Diagnostic Reading #4: Five Must Read Articles from the Past Week

Our Diagnostic Reading Top Picks

This week’s articles describe the high priority radiologists Diagnostic Reading #5 - Radiology and Health IT Articlesplace integrating PACS with an EHR, expected growth for the global ultrasound market, patients’ desire for personalized treatment, Radiology Today’s top picks for areas within the imaging space that promise the greatest innovations and a study that indicates mentally demanding activities may play an important role in maintaining a healthy brain.

With such a wide variety of PACS and electronic health records (EHRs) in the marketplace, decision-makers at hospitals and private practices have a lot to consider when purchasing new equipment. If they want to keep their radiologists happy, they may want to make sure the PACS can be properly integrated with the EHR. According to a recent study published by the Journal of the American College of Radiology, an integrated EHR is a bigger priority to radiologists than having access to the most advanced clinical features.

The global ultrasound marke Continue reading

Cyber security, IoT and Cloud Dominate Future Predictions

IDC Shares its Latest HealthIT Predictions for 2016

Man checking his laptop with a stethoscope

A new year brings many changes—green grass turns to white snow, people announce their New Year’s resolutions, and in 2016, cyberattacks are expected to increase in intensity and volume. In fact, it’s likely that cyberattacks will compromise 1-in-3 healthcare records in the coming calendar year, according to research from IDC.

Change is inevitable, but it’s a huge advantage to be able to see what’s coming and prepare for it. International Data Corporation (IDC) released its latest healthcare IT predictions for 2016, including startling statistics about the growth of IT spending and increased emphasis on cyber security due to breaches. IDC identified its “Top 10” predictions for the year; the question now is what they mean to the average healthcare CIO.

These are our key takeaways from IDC’s 2016 predictions:

  • Attacks are on the rise. In fact, IDC research predicts that one out of three individuals will have his or her healthcare records compromised by cyberattacks in 2016. Coming off the heels of the Continue reading

Feast Your Eyes on our Top YouTube Videos of 2015

Carestream’s Popular Videos on YouTube

Whether stuck in winter in the northern hemisphere or living in Melbourne and watching the Australian Open where it’s 90 degrees, YouTube makes it easy to soak up enormous amounts of information on anything that interests us. In 2015 we hosted a batch of videos that radiology and healthcare IT professionals found valuable.  So whether you are cold or hot–grab a beverage of choice and cruise through a few of these videos. Instant information at your fingertips…

We’re sharing our list of our most popular videos in 2015 that includes overviews of our new innovative products at RSNA, image archiving, image sharing and other HealthIT topics, plus demos and benefits for our image capture medical devices for ultrasound and digital radiography.

New Innovations shares at RSNA

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Diagnostic Reading #3 – Five Must Read Articles from the Past Week

Several top news sources recently published articles that contain helpful insights for radiology and healthcare IT professionals

This diagnostic reading articles describe how the Internet and mobile technologies have led to higher patient expectations, why radiologists need to maintain good relationships with other clinicians and patients to be effective, nine trends to watch in 2016, patient opinions on acceptable ways to share their health information and the latest tactics being employed for cancer detection and treatment.Carestream Diagnostic Radiology Articles

Eight-nine percent of healthcare providers say technology has changed patient expectations, according to a recent EMC report. Respondents to the survey, which polled 236 healthcare leaders from 18 countries, said more than half of their patients wanted faster access to services. 45 percent wanted 24/7 access and connectivity and 42 percent wanted access on more devices. Another 47 percent said they wanted “personalized” experiences.

While office colleagues are integral to a radiologist’s success, they can’t be the only other players to comprise the team. To be truly effective, radiologists must cultivate and maintain open relationships with other stakeholders – referring physicians, hospitals, technologists, and, most importantly, patients.

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Fluoroscopy and Digital Radiography in One Room

Introducing the CARESTREAM DRX-Excel Plus fluoroscopy systems

Fluoroscopy has been around almost as long as the X-ray itself. Shortly after Röentgen discovered X-rays, practitioners projected medical images onto a fluorescent screen and stood by to observe the results in real time.

