Accuray's philosophy is to personalize treatments to exactly fit the patient. Senior Director of Marketing Andrew Delao explains this philosophy in a conversation with Greg Freiherr at ASTRO 2018.
VIDEO: CT and POCUS Emerge As Frontline Imaging Modalities in COVID-19 Era
Interview with Geoffrey Rose, M.D., president of Sanger Heart and Vascular Institute with Atrium Health, in Charlotte, North Carolina, and a board member with the American Society of Echocardiography (ASE). He explains the impact if COVID-19 (SARS-CoV-2) on the cardiovascular service line and cardiac imaging. He said the virus has led to use of computed tomography (CT) not only as the frontline cardiovascular imaging modality to evaluate chest pain, but also for COVID-19 pneumonia imaging.
Rose said cardiac ultrasound is still used, but requires full personal protective equipment (PPE) and often abbreviated exams because of the close proximity of the sonographer and patient when performing echocardiograms. This has given rise to using dedicated point-of-care ultrasound (POCUS) systems to answer specific clinical questions quickly. Smart-phone based POCUS systems that use an app and a transducer plugged into the phone enable basic echo exams or evaluation of other parts of the anatomy quickly without the need to immediately sterilize an entire cart-based ultrasound system. These small systems also can be completely enclosed inside a transducer sheath and the phone and single transducer are much easier and faster to wipe down. He said the quality of the exams are not as good as fully enabled echocardiography systems, but it allows for quick assessments of ejection fractions and to triage if the patient needs more advanced imaging if the basic questions cannot be answered.
Since hospitals have shut down now for about two months, postponing normal checkups, and elective exams and procedures, Rose said doctors still need to visit with patients who have chronic conditions. Sanger and Atrium Heath modified its ambulatory electronic medical record (EMR) and is using video conferencing to perform virtual appointments now for the majority of these patients. He said telemedicine was not widely used before COVID-19 in his hospital system, but the pandemic will likely alter the care model for the future, with more telemedicine visits being used even after epidemic is over. He said use of POCUS and CT as frontline cardiac imaging modalities will also likely remain in place after the pandemic because of the efficiencies in care these technologies offer.
Related Coronavirus Content:
VIDEO: COVID-19 Precautions for Cardiac Imaging — Interview with Stephen Bloom, M.D.
VIDEO: Best Practices for Nuclear Cardiology During the COVID-19 Pandemic — Interview with Hicham Skali, M.D.
VIDEO: What Cardiologists Need to Know about COVID-19 — Interview with Thomas Maddox, M.D.
This is an example of the FDA-cleared OpenSight augmented reality (AR) system for surgical planning from NovaRad at the Radiological Society Of North America (RSNA) 2018 meeting. It uses a Hololens headset to register an overlay of the patient’s MR or Ct scan in the patient. The operator can use hand movements to slice through and manipulate the images.
The vendor gained an FDA indication for AR to be used in surgical planning in 2018. NovaRad is working with the FDA for a second indication for use of the AR in the operating room during procedures.
This video is jerky, slightly misaligned and the hand movements did not always respond because itwas shot with an iPhone inside the visor. The image quality and hand movements are much better when actually wearing it on your head and aligned for the specific user.
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This is an example of moving X-ray images displayed by Konica Minolta today at the Radiological Society Of North America (RSNA) 2018 meeting. This Dynamic Digital Radiography (DDR) technology shoots 15 frames per second for 20 seconds. The resulting 300 images are stitched together by the software to create a cine loop
This is an example of the new Fetal HQ heart and vascular software from GE Healthcare for fetal ultrasound. The software, for the Voluson E10, helps evaluate the fetal heart shape, size and contractibility. A feature called Radiant Flow shows the blood flow in a 3-D view. It can also help show slow-flow blood, such as neuro-vascular circulation. This was shown for the first time at the 2018 Radiological Society of North America (RSNA) meeting.
Here is an example of how artificial intelligence (AI) is helping radiologists with faster workflow to improve care. This example from the Philips Illumeo system shows a spine CT and how the radiologist can use the tool bar to gain one-click, immediate access to three prior CT studies that will open with the exact slate slice view and orientation as the current exam. This was shown at the 2018 Radiological Society of North America (RSNA) meeting.
