 2018 meeting.
A discussion with Kevin Moore, Ph.D., DABR, deputy director of medical physics and associate professor, University of California San Diego, about his daily clinical use of an artificial intelligence treatment planning software. He spoke on this at the American Association of Physicists in Medicine (AAPM) 2018 meeting.
Also watch the VIDEO: The Impact of Artificial Intelligence on Radiation Therapy — an interview with Steve Jiang, Ph.D.
Radiological Society of North America (RSNA) President Vijay Rao, M.D., the David C. Levin professor and chair of radiology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, spoke to ITN at the 2018 AAPM meeting. She said artificial intelligence is by far the most impactful new technology in radiology and it will be by far be one of the hottest topics at the 2018 RSNA annual meeting.
ITN Editor Dave Fornell takes a tour of some of the innovative new technologies on the expo floor at the 2018 American Association of Physicists in Medicine (AAPM) meeting.
A discussion with Mahadevappa Mahesh, Ph.D., FAAPM, FACR, FACMP, FSCCT, professor of radiology and cardiology and chief physicist at Johns Hopkins, Baltimore. He also serves as treasurer for the American Association of Physicists in Medicine (AAPM) and spoke to ITN at the 2018 meeting.
Watch the VIDEO Radiation Dose Monitoring in Medical Imaging, an interview with Mahesh at the 2016 Radiological Society of North America (RSNA) annual meeting.
A discussion with Matthew Freeman, Ph.D., scientist at Los Alamos National Laboratory, New Mexico. He spoke about his research using direct proton imaging on the treatment table without the need for other external or on-board imaging systems. He spoke at the 2018 American Association of Physicists in Medicine (AAPM) meeting.
A discussion with Martin Vallieres, Ph.D., post-doctoral fellow at McGill University, Montreal, Canada. He spoke on this topic in sessions at the American Association of Physicists in Medicine (AAPM) 2018 meeting. He explains radiomics and how it can be used in both medical imaging and radiation therapy.
Read the related article "Hidden Information Behind Imaging Tests for Cancer May Unlock New Approaches to Radiation Therapy."
Read the related article "Computer Program Beats Physicians at Brain Cancer Diagnoses."
Lawrence Tanenbaum, M.D., FACR, vice president and director of advanced imaging at RadNet, discusses the latest research on the effects of gadolinium contrast retention following magnetic resonance imaging (MRI) exams, and how facilities can best manage its use.
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss the national progress in transitioning from computed radiography (CR) to digital radiography (DR) systems. Sferrella is the chair and Finerfrock is a member of the AHRA Regulatory Affairs Committee.
Watch the related Technology Report on Digital Radiography Systems
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss the new proposed rule for site-neutral imaging payments from the Centers for Medicare and Medicaid Services (CMS). Sferrella is the chair and Finerfrock is a member of the AHRA Regulatory Affairs Committee.
Watch part 1 of the conversation with Sferrella and Finerfrock on clinical decision support updates
Watch part 2 on the CR to DR transition
Sheila Sferrella, president of Regents Health Resources and Bill Finerfrock, president of Capitol Associates, discuss the latest updates to clinical decision support (CDS)/appropriate use criteria (AUC) requirements from the Centers for Medicare and Medicaid Services (CMS). Sferrella is the chair and Finerfrock is a member of the AHRA Regulatory Affairs Committee.
Watch the related VIDEO Clinical Decision Support of the Future
Ehsan Samei, Ph.D., DABR, FAAPM, FSPIE, director of the Duke University Clinical Imaging Physics Group and head of the Duke medical physics graduate program, explained this new program at the American Association of Physicists in Medicine (AAPM) 2018 meeting.
Angelic Bush, CRA, FAHRA, president of the Association for Medical Imaging Management (AHRA), and Bill Algee, AHRA president-elect, discuss the key themes of the 2018 AHRA annual meeting and how radiology can define its value in a patient-centered care environment.
Robert Junk and Tobias Gilk, MRSO, MRSE, of architectural firm RAD-Planning, discuss the different types of safety hazards associated with magnetic resonance imaging (MRI) and how to assess your own protocols to find and eliminate inefficiencies that could lead to safety hazards.
Watch the related VIDEO New App Improves MRI Safety For Implantable Devices
Read the related article "Closing the Loopholes in MRI Safety"
This is an example of how Cherenkov radiation glow can be collected with image intensifier cameras during radiotherapy to show the exact location of the beam and the amount of dose delivered. This can be used to quickly verify everything matches the treatment plan and dosimetry. This video was shot in the booth of DoseOptics at the 2018 American Association of Physicists in Medicine (AAPM). The company is developing this technology and hopes to submit it to U.S. Food and Drug Administration(FDA) for review in the next year.
A discussion with Steve Jiang, Ph.D., director of the medical artificial intelligence and automation lab and vice-chair of the Department of Radiation Oncology, University of Texas Southwestern. He spoke in sessions at AAPM 2018 about how AI will change treatment planning, radiation oncology and medical imaging.
Watch the VIDEO: Real-world Implementation of Deep Learning for Treatment Planning — a discussion with Kevin Moore, Ph.D., DABR, deputy director of medical physics and associate professor, University of California San Diego, about his daily clinical use of an artificial intelligence treatment planning software.
