Diagnostic Reading #34: Five Must-Read Articles from the Past Week

Carestream LogoTomorrow is a holiday in the U.S., so this week’s issue of Diagnostic Reading will be taking place a day early. This focus of this week’s articles include data interoperability, how dense breast tissue affects mammograms, CT radiation dose levels, cybersecurity, and new findings by the Society of Radiologists in Ultrasound.

1) Q&A: A New Diagnosis for Radiologists – Diagnostic Imaging

An article published in Radiology by the Society of Radiologists in Ultrasound recommending that elastography techniques can be used to distinguish patients with no or minimal liver fibrosis and differentiate them from patients with severe fibrosis or cirrhosis. There were two significant outcomes from this recommendation: patients no longer need invasive liver biopsies to diagnose liver fibrosis, and radiologists will play a huge role in diagnosing diffuse liver disease, a part they did not play before.

2) How Breast Density Can Affect Cancer Screenings – Imaging Technology News (ITN)

Susann Schetter, DO, co-medical director of Penn State Hershey Breast Center recently published comments in an edition of The Medical Minute, a weekly health news feature produced by Penn State Milton S. Hershey Medical Center, on how when it comes to breast cancer screening, the fibroglandular density of breasts affects how well a mammogram can detect cancerous tissues.

3) Cybersecurity is an Increased Business Priority for Healthcare Leaders, Survey Finds – Healthcare Informatics

“The Healthcare Information and Management Systems Society (HIMSS) surveyed nearly 300 healthcare leaders across the industry on the issue of securing patient data. Nearly every single one, 87 percent in all, said cybersecurity was increased business priority over the past year due to the increasing threats to PHI. Two-thirds of the respondents said their organization had experienced a significant security incident.”

4) CT Radiation Dose Levels in Clinical Trial Surprise Researchers – AuntMinnie

“A group of researchers studying the use of CT for kidney stones were surprised by the radiation dose levels they discovered in their multicenter clinical study. Not only were many doses too high, they also varied widely between centers, concludes a research letter published June 29 in JAMA Internal Medicine.”

5) Innovation Pulse: A Better Road to Data Interoperability? – Healthcare IT News

Tom Sullivan, executive editor, HIMSS Media, takes a look at how enabling one doctor to use one EHR to access patient information residing in a different hospital’s EHR from a different vendor may not be best way to give doctors the data they need. He looks at the ability to overlay technologies, one on top of the other, as it might bring us close enough to interoperability.

Guess the X-ray – July’s Image Challenge

It’s a new month so that means it is time for a new “Guess the X-ray” Image Challenge. Last month we had a clock, which was identified, but it took a bit of time for someone to guess correctly. Let’s see if the same level of difficulty transfers to this month.

The July image is below, the challenge will run until the end of the month or until the first person guesses correctly.

To participate this month, leave your guess in the comments below or on our Facebook page. Good luck!

Sorry… Carestream employees and their agencies are prohibited from entering.

July Image Challenge

A Medical Imaging Revolution at Okinawa Churaumi Aquarium

By Tomoki Oka, Manager, X-ray Systems Business, Japan, Carestream

日本語版はここで読むことができます。

The DRX-Revolution has been visiting and capturing images of some new patients in Japan at Ocean Expo Park, Okinawa Churaumi Aquarium.

Ocean Expo Park houses the aquarium and is a  national government park located on the site of the Okinawa International  Ocean Exposition held in 1975. The aquarium, located within the park, is one of the most popular tourist spots in Okinawa. It is home to approximately 740 different species and 21,000 marine life that inhabit the sea around Okinawa.

Animal management section, Keiichi Ueda, is one of two veterinarians at the aquarium, and is responsible for the health and physical status of the animals. In an interview,  Vet Ueda explains the differences of human care in a hospital versus animal care in the aquarium—particularly that they have to take the animals out of the water for an extended period of time, and in the case of x-rays, the exposure dose is different and time must also be considered.

With some of this animals being quite large, the facility required x-ray equipment that would be able to capture high-quality images of the animals, capture multiple images without using different cassettes, and also provide enough radiation dose image quality would not be compromised.

In the interview, Fish management section, Makio Yanagisawa, says, “Because the Revolution can be used to expose continuous radiographic images of dolphins without having to place and change the cassettes under them each time, it is much easier to use when compared with the previous types of analog film that had to be developed after each exposure.”

Additionally, their work environment is much different than that of a hospital. There are no hallways, several small hills, and rougher terrain that can make pushing and pulling equipment more difficult.  Vet Yanagisawa found the ease of use with the DRX-Revolution to be very easy to move and maneuver around the facility.

The video below shows the DRX-Revolution in action at Okinawa Churaumi Aquarium, and includes in-depth interviews with the aquarium’s medical staff.

沖縄美ら海水族館にてRevolution稼働開始

大場拓也/岡知樹

An English version of this post can be read here.

