Retos del radiólogo en la gestión de la Inteligencia Artificial y el Big Data

Plantear una radiología no digital es un anacronismo

Click here to read the English version of this Spanish blog.

El Dr. Pablo Valdés, vicepresidente de los radiólogos españoles, analiza en esta entrevista algunos de los aspectos más trascendentales de la especialidad. Con la vista puesta en un futuro no muy lejano, este experto en gestión y calidad en radiología advierte que con la llegada innovaciones como la Inteligencia Artificial, la robótica o el “big data”, el radiólogo se convertirá en un gestor de información y un especialista del  proceso de imagen que va a contribuir de manera decisiva al bienestar de los pacientes y a la sostenibilidad del sistema sanitario.

El Dr. Valdés, que en la actualidad es director de Área de Radiodiagnóstico de la Agencia Sanitaria Costa del Sol, recuerda también el importante papel que sigue jugando la radiografía convencional en el proceso diagnóstico. doctor working on ipad Continue reading

Cloud Strategy: An Enterprise Imaging White Paper from Carestream and HIMSS

What is your cloud strategy for medical imaging? Two large hospitals see it differently

Joe Thornton, Carestream Health

Cloud strategies for storing and accessing medical images across the enterprise are front and center in healthcare IT these days. The increasing sophistication of imaging technology has resulted in substantial increases in imaging data.

The upside of this evolution is that clinicians have more imaging information available to aid in diagnosis and treatment. The downside is that the vast increase in imaging data is putting pressure on provider data centers everywhere.

As storage requirements increase with every new modality, the cloud is no longer an optional part of your enterprise imaging strategy. It is rapidly becoming an essential component. Our new cloud strategies white paper shares the experiences of two different imaging providers with a cloud strategy. Continue reading

Radiology: 2016 Year in Review

Everything Rad: Top 7 Blogs in Diagnostic Imaging

Katie Kilfoyle Remis, Carestream Health

As 2016 winds down, we take time for a Radiology Year in Review on Everything Rad.  There was considerable innovation and disruption in radiology and health IT imaging in 2016. The themes and conversations at diagnostic imaging sites and in media publications were reflected in our blogs. For our 2016 Radiology Year in Review, we are sharing the 7 blogs from Everything Rad that generated the most shares and likes.

What would you like us to write about in 2017? Would you like to be a guest author?  Post your suggestions and comments on this blog or email us at socialmedia@carestream.com.  We’d love to hear from you.

image of 2016 coming to a cloae

Baystate Health’s Regional HIE Invites Outside Providers to Participate to Help Enhance Patient Care

Baystate Health is an integrated delivery network (IDN) that includes five hospitals and more than 90 primary and specialty care practices serving a region of western Massachusetts with 800,000 residents. Patients that come to their facilities are also visiting other facilities outside of their network. Neil R. Kudler, MD, Chief Medical Information Officer at Baystate Health, shares the steps that Baystate Health is taking to reduce the chance that patients might be at risk of receiving duplicate procedures and imaging exams.

Reducing Sonographer Injuries Takes a Team Approach

Ultrasound is growing in popularity and its increased demand is impacting sonographers’ workload. An increase in the number of exams is placing added strain on sonographers who are already at risk of injuries like carpal tunnel syndrome from repetitive motions. The risk of injury can be minimized if sonographers, hospital and radiology department managers, and manufacturers work together. Continue reading

Medical Device Decision Priorities—a Worldwide Look

Throughout the U.S. and worldwide, equipment decision criteria are not so different

Bob Green, HIMSS member and writer

There are clear advantages to having new, up-to-date medical devices; including gains in productivity and efficiency. Medical equipment can support the movement to reduce healthcare costs and increase its efficiency and effectiveness. This movement is worldwide, and nothing new, as a graphic on medical device prioritiesMcKinsey report[1] stated a few years ago. “Today, medical device companies operate in a different world. In developed countries, healthcare systems are under acute financial pressure…. Developing economies are transforming the environment, too…. Success in emerging markets requires a deep understanding of stakeholders’ needs.”

New stakeholders influence purchase decisions

And new stakeholders are changing the way organizations look at the purchase of medical equipment. “In the developed world, decisions that used to be the sole preserve of doctors are now also made by regulators, hospital administrators, and other non-clinicians…. The result of this phenomenon is a shift from individual outcomes to a focus on population-level effectiveness.” Also, big data is beginning to offer a new level of evidence-based data that helps us evaluate the true advantages of technology.

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Heathcare IT, Your Cloud has Arrived Courtesy of Intel (and Carestream)

Preparing for the next-generation of medical imaging data and analytics

Cristine Kao, Carestream Health

Today, the cloud is a grownup with a seat at the IT table. The major issues around the cloud (security, access and speed) have been satisfactorily resolved by industries outside of healthcare: technology, software, financial services, Cloud_imageand retail have been using the cloud for years.