The FDA cleared the MaxQ AI Accipio Ix intracranial hemorrhage (ICH) detection software in November 2018. Here it is displayed at the Radiological Society of North America (RSNA) 2018 meeting.
At the 2018 Radiological Society of North America (RSNA) meeting, Hitachi showed a new computed tomography (CT) scanner designed for larger sized patients. The Scenaria View offers both 64 and 128 slice versions (it is also field upgradable from 64 to 128 later on). It has an 80 cm bore and the table has a weight capacity of 550 pounds. The X-ray tube also can achieve high energies up to 700 mA. The system has clearance in Japan and Europe and will be submitted for FDA clearance soon.
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.
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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.
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 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
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.
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"
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.
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.
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.
ITN Editorial Director Melinda Taschetta-Millane speaks to DenseBreast-info Executive Director JoAnn Pushkin as the website celebrates three years as an information resource on breast density for patients and providers. Pushkin also discusses the latest developments in breast density notification and screening guidelines.
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Fujifilm details its latest innovations in women's health including its ASPIRE Cristalle mammography system with digital breast tomosynthesis software option and its Synapse 5 PACS and VNA, enabling secure, easy-to-manage storage and access to the complete patient imaging record throughout the healthcare enterprise.
FUJIFILM Medical Systems U.S.A., Inc. and FUJIFILM SonoSite Inc., are offering a full-suite pediatric solutions portfolio, complete with digital radiography (DR), healthcare IT and point-of-care ultrasound to serve the world's most unique patients.
David Widmann, president and CEO of Konica Minolta, looks at what the future of healthcare can bring to its customers, focusing on the imaging space.
Kiyotaka Fujii, global healthcare senior executive officer and president of Konica Minolta, discusses the company's medical strategy as it grows into precision medicine.
ITN Associate Editor Jeff Zagoudis demonstrates several mobile apps designed to help pediatric patients learn what an MRI exam is like to help calm their fears and make it easier to conduct the exam. Read the article "Pediatric MRI Calming Techniques"
ITN Editor Dave Fornell previews the launch of augmented reality (AR) technology in the January/February 2018 issue of ITN. Augmented reality brings new depth to print content through your smartphone by connecting to related videos and other resources.
Mindray recently featured a new upgrade for its premium Resona 7 ultrasound system at the Radiological Society of North America annual conference. The new upgrade is based on the system’s core ZONE Sonography Technology (ZST+), which enables software upgrades for new applications such as contrast enhanced ultrasound (CEUS), Sound Touch shear wave elastography and 10 new transducer options. Other imaging, software, and calculation enhancements include fetal CNS “Smart Planes,” “Smart Pelvis” and a dedicated pelvic congestion syndrome package. The new transducers include C6-2GU interventional/intraoperative; C11-3U microconvex; P10-4U and P7-3U phased pediatric cardiac; P7-3TU adult transesophageal; L16-4HU; SC6-1U and DE10-3WU (3D). There are also two new CW transducers, CW2S and CW5S, for the support of shared service. The new upgrade is expected to be available to Resona 7 customers early next year. For more information: www.mindraynorthamerica.com
ITN and DAIC Editor Dave Fornell shows several examples of how vendors are incorporating AI, deep learning algorithms into their medical imaging information system and the modalities themselves to speed workflow, improve imaging accuracy, improve reimbursements, monitor analytics in real time and eliminate the need for humans to do tedious, time consuming tasks. These examples were seen on the show floor at at the Radiological Society of North America (RSNA) 2017 meeting. For more on deep learning, watch the VIDEO "Deep Learning is Key Technology Trend at RSNA 2017," and an interview with Adam Flanders, M.D., chair of the RSNA Radiology Informatics Committee, in the VIDEO "How Utilization of Artificial Intelligence Will Impact Radiology." ITN also created an indepth VIDEO Technology Report — Artificial Intelligence at RSNA 2017 with interviews with numerous AI vendors.
Max Wintermark, M.D., professor of radiology and chief of neuroradiology, Stanford Hospital and Clinics, discussed MRI neurology quantification apps at the Radiological Society of North America (RSNA) 2017 meeting. Read the article “Software Advances in MRI Technology.” Watch the VIDEO “Neuroimaging Advances.”
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.”
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.”