Every time a doctor sees a patient, there is an opportunity to
transform patient care. And although radiologists play an active role in
impacting care, rarely does the patient see how radiologists
participate in the care cycle.
‘Patients First’ — the theme of
the RSNA 2012 annual conference — was a call to action for radiologists
to play a ‘visible’ role in the continuum of care. At the Opening
Session at the annual conference, the 2012 RSNA President George S.
Bissett III, MD, urged radiologists to become more visible to patients
by developing stronger partnerships with primary care physicians, and by
simply going out into the waiting room to meet patients and discuss
To lead the charge, RSNA launched the Radiology Cares
campaign, an initiative to challenge radiologists to put patients
first. The program is designed to rally radiologists to interact with
patients through improved communication, such as including in reports a
practical explanation that patients can understand. Perhaps one of the
most significant direct-to-patient encounters will take place through
patient healthcare records (PHR). Already in its second year, RSNA’s PHR
pilot project involves 5 leading academic sites that currently enable
their patients to transfer images to a PHR. From there, patients have
direct access to their own reports and can view their imaging exams in a
Applied Radiology also took the opportunity
to shine the spotlight on the radiologists from the trade show floor,
capturing a series of video interviews, in which radiologists describe
their role in transforming patient care. These exclusive interviews are
available on MyAR TV.
evolving technologies that support the powerful connection between
radiologists and patients were on display on the exhibit hall floors of
RSNA and many are featured here in this review.
(Andover, MA) featured IntelliSpace Portal, its advanced visualization
solution for the analysis and interpretation of medical images from CT,
MRI, PET, and SPECT, and designed to support radiologists managing vast
amounts of imaging data sets.
(Foster City, CA) showcased its suite of iNtuition Vendor-Neutral
Applications, including iNtuition Review for evaluating multi-modality
imaging, such as cardiac (Cath, Echo, CT, qualitative MR) and breast
(mammography, breast MRI, ultrasound). The company featured its
zero-footprint viewer, iNtuition Enterprise Medical Viewer – iEMV, a
scalable, VMWare Ready, and virtualizable technology. Also on view was
iNtuitionSHARE, designed for CD-free transport and distribution of
images between medical facilities and peers, or patients. Finally, the
IT company presented iNtuitionCLOUD, a solution which allows the full
capability of iNtuition to be deployed via a web browser, either as an
externally hosted managed service, or as an in-house private cloud.
(Minnetonka, MN) announced it received 510(k) clearance from the U.S.
Food and Drug Administration for 3-dimensional
viewing through its universal viewer, VitreaView, designed to provide a
consistent image viewing experience across the patient continuum of
care. VitreaView is used as a communication tool for DICOM and non-DICOM
medical images through a standardized viewer, giving clinicians access
to images through EHRs and providing a single, standardized imaging
layer for referring clinicians.
(Bedford, MA) featured Selenia Dimensions, their 3-dimensional (3D)
mammography (breast tomosynthesis) system. In hands-on demonstrations,
Hologic showed how radiologists read 3D breast tomosynthesis images in
combination with conventional and synthesized 2D images.
display were the Selenia and Selenia Dimensions 2D mammography systems.
Plus, Hologic highlighted the Selenia Dimensions 2D Contrast Imaging
Option, an effective means of adding physiological information to a
diagnostic exam (CE marked and pending FDA clearance).
Image analytics innovations included Quantra®
breast density assessment software, providing a BI-RADS-like value for
the consistent reporting of breast composition, and Hologic’s BACS
(Breast Arterial Calcification Scoring) software package.
In the biopsy area Hologic showed a new introducer for use with the ATEC® biopsy system under ultrasound guidance. One insertion allows for both biopsy needle placement and marker deployment.
new iteration in breast MRI was the 16-channel Sentinelle Breast Coil
array designed to provide high quality signal-to-noise ratio as well as
optimal access for breast biopsies. The 16-channel array is available on
some Siemens MRI platforms.
(Chalfont, St Giles, UK) rolled out its newly acquired somo•v Automated
Breast Ultrasound (ABUS), the only ultrasound system approved in the
U.S. for breast cancer screening as an adjunct to mammography for
asymptomatic women with greater than 50% dense breast tissue and no
prior breast interventions. .
Another breast-dedicated tool on
display was Discovery NM750b, indicated for molecular breast imaging
(MBI). MBI helps detect breast cancer in high-risk patients, especially
those with dense breast tissue. MBI uses a small injection of a
radioactive tracer that locates metabolically active tumors (showing
blood flow.) Patients can choose to sit or stand while the scanning
takes place and each image view takes up to 10 minutes.
featured MicroDose with Single-Shot Spectral Imaging (SI) (pending
510(k) clearance) together with Spectral Breast Density Measurement
(pending 510(k) clearance). The new Philips MicroDose SI, a full-field
digital mammography system, brings the potential of noninvasive spectral
imaging to clinical practice without exposing women to additional
examinations or radiation.
(Linkoping, Sweden) displayed Sectra Breast Imaging PACS, a
multi-modality PACS that now supports display and review of breast
tomosynthesis images. Regardless of modality or vendor, all breast
images are automatically aligned and displayed side-by-side in the same
size and dimension. Tools for breast density assessment are integrated
into the clinical workflow along with CAD.