Today, the results of a fluoroscopic exam are “coupled to an electronic device that amplifies and transforms the glowing light into a video signal suitable for presentation on an electronic display,” writes Eric Gingold, PhD in an Image Wisely1 article (Modern Fluoroscopy Imaging Systems).  Dr. Gingold dryly remarks that this results in a reduction in dose to the patient as well as a “substantial reduction in radiation dose to the fluoroscopist.”

Carestream DRX-Excel Plus System in useAn idea whose time has come.

But traditionally, despite the fact that many of the basic requirements for fluoroscopy equipment were similar to those of X-ray equipment, the fluoro system required its own room—putting a strain on resources in crowded hospital radiology departments. And unless the requirement for fluoroscopy was especially heavy, the fluoro room was not fully utilized—while X-ray rooms were fully booked.

Enter the CARESTREAM DRX-Excel Plus fluoroscopy systems

These versatile systems can record both fluoro and radiography sequences and interventional procedures.

In an organization where resources are constrained, it is now possible to use the “fluoro room” for digital X-rays as well as fluoroscopic studies. And that can mean increased utilization, better workflow, and increased productivity.

Is your organization planning a new fluoroscopy room? Perhaps you should explore the more versatile DRX-Excel Plus System that permits both fluoroscopy and digital radiography in the same room. To learn more, visit drxExcel.com

1 Image Wisely is the organization dedicated to lowering radiation dose from medical imaging supported by ACR, RSNA, ASRT, and AAPM.

Jane_Duffy-White_CarestreamHealthJane Duffy-White, Marketing Manager, Carestream Health


Diagnostic Reading #2: Five Must Read Articles from the Past Week

This week’s diagnostic reading articles describe the need to deploy Healthcare Vue for Radiology enterprise image viewers, growing adoption of telemedicine tools by healthcare providers, changes expected in data security, cloud and mobile technologies, why radiologists need to lead change and how patient-centric care can result in shorter perceived wait times and greater satisfaction.

Providers have more work to do to expand enterprise image viewing, which gives clinicians the ability to quickly view patient images without limitations on where they can view them, according to the results of a new HIMSS Analytics survey. The survey of 144 hospital, health system and ambulatory PACS/radiology leaders, follows a similar study conducted by HIMSS Analytics in late 2014 to gauge trends in provider adoption of enterprise image viewing. Less than half of respondents indicated that they use an enterprise image viewer to meet their diagnostic imaging needs.

Telemedicine tools like smartphones, two-way video, email, and wearable technology are becoming increasingly common in many healthcare settings. In 2014, HIMSS led a study that found that 46 percent of more than 400 hospitals and medical practices said they used at least one type of telemedicine. Additionally, the Academy of Integrative Health & Medicine (AIHM) found that 33 percent of U.S. healthcare practitioners offered healthcare services via telephone, video, or webcam visits, and another 29 percent planned to do so in the next few years.

Several industry analysts have forecast that 2016 will be the ‘year of action’ on many technology fronts, as several recent trends become commonplace strategies. Cloud computing, data security and mobile are tops among them. This article contains six predictions for what we can expect in 2016 on the mobile technology and cloud computing fronts.

Frank Lexa, MD, MBA, radiology residency director for Drexel University College of Medicine, calls upon radiologists to lead change “because if you let someone make changes who doesn’t understand what we do, it will be damaging to our industry and to your patients.” He advises radiologists to pick one project in one location, and demonstrate its value before spreading any alterations elsewhere.

Focusing on a patient’s satisfaction can lead to shorter perceived wait times and higher patient satisfaction, according to a study published in the Journal of the American College of Radiology. Anna Holbrook, MD, Emory University School of Medicine, and colleagues studied questionnaires completed by 147 MR outpatients who had received care from a radiology department in which “patient experience” was a stated strategic priority. The authors found patients often believed the wait time was almost half what it actually was and were satisfied with the experience.

X-rays and Mom — Case Study into the State of Imaging Technology

Reposted from Imaging Technology News (ITN) with permission.