DRX-Revolutionが海洋博公園沖縄美ら海水族館に導入され、イルカなど海洋動物たちの撮影に貢献しています。

ここ海洋博公園は1975年に開催された沖縄国際海洋博覧会跡地に設置された国営公園で、沖縄の観光スポットのひとつとして人気のある沖縄美ら海水族館もこの公園の中にあります。約740種21000点ほどの沖縄近海に生息する生物を飼育しています。

動物管理チームサブリーダーの植田啓一氏は常駐する医師の一人で、動物の健康管理・体調管理を担当しています。インタビューで植田氏は、特に動物を水から出して固定及び拘束時間を考慮しなければならない点や種別に応じて撮影線量を変えなければならない点など、人と動物の撮影方法の違いを述べています。

動物の種別によっては非常に大型になるので、高線量で高画質な画像が確実に取得できること、カセッテを都度交換することなく何枚も撮影できることなどが求められます。

魚類チーム 主任技師の柳澤牧央氏は「Revolutionは、イルカの下に入れたカセッテを一回づつ入れ替えずにそのまま撮り続けることができるのが、今まで現像しないといけなかったものに比べると利点だと思います。」と述べています。

水族館は病院と違って廊下が整備されていなかったり、本体を押したり引いたりすることが困難な場合が多いのですが、DRX-Revolutionは軽い力で簡単に動かすことができ小回りが利くので非常に便利であると述べています。

インタビュービデオではDRX-Revolutionでの撮影の様子やスタッフのインタビュー内容をご覧いただけます。

Diagnostic Reading #33: Five Must-Read Articles from the Past Week

Carestream LogoIt is time for another issue of Diagnostic Reading. This week we focus on the U.S. Supreme Court ruling on the Affordable Care Act, quality in radiology, patient and radiologist interactions, new Joint Commission rules, and Medicare’s slow adoption of telemedicine.

1) Supreme Court Upholds Subsidies in 6-3 Vote – Healthcare IT News

“The U.S. Supreme Court on Thursday voted 6-3 against the plaintiffs in the case of King v. Burwell. The ruling means more than 6 million residents in the 34 states with federal insurance exchanges can keep their tax subsidies for health coverage.”

2) What Exactly is Quality in Radiology? – AuntMinnie

According to a talk at the recent International Symposium on Multidetector-Row CT (MDCT) in San Francisco, it is import for radiologists to think about what the word “quality” actually means in the context of radiology, and it is imperative that radiologists work to define it. The talk discussed how one of the key factors to creating a culture of quality and safety is making sure that staff members can speak freely when they’re worried about a protocol or a patient care situation.

3) Do Patients Really Value Interaction with Radiologists? – AuntMinnie

Dr. Sam Friedman provides his personal opinion on how he thinks that ACOs and the other “risk” programs are simply clever ways to separate physicians from their pay. He points to the June 2015 issue of the Journal of the American College of Radiology, where Cabarrus et al presented the results of a patient survey that found that patients preferred to hear the results of imaging exams from the physician who ordered them.

4) Are Imaging Sites Ready for New Joint Commission Rules? – AuntMinnie

“On July 1, a new era of intense scrutiny and documentation will arrive for CT and other imaging modalities, thanks to new Joint Commission accreditation requirements that become effective on that date. Unfortunately, most radiology departments aren’t remotely ready to fulfill the requirements.”

5) Medicare Slow to Adopt Telemedicine Due to Cost Concerns – Healthcare IT News

“Anthem and a University of Pittsburgh Medical Center health plan in western Pennsylvania are the only two Medicare Advantage insurers offering the virtual visits, and the traditional Medicare program has tightly limited telemedicine payments to certain rural areas. And even there, the beneficiary must already be at a clinic, a rule that often defeats the goal of making care more convenient. Congress has maintained such restrictions out of concern that the service might increase Medicare expenses. The Congressional Budget Office and other analysts have said giving seniors access to doctors online will encourage them to use more services, not replace costly visits to emergency rooms and urgent care centers.”

The Importance of FDA-Approved Medical Image Viewers

Last month, we discussed the importance of having medical image viewers approved by the U.S. Food and Drug Administration (FDA) at SIIM 2015.

The benefits are numerous. Most importantly, with FDA approval, the users (referring physicians) are assured that the quality of the medical images that they are viewing are of a high quality that is appropriate for clinical decision making.

The FDA is very specific in what they consider to be a diagnostic device. It talks about a specific guideline about how a mobile device, or any device, is used for clinical decision making, and right now, the FDA is saying that a viewer must go through the FDA clearance process if it is going to be used for any sort of clinical decision making.

Radiologists’ customers, referring physicians, are looking at the patient medical images for clinical decision making on viewers, and more often these viewers are on mobile devices. Using a medical image viewer approved by the FDA means that there is compliance throughout the healthcare enterprise.

Carestream’s Vue Motion is FDA approved for clinical viewing on mobile devices, be it tablet, iPad, iPhone, or Android. The demo below shows Vue Motion in action and how it can bring an enterprise together around patient clinical data.

