AHRA 2013: Providing Dose Reduction to the Patients Who Need it Most

Helen Titus, Marketing Director, X-ray Solutions, Carestream

We are half way through 2013 and radiation dose reduction in medical imaging continues to be one of the most important issues the industry faces. Patients are our primary focus and we at Carestream, as I’m sure many other providers and medical professionals, have been maintaining our focus of putting patients first. The best way to do this is to focus on their safety and provide them with the best and safest care possible.

In an article from DOTMed that focused on dose reduction, the trends among the larger medical imaging companies showed that these providers are producing the technologies that shrink the dose delivered to patients. At Carestream, our R&D team has been focused on delivering dose reduction to patients, specifically pediatric patients, since they are a category more susceptible to the side effects that a radiation overdose can cause.

At ECR this year, our R&D scientist, Sam Richard, Ph.D., presented on reducing dose when capturing pediatric images. The research focused on optimizing image quality across a wide range of pediatric patient sizes. His team’s study concluded that to get the best image quality and lowest dose, pediatric patient size should be taken into account when selecting the kVp. To demonstrate this, a white paper published earlier this year presented principles in X-Ray procedures that should be followed throughout the imaging process to provide safe imaging practices to pediatric patients.

DRX detector

Carestream’s 2530C DRX Detector

Now that we’re approaching July, we’re proud to announce that the DRX 2530C Detector has officially received FDA clearance. The wireless DR detector offers low dose X-ray exams for pediatric, orthopaedic, and general radiology applications without compromising the image quality of the exam. The smaller detector, which measures 25 cm x 30 cm, can provide better care for premature babies and infants in the pediatric ICU. The high detective quantum efficiency (DQE) of the cesium iodide detector can lead to lower dose than CR cassettes or gadolinium scintillator detectors and fits easily into the x-ray tray of neonatal incubators.

A product such as the DRX 2530C, which will begin shipping in the third quarter of 2013, addresses the dose reduction trend that is immersed throughout our industry, but we won’t, and can’t, stop here. While much of the dose reduction focus is aim toward the pediatric patients, it is an issue that pertains to everyone who has a medical imaging exam—especially those who may be prone to having these exams more often than others. The key will be to ensure that we continue to invest in bringing more of these products and services to market that can lead to not only better patient care, but safer care too.

Automated DRX-Evolution Maximizes Both Productivity and Patient Comfort

Tim Sisco, Director of Cardiovascular and Imaging Services, Houston Healthcare

Tim Sisco,
Director of Cardiovascular and Imaging Services,
Houston Healthcare

We were looking for a new DR system that would deliver maximum productivity in our busiest radiology room, which captures 40,000 X-ray images of ER and general radiology patients at our 237-bed hospital. Our staff needed maximum productivity and versatility—and we found it with the CARESTREAM DRX-Evolution System. With this dual-detector system, our technologists are able to quickly and easily position patients for any type of exam. When an exam type is selected, the fully automated system moves the tube into position with the Bucky or table and then the technologist positions the patient. It easily accommodates patients on stretchers or wheelchairs and streamlines the capture of complex cross table and spine exams often required for trauma patients. Technologists view each image on the tube head and are able to move to the next image without leaving the patient’s side.

Exposures were reduced by 40-50 percent even though we had a DR system in the room previously. Morale has improved because this system reduces wear and tear on technologists by eliminating the need for them to constantly move the tube. And patients also benefit because we are able to capture excellent quality images with lower exposures and less discomfort. This system has been a valuable addition to our hospital and helps us enhance patient care.

DRX_Evolution_p

Carestream’s DRX-Evolution scored highest for overall performance in a recently released KLAS Digital X-ray report. Please visit Carestream.com for more information on our highly productive family of wireless DRX systems.

CARS 2013: Advanced Imaging Capability in Dedicated Cone-Beam CT of Musculoskeletal Extremities

John Yorkston, Ph.D., Senior Research Scientist, Carestream

John Yorkston, Ph.D., Senior Research Scientist, Carestream

At this year’s CARS conference, Carestream scientists will co-author a research paper with colleagues from Johns Hopkins University describing the results of an ongoing, multi-year research project to develop a cone beam CT system specifically optimized for extremity imaging (i.e. hand, wrist, knee, ankle and foot).

