New image fusion software, AHRA news, and more

Summary:   Mirada introduces image fusion package Mirada Solutions Ltd. (Oxford, England) recently received FDA 510(k) clearance to begin marketing Fusion7D, the company's new platform for rigid and nonrigid (deformable) registration. This vendor-neutral software package is not organ specific and can support any

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Mirada introduces image fusion package

Mirada Solutions Ltd. (Oxford, England) recently received FDA 510(k) clearance to begin marketing Fusion7D, the company's new platform for rigid and nonrigid (deformable) registration. This vendor-neutral software package is not organ specific and can support any combination of computed tomography (CT), positron-emission tomography (PET), magnetic resonance imaging (MRI), and single-photon emission computed tomography (SPECT) imaging data with minimal or no user input. The system can be deployed as a standalone workstation on a Windows NT platform or can be integrated into a PACS or an individual imaging modality.

The company's proprietary RegLib registration libraries are included. The library functionalities include 3D-3D and 2D-2D registration functionality; rigid registration for CT-MRI, MRI-MRI, MRI-SPECT fusion for neurology applications; and deformable registration for CT-PET fusion for lung imaging. A Java graphic user interface allows the radiologist to navigate orthogonal views, visualize registration overlays, perform geometric and intensity measurements, and examine the registration results using view binding and 3D visualization software. The system also includes specific algorithms for each imaging modality and registration application, as well as manual, semi-automatic, and automatic protocols for problems that may arise.

"Fusion7D represents a new platform paradigm upon which a wide variety of visual and quantitative image analysis tools may be offered to our customers and will be an import basis for strategic partnerships as the company moves forward," said Peter E. Taylor, vice president of business development for Mirada Solutions.

To date, the software has been integrated within both PACS and individual imaging modalities, which was demonstrated at the 2001 meeting of the Radiological Society of North America. Mirada recently announced that Hitachi Medical Systems America Inc. (Tustin, CA) has chosen Fusion7D for its new PET imaging workstation, AVIA. The software will be used to fuse AVIA PET images with other functional and anatomical modalities, including CT and MRI.

"Hitachi has taken the lead by providing a true multi-modal platform for integrating PET imaging with the general radiology environment, adding tremendous clinical utility to their PET system," noted Christian Behrenbruch, PhD, vice president of product development at Mirada.

"Fusion7D offers our customers a more powerful, flexible, and cost-effective fusion imaging solution than hybrid PET/CT systems," said Bill Bishop, director of business development at Hitachi. "It enables them to take full advantage of existing imaging equipment and fits seamlessly into clinical environments where multiple imaging modalities need to be incorporated into the diagnostic workflow."

News from AHRA

Misys highlights RIS-- Misys Healthcare Systems (Tucson, AZ) showcased the latest version of their radiology information system (RIS), Misys Radiology, at the 2002 annual meeting of the American Healthcare Radiology Administrators (AHRA) held July 28 through August 1 in New Orleans.

"This year's AHRA conference in an excellent forum for Misys to demonstrate our commitment to the Misys Radiology product line as a key system within our clinical information suite," said Andrew Lawson, chief operating officer at Misys Healthcare Systems. The company highlighted several new features and enhancements.

New PACS integration options include worklist management, automatic reconciliation of DICOM header information, automatic routing and pre-fetching, and determination and routing of relevant previous exams. The system also includes Talk Technology TalkStation voice integration that allows users to dictate and transcribe reports in a single step. With a single log-on, radiologists will be able to access various exams, review and edit text, and approve documents with a digital signature. The Proxy Signature Support allows multiple radiologists to review and approve patient reports and lets system administrators determine the proper waiting period before report advancement to secondary level review. Finally, the system automates the process of insurance pre-authorization by allowing the association of authorization requirements to be tied for exams and insurers.

Lawson notes that these innovations "can help optimize radiology workflow efficiencies, resulting in increased cost savings and improved patient care for our clients."

Kodak ships 20,000th dry laser printer-- Eastman Kodak (Rochester, NY) announced that they had recently shipped their 20,000th dry laser imager. The DryView product line, launched in 1995, includes direct-to-modality and networked printers.

"Our products are fourth-generation devices with sophisticated technology," said Dan Bartlett, business manager for laser imaging systems. "Our DryView laser imagers and film have been optimized based on input from thousands of customers around the world, and we continue to incorporate customer suggestions into our new generations of film and imagers."

FujiFilm previews digital mammography system-- FujiFilm Medical Systems USA, Inc. (Stamford, CT) featured their full-field digital mammography system, the FCR 5000MA and announced that they recently shipped their 200th international order.

"Full-field digital mammography will become the world's leading breast cancer detection technology," predicted Bill Cioffi, national marketing manager, women's healthcare imaging systems at Fuji.

The FCR 5000MA is a multi-room, multi-task single plate image reader that includes 50-micron resolution for imaging plate sizes used in mammography and dual-side image plate reading capabilities. Clinical trials are under way in the United Sates and the company expects to receive FDA marketing clearance in the second half of 2003.

R2 Technology showcases ImageChecker­­ R2 Technology, Inc. (Sunnyvale, CA) announced that they have recently received their 500th order for the ImageChecker computer-aided detection (CAD) system. The company estimates that, to date, the system has been used to assist in the analysis of more than 4 million mammograms.

The National Institutes of Health report that the 5-year survival rate for patients whose breast cancer is diagnosed at Stage 0 or I is 95%. For those diagnosed at Stage III, the survival rate drops to 36%, and when the cancer is not detected until after it has spread to surrounding tissue, the 5-year survival rate drops to just 7%.

"Regular mammograms are a woman's best option for detecting breast cancer," notes Ken Miller, executive vice president of worldwide sales and marketing at R2. "With the addition of the ImageChecker, even greater steps can be taken to help ensure this life-threatening disease is caught at it earliest possible stage."

BarcoView introduces digital mammography workstation

In other breast imaging news, BarcoView (Kortrijk, Belgium) recently introduced the MammoMedis display systems and the MammoDesk ergonomic workstation for digital mammography. This dedicated version of the company's 5MP display systems was designed to provide fast and flexible image access and consistent image quality.

To address the specific needs of digital mammography, the system bundles high-resolution MGD greyscale displays, high-performance BarcoMed imaging boards, and the MediCal softcopy quality assurance management software. The imaging boards are outfitted with the company's proprietary AURA technology for ultra-fast image loading and feature a unique architecture with multiples real-time windowing/leveling tables, allowing for the simultaneous handling of multiple images. The 10-bit driving scheme displays 1024 simultaneous greyscales.

An optional external sensor and the MediCal Pro image conformance and consistency software can be used to check the quality and consistency of images automatically and to correct for phosphor degradation in case the system's results differ from the reference values. The MediCal QA software tracks and records the consistency of each individual display.

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