Spire Healthcare Gives Clinicians On-Demand Access to Imaging Data

Robert Ashby, Carestream

Robert Ashby, European Communications Manager, Carestream Health

The IT director and Imaging Manager at the UK’s second largest private healthcare provider, Spire Healthcare, had an interesting challenge. How do you use technology to provide better service for both patients and referring physicians, who have a choice of where to go for care, when your 37 hospitals are on different PACS platforms?

To differentiate their services, Spire sought a secure, PACS and archive-agnostic image viewer that would be accessible from almost any device—predominantly iPads and other tablets—running a Web browser with no local installation or download.

Since January, Spire has been using Carestream’s Vue Motion viewer to allow radiologists and referring physicians to see PACS images from all 37 sites in the Spire network—on the way to the operating room, at the patient bedside or even from home.

I recently had the opportunity to sit down with Stephen Hayward, IT Director, Andrew Milne, Imaging Manager, and Dr. Qaiser Malik, Consultant Radiologist, to talk about their experience with Carestream Vue Motion:

Three professionals with different views on the value of freeing images from the PACS workstation.

IT Director, Stephen Hayward

“There is certainly a huge future in mobile health. Having access to care records and reports on a mobile device at the clinician’s finger tips will be a great boom going forward.”

Imaging Manager, Andrew Milne

“Our consultants can access the system remotely, download, and print without any interaction with my staff. This reduces the traffic into the imaging department and makes our service much more efficient. Staff is free to deal with other matters directly involving patient care.”

Consulting Radiologist, Dr. Qaiser Malik

“The clinician may come across a report and he may want to discuss it with me when I may not actually be there.  I can log in to the system wherever I am.  He can log in from the hospital and we can both look at the same images at the same time.”

At UKRC this week? Come see Vue Motion in stand 99. 

Day 1 UKRC: A Look at Radiology Trends and Cone beam CT R&D Projects

David H. Foos, Clinical Applications Research, Carestream

Editor’s note:   UKRC opens today in Manchester, UK. The annual Congress of  The British Institute of RadiologyThe Society and College of Radiographers, and The Institute of Physics and Engineering in Medicine, covers all aspects of diagnostic imaging. Before heading to the show,  David H. Foos, Clinical Applications Research, Carestream, weighed in on the hot topics and R&D projects he’ll be focused on during his time at UKRC.

Q: UKRC opens today.  How many times have you visited the show?

I’ve had the opportunity to participate in a variety of scientific conferences and trade shows over many years, including the RSNA, SIIM, SPIE Medical Imaging, European Congress of Thoracic Radiology, CARS, ECR, and Society of Thoracic Radiologists. However, this will be my first time attending the UKRC.  I am very much looking forward to the scientific component of the congress.

UKRCQ: Give us your take on the current trends in radiology. What’s your view on radiation dose?  

One of the important trends in radiology is the increasing attention that is being given to issues surrounding radiation dose. Much of this attention has focused on CT and fluoroscopy procedures, but the Image Gently initiative, whose goal is to change practice by promoting radiation protection in the imaging of children, includes projection x-ray as well. A promising new approach the emergence of quantitative imaging, for instance, measurement from imagery of the extent of COPD. Such techniques offer the potential for improving the staging of disease, which, in turn, can help physicians in making treatment decisions and in communicating prognoses to patients.

Q: What’s happening in the world of R&D at Carestream?  What projects will you be discussing at UKRC? 

We have a number of exciting projects, including an ongoing project on cone beam CT for volumetric imaging of extremities. The system design is unique in that it has the capability to obtain isotropic high-resolution 3D images of weight-bearing knees and ankles, which is a procedure that is currently unable to be performed with standard diagnostic CT systems. This is a collaborative project with Johns Hopkins University Hospital. A clinical system is currently installed at the hospital, and patients are being imaged under a study protocol. In addition, there are a number of other novel advanced 3D and spectral imaging technologies we are investigating in that have potential applications for improved imaging in the ICU, ED, and orthopaedics, and in areas outside the hospital such as in veterinary medicine.

Attending UKRC? Come see us in stand 99

Radiology Media Summit in the Tatras Mountains

Karolina Koprowska

Karolina Koprowska, Marketing Manager, Carestream Poland

The needs and challenges of today’s modern hospital radiology department are vast and diverse.  Ever changing reform initiatives, turbulent economic climates and rapidly changing technologies are having a dramatic impact on contemporary radiology. Radiology administrators, technologists and health IT staff aren’t the only ones being tasked with staying afloat amidst constant change. Healthcare journalists have the added challenge of being a source of information without being on the front line of the radiology department.