In the spirit of recent diagnostic imaging trends focused on low-dose imaging, the technical advances presented in the paper show:

  • High-quality x-ray scatter correction based on GPU-accelerated Monte Carlo (MC) models
  • Model-based iterative reconstruction for high-quality, low-dose imaging
  • Dual-energy (DE) imaging to extend contrast resolution beyond conventional limits
  • Quantitative imaging methods for accurate assessment of bone density, subchondral architecture, and joint space morphometry.

The presentation will focus on the excellent image quality obtained by this optimized system and the opportunity for “advanced” imaging applications such as dual energy CT that are enabled by the system design, as well as the results of implementing advanced algorithms, which includes iterative reconstruction and Monte Carlo scatter correction.  The resulting images demonstrate boney detail that is superior to that obtained from traditional diagnostic CT systems (DxCT) as well as soft tissue detail that is sufficient for many diagnostic tasks performed by DxCT.

The reconstruction algorithms have been implemented on a GPU platform that increases reconstruction speed by more than an order of magnitude from that obtained with a CPU implementation. Accurate quantitative analysis of the attenuation coefficients and geometric spacings of different anatomical structures hold the promise of enhancing the diagnostic and treatment response capabilities of the acquired data sets and are the subject of ongoing research funded by the NIH.

The results to be presented indicate that the customized system demonstrates a promising new technology for diagnosis, therapy planning, and treatment assessment in musculoskeletal radiology, orthopaedics, and rheumatology. Advanced imaging techniques – including high-quality MC scatter correction, iterative reconstruction, and DE imaging – may offer new capabilities in soft-tissue visualization and quantitative image analysis.

Below is the complete list of researchers who participated in this study:

J. H. Siewerdsen,a,b W. Zbijewski,a J. W. Stayman,a A. Muhit,a J. Yorkston,c and J. A. Carrinob

a Department of Biomedical Engineering, Johns Hopkins University, Baltimore MD

b Russell H. Morgan Department of Radiology, Johns Hopkins University, Baltimore MD

c Carestream Health, Rochester NY

Vue PACS Workstation Proves its Multi-Modality Proficiency at MDCT 2013

Menashe Benjamin, Vice President, HCIS, Carestream

Menashe Benjamin, Vice President, HCIS, Carestream

The annual “Workstation Face-Off,” held on June 18 in Washington, D.C., is part of the International Symposium on Multidetector-Row CT. The event aims to define the limits of workstation performance. Each year radiologists use advanced workstations to process and interpret several complex CT studies under severe time pressure, but this year’s face-off implemented an additional challenge.

For the first time in its 10-year history the competition, which is part of the International Society of Computed Tomography (ISCT), included cases that challenged the workstation with the reading, processing and reporting across multiple modality studies with findings in multiple organs. The ability to handle multiple modalities and offer automated tools enhances overall productivity and avoids the need to resort to dedicated processing workstations that are not fully integrated in the reading workflow.

Participants were allotted 18 minutes to complete this year’s exams, which included longitudinal examination of lung disease, liver tumor tracking, cardiac functional analysis and neuro vascular assessment. All cases were complex and required advanced and automatic processing tools for fast and efficient diagnosis.

Radiologist Michalle Soudack, M.D,. Head of Pediatric Radiology at the Safra Children’s Hospital in Israel, presented the cases for Carestream, showcasing the CARESTREAM Vue PACS workstation. Her performance with the Vue PACS workstation, as in years past, supported the proficient reading, processing and reporting of all the images across multiple modalities. As always with Dr. Soudack, it was a rewarding experience to watch her maneuver the Vue PACS with such ease. Her presentations were a big hit with the audience, as several people commented on Dr. Soudack’s assessment of the complex neuro vascular multi-modality case, and the fact that she conducted the cardiac CT assessment via a PACS and not a dedicated workstation.

The face-off has routinely been an event that showcases areas of proficiency in today’s CT interpretation technologies, as well as pointing out where improvements are needed. This is always an exciting and intense event to be a part of, and we are already looking forward to next year.

Early Adoption of the Standardized Exposure Index

Rafael Fernandez, DMS Product Specialist, Spain, Carestream

Rafael Fernandez, DMS Product Specialist, Spain, Carestream

The Spanish translation of this post can be found following the English version.

The Spanish Congress of Medical Physics and Radiology Protection is a yearly event that gathers the major stakeholders and key radiology opinion leaders in Spain. It is arguably the most important stage for showcasing new ideas and technological advances in the field of radiology in Spain. Carestream will be present at this event with a speech on the topic of patient protection and the adoption of the industry’s Standardized Exposure Index (EI) with the goal of educating our current and future customers. I’m very proud to represent Carestream at this year’s Congress in Cáceres, Spain.