An additional option
for mammography workflow is osteoporosis screening. Sectra OneScreen
combines with mammography workflow by taking a hand x-ray in < 30 sec
at the same time breast images are taken using the same radiology
Matakina International Ltd. (Wellington, New Zealand) introduced Volpara Breast Density Assessment
software, which offers objective breast density measurements for
mammograms acquired from any commercially available digital mammography
system. Volpara generates objective, automatic measurement of volumetric
breast density values along with a BI-RADS Breast Density
Classification. Volpara is FDA cleared for all digital mammography
units, and integration with other digital mammography systems, CAD
systems and mammography reporting systems are also under way.
(Malvern, PA) unveiled the MAMMOMAT Inspiration Prime Edition, a
digital X-ray breast imaging system designed to lower patient dose up to
30% without compromising image quality. The unit aims to lower dose by
replacing the standard scatter radiation grid with a new algorithm for
progressive image reconstruction. This new algorithm is intended to
identify scatter-causing structures and calculate a corrected image,
enabling complete use of primary radiation so physicians can achieve
high-quality images using less dose.
(Plano, TX) rolled out M-Vu CAD, a computer-aided detection (CAD)
system that automatically identifies areas of a mammogram that are
consistent with breast cancer. M-Vu CAD analyzes a mammogram using
advanced mathematical algorithms to search for suspicious areas and mark
them with outlines that indicate the type of potential abnormality.
Solid lines indicate a possible mass while dotted lines indicate a
possible cluster of microcalcifications. M-Vu CAD communicates over a
clinic’s network using DICOM communication standards to receive digital
mammograms and to send results to a PACS system, review workstations, or
a printer. M-Vu CAD employs VuCOMP’s SmartMarks technology, which
provides a new level of instant clarity to CAD results. This allows a
radiologist to spend more time considering a marked area and less time
wondering about what CAD is indicating.
presented the Optima CT660 FREEdom Edition, which features Motion
FREEdom technologies (fast registered energies and ECG) designed to
freeze coronary motion in higher heart rate coronary CTA exams by using
intelligent motion correction via SnapShot Freeze. By precisely
detecting vessel motion and velocity, SnapShot Freeze can determine
actual vessel position and intelligently correct the effects of motion
during cardiac CT exams. The extended coverage of 80 mm with
VolumeShuttle provides twice the brain coverage for a single bolus of
contrast at lower dose than continuous acquisition techniques.
also introduced the Optima CT540 with ASiR CT iterative reconstruction
technology, and Xtream workflow management tools, such as Default
Patient Positioning (DPP), gantry LCD touch screen, Dynamic Transition
with SmartPrep on the Xtream Injector, and the emergency patient mode as
a dedicated user interface (UIF) to start emergency exams quickly.
Hitachi Medical Systems America
(Twinsburg, OH) announced a recent upgrade for the Scenaria
64-detector-row scanner to Advanced 128, which offers 128-slice
reconstruction, and a 40-mm detector area with 64 channels, open design,
with a 70-cm gantry and 88-cm gantry thickness. The scanner’s table
supports patients weighing > 500 lbs, and it features a laterally
shifting design called IntelliCenter that enables users to shift the
table left or right by up to 80 mm. This allows the field-of-view to be
focused on the area of interest, enabling the use of smaller bow-tie
filters and lower radiation dose. Also available on the Scenaria system
is the second-generation iterative reconstruction algorithm, called
Intelli IP (Advanced) —
a new version of its conventional Intelli IP. Intelli IP (Advanced)
features an updated reconstruction engine that doubles the speed of
reconstruction from 18 images per second to 35. The Advanced 128 is
pending 510(k) FDA clearance.
showcased its latest update to its iterative reconstruction solution,
the iDose4 Premium Package, available on Philips’ CT platforms. The
package offers two image quality enhancement technologies: iDose4, which
reduces artifacts and increases spatial resolution at low dose, and
provides metal artifact reduction for orthopedic implants (O-MAR).
also showcased its CT IMR solution, a knowledge-based iterative
reconstruction technique that transforms CT imaging from data
approximation to data restoration. IMR is designed to provide virtually
noise-free image quality with improvements in low-contrast
detectability. This process is a significant step towards discovering
new clinical potentials for CT imaging.
Finally, Philips featured
iPatient, a solution for its CT and PET/CT scanners to simplify the use
of iterative reconstruction techniques, as well as its SyncRight
feature, which allows for easy and efficient communication between the
CT system and the injector in order to deliver appropriate contrast dose
and consistent image quality.
featured its SOMATOM Perspective, a high-end CT scanner to facilitate
CT business without compromising clinical results. The scanner can help
manage financial performance while focusing on patient needs and easing
your daily routine using eMode, a feature that supports more efficient
(Tarrytown, NY) highlighted its Certegra SR Outbound Interface with
Nuance’s PowerScribe 360 | Reporting platform which auto populates
injection and study information directly into the radiologist’s report.
Data is captured from the MEDRAD Stellant D, Modality Worklist/RIS, and
CT scanner, and documented via the Certegra Workstation directly into
PowerScribe. Bayer HealthCare and Nuance Healthcare aim to enhance
operational and clinical workflow and improving the accuracy of the data
Bayer also announced the acquisition of Radimetrics
Inc., the developer of software that measures a patient’s radiation
exposure over the course of multiple imaging procedures.
