Dr. Michael Gee Receives the Carestream Health/RSNA Research Scholar Grant Award

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Michael S. Gee, MD, PhD, Massachusetts General Hospital, Radiology, is the 2010 recipient of the Carestream Health/RSNA Research Scholar Grant Award. He will be studying “Evaluation of Diagnostic Magnetic Resonance (DMR) Technology for Molecular Characterization of Cancer Cells from Percutaneous Image-Guided Biopsy Specimens.”  Live from RSNA, he talks about his research and its impact on the healthcare community.

What’s Hot at RSNA 2010

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Carestream Health’s Robert Salmon discusses opening day news items of interest with Diagnostic Imaging’s Grey Freiherr and John Hayes—live from the Carestream Booth at the RSNA 2010 Conference, Chicago, Illinois.

Personalized Medicine: A Radiologist Speaks Out About Need for Patient Information

Dr. Roger Eng

As we prepare for RSNA where personalized medicine will take center stage, let’s take a moment to look at the related concept of “personalized radiology.”

As a radiologist, personalized medicine is about obtaining patient information that helps me make an accurate diagnosis. In the past, radiologists have often had very little information to work with: name, birthdate and a two- or three-word description. For example, I might get an abdominal CT exam to read with the description “abdominal pain.”

Well, is it acute abdominal pain with fever, elevated liver enzymes and a history of gall stones? Or is it vague abdominal pain without fever or elevated WBC, and a history of colon cancer? These descriptions help me define whether I am primarily looking for an obstructing common bile duct stone or a liver metastasis. And that’s where an EHR comes in, because it delivers personalized, pertinent information to radiologists and clinicians so that we can achieve accurate diagnosis and treatment.

It’s also important to know a patient’s ethnic group, because some ethnic groups are prone to different types of diseases, particularly if they have recently lived or traveled outside the United States. Now that we serve a more diverse population, we need data mining tools so we can deliver community-specific care. I read for several different hospitals and the disease states I see in young Latinos are far different from those in elderly Asian patients.

My ultimate goal and the goal of my fellow radiologists is personalized radiology, which is reading each exam with the medical history, current clinical state and other characteristics of each individual patient in mind. I believe this goal is going to be more attainable as we gain greater access to patient information through links to EMR/EHR systems.

Are you getting the clinical information you need to read patient exams? What information do you find most valuable?

Dr. Roger Eng, M.D., Chairman of Radiology, Chinese Hospital, and President of Golden Gate Radiology Medical Group

Marion General Hospital improves access to images with the DRX-Mobile Retrofit Kit

 

 

Note to reader:  Carestream has installed the CARESTREAM DRX Family of products in facilities across the world.  In a series of posts, customers have agreed to share their experiences.

“Retrofitting our mobile system with a DRX-1 detector greatly improves both the speed of access to images and visualization of tubes and lines.  All of our surgeons and physicians want to use the DRX-based portable because of these benefits, so we hope to order more DRX-Mobile Retrofit Kits in 2011.”

Kimlyn Queen, Director of Imaging and Cardiac Catheterization Services

 

Meaningful Use in Radiology: Overview and Implementation

Keith Dreyer, DO, Ph.D and Marjorie Calvetti

Meaningful Use offers great opportunity for radiologists to participate in the incentives.  Most radiologists qualify to participate in the incentives, and often compliance can be achieved by leveraging medical imaging software such as RIS and PACS.

Keith Dreyer, DO, Ph.D, Associate Chairman of Medical Imaging, Massachusetts General Hospital, and Marjorie Calvetti, Medical Imaging Director, Memorial Medical Center, Springfield, Illinois, both have experience in preparing their imaging departments for Meaningful Use compliance.  In a webinar with Carestream and Diagnostic Imaging, they share their experiences and offer advice for professionals working towards compliance.  Ms. Calvetti is a member of Carestream’s advisory board.
 Once you have viewed the presentation, feel free to ask questions or make comments here.  We will work with our presenters to get answers that can be shared with you and our entire community.