Of course, healthcare does have its own unique issues of privacy, security and access that make it slow to adopt any new technology, and the cloud has been no exception. But progress has been made. In a recent annual study of 125 large and small cloud users, for the first time in 2016, security was not the first concern mentioned. Technology has jumped ahead to meet the challenges of healthcare’s journey to value.

The cloud is an essential part of the healthcare industry’s IT structure/restructure to reduce costs, increase clinical collaboration and speed up clinicians’ access to information. As larger study files boost storage requirements, Intel and Carestream have partnered in Intel’s Storage Builder Program. The purpose of the collaboration is to blend Carestream’s expertise in healthcare information systems with Intel’s technological prowess to increase the performance of Carestream’s PACS and RIS systems and to make them more useful to clinicians.  For example, Carestream recently deployed the new Intel® Solid-State Drive (SSD) Data Center (DC) Family for PCle® P3700 featuring Non-Volatile Memory Express™ (NVMe™) and observed a threefold increase in throughput in that portion of the Carestream Vue workflow.

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CIO eBook: A Healthcare IT Journey in 8 Chapters

CIO eBook chronicles healthIT migration from paper to electronic record keeping

Julia Weidman, Carestream Health

Three years ago, when we embarked on our CIO eBook, the healthcare IT world was in a different place. EHR adoption was starting to rise, enabling more complete information access electronically within the enterprise.  Images were not typically available via a patient portal. They were hand-carried by the patient or sent by messenger to the referring physician. 3D studies were less prevalent, and study file size was smaller. Storage was a threat, but not a major obstacle. Cloud storage was commonplace for other industries, but not healthcare. Now look at how far we’ve come.

To understand the journey, read the eBook, “From Trust to Use and Beyond,” for a look at the major factors that have been driving clinical collaboration and change in healthcare IT. The interactive eBook takes a case study approach to the critical issues that are at the root of healthcare IT: trust, access, data, mobility, interoperability, integration and VNAs. Here’s a summary of what you’ll learn:

The issue of trust is at the heart of Chapter 1 in our CIO eBook. Clinicians are coping with change by placing trust in the things that have worked for them in the past. They know that when they spend time with patients, outcomes improve. Yet there is never enough time available. Meanwhile, adopting new procedures and a new workflow, no matter how promising the results might sound, is perceived as taking time away from patient care. So clinicians are skeptical. Chapter 1, “Building Trust”, is the story of Maureen Gaffney from Winthrop-University Hospital on Long Island, NY.  She is a clinician—physician’s assistant (PA-C) and RN who has ascended to Senior Vice President Clinical Operations and Chief Medical Information Officer (CMIO). image of Carestream CIOebook

Ms. Gaffney’s approach to transforming her hospital was clear from the start. She began by enlisting the buy-in of senior management at the hospital, ensuring resources and transparency. Most of the actions taken on behalf of her project were guided by multidisciplinary committees which always included a clinician and an informatics specialist as members. The starting place was to ensure data integrity, coupled with an understanding of how the data would be used, and how the electronic version would fit into the clinical workflow. Continue reading

Sådan opbygger du HIT-systemer, som giver store data mulighed for at revolutionere leveringen af sundheds-IT

Store data skal have den rigtige sundheds-IT-infrastruktur for at udnytte deres potentiale fuldt ud

Lars Karlsson, Carestream Health

Der er en stigende forventning om, at anvendelse af “store data” i sundheds-IT vil revolutionere leveringen af serviceydelser inden for sundhedsvæsenet i hele verden. For at udnytte sit potentiale fuldt ud skal hver sundhedsorganisation opbygge en infrastruktur, som gør det muligt for store data at arbejde inden for virksomheden ved at:

  • Håndtere store mængder data og understøtte data med høje transmissionshastigheder
  • Anvende et styringssystem, som kan klare vekslende datatyper og kilder, verificere kvaliteten af indlæste data og håndtere eventuel datauoverensstemmelse og
  • Maksimere værdien ved at omsætte den kliniske indsigt fra data til praktisk brug, som kan optimere behandlingskvaliteten.

Sundhedsorganisationer har med en eksponentiel vækst af HIT-data at gøre, som især kommer fra radiologi og andre billeddannelsesundersøgelser. Dr. John Halamka, Chief Information Officer for Beth Israel Deaconess Medical Center (BIDMC) i Boston, Mass., har for nyligt i en artikel i Harvard Business Review udtalt, at hans mål ikke er at overvælde lægerne med store data, men at anvende disse data til at udstyre lægerne med den information, de har behov for, til at træffe de rigtige, kliniske beslutninger.

BIDMC anvendte er værktøj, der blev kaldt “screening sheets” til at understøtte kontinuerlig dataanalyse. Eksperter beslutter, hvilke dataelementer og hvilke ting, der er vigtige for almindelige sygdomme, og sørger for at integrere oplysninger i screening sheets-værktøjet. Efterhånden som patienterne modtager ny medicin, laboratorieresultater og diagnoser, underretter den elektroniske sygejournal (EHR) lægerne om, hvornår de skal gøre noget.