This week at Zakopane University Hospital set in the beautiful Tatras mountains of Poland, we’re bringing together news media for a two-day workshop on modern medical imaging:

  • What innovative IT approaches are hospitals implementing?
  • Does new technology really lead to better patient care?
  • What do radiologists need to be successful?
  • What problems keep hospital administrators up at night?
  • What innovations are needed to improve the practice of radiology?
  • How do we apply global best practices to the delivery of care in Eastern Europe?

Prof. zw. dr hab. med. Daniel Zarzycki, director of the hospital,  will lead key elements of the workshop including a look at hospital performance before and after the implementation of innovative radiography and health IT systems. Journalists in attendance will study modern imaging techniques while reviewing the principles of medical information and archiving systems. We will also offer a unique opportunity for participants to learn how to operate several radiology systems to better understand how radiological images are captured and studied.

What would be the one thing you’d tell a journalist about the practice of radiology? Is there a misconception you’d clarify? An area that deserves more coverage? 

Hamilton General Hospital Takes the DRX-Revolution for a Test Drive

Glen Nicholson

Glen Nicholson, Medical Sales, Carestream Canada

At the beginning of the year I posed an interesting question to Cheryl Malcolmson, RT (R), Manager, Diagnostic Imaging, Hamilton General Hospital, Hamilton, Canada:

“Can I interest you in a test drive?”

No, I wasn’t selling her a Volvo. But I was offering her facility the opportunity to be a  trade trial site for the CARESTREAM DRX-Revolution Mobile X-Ray System.

Bedside diagnostic imaging has several frustrating challenges ranging from maneuverability to positioning and alignment. Carestream engineering teams developed the first mobile DR system designed “from the ground up” with technologist workflow in mind.  Now we needed to see if we got it right and that required a system test drive.

Hamilton General Hospital is a leading healthcare provider, not only for the downtown community of Hamilton, but for the entire South Central Ontario region. It is recognized as a regional centre of excellence in cardiovascular care, neurosciences, trauma and burn treatment, making it an ideal site for our trade trial – a provider where mobile x-ray systems are an essential tool in treating what are often the sickest of patients – those confined to bed and in need of urgent care.  Cheryl agreed to be a test site for the DRX-Revolution and the trade trial is now complete.

Has the DRX-Revolution redefined mobile x-ray? I’ll let Cheryl and her team share their experience with you:

I’ve been anxiously waiting for this system to hit hospital hallways because I know what a difference it will make in technologist productivity and satisfaction. Hearing a Hamilton technologist comment:

“Really nice images on a system that is easy to drive — just like a lawn mower…”

Means a true x-ray room on wheels is now a reality.

Thanks so much to Cheryl and her team at Hamilton Hospital for putting the DRX-Revolution through the paces in the trial.

Have you taken a test drive of our DRX-Revolution at RSNA or another event? What did you think? 

Q&A: The Future of Radiology and Impressions from SERAM 2012

Editor’s Note: At the end of May, Spain’s radiology community converged in Granada at the Sociedad Espanola de Radiologia Medica (SERAM). Dr. Francisco Javier Rodríguez Recio, Head of Radiodiagnostics at the Hospital of Segovia and Communication Director for the SERAM Board of Directors, graciously shares his reflections on the Congress and the state of healthcare and radiology in Spain. 

Dr. Francisco Javier Rodríguez Recio

Dr. Francisco Javier Rodríguez Recio, Head of Radiodiagnostics, Hospital of Segovia

Q:  You’ve had time to reflect on SERAM. What do you think of this year’s show and the changes that were made?

Since training as a radiology resident, I have attended the SERAM Congress every two years. For many years I took full advantage of the extensive educational content and for the past decade I have been responsible for the digitization of the Congress. In recent years I have focused on the exchange of knowledge in management and ICT.

This year, the SERAM Congress had both highly scientific content and excellent levels of participation. It would appear that the Congress was not affected by the crisis. However, we need to prepare for the changes to come in the next few years. Some hospitals are reducing the number of training days, and the resources that the industry can provide are dwindling due to a drop in investment. I believe that over the next few years we need to incorporate new ways of collaboration between the scientific community and the industry. Promoting online training and incorporating new technologies in the Congress are important challenges.