Bracco Imaging S.p.A.
(Milan, Italy) highlighted pre-programmed protocols integrated into its
CT contrast injectors, including the Empower line of integrated
contrast injectors. The EmpowerCTA and EmpowerMR are designed to help
streamline workflow by linking to the facility’s existing database to
manage patient data and automate the imaging procedure. The EmpowerCTA
Contrast Injection System offers a protocol option that delivers
venous-side iodinated x-ray contrast with saline chase capabilities for
use in state-of-the-art CT imaging. Features include the EDA™
Extravasation Detection Accessory, a preprogrammed MDCT reference
protocol for major brands and models of scanners, IRiSCT Data Networking
application to generate reports for budgeting, for cost control and to
improve efficiencies. Finally, EPP™ Empower Phasing Protocol helps you
achieve optimal image quality for cardiac CT studies. EmpowerSync® synchronizes timing between the EmpowerCTA Contrast Injection System and the CT scanner.
also featured its ACIST Contrast Delivery System, an all-in-one,
variable-flow technology that gives physicians control over the full
range of injection volumes, from small vessels in the coronaries to
in the ventricles and peripheral vasculature. The system has
demonstrated benefits in reducing costs and complexity and in enhancing
Also on display was its CT Expres 3D, which has
received FDA 510(k) approval, is available for sale in Europe and is
pending launch in the US. This automated, 3-channel, syringe-less
contrast media injector for CT represents significant advances in cost
management, workflow and automation.
(St. Louis, MO) showed its Optivantage Dual-Head CT Contrast Delivery
System with optional RFID upgrade. The touch-screen interface with
built-in safety features supports injection protocols communicated
between the contrast media syringe and the power injector. The
RFID-enabled contrast delivery system is an upgrade and features
Ultraject prefilled syringes combined with the Optivantage injector
designed to reduce the risk of infection.
(Kortrijk, Belgium) featured its best-in-class diagnostic imaging
technologies: the new Conference CloneView software tool for
large-format image projection, Mammo Tomosynthesis 5MP displays, Coronis
5MP Mammo displays, and the new Conference CloneView allows users to
project large-scale medical images from a Barco display through a
projector and onto the main screen to share accurate information.
Barco Mammo Tomosynthesis 5MP display provides increased brightness,
image-enhancing capabilities and improved visibility of differences in
tissue density. The Coronis 5MP Mammo displays grayscale images with
higher resolution, contrast the Per Pixel
Uniformity technology, and eliminates screen-noise, which can hide
NEC Display Solutions of America
(Itasca, IL) debuted the MultiSync MD211C2 and MD211C3 medical-grade
displays. The 2MP and 3MP displays are factory calibrated to the DICOM
grayscale function for luminance and include a new, smaller front sensor
to maintain a calibrated brightness based on existing lighting
conditions. The all-digital connectors, including DisplayPort and a new
two-port USB hub, support workstation connectivity.
Sony Electronics’ Medical Systems Division
(Park Ridge, NJ) highlighted the Sony LMD-DM series of high-luminance,
high-contrast medical displays offering well-defined images for critical
diagnoses through Independent Sub-Pixel Drive (ISD*) technology. The
technology’s use of 3 independent sub-pixels in a single pixel enables a
5MP display to achieve resolutions up to 15MP; the feature used with
the 3MP display allows for a maximum of 9MP.
The new line of
radiology monitors includes the following: 5MP Diagnostic Display for
Full-Field Digital Mammography; 3MP Color Display; 3MP Grayscale
Display; 2MP Color Display; and 2MP Grayscale Display.
(Greenville, SC) showcased its high-productivity DX-D 600 platform,
which comes in 3 different configurations, and introduced the DX-D 400
system into the U.S. market. With the versatile manual system, you have
the possibility of a mixed CR/DR configuration, with several options for
1 or 2 fixed or switchable detectors in the wall stand and table. The
semi-automatic configuration includes vertical tracking on table and
wall stand, and fixed or portable DR detectors in both the wall stand
and the table.
Agfa announced the U.S. availability of its DX-D
400, a floor-mounted x-ray suite and the newest member of the company’s
extensive imaging portfolio. The DX-D 400 is both compact and versatile;
it can be configured to meet specific workflow needs or budget
constraints. Combined with either the latest computed radiography (CR)
technology or with a cassette-sized DX-D detector and the renowned NX
workstation, the DX-D 400 offers state-of-the-art imaging technology at
an affordable cost –
without compromising functionality, performance or image quality.
Canon Medical Systems
(Lake Success, NY) highlighted its first compact wireless DR detector,
the CXDI-80C Wireless DR Detector. The system features a lightweight
body design with an imaging area of approximately 11 in × 14 in,
compatible with standard-size Bucky trays, enabling radiology room
upgrades from analog to cutting-edge digital imaging. Providing
high-quality images with low x-ray exposure to the patient, the CXDI-80C
weighs 5.1 lbs and incorporates a 6.1 MP image sensor with a pixel
pitch of 125 microns, a cesium iodide (CsI) scintillator, and can
produce up to 140 images on a fully charged battery.