Udover at levere omfattende behandling skal sundhedsudbydere også finde nye måder at gøre det så nemt og praktisk som muligt for patienterne. Patienter, som besøger et hospital eller en anden primær behandlingsfacilitet, kan drage fordel af at kunne få efterbehandling på en facilitet tættere på deres hjem—men kun hvis data fra primære behandlingsfaciliteter kan blive delt med andre sundhedsudbydere. At administrere og dele patientdata mellem forskellige sundhedsudbydere er en udfordring, der skal tages op.

Fuld rapportering er et essentielt element ved kommunikationen af en patients tilstand, og det indebærer integrering af både strukturerede og ustrukturerede billeder. Forbedrede multimedie-rapporter med interaktive hyperlinks til kritiske billeder og automatisk inkludering af kvantitativ analyse i form af letforståelige sammenligningstabeller og diagrammer. Målsætningen med denne avancerede rapporteringsform er at præsentere billeddata på en måde, som er indsigtsfuld for lægerne—og resulterer i en mere omfattende evaluering af hver enkel patients tilstand. En undersøgelse på U.S. National Institutes of Health, publiceret i American Journal of Radiology bekræftede, at både onkologer og radiologer foretrak kvantitative, multimedie-rapporter, som omfattede målinger og hyperlink til billeder forsynet med kommentarer.

Udover ustrukturerede billeder beskæftiger faciliteterne sig også med en stor mængde ustrukturerede data. Natural language processing (NLP) kan anvendes til at detektere fejl, bestemme overensstemmelse, finde henstillinger til follow-up og vurdere usikkerhedsniveauet i radiologirapporter.

Dataene genereres ved en hurtig hastighed på sundhedsorganisationer over hele verden. Udfordringen er at udnytte disse informationer og organisere dem på måder, der gør aktiverbare data let tilgængelige for læger, som kan bruge dem til at forbedre patientbehandlingen.

Click here to read the English version of this Danish language blog.

#bigdata #healthIT

Lars Karlsson

Lars Karlsson er Carestreams administrerende direktør for det nordiske område

How to Build HIT Systems for Big Data to Revolutionize Healthcare Delivery

Big data needs the right health IT infrastructure to live up to its potential

Cristine Kao, Carestream Health

There is a rising expectation that the application of “big data” in health IT will revolutionize the delivery of healthcare services across the globe. To achieve its potential, each healthcare organization must build an infrastructure that allows big data to work within its enterprise by:Image showing volume of big data

  • Handling large volumes of data and support very high speed data transfers,
  • Deploying a management system that can handle varying data types and sources, verify the quality of captured data and address the inconsistency of some data; and
  • Maximizing value by applying the clinical insights gained from data into practical uses that can drive the quality of care.

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Diagnostic Reading #21: Five “Must Read” Articles for HIT and Radiology from the Past Week

Imaging volumes and analytics make the news

This week’s articles include: providers need to leverage social media to target women; most physicians don’t know the costs of tests and procedures; many EHRs are missing data for inpatient and outpatient events; continued Image of Big Dataincreases in patient visits to the ED has boosted imaging volumes; and a University of Texas professor contends that it might be a long time before healthcare analytics change the way providers deliver care.

Providers need to embrace social media for patient engagement – Health Data Management

If physicians want to reach today’s consumers, they need to leverage social media to target women who are making the healthcare decisions for their families and households. “Fifty-nine percent of women are making healthcare decisions for others in the United States, and that number shoots up to 94 percent among working moms with kids under 18,” said Dr. Geeta Nayyar, a practicing physician and mother who was one of the keynote speakers at a recent conference. Mothers who are 25 to 45 years old are the ones who are hiring and firing doctors, and using social networking to post online testimonials—both positive and negative.

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Big Data : l’avenir de l’imagerie réside-t-il dans les chiffres?

L’application d’algorithmes va faire progresser les soins de santé préventifs

Patrick Koch, Carestream Health

Arrêtez-vous un instant et prenez le temps d’observer les images que les radiologues sont en train de consulter. Elles pourraient bien disparaître complètement.

Dans un avenir proche, il se peut que les radiologues analysent des “nombres” plutôt que des images. Ce changement radical permettrait non seulement de faire un grand pas vers l’objectif fixé en matière de médecine préventive mais il pourrait surtout modifier le système de soins de santé dans son ensemble. Voici les explications.radiologue, visualisation, image

De nos jours, les médecins prescrivent des examens d’imagerie afin de déceler la présence d’une cause ou d’une maladie spécifique et généralement caractéristique. Les données de pixel acquises à l’aide de la modalité d’imagerie sont assemblées (ou reconstruites / affichées) pour former une image compréhensible par le cerveau humain. Les radiologues sont formés pour reconnaître, comprendre et analyser les formes, les ombres et les couleurs présentes sur cette image afin de poser un diagnostic.

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