Q: Which new technologies are you most excited about for both your hospital and in the industry?

I am a general radiologist both by training and in practice. I carry out clinic duties as far as possible. It is in emergency medicine that the radiologist is developing most of his knowledge. I am an avid defender of the use of radiology in the clinical process, as well as the information gained from all the radiological studies.  At my hospital, the Hospital of Segovia, we have collected information for 100% of the studies that we have carried out, including in emergency medicine. And I can not stress enough the importance of collaboration between primary and specialist healthcare providers.

Our hospital has 400 beds. The radiology department has been fully digital since 2007 and we also have ultrasound equipment, CT and 1.5 T MRI systems. We work with the mentality of being a public hospital that has to make use of all the resources available, and so we schedule appointments both morning and evening. When necessary, the teams also work weekends.

Two years ago we installed some equipment in our emergency radiology room that was highly innovative at the time: a CARESTREAM DRX-1 System with 2 panel detectors. The collaboration with Carestream also gave rise to the study: Wireless digital radiography detectors in the emergency area: an efficacious solution. Radiologia. 2011.

Q:  There has been a lot of talk recently about the future of radiology in Spain. What are your thoughts?

The proposed cuts in public health in Spain are leading to a complete halt in the investment in health infrastructure, including in some cases a reduction in maintenance.  Health professionals and the industry have to find new forms of collaboration to make the most of the resources at our disposal. A big piece of that is finding new ways of purchasing that are modeled more closely on technology partnership agreements with companies in the sector. The current model of purchasing technology (tenders and annual maintenance) needs to give way to other formulas that have already been employed in the private health sector. We have to find new management formulas that make the system more efficient. Radiologists, the scientific community and the industry need to work together to offer health administrators new scenarios of collaboration.

The level of radiology in Spain is excellent, a view that runs counter to those people who think that our speciality is going to disappear, absorbed by others. I am an optimist. We can maintain our identity as clinical radiologists and not isolate ourselves as mere purveyors of information by taking a leadership role in the integration of the diagnostic process, demonstrating the efficiency of our work and making appropriate use of ICT… the future looks promising. This crisis could be our opportunity!

A Spanish version of this post can be found below.

____________________________________________________________________________

Acabamos de regresar de la SERAM por otro año. ¿Cuántas veces ha visitado la feria? ¿Qué piensas de la edición de este año y cómo ha visto el cambio?

Desde mi formación como residente de radiología, cada 2 años asisto a todos los Congresos de la SERAM, durante muchos años aprovechando el extenso contenido docente, hace más de una década me responsabilicé de la digitalización del Congreso, en los últimos años me he dedicadoespecialmente a intercambiar conocimiento en Gestión y TICs.

Este año el Congreso de la SERAM ha tenido un alto contenido científico y una participación excelente, parece que la crisis no ha llegado al Congreso; pero debemos estar atentos a la evolución en los próximos años, hay hospitales en los que se están reduciendo los días para formación, los recursos que puede dedicar la Industria son menores debido a la disminución en inversiones. En mi opinión para los próximos años deberemos incorporar nuevas fórmulas de colaboración entre sociedades científicas e industria, fomentar la formación online, incorporar novedades tecnológicas al congreso… los retos son importantes.

¿Qué tecnologías se te va más entusiasmado, tanto para su hospital, y en general en la industria? ¿Cómo las nuevas tecnologías que se ofrecen Carestream encajar en sus planes?

Por formación y práctica soy un radiólogo general, en lo posible sigo haciendo asistencia y guardias, en la urgencia es dónde el radiólogo desarrolla todos sus conocimientos; soy un ferviente defensor del radiólogo implicado en el proceso clínico, del informe de todos los estudios radiológicos (en mi hospital hemos conseguido el informe del 100% de todos los estudios que realizamos, incluida la urgencia), de la colaboración con atención primaria y especializada.

Nuestro hospital tiene 400 camas, Radiología está completamente digitalizada desde el año 2007, disponemos además de los equipos radiológicos y de ecografía, TCMC y RM de 1,5T, trabajamos con la mentalidad de ser un hospital público que debe aprovechar todos los recursos disponibles, por eso tenemos agendas de mañana y tarde, cuando es necesario los equipos también trabajan en fin de semana.