(Rochester, NY) introduced CARESTREAM DRX-Revolution Mobile X-Ray
System, a new mobile DR system featuring a unique, collapsible column
that allows unobstructed views for enhanced visibility and safety while
moving the system. It is a dual-drive system with 2 monitors that can
make 360-degree turns in tight spaces to improve productivity in bedside
(Roselle, IL) introduced a new approach to patient imaging with
DelWorks PatientSide, a multifunctional technologist console fully
integrated to the tube stand. DelWorks PatientSide provides
point-of-care capability by allowing the technologist to preview a
digital image within seconds after exposure while being next to the
patient. The technologist can also review images from the current
digital study and set generator techniques, thus reducing the exam time.
A touchscreen console allows for simple and fast technique selection
and adjustment by the technologist.
Fujifilm Medical Systems U.S.A.
(Stamford, CT) showed its latest extensions to its portable digital
radiography (DR) arsenal with the FDR D-EVO Portable Upgrade System and
the FDR Go flex. Now the FDR D-EVO system can be fitted with any of
Fujifilm’s wireless FDR D-EVO models and includes the FDX Console
workstation. The workstation includes a swiveling and tilting display to
simplify image previewing for the technologist. The lightweight,
compact FDR Go flex consists of a wireless FDR D-EVO flat panel
detector, a full-featured laptop workstation and supporting mini
Fujifilm also presented its flagship DR system,
the FDR AcSelerate, which will include enhanced features necessary to
perform dual energy subtraction (DES) with multi-stage registration and
tomosynthesis exams. The recent tomosynthesis upgrade on FDR AcSelerate
will capture up to 60 images in one fluid sweep, and then display the
images on the PACS workstation. Tomosynthesis in the DR application is
designed for head and neck trauma, shoulder, extremities and chest
exams, or for prescreening to rule out the need for CT exams.
Konica Minolta Medical Imaging
(Wayne, NJ) lets physicians take hold of Aero DR, one of the lightest,
wireless DR flat panel detectors. The cesium iodide (CsI) scintillator
panel is available as a 10-in × 12-in plate. The small size, high
detective quantum efficiency (DQE), and dose efficiency are applicable
to pediatric patients.
Also new to the Aero DR flat panel
technology is an auto-stitching system, in which a moveable slit detects
the upper and lower edge of the field, determines the number of
exposures, and then moves the detector to capture the images. The
exposure is ready in only 5 seconds.
The American College of Radiology
(ACR) rolled out ACR Select, a decision support system for appropriate
image ordering. This web service version of the ACR Appropriateness
Criteria (AC) provides integration ready, evidence-based guidance for
the appropriate use of medical imaging. By integrating the ACR AC with
EHR technology through ACR Select, physicians can order image exams with
decision support that can help reduce unnecessary scans, lower imaging
costs, and add value to outpatient, inpatient and ED settings.
(Greenville, SC) launched the IMPAX Data Center (IDC) 3.0. This new
version of Agfa HealthCare’s proven enterprise medical imaging
repository, also called a Vendor Neutral Archive (VNA), is PACS and
storage vendor agnostic. New to IDC 3.0 is support for VMware™
virtualization to deploy the IMPAX Data Center on any VMware™ compliant
platform. IDC 3.0 makes it possible for hospitals to distribute clinical
data from different departments through EHRs, using the facility’s
AT&T (Dallas, TX) teamed up with Calgary
Scientific Inc. (Calgary, Canada) to offer ResolutionMD, an FDA-cleared
mobile diagnostic viewer. The viewer allows physicians to access, view,
and interact with patient images and reports stored within any
healthcare facility, utilizing the AT&T Medical Imaging and Information Management
solution, to render a clinical diagnosis from virtually anywhere. The
mobile diagnostic viewer, designed to be secure, is a cloud-based
application from which physicians can access, view, and interact with
patient images and reports stored within the healthcare facility.
Medical Imaging and Information Management is a vendor-neutral,
cloud-based medical imaging repository, providing large storage
capacity, back up the data, and is delivered on the AT&T network.
The archive brings together images from multiple PACS into one
centralized location, where multiple providers can access, view, and
share the data.
(Dallas, TX) rolled out Roentgen Works Version 1.5, featuring HTML-5
support for mobile devices, patient portals, and enhanced image
manipulation capabilities. Roentgen Works runs BRIT’s Roentgen Cloud
DICOM sharing platform that includes 5 GB of free storage. With Version
1.5, users can access new and comparison studies regardless of where the
study originated. Version 1.5 includes a Patient Discovery tool for
finding the same patient with different patient IDs. The new morphing
router is used to pre-fetch studies from multiple servers and/or
facilities based on select criteria and does not require the patient ID.
This facilitates the creation of a single patient record and enables
clinicians to view all studies on a single timeline and access
cross-facility patient records.
highlighted its MyVue patient portal designed to securely access,
manage, and share their medical images and radiology reports with
specialists and healthcare providers. It also positions U.S. healthcare
providers to meet Stage 2 meaningful use requirements. Available for Vue
PACS, Vue Archive, and as a Vue Cloud Service, the MyVue portal
provides access to patient images, information and reports through the
secure log-in from a variety of Web-browser enabled devices, allowing
patients to view their study or portfolio and share them with desired
physicians. MyVue can be embedded within an existing HIS or EMR patient
(Toronto, Canada) debuted a range of enhancements to its family of Nil
zero-footprint, web-based image viewers. NilRead now provides viewing
of federated historical patient exams across multiple PACS archives,
VNAs, and Health Information Exchanges (HIEs), supports rules-based
hanging protocols displayed according to a physician’s preferences, plus
the viewer enables multi-monitor viewing (patent pending). Both NilRead
and NilShare referral viewers will support integration with Skype for
voice, data, and instant messaging collaboration. NilRead is awaiting
(Ridgefield, CT) demonstrated its enhanced zero-footprint, web-based
EXAM-BROWSER with real-time, multi-user collaboration and 3D
reconstruction on-the-fly. Also on display was EXAM-PACS, which supports
viewing and archiving of Hologic C-View 3D/2D tomosynthesis images.
