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) 2016 meeting.
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VIDEO: Talking Trends with Bayer Radiology — Contrast Diversification in CT Imaging
Contrast Diversification in CT Imaging
Across imaging departments, supply variability and growing demand are creating new challenges. When access to products becomes uncertain, workflow and, ultimately, patient care can be impacted.
Bayer Radiology's CT solutions are supporting these imaging departments with injection systems, software and contrast agents backed by data-driven support, services and education.
In this video Daniel Fonseca and Lianne Pompeo discuss how Ultravist (iopromide) injection fits in today's imaging environment including considerations around supply, continuity, workflow flexibility and clinical experience.
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Radiology Imaging
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.
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. Read the article “Imaging Zika Virus - Radiologic Assessment and Tracking in Prenatal Development.”
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 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.”
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."
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.”
The medical imaging staff of Salem Community Hospital has expanded the value their Medrad Stellant Injection System delivers. Learn about this radiology team's experience in eliminating guesswork, driving consistent image quality, and benefiting from CT workflow efficiencies.
See how Carestream's exclusive Web Portal and personalized dashboard can give users peace of mind.
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."
At SIIM 2016, itnTV caught up with opening keynote speaker and SIIM treasurer Rasu B. Shrestha, M.D., MBA, Chief Innovation Officer, University of Pittsburgh Medical Center and Executive Vice President, UPMC Enterprises, to discuss the dynamic changes that imaging is facing today.
New this year is the SIIM Innovation Challenge, which offered a prize of $10,000 to the winning team to help support innovation exploration and development to raise awareness and engagement in innovation efforts that will help shape the present and future of imaging informatics. Co-chairs Ram Chadalavada, M.D., MS, CIIP and Adam Kaye, M.D., MBA, CIIP, discussed some of the innovative ideas presented at this year’s challenge, and future plans, with itnTV.
Eliot L. Siegel, M.D., Dwyer Lecturer; Closing Keynote Speaker, Vice Chair of Radiology at the University of Maryland and the Chief of Radiology for VA Maryland Healthcare System, talks about the current state of the industry in computer-aided detection and diagnosis at SIIM 2016. 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. Watch the VIDEO “Examples of Artificial Intelligence in Medical Imaging Diagnostics.”
2016 marks the third year for the SIIM Hackathon. itnTV sat down with Marc D. Kohli, M.D., Hackathon Committee-Co-Chair, SIIM Board of Directors and director of clinical informatics at UCSF to discuss some of its new objectives and future plans.
At SIIM 2016, Paul G. Nagy, Ph.D., CIIP, FSIIM, discussed the main challenges to adaptive change in healthcare IT, and the adaptive leadership skills necessary to complement technological changes in a clinical setting. He also discussed his vision for SIIM as he assumes leadership as incoming chair.
This year's keynote speaker, Nancy M. Cappello, Ph.D., founder and director of Are You Dense and Are You Dense Advocacy, Inc., expands on her keynote presentation "Why I Talk to Strangers About My Breasts."
Ernie Bodai, M.D., vice president, National Consortium of Breast Centers (NCBC), discusses breast density with itnTV. Read an article with related links about breast density.
Cary S. Kaufman, M.D., FACS, discusses best practices in breast centers at NCoBC 2016.
Barbara Rabinowitz, Ph.D., MSW, RN, founder of the National Consortium of Breast Centers, talks with ITN editorial director Melinda Taschetta-Millane during NCoBC's 26th annual conference, and addresses the very important topic of survivorship.
Kristie Bobolis, M.D., president elect and current chair of 2016 Planning Committee for the National Consortium of Breast Centers, discusses the role of genetic testing, how it is evolving, and how a physician best assess the high-risk patient.
ITN Editor Dave Fornell takes a tour of some of the most innovative new trends and health information technologies (IT) on the expo floor of the Healthcare Information and Management Systems Society (HIMSS) 2016 meeting. Technologies include radiation dose management, wearables, patient engagement, admission kiosks, analytics software and imaging workflow aids.
With the LOGIQ E9 XDclear 2.0 ultrasound system, GE Healthcare rethought virtually every element of the imaging chain, from the pulse of the probes to the clarity of the pixels. The result is their highest level of imaging performance yet.