Hace dos años realizamos una instalación, en ese momento novedosa, del sistema DRX1 con 2 paneles en nuestra sala de radiología de urgencias, de la colaboración con Carestream surgió el estudio: Wireless digital radiography detectors in the emergency area: an efficacious solution. Radiologia. 2011.

3 / Ha habido mucha charla últimamente sobre el futuro de la radiología en España. ¿Cuáles son sus pensamientos? ¿Estamos haciendo lo suficiente para a prueba de futuro de nuestra industria?

Los recortes presupuestarios en la sanidad pública en España, están produciendo un parón en las inversiones en infraestructuras sanitarias, incluso en algunos momentos se están reduciendo los mantenimientos; los profesionales sanitarios y de la industria debemos buscar nuevas formas de colaboración para aprovechar al máximo los recursos disponibles y buscar nuevas fórmulas de compra más cercanas a modelos de acuerdos tecnológico con las empresas del sector, el modelo actual de compra de tecnología (concurso y mantenimientos anuales) debe dejar paso a otras fórmulas que ya se han empleado en la sanidad privada.

España gasta poco de su PIB en sanidad y los resultados han sido excelentes en los últimos años, evidentemente se deben buscar nuevas fórmulas de gestión que hagan el sistema más eficiente, radiólogos, sociedades científicas e industria debemos trabajar de forma conjunta para ofrecer a los gestores sanitarios nuevos escenarios de colaboración.

El nivel de la radiología en España es excelente, contra los que opinan que nuestra especialidad va a desaparecer absorbida por otras, yo soy optimista, mientras seamos capaces de mantener nuestra identidad de radiólogos clínicos, no aislarnos como meros realizadores de informes, mantener nuestro liderazgo en la integración del proceso diagnóstico, presentar la eficiencia de nuestro trabajo, aprovechar adecuadamente las TICs… el futuro es prometedor, en la crisis está la oportunidad!

The New Normal: Faster Reporting, Ability to Integrate Data into EMR Systems

Editor’s Note: Carolina Radiology Associates in Myrtle Beach, S.C., recently installed a CARESTREAM RIS+PACS System  for its teleradiology business. We asked Michael Brown, M.D., a CRA radiologist, to discuss his group’s ability to deliver faster, more efficient reporting while simultaneously communicating data to healthcare provider EMR systems.

Like many radiology groups, manual tasks impeded our efficiency and we experienced challenges in exchanging patient information and reports with the healthcare providers we serve. Our new RIS+PACS streamlines data exchange and offers advanced reading features for our teleradiologists.

Mike Brown

Michael Brown, M.D., Carolina Radiology Associates

Our 18-member group provides on-site radiology services for hospitals and imaging centers and teleradiology services for a variety of practices. Radiologists at the main office conduct after-hours and weekend reading for hospitals and urgent care centers, as well as daytime teleradiology services for physician practices.Thanks to our technology upgrade, we now have a global patient worklist that equips radiologists to read urgent exams first, followed by exams in their specialty and then general reading. This expedites reporting because all radiologists—regardless of their location—can read exams from the list.

Thanks to smooth communication with different vendors’ RIS and PACS, our practice enjoys a streamlined workflow that automatically delivers patient information and prior exams to radiologists and then automatically transmits a report to each provider’s RIS.

This workflow allows us to achieve significant service improvements:

  • We offer immediate reporting for urgent studies and provide final reports to clinicians—even after-hours;
  • Routine reports are usually issued within several hours; and
  • We can populate data fields in each facility’s EMR.

In addition to integrating our reports with EMR systems, we have structured our reports to address each facility’s specific needs.

Our group is positioned for the future now that we are equipped with technology that enables us to deliver a higher standard of reporting along with the ability to integrate reports and data into healthcare providers’ EMR systems.

Taking Vendor-Neutral Archiving a Step Further

Cristine Kao

Cristine Kao, Global Marketing Manager, Healthcare IT, Carestream

Vendor-neutral archiving is a hot topic because it promises to help healthcare providers improve image and sharing  while simultaneously reducing costs. An article just published by Auntminnie Europe  outlines five advantages (below) of vendor-neutral archiving. Here are some practical examples of how archiving platforms and other tools are being used by healthcare providers worldwide to fulfill these objectives:

1. Enhanced business continuity
: Archiving services via the Cloud should also offer secure, yet accessible disaster recovery that ensures data availability when a local site is down. Data can also be delivered using a vendor-independent, zero-footprint viewer so clinician workflow is not interrupted.