The discussion on how to reduce the hazardous effects of ionizing radiation on patients has never been as important as it is nowadays. The spread of medical information across the internet and other media has made more people become aware and concerned of this negative effect. It is urgent that manufacturers and radiologists take action in order to reassure patients and ensure that impact is minimized without sacrificing image quality. This is the hot topic for the 2013 edition of the Congress.

Related to this issue is the fact that each manufacturer measures body exposure differently. This is a problem because exposure levels cannot be objectively compared among different radiology manufacturers (sometimes even within the same manufacturer) which may compromise the goal of reducing the exposure and potentially put the patient’s health in danger, in particular for pediatric diagnostics. In order to solve this situation, researchers and manufacturers jointly developed a Standard EI to be implemented internationally. Unfortunately, this adoption is taking too long for patients.

In this sense, Carestream has taken a step ahead by implementing the standardized EI from day one – a big commitment to its users and patients to increase transparency and reduce health risks. Radiologists are now better able to balance their patients’ concerns with an increased comprehension of how dosage and image quality play together. It’s a win-win situation: radiologists improve their patient’s satisfaction, and in return, patients are confidently diagnosed. This underlines Carestream’s continuous commitment to meet the needs of the whole service funnel right until the very end-user, the patient.

The new EI allows radiologists to customize a “target” exposure value for each part of the body, depending on its X-ray permeability, patient age and other medical considerations. Once the test is executed, the actual observed exposure value is extracted and compared to the “target” value. The variation between both values is computed and outputted in real-time directly to the user through the software, giving information on whether the patient was exposed to too much radiation or just As Low As Reasonably Achievable (ALARA). This gives radiologists the opportunity to improve communication with the patient, thus giving place to a better service level.

By early adopting the standard EI, Carestream puts emphasis on transparency and displays confidence that its equipments are becoming more and more prepared to help radiologists reduce patient exposure while maintaining diagnostic quality. Once again, Carestream proves that it is in the vanguard of radiology.

I’m looking forward to speaking at the Congress in Cáceres where I will present these ideas to major national stakeholders and decision-makers in the industry, to strengthen Carestream’s positioning as a dynamic and forward-looking company and make it the national reference for radiology.

Spanish translation:

Añadiendo Valor a Nuestros Clientes: Adopción Anticipada del Índice de Exposición Estandardizado

El Congreso Nacional de las Sociedades Espanolas de Fisica Medica y de Proteccion Radiologica es un evento anual que reúne a los principales interesados y líderes de opinión en el área de radiología en España. Es uno de los palcos más importantes en España para presentar nuevas ideas y avances tecnológicos en el área de radiología. Carestream va a estar presente con un discurso de una hora sobre la temática de protección del paciente y adopción del Índice de Exposición (IE) Estándar con vista a educar nuestros actuales y futuros clientes. Nuestra presencia es esencial para que Carestream se establezca como un referente en el mundo de la radiología. Me llena de orgullo acudir al congreso de este año en Cáceres representando a Carestream.

La temática de cómo reducir el efecto peligroso de la radiación en los pacientes nunca ha sido tan importante como ahora. La difusión de información médica por la Internet y otros medios ha hecho que más gente sea conciente y se preocupe sobre estos efectos negativos. Es urgente para fabricantes y radiólogos tomar medidas para tranquilizar a los pacientes y certificar que el impacto es reducido sin sacrificar la calidad de imagen. Esta es la temática principal para la edición de 2013 del Congreso.

Se pretende con este tema que cada fabricante mida la exposición del cuerpo de forma diferente a como se hace hasta ahora. Este es un problema porque así los niveles de exposición no pueden ser objetivamente comparados entre fabricantes (incluso a veces dentro del productor) lo que puede comprometer el objetivo de reducir la exposición y potencialmente poner el paciente en peligro, especialmente para diagnósticos pediátricos. La forma de arreglar la situación, investigadores y fabricantes han creado conjuntamente un IE Estándar para implementación internacional. La pena es que la adaptación está tardando demasiado para los pacientes.