RSNA 2015 was the first time Konica Minolta and Viztek displayed as a combined company. David Widmann, president and CEO, and Joe Cermin, president of healthcare IT, explain how the merger will help clinicians and how health IT plays a major role in imaging today.
ITN/DAIC Editor Dave Fornell shows his choices for some of the most innovative new imaging technologies on the expo floor at Radiological Society of North America (RSNA) 2015 meeting.
Discover how Philips is helping community hospitals maximize value in limited workspaces.
Researchers have developed software for the Microsoft Kinect gaming console that measures body part thickness and checks for motion, positioning and beam adjustment immediately before X-ray imaging, according to a feasibility study presented at the 2015 meeting of the Radiological Society of North America (RSNA). The technology may help reduce radiation exposure and aid in higher quality images to ensure diagnostic accuracy. Microsoft Kinect was originally developed as a motion sensor and facial and voice recognition device for the Xbox gaming system that enabled players to play games without a standard controller. Subsequently, the technology has been adapted for select non-gaming applications. For this feasibility study, researchers combined the technology of the Microsoft Kinect 1.0 with proprietary software to address common problems that affect imaging results, including body-part thickness and motion. This fail-safe helps to reduce or eliminate common causes of unnecessary repeat image acquisition. Read the story
ITN Editor Dave Fornell shares his choices for some of the most innovative new technology on the show floor at the 2015 AHRA meeting in Las Vegas.
Interview with Dave Fox, AHRA president, and president of the North Campus, system vice president of statewide network development, St. Vincent Health, Little Rock, Ark.
Interview with James Min, M.D., Professor of Radiology and Medicine and Director of Dalio Institute of Cardiovascular Medicine, Weill Cornell, New York Presbyterian Hospital.
Interview with Harold Litt, M.D., Ph.D., chief of cardiovascular imaging section and associate professor of radiology, University of Pennsylvania. He also served as co-principal investigator of the ACRIN-PA study of cardiac CT use in the emergency department (ED). Litt spoke in sesveral sessions on how to begin using cardiac CT to evaluate chest pain to quickly rule in or rule out heart attacks.
Read more about the ACRIN-PA trial.
Watch a video of Litt explaining the trial.
Interview with Ricardo Cury, M.D., FAHA, FSCCT, FACC, president of the Society of Cardiovascular Computed Tomography (SCCT) and chairman of radiology, director of cardiac imaging, Baptist Health of South Florida, Miami. He explains recent key trials, radiation dose and perfusion imaging.
Interview with Daniel Berman, M.D., FACC, chief of Cardiac Imaging and Nuclear Cardiology, professor of imaging, Cedars-Sinai Medical Center.
Interview with Dee Dee Wang, M.D., FACC, FASE, advanced structural heart imaging staff cardiologist, Henry Ford Hospital, Detroit, about the use of 3-D printing to aid procedural planning and guidance in complex structural heart cases.
Donald Dennison, director-at-large on the Board of Directors for SIIM, shares his thoughts on "the next imaging evolution" during the Society for Imaging Informatics in Medicine (SIIM) 2015 annual meeting in Washington, D.C., and the technical and market forces that are driving this change.
William Way, M.D., director of diagnostic imaging at Wake Radiology, explains how he is building an enterprise-wide imaging system and offers advice on what to look for when shopping for a replacement PACS. Here are some questions to ask prospective PACS vendors.
He was interviewed at the annual Radiological Society of North America (RSNA) meeting.
Many of the key trends in radiology seen at the Radiological Society of North America (RSNA) 2014 meeting are discussed by ITN Contributing Editor Greg Freiherr and ITN Editor Dave Fornell.
Siemens introduces True volume TEE transducer. This 3-D/4-D 90°x90° TEE solution enables clinically meaningful visualization of anatomy, volume color Doppler and function in one volume view, without compromises like stitching. Combined with eSieValves advanced analysis package, it offers automated modeling and quantification in seconds allowing cardiologists to remove the guesswork from valve sizing.
AAPM President John E. Bayouth, Ph.D., discusses the impact of imaging in medical physics, as well as training that is available through AAPM, with Imaging Technology News Editorial Director Melinda Taschetta-Millane.
DAIC Editor Dave Fornell explains some of the most innovative new cardiovascular CT technology displayed at the Society of Cardiovascular Computed Tomography (SCCT) 2014.