CoActiv also debuted variable pricing for its new EXAM-CLOUD/EXAM-VAULT
extended time archiving with options from back-up and disaster recovery
to complete medical image sharing and management.
introduced EvoView Ultima, its new web-based PACS with advanced
streaming technology designed to retrieve images extremely fast. EvoView
Ultima PACS Systems feature customizable reading protocols, MPR/3D
visualization, reporting, and more. EvoView Ultima PACS Systems also
employ a Smart Fetch technology, allowing it to load images of interest
while other images download in the background.
(Cambridge, MA) debuted ETIAM Viewer, a universal zero-footprint,
web-based DICOM viewer using HTML 5 that runs on PC and MAC desktops, as
well as on Android and iOS. Designed to enhance the accessibility of
medical images for physician and patient, ETIAM Viewer is included in
ETIAM’s new distribution service to share patient studies through the
(Hopkinton, MA) launched EMC Atmos Cloud Delivery Platform, an add-on
software product used to deliver and manage storage-as-a-service to an
Atmos storage cloud. Enterprises can deliver and manage
storage-as-a-service, offer users self-service access and storage
management, and integrate chargeback and billing.
Fujifilm Medical Systems U.S.A.
featured Synapse RIS 6.2, its next-generation RIS for outpatient
facilities with EHR certification and integrated financial management.
New features include drag-and-drop scheduling; Pulse patient tracking
using social media methods; dose tracking and management; revenue
management with Synapse Financials; ACR-compliant peer review
capability; urgent finding notifications and management reporting; and
voice and video chat. Synapse Mobility is a mobile-device app that
displays interactive 3-dimensional diagnostic images, and provides
advanced viewing capabilities including zoom, window and level, and uses
demonstrated how Centricity PACS-IW integrated with its Universal
Viewer connects advanced visualization solutions, provides
breast-imaging tools, and image-enables EMR systems to provide a
unified, web-based reading desktop. The Universal Viewer offers
intelligent productivity tools, including smart hanging protocols and 3D
applications, and supports breast imaging workflow with screening and
(Nashua, NH) highlighted its Prostate MR-TRUS Fusion Integration, a
work-in-progress integration of prostate MRI/TRUS-Fusion to enable
radiologists and urologists to provide a more accurate assessment of the
prostate gland. Additionally, iCAD featured its next-generation CAD
solution for mammography, SecondLook Premier, as well as its SecondLook
digital multi-vendor solution.
iCAD launched VersaVue Enterprise
3.2.1, the latest release of the company’s MR software solution that
provides improvements in workflow efficiency, providing dynamic contrast
enhanced (DCE) MR image analysis and flexible review and reporting
tools that facilitate standardization of kinetic analysis and
interpretation and reporting of morphology.
Intelerad Medical Systems
(Quebec, Canada) introduced Nuage Disaster Recovery Services, providing
hosted disaster recovery solutions for hospitals and ambulatory imaging
providers. Built on the Nuage Cloud Imaging Platform™ by Intelerad,
Nuage services are scalable and supported by Intelerad infrastructure
for PACS data security and reliable business continuity.
is Flow for streamlined workflows, accelerating team collaboration and
growing business in complex distributed environments. It showcased
InteleConnect Clinical Hub, an online portal for referring physicians,
providing easy access to patient images and exams, anywhere and anytime.
(Stamford, CT) showed its cloud-based iShareScan.com technology
designed to enable on-the-fly retrieval and viewing of images, reports,
dose reports, and other imaging-related data from any XDS-compliant
archive using a web-enabled computer. From the KJAYA cloud archive users
can view and share it over the web as desired with any authorized user.
Utilizing the company’s universal remote viewer, physicians can
manipulate images instantaneously in 2D, 3D, 4D or fusion.
(San Francisco, CA) announced the acquisition of MedVentive’s solutions
to complement their Enterprise Intelligence suite of solutions,
enabling providers to proactively manage the clinical health of at-risk
patient populations by identifying gaps in patient care and delivering
actionable information to the physician and care team. These
capabilities are integral to the accountable care and patient centered
medical home offerings from McKesson Health Solutions, McKesson and
(San Francisco, CA) introduced Medweb Exchange, allowing communities to
share, link, index, and audit clinical information with live links to
legacy information systems. The exchange indexes clinical documents and
maintains a reference to where the data is stored, so
unrelated/different healthcare IT systems can share specific clinical
data between enterprises in a HIPAA-compliant manner.
medical IT company also demonstrated Medweb Collage, designed to enable
users to rapidly initiate a One Click LIVE Internet consult or
multiple-video stream consult. It fully integrates live desktop video
conferencing with ultrasound, fluoroscopy, or other streaming image
data to allow radiologists to assist with remote procedures without
physically traveling to those sites. The tool integrates the live data
with the full suite of web review tools to provide simultaneous access
to priors from Medweb systems, DICOM devices or PACS.
display was the Medweb Zero Footprint Viewer, which uses existing DICOM
or IHE gateways to interface to existing DICOM devices or archives. This
way clinicians can access and view patient images across myriad
desktops and mobile devices in response to the increasing demand of BYOD
(bring your own device) architectures.