While I write a lot about medical imaging technology and how new technology can and should work, it is not often that I get to experience how things actually work in the real world. This past Thanksgiving I received a call from a paramedic explaining that my mom had fractured her leg and I should stop working on the turkey and fixings and rush to the emergency department (ED) at Edward Hospital in Naperville, Ill. She had been walking her dog on wet grass and leaves in a park when her dog took off after another dog and pulled her down. She was whipped around and the change in weight caused her to dislocate her ankle (the bottom of her shoe was facing her when she looked at her feet) and caused a spiral fracture to her fibula.

ImagingTechnologyNews December-2015 X-ray_Fractured_fibula_with_permission_of_patient_MF

A bedside screen shot of a Carestream DRX mobile X-ray in the ED of the fractured fibula.

When I got there my mom was already heavily sedated due to the pain and because the ED staff had already put her ankle back in place. The ED doctor ordered a digital radiograph (DR) of her leg to see the extent of damage. They wheeled in a new Carestream DRX mobile X-ray system and I had a live demonstration of how fast these types of systems can snap the pictures. It called up the images immediately on the machine’s screen. The image of the Pott’s fracture with fragments was really interesting as someone who covers radiology, but I also realized from a non-clinical standpoint she was really messed up and in pain. Additionally, she would need reconstructive surgery to put her Humpty Dumpty leg back together again. She was way up the creek without a paddle with it being Thanksgiving and there were no orthopedic surgeons in staff due to the holiday. The day after Thanksgiving was not much better, as we found, since most physicians were out through the following Monday. So the ER splinted the leg, wrapped it in ace bandages and sent her home with heavy pain killers.

Compounding her mobility issues was the fact that she has bilateral knee replacements. Due to the trauma, broken bone and knowing she had these implants that further limited her ability to move around, she was prescribed a prophylactic anticoagulant.

Knowing we would need the images for a surgeon to review, I had the ED burn a CD. However, I was happy to find

ITN NEWS Orthopedic_Surgery_repair_of_Broken_fibula_with_permission_of_patient_MF_0

The post-surgical X-ray showing the bone repair, which was accessed and copied by the patient using a patient portal.

Edward is among the growing number of hospitals to grant patients access to their health records via a DR Systems Internet image/results distribution system. This technology pulls images and reports from the hospitals’ Epic EMR (electronic medical record) system and makes them available for remote viewing by clinicians outside of the hospital’s picture archiving and communication system (PACS). She also was given login instructions at discharge for a patient portal so she could access her records and images herself on a home computer or smartphone.

We managed to find one orthopedic surgeon in their office on the Friday after Thanksgiving. They thought it was great that we had a CD, but before attempting to open it, they asked which hospital she had been at. Edward was already in a health information exchange, so outlying offices such as this one from a different medical group could access her records remotely in less than a minute. They were able to call up her images and see what meds she was prescribed, which made the office visit go much faster.

She had surgery on Dec. 1, the Tuesday of RSNA 2015. The orthopedic surgeon practiced at Elmhurst Hospital in Elmhurst, Ill., across the county from Naperville. But, thanks to the remote image viewing system, they could get the ED images for reference and planning. The surgeon’s post-surgery DR image showing the reconstruction of the fibula also was available via my mom’s patient portal.

She did what most patients today do with this type of access and posted her X-rays on Facebook. Leveraging the Facebook form of patient engagement, the result was lots of sympathy, flowers and friends volunteering to help her with things around the house and groceries since she cannot walk or drive for at least two months.

While an unfortunate incident and a horrible thing to have happen to my mom, from a professional standpoint, I was happy to see the technology I cover working in the real world as it was intended. The speed in workflow efficiency, speed and ease of access to her imaging at the point of care and remotely, and access to a patient portal are all examples of how the healthcare system should work. In this case, the technology and imaging integration was flawless.

David_FDave Fornell, ITN Editor

Dave Fornell is the editor of Diagnostic & Interventional Cardiology magazine and assistant editor for Imaging Technology News magazine.


Imaging Case Study: Carestream Mobile DRX-Revolution


To learn more about the CARESTREAM DRX-Revolution, click here.

Medical Apps and More Medical Apps

Medical Apps Watch: Development, Use and Potential

Medical Apps and More Medical Apps

From time to time, we report news and perspectives on the latest in healthcare app development, and the use and potential for new medical apps in healthcare, and especially radiology.