2. Reduced storage cost
: Applying clinical lifecycle management techniques enables purging of old data that no longer requires retention by national or regional regulations. This allows healthcare facilities to maximize their storage resources.

3. Reduced migration cost:
Why not eliminate migration costs altogether? For example, Carestream offers a “take over” capability that can index a legacy DICOM archive and present a single worklist seamlessly to the end user. This equips users with rapid, easy access to a patient’s entire clinical portfolio that is stored on a variety of servers throughout a healthcare system.  Learn about the experience of St. John Medical Center in Tulsa, Oklahoma:


4. Image sharing: A fully-featured zero footprint viewer can present medical images, reports and clinical notes on mobile devices such as iPads as well as workstations. This vital tool delivers rapid, easy access to information, which enables greater collaboration among radiologists, clinicians and referring physicians.

5. Non-image sharing: In addition to images, a universal viewer should be embedded with an EMR to support non-DICOM data such as JPG, MPEG, PDF, BMP, DOC, and XLS formats so clinicians can view the entire patient clinical portfolio within a single window. This creates a holistic view of the patient, which is a major focus in enhancing patient care.

Healthcare facilities that are evaluating this valuable resource need to select a supplier that offers futuristic capabilities today, with a flexible platform that can accommodate continued expansion of service options. Carestream was named the world’s second largest supplier of vendor-neutral archiving solutions in a April 2012 report issued by InMedica, a division of IMS Research.

Are you evaluating vendor-neutral archiving for your healthcare facility? What are the primary benefits you hope to gain? 

SIIM 2012 Scientific Poster – CAPTCHA Challenge-Response System To Assess Monitor Performance

Eliot Siegel

Eliot Siegel, M.D.

Editor’s Note:  At events like SIIM 2012 attendees must juggle learning sessions, networking activities and exhibits. Hopefully you had time to tour the scientific posters displayed throughout the meeting space that feature the innovative research being done in the field of imaging informatics. If you missed the poster presentations, Dr. Eliot Siegel , Professor and Vice Chair at the University of Maryland School of Medicine, Department of Diagnostic Radiology, as well as Chief of Radiology and Nuclear Medicine for the Veterans Affairs Maryland Healthcare System, shares an overview of his team’s poster on testing monitor performance.

Repurposing a Traditional CAPTCHA Challenge-Response System

to Assess Monitor Performance Metrics Including Contrast and Spatial Resolution

Jigar B. Patel, MD1; Stephen J. Siegel, BS2; Joseph J. Chen3, MD; Eliot L. Siegel, MD1,3

Baltimore Veteran Affairs Medical Center, Baltimore, Maryland1

University of Maryland Baltimore County, Baltimore, Maryland2

University of Maryland School of Medicine, Baltimore, Maryland3

The most frequently asked question over the years, and this SIIM 2012 was no exception, has been about the use of “off the shelf” in comparison to “medical grade” monitors.  There has been a substantial trend to cut costs not only outside the radiology department but also within the radiology department and utilize these much less expensive “off the shelf” monitors.

The compelling argument for the “off the shelf monitors,” of course, is that they can result in major cost savings, especially in a medium to large healthcare facility.  The strong argument for “medical grade” monitors is the image consistency, ability to more easily calibrate using the DICOM grayscale presentation function, higher luminance, and easier monitor testing which could provide documentation in the event of a medicolegal challenge.

The difference between the best “off the shelf” and medical grade monitors is probably relatively small, but there are no diagnostic imaging consumer reports and manufactures of the “off the shelf” monitors can vary significantly as vendors change manufacturer or other components.

We presented a poster that describes a rapid and easy way to test any type of monitor and this has allowed us to see surprising variability in the monitors that we use in our own department, whether they are medical grade or “off the shelf.”  The solution is based on a challenge test that can be given to a user to determine whether he/she can use a PACS workstation or, alternatively, could be used to report to a PACS administrator that the monitor is not meeting a given standard for display.

Rather than using the SMPTE (Society of Motion Picture and Television Engineers) pattern that we are all familiar with (below) we used a challenge similar to the CAPTCHA challenge that is meant to distinguish a human from a computer in order to get access to data or programs on web sites.