(Burlington, MA) introduced Assure, a clinical language understanding
(CLU) offering for Powerscribe 360 | Reporting that will identify
quality errors and omissions in radiology reports prior to final
signature. CLU documentation technologies and enterprise-wide coding
provide feedback and CDI recommendations for better reports and
downstream benefits to facilities and providers.
(Sarasota, FL) showed off its intelligence solutions with QICS
(Qualitative Intelligence and Communication System), a single-platform
system that helps automate workflow for closed-loop communications,
integrated patient care, and strategic healthcare business management.
Peer review, ED discrepancies, teaching files, PQRS alerting, and coding
discrepancies are among the dozens of solutions that QICS has can
automate directly into PACS.
showcased IntelliSpace Portal, a thin-client collaboration tool, which
provides 3D tools, multimodality analysis packages, advanced image
review and analysis, and collaboration features that support access,
creation and distribution of images and data in real-time.
updated Sectra RIS/PACS to include instant messaging, teaching files,
support for multi-disciplinary team (MDT) meetings and central handling
of non-DICOM images. The company also demonstrated its Sectra Business
Analytic Suite used to streamline workflow with tools for monitoring
PACS and RIS production and performance including analyses of key
performance indicators. With Sectra’s solution, users can easily
visualize statistics and perform actions, thus better meeting referring
physicians demand for swift and accurate reports.
Also on view was
Sectra DoseTrack, a solution for radiation dose monitoring. The
solution tracks cumulative doses, sets up dose alerts with a threshold,
and can be integrated into national registries to reduce the risk of
patients being exposed to unnecessarily high radiation doses in
conjunction with radiology examinations.
Siemens Healthcare emphasized workflow efficiency its line of IT solutions, including syngo
Workflow, the radiology information system (RIS) component of the syngo
portfolio, which drives the radiological workflow from order entry to
image and report distribution. The syngo Workflow Cloud Solution provides online access to the syngo Workflow RIS application via a network connection without the cost associated with in-house operations.
With syngo.plaza, 2D, 3D and 4D reading comes together in one place. Syngo.plaza
has a wide range of applications and tools to support fast and
efficient reading workflow. Token View provides a quick guide across
studies and helps identify what is already displayed on the screen and
what is loaded in the background.
(Garner, NC) introduced their Meaningful Use-certified RIS that brings a
full range of electronic health record (EHR) functionality to
freestanding radiology clinics, while serving as a sophisticated RIS in
hospital installations. Viztek also debuted its Dynamic system, a
multi-purpose digital radiography and fluoroscopy solution that produces
high-quality static mode DR images in as little as five seconds and
offers a 17-in × 17-in panel that eliminates the need for rotation.
unveiled the Discovery IGS 730 system for hybrid operating rooms (OR)
and imaging departments. The system uses a laser-guided, mobile gantry
for interventional imaging. Neither floor nor ceiling mounted, it has
the mobility of a C-arm with the power and image quality of a fixed
system, allowing multiple parking possibilities, while helping maintain
sterility for a flexible and secure OR environment. The gantry comes
with a new wide bore design, allowing for steep angles and 3D
acquisition, especially for large patients.
debuted the Fluoroscan InSight-FD Mini C-arm with flat panel detector
technology. The system is designed specifically for orthopedic and
extremity surgeons and offers a thin profile and improved workspace
access with enhanced ease of positioning.
rolled out its upgraded Ingenia MR-OR solution for intraoperative
neurosurgery, expanding its MR offering in the interventional MRI area.
An MR-OR suite for intraoperative MRI adds value to neurosurgical
facilities, supporting resection procedures that can save precious time
for both surgeon and patient.
debuted a new X-ray tube and detector technology for its Artis Q and
Artis Q.zen angiography systems, designed for minimally invasive therapy
of diseases such as coronary artery disease, stroke, and cancer. The
new X-ray tube in both the Artis Q and Artis Q.zen series is intended to
help physicians identify small vessels up to 70% better than
conventional X-ray tube technology. The Artis Q.zen combines this X-ray
source with a new detector technology designed to support interventional
imaging in ultra-low-dose ranges to patients, doctors and medical staff
– particularly during longer interventions.
Also on display were
the Artis zeego systems with the MAQUET Magnus OR table system, in
addition to the tried-and-proven Artis OR table and the TRUMPF TruSystem
7500 for Artis systems. These different integrated tables can
accommodate a variety of procedures and patient positions. This enables
the use of the hybrid OR across multiple surgical disciplines, leading
to optimized room usage and a quicker return on investment.
in the interventional suite also includes syngo DynaCT 360, which
allows physicians to create soft tissue images with a larger field of
view (35 cm × 25 cm, 13.8 in × 9.9 in) in only 6 sec, and it utilizes
Another new imaging application, providing functional imaging during interventional procedures, is syngoDynaPBV
Body, which introduces 3D functional information for body imaging
directly in the interventional lab and compensates for motion in the
region of interest. syngoDynaPBV Body provides color-coded,
cross-sectional blood volume maps for tumors, and helps physicians
select patient-specific treatment options, such as chemoembolization or
radioembolization. Physicians can monitor treatment and determine the
end point of therapy during an interventional procedure.