Hundreds of medical apps are being released for healthcare every month, for both Android and iOS smartphones and tablets. Yet clinicians are finding it difficult to determine how to use this cascade of applications. Many medical apps permit patients to provide data to clinicians about personal health status—number of steps per day, or calories per meal, or finer nutritional detail. Certainly this is valuable background, assuming the physician has the time to review it. But where does this additional data belong in the EHR (if at all)?

If your organization is pursuing a Vendor Neutral Archive (VNA), determining guidelines for storage, clinical rules and information lifecycle of consumer data should definitely be part of your enterprise planning, as it can easily add function to your collaborative efforts among patients, PCPs and specialists.

Many of the new apps are helpful to clinicians and do not include HIPAA-sensitive data:

Medical Apps: EpocratesEpocrates has several such apps, like the Nephrology Tool with its renal data and calculators, or the Epocrates continuing medical education (CME) tool with over one million active members pursuing CME on their smartphones.


Medical Apps: Medscape

Medscape is another useful app for both Android and iOS devices that helps clinicians stay up-to-date with the latest journal articles and news. This week in radiology, for example, Medscape reports on discoveries funded by the Brain Initiative, as well as news from RSNA about radiologists’ use of social media to raise their public profiles and other articles covering new studies. (Source: http://www.medscape.com/radiology)

Medical Apps: ePSS

Clinicians we spoke to told us they used the AHRQ ePSS app to screen patients quickly for a quick evaluation of possible preventive steps applying to patients based on a number of risk factors including age, sex and more.


Medical Apps: iMedical

iMedicalApps keeps track of all things healthcare app-related and recently published an excellent rundown entitled “The Best Medical Apps Released in 2015 for iPhone & Android.” They reference apps including clinical, educational, practical, helpful, and yes, even fun. Examples include Bard VR (using Google Cardboard to the iOS ResearchKit and discussion of recent studies launched using the kit as a framework.

Are you using healthcare apps in your enterprise? Everything Rad would be interested in hearing about your favorite apps and how you are incorporating app data into your collaborative workflow, data storage and access.

Cristine Kao, Healthcare IT, CarestreamCristine Kao is the global marketing director for Carestream’s Healthcare Information Solutions (HCIS) business.



Editor’s Note: Stay tuned for our next App Watch post which will discuss how apps are generating “big data” and what that might mean for your enterprise data storage and access planning.

Top Five Blogs of 2015 on Image Capture Devices from Everything Rad

Since we just left 2015, it is a popular time of year to take a look back at the blogs that generated the highest interest
throughout the year. In this summary, we look at some of the most popular Everything Rad blog of 2015 covering technology advancements in ultrasound, full imaging rooms, fluoroscopy and weight bearing imaging.

  1. The Potential Value of Weight Bearing Images Acquired by Cone Beam CT – John M. Marzo, MD, discusses an institutional IRB-approved clinical study to comparing measurements obtained on a conventional CT scanner to those obtained on the prototype portable CBCT scanner – while the patient is standiThumb Up X-ray photong.
  1. Carestream’s New Fluoroscopy System [Demo] – The DRX-Excel Plus is shown in action. The video takes you through the various capabilities of this new fluoroscopy technology, including the various features and settings on its control panel and the different positions available on the system for a variety of exams.
  1. What’s the Big Deal about GPUs in Ultrasound Imaging? – If you’ve wondered how a little video game box could produce and destroy high-resolution, 3D fantasy worlds in the blink of an eye, look no further than the console’s graphics processing unit or GPU. GPUs are better equipped than CPUs – the central processing unit that processes data in most computers – to quickly compute functions and algorithms related to rendering images.
  1. Ergonomics Using the CARESTREAM Touch Ultrasound System [Video] – Carolyn T. Coffin, MPH, RDMS, RVT, RDCS, Sound Ergonomics, LLC, demonstrates in this video the ergonomic design of the CARESTREAM Touch Ultrasound System.
  1. A Closer Look at the New DRX-Evolution Plus System – The features and capabilities of next evolutionary stage of the CARESTREAM DRX-Evolution System: the CARESTREAM DRX-Evolution Plus are explored.