Robin Wible talks about service in Memorial’s DRX installations.

Note to reader: This is the second in a series of interviews with Robin Wible, Director of Imaging at Memorial Hospital (York, PA), who recently completed the purchase and installation of a DRX-1.

“Service has been very good, very responsive, in fact we do quarterly reports for radiation safety, and my chief technologist had a lot of good things to say about the DRX-1—about the uptime, and the service, and the quality, and also the reduction in radiation. We have a radiology school here and the director of the school came over one day and was really impressed with the technology.  She thought the Carestream product was really unique and was very impressed. We looked at the traditional products too, but we liked the Carestream sales team and the product and we just took it from there.

Many individuals from Memorial Hospital have been very open in giving their feedback of the CARESTREAM DRX System.  Their extended comments can be found here.

What’s important about service to you? Have you ever had a memorable service experience?

Robin Wible, Director of Imaging, Memorial Hospital

The End-to-End PACS Workflow… Will Have to Wait

Nadim Daher, Frost & Sullivan

Today 3D/4D post-processing is, by all measures, a very common step in the radiology reading workflow, one that is performed on more than 30% of imaging studies across modalities. Given these high figures, it is striking how slowly advanced visualization is making its way into the PACS workflow.

The Standards bodies, including NEMA’s DICOM Workgroup 23 and the National Cancer Institute’s Cancer Biomedical Informatics Grid (caBIG) eXtensible Imaging Platform (XIP), are making a concerted effort to push forward an integrated medical imaging software platform.  This ideal standard would allow advanced visualization applications to be seamlessly plugged into the software architecture, making it possible for a radiologist to freely move between applications for each study.  But, with the exception of a few vendors, we’re simply not there yet.

For the IT vendors, offering the advanced visualization application through PACS means speeding up the migration of more of their thick-client scanner workstation software onto their PACS platform. However, as they start to overcome the technological barriers associated with this migration, it is the internal political challenges that start to kick in between the ‘PACS group’, the ‘Scanner group’ and the ‘Workstation group.’  For whichever reason that is, the fact of the matter is these vendors have mostly been busy re-writing the clinical applications from scratch. 

As for most other PACS vendors who are still playing catch-up with advanced visualization, bringing the application onto their PACS is being done in one of several ways. One such method is to incorporate the SDKs and algorithms offered by a number of small advanced visualization vendors on the basis of an OEM software license. They are essentially purchasing the technology from third-party vendors, incorporating it to the PACS, and re-branding it as their own.

PACS vendors are also trying to work out tighter integration deals with the well-established independent advanced visualization vendors, which can add tremendous value through the clinical depth they have developed over the years. But incidentally, such vendors would never agree to disclose all of their source code and have their brand name be absent from the end-product… until they get that “offer they can’t refuse,” that is!

And then there are a select few PACS vendors who have done it right from the start, making 3D an intrinsic component of the PACS – by design and from the ground up. Considering the native 3D capabilities its PACS system has had for more than three years, and the breadth and depth of the specialty clinical applications it has built upon it since then, the CARESTREAM PACS is clearly leading this pack.

What has been your experience with the integration of advanced visualization and PACS systems?

Post contributed by Nadim Michel Daher – Senior Industry Analyst – Medical Imaging and Imaging Informatics – Frost & Sullivan / author of the most recent study publication on the “2010 North American Advanced (3D/4D) Visualization and Clinical Applications for Medical Imaging Markets”

Updates as they’re happening – Live from AHRA!

Photo courtesy of AHRA

Helen Darling, President of National Business Group on Health, opened this year’s AHRA conference today with some sobering but much needed information on the state of healthcare in America. In detailing the potentially disastrous consequences that will come from healthcare costs that are increasing at exponential rates because Americans are using more services than ever before—-it’s clear that medical imaging and healthcare IT suppliers can help in the fight to control and lower costs by encouraging healthcare institutions to implement aggressive quality improvement plans that can result in significant savings.

With 10% of US healthcare costs being spent on diagnostic imaging—-an area of care that is critical to improved patient care and outcomes but is overused at some facilities—genuine collaboration between suppliers and healthcare providers to lower radiology costs and improve productivity can help save precious healthcare dollars. 

With workers forgoing pay raises to fund healthcare, and where the national average for healthcare spending by a family of four has surpassed $18,000 per year, aggressive plans to improve the productivity of radiology services while continuing to raise the standard of patient care provided can make a much needed contribution to the monumental challenge Americans face in improving healthcare for generations to come at a price we can all afford. 