Magnetic Resonance Imaging
biggest splash at RSNA 2012 was intentionally its quietest — Silent
Scan (510(k) pending) is a new technology to lower the acoustic noise
generated during an MR scan, which typically reaches levels in excess of
110 dBA (decibels). Designed to improve the patient’s MR exam
experience, the solution eliminates acoustic noise essentially by
employing an advanced 3D acquisition and reconstruction technique called
Silenz, in combination with GE Healthcare’s high-fidelity MR gradient
and RF system electronics.
The company also debuted the Optima
MR360 Advance and Brivo MR355 Inspire 1.5T systems. The Optima MR360
Advance is a premium system engineered to balance workflow and a broad
array of clinical applications. Its Needle Free Suite of clinical
applications can help reduce the need for biopsy, contrast, and sedation
for patients, and it offers 16 channels and newly designed RF coils
that further improve image quality and productivity.
MR355 Inspire features the new Caring Design to improve patient comfort.
Both systems come with GE’s Express coil technology; a new low-height
table for easy patient access, even for larger patients; and both
systems are designed to feature the OpTix Optical RF technology for a
higher signal-to-noise ratio (SNR).
Hitachi Medical Systems America
featured the Echelon Oval, designed around the shape of the human body
to provide a better patient experience with added comfort, space, and
efficiency in imaging. The 74-cm, oval-bore, 1.5T MR system is combined
with Hitachi’s Workflow Integrated Technology (WIT), advanced imaging
capabilities, and UltraPlus Customer Support. The oval bore is designed
to create a feeling of openness and greater comfort for patients and has
a thin-type wide table.
Also on display was OASIS, a 1.2 tesla,
super-conducting MRI system, which features an open bore to reduce
patient stress, and suits large-framed, elderly, and pediatric patients.
launched its digital broadband MRI, a dStream broadband technology,
integrated into its Ingenia MR systems, providing enhanced image
quality, improved workflow, easier coil handling and better patient
comfort. The technology will now become available for the majority of
the installed base of Philips Achieva and Intera MR systems.
featured several upgrades to its portfolio of MRI systems. These
included the MAGNETOM Aera 1.5T MRI system with an ultrashort open bore
and integrating Siemens’ Dot (Day optimizing throughput) engine and its
Tim (Total imaging matrix) 4G technology to provide the power needed for
excellent image quality while helping to remove the time-draining
complexity inherent in MR scanning.
Siemens showed the MAGNETOM
Avanto, a 1.5T, short-bore MRI system, its ultra-short MAGNETOM Essenza
1.5 T, and the MAGNETOM Verio, an ultrashort, open-bore 3T MR system —
all with Tim technology.
On the other end of the spectrum, there
are several advantages to a wide-bore system, particularly when imaging
oncologic or bariatric patients. The MAGNETOM Skyra 3T MRI system has a
large, 70-cm open bore and a short length (173 cm) for comfortable,
patient-centric examinations. The MAGNETOM Spectra 3T MRI system offers
premium imaging at a reduced cost of ownership compared to other
scanners in this product range, employing Siemens’ Tim 4G-coil
generation technology. The MAGNETOM Trio is a high-end research 3T MRI
system with Tim technology.
Finally, the MAGNETOM Prisma from
Siemens Healthcare is a 3 Tesla MRI system designed with a significantly
higher signal-to-noise ratio to tackle demanding clinical and research
challenges. This product is currently under development and is not for
sale in the U.S. Its future availability cannot be guaranteed.
showcased the Discovery NM/CT 670, as a single photon emission
tomography (SPECT/CT) system designed to improve workflow, dose
management, and overall image quality. The hybrid system combines a
newly designed SPECT gantry with the BrightSpeed Elite 16-slice CT,
engineered to shorten acquisition times. It has a wide bore and the
table is capable of handling patients up to 500 lbs.
featured in the GE booth was the Brivo NM615, an advanced gamma camera
developed through GE’s Evolution technology. This single-head system has
the ability to achieve shortened scan times, rivaling a dual-head
system. Brivo NM 615 SPECT allows doctors to lower injected patient dose
by as much as 50 percent of those of standard nuclear medicine scanning
protocols, or the potential for patients to spend significantly less
time on the table during exams without compromising image quality.
featured an all-new Ingenuity TF PET/CT with Astonish TF time-of-flight
(TOF) performance with up to 30% greater contrast, designed to improve
lesion detection beyond the capabilities of other non-TOF systems.