En este sentido, Carestream ha tomado un paso por delante de sus competidores al implementar el Estándar EI desde el día 1 – un gran compromiso con sus usuarios y pacientes para aumentar la transparencia y reducir los riesgos de salud. Esto permite a los radiólogos balancear mejor las preocupaciones de sus pacientes, posibilitando una mejor comprensión de como actúan recíprocamente la dosis y la calidad de imagen. Todas las partes ganan: los radiólogos mejoran la satisfacción del cliente y la tasa de retorno, mientras los pacientes son diagnosticados con confianza e impacto reducido a su salud. Esto subraya la dedicación continuada de satisfacer las demandas de todo el espectro de servicio hasta el usuario final, el paciente.

El nuevo IE permite a los radiólogos crear una cifra de exposición “target” para cada parte del cuerpo, dependiendo de su permeabilidad a los rayos X, edad del paciente y otras consideraciones médicas. Una vez ejecutado el examen, la cifra de exposición observada es extraída y comparada con la cifra “target”. La variación entre las dos es calculada y radiada en tiempo real al usuario a través del programa, dándole información sobre si el paciente fue expuesto a demasiada radiación o justo a una cantidad razonable y suficiente. Esto da a los radiólogos la capacidad de mejorar la comunicación con el paciente, dando lugar a un mejor servicio.

Al adoptar anticipadamente el IE Estándar, Carestream pone énfasis en la transparencia y trabaja para que sus productos estén cada vez más bien equipados para ayudar a los radiólogos a reducir la exposición mientras mantiene la calidad de imagen. Una vez más, Carestream demuestra que está en la vanguardia de radiología.

Tengo muchas ganas de acudir al Congreso de Cáceres donde voy a presentar estas ideas a decisores y líderes de opinión de la industria, para consolidar la idea de que Carestream es una empresa dinámica y trabaja para ser la primera referencia nacional de radiología.

A Retrospective Look at SIIM 2013 Reveals Dramatic Changes on the Horizon

Robert Salmon, Carestream Health

Robert Salmon, Carestream Health

A retrospective look at SIIM 2013 reveals some interesting observations. First let’s acknowledge that this organization already tackles the challenge of marrying two functions: 1) the process of capturing images and 2) informatics, which is image management and storage conducted by IT systems.

At this year’s show, many presentations were focused on broad informatics-related topics—such as data analytics, enterprise archiving and interoperability among disparate systems.

These discussions are beginning to transcend the bounds of radiology and involve the key issues of sharing patient information and images with other healthcare providers or radiology groups. Vendor-neutral archiving is being addressed not just in terms of radiology exams, but as a technology that offers providers the ability to efficiently archive and access DICOM and non-DICOM data from radiology, cardiology and other departments.

Consolidated archiving is a hot topic because it can reduce infrastructure costs. But it also opens the door to greatly expedited access to many forms of patient information from a single archive.

I believe we can expect to see SIIM 2014 continue this evolution and embrace data management topics that demonstrate the ability to manage and store data that includes, but is not limited to, the radiology department.

But hey—take just a few minutes and listen to someone a lot smarter than I am on this stuff. Brian Casey, Editor in Chief from Auntminie.com and a trusted resource provides his perspective on SIIM, making me wonder what we will see next year…

What would you like to see covered at SIIM ’14?

[youtube http://www.youtube.com/watch?v=XVzgAWOomK4&w=560&h=315]

Sizing Things Up

Marianne Matthews, Editor, Imaging Economics

Marianne Matthews, Editor, Imaging Economics

Guest post by Marianne Matthews, editor of Imaging Economics.

I had to chuckle recently when Jockey rolled out its new bra sizing system. Everyone from fashionistas to morning talk show hosts seemed obsessed with the news. It even garnered coverage (pardon the pun) on the front page of The New York Times. While some called the new bra sizing system important, others deemed it unnecessary and even downright confusing.

When it comes to their breasts, American women have a lot more important things to think about. And some of it—like understanding the real implications of breast density—can be as confusing as going from a 34B to a 7-36.

Although 10 states have now enacted breast density notification laws, the issue remains controversial. Proponents say it’s a no-brainer. They point to studies that show that increased breast density correlates with increased breast cancer risk. Experts say those with extremely dense breast tissue have twice the risk of breast cancer compared to those with average breast density. Moreover, dense breast tissue makes it hard to spot cancer on a mammogram.

So why not just enact legislation that mandates informing women of their density?

Well, there are a lot of reasons not to. Some of those opposed say the science is not perfect, density studies are misleading, and density alone is not necessarily a major cancer risk. Others fear the notification legislation will lead to too many tests and unnecessary biopsies. Still others object on principle to the government legislating medical care.

