DAIC Editor Dave Fornell highlights some of the biggest trends and most innovative technology discussed during the American Society of Echocardiology (ASE) 2013 annual meeting.
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.
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Peter Herscovitch, M.D., SNMMI president-elect, explains the advances in molecular imaging for Alzheimer's disease and Parkinsonian syndromes during the Society of Nuclear Medicine and Molecular Imaging (SNMMI) 2013 meeting in Vancouver, Canada. While new agents allow imaging of these disease states, reimbursement and treatment decisions sometimes limit their use.
Gary Dillehay, M.D., FACR, FACNM, SNMMI president, explains some of the trends in Nuclear Imaging at the Society of Nuclear Medicine and Molecular Imaging (SNMMI) 2013 annual meeting in Vancouver, Canada.
Agfa Healthcare introduced new functionality and workflow improvements for its completely revised cardiovascular information system (CVIS), introduced at the American College of Cardiology 2013 meeting. The CV12 system offers new solutions for echocardiography, nuclear perfusion imaging, cath lab reporting and ECG management and reporting. For more information, visit www.agfahealthcare.com
A quality assurance test can be performed within one minute using IBA's MagicMaX QA system for X-ray machines. The system is designed to be simple to use and lightweight.
At RSNA 2012, Hitachi featured its Echelon Oval 1.5T MRI system, which features the widest bore on the market at 74 cm, a wide table and the ability to perform non-contrast MR angiography exams. Hitachi also highlighted new features for its Scenaria CT system, which is upgradeable to a 128-slice system, offers new, faster iterative reconstruction software and cardiac imaging packages.
ITN and DAIC Editor Dave Fornell highlights the latest advancements that will impact cardiovascular imaging from the 2012 Radiological Society of North America (RSNA) meeting. RSNA is the largest medical imaging show in the world and most advancements are shown here first.
ITN Editor Dave Fornell highlights his choices for the most innovative radiology technologies and trends at Radiological Society of North America (RSNA), 2012. Choices include the first wireless ultrasound transducer, noiseless MRI, a 640-slice CT scanner and a printer than creates sculptures from 3-D datasets.
At RSNA 2012, Konica Minolta showed its three latest advances in digital radiography (DR) X-ray. The company featured its X70 radiography room, which centers around the Aero DR wireless detector. The room integrates to even locate where the DR detector is located. The company also highlighted its automatic stitching solution, 10 x 12 detector for pediatric and table use, and the Aero Sync solution that wirelessly synchronizes with X-ray generators to eliminate cables.
At RSNA 2012, IBA showcased several quality assurance (QA) solutions for radiology. The MagicMax is an all-in-one QA system for all X-ray systems, including digital radiography (DR), CT and mammography. The Primus L phantom is an all-in-one QA device for all digital X-ray imaging systems. IBA also offers the LXcan to QA diagnostic-quality black and white flat panel monitors, and the LX Chroma to QA color displays.
Neurologica demonstrated its BodyTom portable whole-body CT scanner during RSNA 2012. The system is the first mobile scanner that can be moved on casters from room to room and is battery powered. The system has an 85 cm gantry and a 60 cm field of view. Unlike traditional CT scanners, the gantry moves over the patient, rather than the patient table being moved through the gantry. This facilitates use in the operating room, where it is not easy to move a patient who may be connected to several devices.
Imaging Technology News experts discuss the trends and latest technology they saw on the show floor and in sessions at Radiological Society of North America (RSNA), 2012. Their discussions include some of the most innovative new devices and software to solve issues facing radiology today.
During RSNA 2012, SwissRay featured its new DDR Versa Motion Plus X-ray system. The technologist selects a body part to be images and the X-ray head automatically swings into the proper imaging position. The head includes a touch-screen where information can be entered at the patient bedside. Also featured were the DDR Cruze mobile DR X-Ray system and the DDR Shift retrofit kit that enables conversion of mobile CR systems to wireless DR.
Imaging Technology News talks to Mark Watson, executive director of the Radiological Society of North America (RSNA), and Steve Drew, RSNA's executive director for scientific assembly and informatics, about the upcoming RSNA 2012 event, as well as what's ahead for radiologists in 2013.
Carestream is changing the DR game and putting you in control of the move to digital.
The Carestream DRX-Revolution is a mobile X-ray system on wheels powered by a wireless DRX detector.
See the versatility of the DRX Evolution room with the wireless DRX detector.
Carestream's DRX - transportable / field portable X-ray unit is designed and tested for the rigorous conditions of military, disaster and remote locations.
Jeannie Patterson, PSW at Hamilton General Hospital, explains some of the benefits of the Carestream DRX-Revolution mobile X-ray system, including its compact size, easy detector bagging, storage for markers, gloves, bags and wipes, and the swivel image head.
Web Stayman, Ph.D., Johns Hopkins University, presents an overview of research he presented at the 2012 American Association of Physicists in Medicine (AAPM) annual meeting in Charlotte, N.C. It involves an iterative technique for computed tomography (CT) to better contend with implants to improve image-guided surgery or interventions. The technique takes knowledge about the components and integrates it into the reconstruction to eliminate artifacts.
Dr. Sabee Molloi from the School of Medicine at the University of California, Irvine, worked with a team on a study using spectral mammography to develop a quantitative technique to measure volumetric breast density. Their technique also enables a lower dose to be used for a screening mammogram. Two members of the team, Justin Ducote and Huanjun Ding, describe the research, which they presented at the 2012 annual meeting of the American Association of Physicists in Medicine.
Speaking with ITN Editorial Director Helen Kuhl at the SNM annual meeting in Miami Beach, Fla., in June, incoming president Frederic H. Fahey, DSc, explains the reasoning behind the society's name change from Society of Nuclear Medicine to Society of Nuclear Medicine and Molecular Imaging. He also shares highlights of the successful 2012 event.
Incoming president Frederic H. Fahey, DSc, describes the primary initiatives the Society of Nuclear Medicine and Molecular Imaging will be undertaking during the coming year, during an interview with ITN Editorial Director Helen Kuhl at the society's annual meeting in June. These include growing global initiatives, including more involvement in developing countries, plus continued education and efforts with regard to radiation dose and dose optimization.
Frederic H. Fahey, DSc, incoming president of the Society of Nuclear Medicine and Molecular Imaging, shares his views about significant trends in the field, including the emergence of new amyloid imaging agents and other new agents, radionuclide therapy and the ongoing focus on quality and safety.
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.
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.
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.
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.
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.