Users are presented with a six letter word that is written in almost black on a black background and almost white on a white background as well as a six letter word written in a small font.  The PACS administrator can determine for various types of users (e.g. Radiologists, technologists, clinicians), locations, or monitor types what percentage of deviation the black writing is from the black background (e.g. The SMPTE pattern uses 5%), the percentage difference of the almost white on white background, and the size of the font.

So when a user first signs onto the system, the user is asked to read and type in the three 6-letter words corresponding to the black, white, and small font challenges. The administrator gets the results of this challenge test which could be used to block use of the workstation or more likely to audit and identify sub-optimal monitors.

We have found the tool to be very sensitive to small differences between monitors and it has been surprising how much of a difference it can make to look at a monitor from above in comparison to below or from the side in being able to pass these three tests.

This could be a very useful test for many purposes but especially to alert users as to the performance of a monitor which can vary considerably depending on whether or not it has “warmed up” or on the angle in which the images are reviewed.

iPads in Medical Imaging Requires Easy-to-Deploy, Agnostic Viewers

Don Thompson, Digital Capture Solutions, Marketing Manager, Carestream U.S. & Canada

Don Thompson, Digital Capture Solutions, Marketing Manager, Carestream U.S. & Canada

Two recent polls from Diagnostic Imaging reinforce a common sight in today’s hospital and practices—the use of tablets is proliferating. 70 percent of Diagnostic Imaging readers use tablets professionally and 47 percent plan to purchase the new iPad to use in their practice.

This tablet usage is being driven by the appeal of no longer being tethered to a workstation—the ability to consult images with patients at the bedside or on the way to the operating room or emergency department, and access to images easily from home or another clinic via a secure Internet connection.

But mobile viewers require a new approach to image access technology—accessibility without additional software, no storage or technology requirements, and an intuitive design to minimize training and speed adoption. The viewer needs to be independent so it can integrate with other vendors’ PACS systems, DICOM archives, or XDS repositories. It should also be embedded in a HIS or EMR portal to allow clinicians and referring physicians to quickly and easily view patient data and radiology images with a single log-in.

To celebrate the FDA clearance for iPad® of our new Vue Motion, we created a replica iPad out of paper and sent it to many U.S. radiology and IT professionals. We invited the audience to view Carestream’s Michael Hornbeck demonstrate the zero-footprint HTML5 viewer or to download a white paper that outlines how to deploy Vue Motion over multiple sites, making images available to referring physicians, radiologists at home or at remote locations.

View the video or download the paper to learn how you can connect technologies, physicians and patients.

SIIM 2012 Hot Topics – Vendor Neutral Archiving and Imaging Sharing

The proliferation of hospital consolidations as well as facility integration projects supporting HIE and ACO efforts made vendor neutral archiving and image access for referring physicians and patients hot topics at last week’s SIIM conference.

Enterprise Archiving

The discussion at SIIM went beyond the primary need to consolidate islands of storage. Healthcare providers’ needs have evolved. Next-generation archives need to support a wide range of architectures from departmental and multi-site to regional and national medical archive projects, and they must:

  • Collect data beyond imaging exams. Labs, pathology data, video files and JPEG images must combine to create a cohesive patient portfolio.
  • Connect existing platforms to present a single patient worklist without migrating existing archives.
  • Balance the clinical need for information over time and the desire to achieve the lowest storage costs possible with user-defined rules.
  • Provide the patient’s clinical record via the Web or existing EMR/HIS virtually anytime, anywhere – no mater where images and data originate or are stored.

Carestream’s Jeff Fleming highlights the interest in new approaches to enterprise archiving and Carestream’s experience with VNA:

An April 2012 InMedica research report recently highlighted Carestream’s position as the number two player (by study volume) in vendor neutral archiving with more than 2 petabytes of managed data and 80 million studies managed at 10 data centers.

Image Sharing

The vendor neutral archive plays a critical role in the future of image sharing. Ubiquitous image exchange, particularly when you extend beyond the radiology point of view to referring physicians and patients, requires a true VNA foundation and a zero-footprint viewer that can be embedded into EMR systems to become a reality.

Carestream’s Neville Skudowitz presented at SIIM 2012 on Carestream’s approach to commercial products for image sharing:

This vendor session launched a pointed Q&A session about the importance of vendor support for standards and protocols such as HL7, DICOM, non-DICOM, IHE (including XDS, XDS-i) and WADO.

What hot issues or technology caught your attention at SIIM 2012?