American Association of Physicists in Medicine (AAPM) President Bruce Thomadsen, M.D., professor of medical physics at the University of Wisconsin, Madison, discusses the future direction of medical physics in a changing healthcare environment at the 2018 AAPM meeting.
A discussion with Patricia Dickson, LRT(CT), director of imaging and outpatient services, Capital Cardiology Associates, Albany, N.Y., and Nikki Weber, a lead CT technologist at the Mayo Clinic, Rochester, Minn. They presented in sessions at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting.
At SIIM 2018, Alexander J. Towbin, M.D., Radiologist, Department of Radiology and Medical Imaging, Neil D. Johnson Chair of Radiology Informatics, Associate Chief of Radiology Informatics, at Cincinnati Children’s Hospital, discusses the meaning of patient engagement and describes some of the patient engagement initiatives that he has seen successfully implemented in various practices.
Read the article "Essentials of Pediatric Imaging" with input from Towbin.
Change Healthcare is looking at how to apply AI into enterprise imaging by using algorithms to change data into knowledge. For more information go to www.changehealthcare.com.
ITN Contributing Editor Greg Freiherr interviews Eliot Siegel, M.D., radiology professor at the University of Maryland School of Medicine and chief of Imaging Services at the VA Maryland Health Care System.
It’s ridiculous to think that in the coming two decades, artificial intelligence will replace radiologists, says AI expert Eliot Siegel, M.D. Even if AI got good at reading medical images, “radiologists do much more than that,” he says.
In the accompanying video interview, Siegel, a radiology professor at the University of Maryland School of Medicine and chief of Imaging Services at the VA Maryland Health Care System, will highlight these and other reasons why it’s ridiculous to think computers will replace radiologists. He’ll discuss them during a SIIM debate on the subject June 2 that will include Bradley J. Erickson, M.D., associate research chair in the radiology department at Mayo Clinic in Rochester.
AI might not replace radiologists, but it could radically change the practice of radiology in just a few years, he says. During a SIIM session June 1, Siegel will moderate discussions among executives from several companies, including GE Healthcare and newcomer Aidoc, who will look at radiology AI applications and roadmap how these and future applications will incorporate AI.
One thing is for sure, says Siegel: AI is going to dramatically increase radiologists’ use of lab data, genomics and digital pathology. Several of these data types may become integral parts of reading oncologic images, according to Siegel, who will provide details at SIIM May 31 in “Point-of-Care Precision Medicine: Real-time Radiomics-Genomics in the Reading Room.”
Editor’s note: This pre-SIIM video interview is the first in a series of three by Greg Freiherr. The series features industry luminaries discussing key issues associated with the upcoming SIIM conference. The first interview, Building An Effective Enterprise Imaging Strategy featuring Kim Garriott, can be viewed here.
Related Video: ITN Editorial Director Melinda Taschetta-Millane discusses "Machine Learning and the Future of Radiology" with Eliot Siegel at SIIM 2017.
ITN Contributing Editor Greg Freiherr interviews Kim Garriott, Principal Consultant, Logicalis
The rapidly expanding volume of unstructured data, exemplified by medical images, underscores the need to develop an enterprise imaging strategy, says Kim Garriott, principal consultant at Logicalis, a global provider of IT solutions and managed services.
In the accompanying video interview, Garriott explains how the combination of these two may form a convincing argument for the leadership of your organization to move forward with enterprise imaging.
On June 1, at the upcoming SIIM 2018 convention, she will co-host the continuing education session “Achieving Enterprise Imaging Maturity,” during which she and the HIMSS-SIIM Workgroup will present the new Digital Imaging Adoption Maturity Model. DIAM, as it is called, is designed to support real-time collaboration and patient-centric care by providing a method to address enterprise-wide imaging challenges.
When developing an enterprise imaging strategy, organizations must consider their specific needs, which are characterized in “use cases.” Garriott, who is the global chair of the HIMSS analytic DIAM Development team and co-chair of the HIMSS-SIIM Enterprise Imaging Workgroup, explains that these use cases constitute one very important element of the enterprise imaging strategy. Another is construction of a “data governance model.” This model is needed to guide the capture of data and is essential to the success of enterprise imaging.
Editor’s Note: This pre-SIIM video interview is the first in a series of three by ITN Contributing Editor, Greg Freiherr. The series features industry luminaries discussing key issues associated with the upcoming SIIM conference.
Related Video: ITN Associate Editor Jeff Zagoudis discusses, "Enterprise Imaging and the Digital Imaging Adoption Model" with Kim Garriott at HIMSS 2018.
ITN Associate Editor Jeff Zagoudis speaks with Karen Hou, M.D., breast radiologist at Northwestern Medicine Central DuPage Hospital in Winfield, Ill., about the hospital's use of new technology and innovative practices. Read more about the clinic the article "High-Risk Clinic Arms Patients Against Breast Cancer."
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ITN Associate Editor Jeff Zagoudis explores how the mobile stroke unit (MSU) program at Northwestern Medicine Central DuPage Hospital in Winfield, Ill., is changing the paradigm of care for stroke patients in the western suburbs of Chicago and beyond.