Diagnostic Reading #32: Five Must-Read Articles from the Past Week

Carestream LogoAnother week, another issue of Diagnostic Reading to provide with a few articles to read in case you missed them this week. The focus of these articles is on social media to promote research, medical identity theft trends, big data and artificial intelligence, regulatory changes for medical imaging, and optimizing hospital radiology.

1) Social Media Boosts Awareness of New Research – AuntMinnie

The Journal of the American College of Radiology  released a report which found that a blog post promoted on social media generated more than 10 times the page views of research articles published online in two peer-reviewed journals.

2) Medical Identity Theft Hits All-Time High – Healthcare IT News

A majority of medical identity theft victims can expect to pay upwards of $13,500 to resolve the crime. Also, about 50% of consumers say they would find another healthcare provider if they were concerned about the security of their medical records.

3) As Big Data Grows, the Need for AI Comes into Focus – Healthcare IT News

“By 2020, there will be 200 times more data than any physician can absorb,” according to Dr. Anthony Chang, a pediatric cardiologist. “And its doubling every two years.” In a keynote address at the National Healthcare Innovation Summit, he talked about “Intelligence-as-a-Service,” a network that could make it possible for doctors to tap into knowledge from specialists anywhere when they encounter a medical situation that is not responding to treatment.

4) Ready, Set, Go: Regulatory Changes Ahead for Medical Imaging – Radiology Business Journal

“Today, regulatory changes occur all year long, and—in addition to the incredible amount of work required to manage the department, imaging center or practice—it is almost impossible to keep abreast of them. Most administrators are not prepared for all of the changes coming in the next 2 years.”

5) The Mission to Optimize Hospital Radiology – Radiology Business Journal

Radiology Business Journal spoke with radiology leaders at five different health systems to understand how they are optimizing radiology to lower costs and improve care quality. Standardizing care protocols, centralizing operations and creating physician–administrator “dyads” to drive change are key strategies.

Video: Design Benefits of the CARESTREAM Touch Ultrasound System

Doug Wuebben, echocardiographer, Avera Sacred Heart Hospital, discusses what he likes about the design of the CARESTREAM Touch Ultrasound System.

In the video interview, he touches on the ease and customization of set-up, the fast start-up, and the ergonomic design of the system that prevents repetitive motions for sonographers.

Diagnostic Reading #31: Five Must-Read Articles from the Past Week

Carestream LogoAnother week and another issue of Diagnostic Reading. This week’s topics are focused on population health, Meaningful Use and the “Digital Divide,” clinical and claims data, radiology decision support, and radiology’s role in enterprise imaging.

1) Population Health: The Path Forward – Healthcare Informatics

Mixed sentiments were on display among the industry leaders participating in the 15th annual Population Health Colloquium, held on March 23 at the Jefferson School of Population Health at Thomas Jefferson University in Philadelphia, and chaired by David Nash, M.D., dean of the Jefferson School of Population Health.

2) Did Meaningful Use Create a ‘Digital Divide’? – Healthcare IT News

A new study from Weill Cornell Medical College, published this week inHealth Affairs, points to the emergence of “systematic differences” between physicians who participated in the Medicare and Medicaid EHR Incentive Programs and those who didn’t. Docs’ participation in the Medicaid incentive program rose from 6.1 percent to 8.5 percent between those two years, researchers say, while participation in the Medicare incentive program rose from 8.1 percent to 23.9 percent.

3) Infographic: Clinical and Claims Data – What Lies Beneath? – Healthcare IT News

“This infographic draws upon the unified clinical and claims data warehouse of Arcadia Healthcare Solutions to show the quantity of data available for 500 patients. Claims records are represented by the “above-ground” green bars – but they’re dwarfed by the vast amount underlying electronic health record data, represented by the brown bars underneath.”

4) Radiologist Decision Support May Cut Unnecessary Studies – AuntMinnie

According to researchers at NYU Langone Medical Center, a decision-support tool that is readily available to radiologists when reading medical images can help them order more-appropriate follow-up exams. After adopting the tool the research team found that radiologists’ adherence to clinical guidelines improved from 50% to 80%.

5) Big Picture: Radiology’s Role in Enterprise Imaging – Radiology Today

“As medical imaging has risen from a radiology-specific concern to an enterprisewide need, hospitals and medical centers have responded to the increasing and broadening demand for images. Making that adjustment is no easy feat, however. Clinicians desire image availability and accessibility wherever they work; making it happen requires scrupulous planning and plenty of hard work.”

Video: Ergonomics Vital to Sonographer Health

Carolyn Coffin, ergonomic consultant, sonographer, Sound Ergonomics, is a strong advocate for the importance of ergonomic design on ultrasound systems and how these designs benefit the sonographers’ well-being.

Coffin took the time to speak with us recently about the importance of these design features, as well as author a white paper about the ergonomics and ultrasound systems.

In the video below, Coffin speaks with Carestream’s Daniel Monaghan, regional business manager, US&C, ultrasound, about specific system designs that help the sonographer, as well as how these designs were built into the new CARESTREAM Touch Ultrasound System.