To be honest, I’ve had trouble sizing up the issue myself. Originally, I was all for notification legislation. Then, when I had a mammogram a few months ago, I talked to my radiologist. Turns out, she’s adamantly opposed to the density notification because she believes it will lead to “panic” among women. She’s not the only expert who feels density notification will only confuse women further, perhaps make them think they have cancer, or mistrust mammography altogether. She’s got a point. (There is a great deal of confusion among the highly educated women I know about breast density.)

So, I’ve gone round and round on the issue and come full circle. On balance, I think it’s a good thing. At this point, I see at least three simple reasons to support density notification laws.

First, in today’s society, patients are expected to be their own advocates—and doctors have pretty much made that the case. Doctors spend very little time in office visits actually communicating with patients. We’re expected to arrive prepared with our list of complaints and questions—and cover them all in less than 10 minutes. We’re expected to know our numbers. In some cases, we’re even forced to follow up on test results because all too often the physician’s office doesn’t bother to call with results. So, since we’re expected to be sophisticated patients—which takes some of the burden off of doctors—we need to be informed about our own bodies. That’s as good a reason as any to let women know if they have dense breasts.

Second, there is no turning back. Advocacy organizations are succeeding on Capitol Hill. In addition to the 10 states that already have density notification laws on the books, several more state legislatures have introduced legislation in 2013. What’s more, Federal legislation is under way. My point: You can’t put the genie back in the bottle.

Finally, as a radiologist, if you come out against density notification, you’re probably shooting yourself in the foot. Though I remain loyal to my breast imager, my guess is most women would not find her views all that favorable. In short, it’s politically incorrect for a women’s imaging provider to oppose the density movement.

So, you might as well use the density issue as an opportunity to educate your patients. Talk to her; get closer to her; show her radiology’s value. You can either be viewed as a foe or join the fight. That’s about the size of it.

Are You Providing Value to Patients?

Carestream CMO

Norman Yung, Chief Marketing Officer, Carestream

Providing value to patients has always been the name of the game whenever we talk about patient engagement and patient access. We at Carestream recently met with our Medical Advisory Board—comprised of thought leaders from around the world in the area of radiology, IT, and healthcare administration—to discuss trends taking place in the medical imaging and healthcare IT industries, and the needs of patients was one of the most in-depth focus points.

The Office of the National Coordinator for Health Information Technology (ONC) has outlined what patients are looking for from tools such as portals and EHRs.  These include the following:

  • “Less paper work”
  • “Better care coordination among healthcare providers.”
  • “Fewer unnecessary tests and procedures.”
  • “Easy electronic access to medical records and greater control over personal health.”

If you’re thinking that this is all well and good, but asking whether patients will adapt to these technologies, here are some supporting statistics:

  • 80% of Americans who have access to their health information via EHR technology use it
  • 65% of Americans who don’t have electronic access to their healthcare information say that it is important to have
  • 2 out 3 people would consider switching to a physician who offers access to medical records through a secure internet connection.

These kinds of statistics tell a story in which patients are clamoring for access to healthcare information and those demands, which have evolved into needs, are not being met. According to a Harris Interactive poll from 2012, that will also cited in a recent infographic we created, very few patients have access to technologies that address their most sought after needs. For example, only 17% of patients have online access to clinical data while 65% of patients qualify that need as being “important” or “very important.” Another testament to this issue has only 12% of patients with capabilities to email their doctor, even though 53% of patients classify that ability as being “important” or “very important.”  As you can see, we have a long way to go when it comes to meeting patient needs.

As a company focused on medical imaging, we wanted to gauge whether or not these images are seen as vital to access by patients. From the survey we conducted, we saw that about 79% of people who said they wanted either online access to medical images, or access to both online and hard copy versions of medical images. When asked what they would do with these medical images, 88% said they would share them with their physicians, and about 61% said that they would share them with their family, while only about 4% said that they wouldn’t share the images at all.

This information tells us that medical images need to be included in the conversations about patient access and patient engagement. Knowledge has always been power, and by providing patients with the ability to access, view, share their medical images we are providing them with more knowledge and control over their own healthcare.

We asked the members of the Medical Advisory Board to rank what role imaging can play in patient engagement and chose what’s most important:

  • Education (prior and after procedure/episodic care)
  • Provide services to reduce patient wait time (ex. Kiosk for check-in)
  • Patient online access and self-management
  • Concierge healthcare (personalized phone calls, reception, follow up etc)
  • Create multidisciplinary teams with referring community to create referral plan
  • Social networking such as Facebook, Twitter

Here were the results:

Results of Medical Advisory Board Survey

What do you think is the most important role imaging can play?