Additionally, Ingenuity TF offers Point Spread Function technology for
enhanced spatial resolution to measure lesions at <2 mm. Plus,
Ingenuity TF has iDose4 for maintaining image quality while managing
put the spotlight on its Symbia family of SPECT and SPECT/CT scanners
with the IQ•SPECT, a technology that supports routine scans using half
dose and double speed to provide comprehensive cardio workup, while
easing the burden of the global molybdenum shortage via a reduction in
technetium dose. Diagnostic SPECT/CT, including calcium scoring, uses
half of the typical technetium dose and cuts acquisition time from
approximately 20 minutes to less than 5 minutes with the addition of
Siemens also touted the many clinical imaging
applications offered in its Biograph mMR, a hybrid PET/MR system. The
Biograph mMR is used as a tool for evaluating coronary artery disease
and heart failure, gynecologic and brain tumors, neurologic disorders,
such as Alzheimer’s disease, and for the development of new
radiopharmaceuticals. Siemens featured the FDA-cleared diagnostic agent
used to evaluate beta-amyloid neuritic plaques in the brain when imaged
on the Biograph mMR. The Eli Lilly and Company and Avid
Radiopharmaceuticals developed the commercially available florbetapir
(Amyvid), a radioactive PET tracer that has been shown to evaluate
Alzheimer’s disease and other causes of cognitive decline.
introduced the new LOGIQ E9 with XDclear, a new general imaging
ultrasound system. Built from the acclaimed LOGIQ E9 platform, new
features on the company’s premium product allow for increased
penetration on large patients with improved clarity and diagnostic
debuted the ClearVue 550 (pending 510(k) clearance), which is designed
to be a user-friendly, lightweight and energy-efficient ultrasound
system that produces high-quality imaging at an affordable price. The
product uses proprietary Active Array technology, which results in
enhanced image quality in both 2D and color images, lighter-weight
cabling, increased system reliability, and easier serviceability. The
versatile platform aims to meet a broad range of clinical application
needs, including abdominal, OB/Gyn, small parts, vascular,
musculoskeletal, cardiac, pediatrics, urology, and transcranial Doppler
Samsung Electronics America
(Ridgefield Park, NJ) introduced Accuvix A30, which features the
proprietary EZ Exam and ElastoScan. Its 21.5-inch LED monitor combined
with 3D performance is designed to deliver high image quality. The
Hybrid Beamforming Engine is for detailed scanning and improved color
performance. Hybrid Beamforming, also known as spatial filtering, offers
than standard omnidirectional reception and transmission.
introduced a wireless transducer as part of the ACUSON Freestyle
ultrasound system. The wireless transducer eliminates the impediment of
cables in ultrasound imaging and the cable-less solution addresses
infection control risk in sterile interventional settings. The ACUSON
Freestyle system employs a synthetic aperture imaging technology, an
integration of proprietary hardware and software that was specifically
developed for the wireless signal transmission of full-resolution
digital image data at very high data rates. This design reduces the
transducer’s power requirements, increasing battery life. Wireless
real-time ultrasound data transmission is further enabled through a
novel ultra-wideband radio technology, which, operating at a high
frequency of 7.8 GH, is not susceptible to interference with other
electronic equipment. The user can operate the transducers up to 3
meters away from the system. The ACUSON Freestyle system has a 38-cm,
high-resolution LED display. Three wireless transducers are available
for the ACUSON Freestyle system, covering a range of general imaging,
vascular, and high-frequency applications such as musculoskeletal and
(Aix-en Provence, France) touted its Aixplorer ultrasound system
providing ShearWave™ elastography (SWE) and UltraFast™ Doppler (UFD).
SWE is a proven technology that displays local tissue elasticity on a
color-coded map in real-time. UFD unites color flow imaging with pulsed
wave DopplerUltraFast Doppler, which unites color flow imaging with
pulsed wave Doppler, is said to have frame rates up to 10 times faster
than conventional color Doppler. The system also acquires fully
quantifiable Doppler data throughout the color box, enabling the
generation of post-processed pulsed wave Doppler spectra from multiple
locations in the same image.
Toshiba America Medical Systems, Inc.
(Tustin, CA) showed innovations to the Aplio 500 ultrasound system. The
system comes optional with Fly Thru and Smart Fusion features. Fly Thru
uses 3-dimensional volume rendering to “fly through” interiors of ducts
and vessels for better exploration of lesions and masses, and to assist
in planning interventional procedures. The other feature, Smart Fusion,
shows both CT and ultrasound images side-by-side on a single screen.
Smart Fusion syncs the 2 images, helping to locate hard-to-find lesions
and aiding in ultrasound-guided biopsy without additional CT scans.
upgrade is Luminance (a work-in-progress), a 4D rendering and lighting
technique producing fetal images. Luminance can be used to examine the
fetal face and other anatomical structures by applying color and
illumination to enhance features.
ZONARE Medical Systems, Inc.
(Mountain View, CA) highlighted its ultrasound image quality with the
Zone Sonography Technology (ZST) for its z.one system. The company has
added real-time 3D ultrasound imaging capabilities (4D), the new C8-33D
Curved Array transducer for the z.one ultrasound system with primary
applications for obstetrical imaging during the second and third
trimesters; the C8-33D transducer for 3D/4D fetal surface rendering and
3D/4D Multi-Planar rendering. These capabilities are available for
abdominal ultrasound imaging that includes MPR and tomographic viewing.
Also new is the E9-33D transducer designed for high-quality 2D, 3D, and
4D imaging for endovaginal applications with imaging frequency choices
ZONARE also presented a contrast-enhanced imaging
feature using the P4-1c Phased Array echocardiography transducer, and
showed contrast-enhanced imaging for the left ventricular opacification