Did you attend this morning’s keynote speaker?  What was your perspective?

AHRA will be featuring this as well as other updates of the annual meeting on the organization’s blog.  Likewise, we’ll continue to reflect upon what we’re learning throughout the week here and on our other online channels. 

What is it? We have a winner!

Yes, with dozens of entries from radiologists, technologists, administrators and students, we do have a winner (but it was none of these who guessed it!). Instead, our congratulations (and our coffee mug) go to Boyce Thompson (who works in an airport) and has seen similar images go through the detector.

And (drum roll, please) it is a box of cereal!

Thank you for your interest, your comments, and your guesses, and please stay tuned to this channel for the next “What is it?” contest.


Do you have interesting images that might stump the radiology community? If you’d consider allowing us to publish them we’d love to hear from you!

What do you want to know about wireless digital imaging?

The AHRA Annual Meeting is right around the corner, and we’re looking forward to meeting new people from the radiology community at our Wireless Headquarters.  We hope to see you there!

To kick off the excitement, Carestream Health will be hosting a Wireless Rally on Monday evening.  The educational event will feature a panel discussion, including participants from the Mayo Clinic, Rochester, MN, Memorial Hospital, York, Pennsylvania, Heartland Health, St. Joseph Missouri and Memorial Medical Center, Springfield, Illinois.  Our guests will be discussing their experiences with wireless digital imaging, and will be answering questions from attendees.   

We understand that not everyone will be able to attend, but it is important to us that we answer your questions!  Leave a comment here to let us know what you would like to ask our panel.  We’ll raise the most commonly asked questions and report back with panelist response.   

 Continue to follow us online for live updates from the Wireless Headquarters!

Vote wireless in 2010!


Visit us at the Wireless DR Headquarters!

Even in Washington D.C., site of the 38th annual American Healthcare Radiology Administrators (AHRA) Annual Meeting, there’s one thing everyone can agree on: everyone wants to join the “wireless party.”

Wireless digital imaging solutions can boost OR, ER and staff productivity and deliver enhanced patient comfort. Tethers—which can be both inconvenient and unsanitary—are eliminated. Stop by Carestream Health’s booth at AHRA (#810) and find out just how easy and affordable it is to adopt wireless DR solutions for x-ray rooms, automated suites and mobile x-ray systems.

Here’s what some of our customers are saying about their decision to go wireless in 2010!

  • “The new DRX-Evolution can perform every imaging exam we perform because of the unique wireless DRX-1 detectors. This single system has everything we need for a highly productive, diverse imaging workflow,” reports Mark Sevcik, Operations and Development Director, Radiology Consultants Associated  
  • “Our dual-detector DRX-1 system is located in a busy outpatient clinic that serves 10 orthopedic surgeons and general practitioners. Our productivity has doubled and patient wait times are greatly reduced. This wireless detector also offers the positioning flexibility required by complex orthopedic exams,” notes Mike Foley, Director of Radiology, Tufts Medical Center
  • “Converting our GE mobile CR system to the DRX-1 detector allowed us to double productivity, improve image quality and provide better patient care. The line and tube companion image is extremely helpful for critically ill and injured patients, and our physicians and surgeons appreciate the ability to review images in just a few seconds,” notes Robin A Wible, CNMT, Director of Imaging, Memorial Hospital
  • Installing a DRX-1 detector in our mobile x-ray system has been a great benefit for spine, total joint and other surgical procedures. It reduces imaging time by 10-15 minutes for each patient and the clarity of the image is outstanding,” said Dr. Dean Natchtigall, M.D., orthopedic surgeon, Memorial Hospital
  • “Carestream Health’s family of products based on the DRX-1 detector equips us to gain higher quality and faster image access at a very reasonable price. It will also enable us to offer better care, especially for patients in our emergency room, surgical suite and ICU units,” said Larry Kirschner, Heartland Regional Medical Center’s Director of Radiology
  • “We have installed our Carestream DRX detector in one of our analog rooms (previously CR only), and the techs love it – almost more than the dual detector DR rooms!  It’s the same user interface as our Carestream CR, so staff training and buy-in was easy.  We are awaiting our new GE AMX-4 portable and then will retrofit with a DRX detector for use in our PICU.  Can’t wait!  Thanks for sharing your experience with this product – we agree with your positive results.  And for us, it’s in a pediatric environment – our providers like the image quality.” commented Bonnie Wold, Gillette Children’s Specialty Healthcare

 What do you think about wireless DR?