The 2013 SIIM Conference: Translating Today’s Innovations to Tomorrow’s Clinical Practice

Robert Salmon, Carestream Health

Robert Salmon, Carestream Health

The Society for Imaging Informatics in Medicine (SIIM) is a leading healthcare professional organization that represents the interests and goals of those who work in the rapidly changing world of information and imaging technologies. The opening session of SIIM ’13 featured the engaging Bradley Erickson, MD, PhD, who is an active practitioner and leader in the field of medicine and imaging informatics (as well as being a former world-class volleyball player!).

His presentation on “Translating Innovations to Clinical Practice” looked closely at translational research, which is the process of taking something proven to work in the lab and making it work in the real world. This is not the same as innovation, which is the disruption of current processes or technology and “breaking the rules” to create a new paradigm, and in fact, the two can often be at odds.

He believes that combining elements from both translational research and innovation in the right amounts and at the right time—along with having the right people in place who are given the freedom to make honest improvements and well-intended mistakes along the way— can generate improvements in the way clinical care is provided that are both profound and long-lasting.

Healthcare IT systems have improved patient care, reduced medical errors and helped providers reduce costs in many areas. Advances in healthcare IT have made the practice of radiology better than it has ever been. Innovations in healthcare IT systems have enabled facilities to more easily share patient information and images with other providers or radiology groups, and vendor-neutral archiving has helped satisfy meaningful use initiatives while achieving affordable, efficient information exchange.

SIIM is a catalyst in the advancement of healthcare informatics. Much has already been accomplished to the benefit the radiology profession and the patients it serves. And there is much more to come…

SIIM 2013

What is your organization doing to bring innovation into clinical practice?

UKRC 2013: Vendor Neutrality and Interoperability—What Does that Mean for You?

Ignace Wautier, Business Development Management Northern Europe, HCIS, Carestream

Ignace Wautier, Business Development Management Northern Europe, HCIS, Carestream

In a renewal market such as the UK, the availability of archived data is one of the biggest concerns of the NHS trusts. PACS and clinical application vendors are regularly changed in healthcare facilities and these healthcare professionals should not have to worry about the availability data or its migration during installation of a different vendor.

On 11 June at UKRC 2013, I will be presenting, “Carestream Vendor Neutral Archive (VNA), an Oxymoron?” Carestream has noticed that its customers want to keep control and ownership of data they produce. Recent NHS renewals have shown it is not always easy for customers to get their data archived or transferred to new PACS or clinical applications. Because of this, it has reached the point where some PACS vendors that provide clinical archives as part of PACS quote expensive professional services to transfer data from the legacy archive to the archive of the new PACS/Clinical application provider.

Customers want to archive not only DICOM data from radiology, but also other clinical data related to a patient-centric archive. They also wish to reduce costs by having one single archive for the whole institution/group/region/country, as well as the ability to increase performances and speed of the data transfer.

These trends show that the market is changing with an increase of collaboration between sites, trust, region, and the customers are looking for easy solution to securely share the data. Vendor neutral archives (VNAs) have proven that they are the ideal foundation for data sharing.

But what is a VNA? An issue with this technology is that there is no single definition. Each archive provider commercialises their own VNA version.

How do you find the right compromise between pure neutrality and performances?

What about IHE profiles? XDS? BPPC?

The aim of my presentation is to review different VNA definitions and come with a proposal that fit the needs of healthcare IT institutions in the UK.

Based on “expensive” transition experience some customers are reluctant to work with a traditional PACS provider to implement a new VNA. But all the PACS providers are not the same. Some have a portfolio of solutions that use a neutral archive as a foundation to build their complete healthcare proposal adding applications modules.

Carestream is a pioneer in this domain. We introduced the first VNA in 2003. We constantly developed our solution to integrate new healthcare standards and fit accordingly to market needs. Our large VNA install base around the world proves this.

In conclusion, when you look for a VNA, you need to chose a partner open to listen and understand your need. Deep analysis is needed to understand goals you want to reach.

To get in touch with Carestream at UKRC 2013, you can find us at stand 20 or click on the link for more information.

UPDATE – 12 June, 2013: Below is an embedded version of the presentation I gave at UKRC on June 11, 2013