Finally, a DR Detector That Moves With Your Workflow

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A DR detector that moves with your workflow.

That’s what healthcare facilities need—and now they can achieve it. With capital budgets stretched tighter than ever before, healthcare facilities want to move detectors to wherever they are needed. Carestream Health is the only supplier that enables customers to insert a DR detector into a mobile system for early morning rounds, move it to an in-room system for day use and then use it in the ER at night.   

Our wireless, cassette-size DRX detector makes it possible to convert existing x-ray rooms to DR in just a few hours. A removable detector provides unprecedented positioning flexibility for automated DR suites, and specialized retrofit kits enable DR detectors to be used with many existing mobile x-ray systems. A multi–battery charger ensures the detector is available for continuous use, 24 x 7.

Our DRX solutions deliver an entirely new paradigm for imaging services by freeing healthcare providers from the traditional restrictions imposed by fixed equipment and room locations. We offer two multi-use detectors, three systems and proven performance at more than 1,000 installations worldwide. Hear how DRX users are achieving dramatic productivity gains, higher image quality and unmatched ROI by viewing our eBook.

The “No Bull” Approach to Your 2010 RSNA PACS Review

Mike Cannavo, PACSMan

If I could summarize what you need to do in order to be successful in evaluating PACS solutions at RSNA, it all boils down to one thing – be efficient.  This year there are more vendors offering PACS than ever before, so it’s very easy to be overwhelmed by all there is to see as you walk the show floor.  This “No Bull” guide to the PACS review is meant to make the process more manageable by separating the essential needs for RSNA from the extra details that will be an inefficient use of your time. 

It is important to recognize that it is highly unlikely that you’ll make your final buying decision through your interactions at RSNA alone.  The show is meant to provide a global overview of the vendors that you’re considering, leading to more detailed questions and discussions after you get home.  With that in mind, 30-45 minutes per vendor should be sufficient time to gather all of the information you need.  While that may seem like a small amount of time, if you’re well-prepared you should find it to be more than enough to give you a feel for the vendor’s offerings and how they relate to your needs.  

Before arriving at RSNA you need to have a clear idea of what you want.  Research the vendors you’ll be visiting ahead of time then narrow your list as you pre-schedule product demos.  Additionally, understanding your current radiology workflow, including any existing clinical systems, will help the vendor zero in on the solutions that will best meet your needs – and not waste your time with products that won’t.  

With efficiency also comes consistency.  Be sure that you ask all companies that you visit the same set of baseline questions. This should help you along the next step in the decision-making process.  Comparing vendors along a uniform set of parameters – set before you get to the show to avoid getting sidetracked by extra information – will make coming to your final PACS decision easier and more organized.      

Of course, a little help along the way never hurts.  The complete Webinar to evaluating PACS at RSNA 2010, including tips to get the most out of product demos, can be seen through AuntMinnie.  There you’ll also find the full presentation available to download for your reference as you prepare for the show.

In a world of anywhere, anytime reading—who wins and who loses?

Dr. Roger Eng

Advanced PACS technology now equips radiologists to read exams anywhere, anytime.

This freedom breaks down the traditional paradigm in which local hospitals worked with local radiology groups. Now hospitals can contract with radiology and teleradiology groups located anywhere in the country, and these radiologists can work for hospitals across the nation. Radiologist productivity is greatly improved and radiology resources are available whenever and wherever they are needed.

Ultimately, modern PACS technology can help enhance the delivery of care through improved decision support, stronger communication tools, enhanced collaboration, and access to non-imaging patient information.

But how does the freedom created by remote reading change the way hospitals, radiology groups and teleradiology groups work together? Does this new playing field create winners and losers?

We can expect universal image availability to drive higher quality standards through increased competition. Radiology groups must do more than read images to earn the ability to serve local hospitals and physicians. They will need to do what many are already doing: 1) Carefully evaluating the imaging study in the context of patient’s clinical information derived from multiple sources including referring physician notes, HIS, EHR, lab data, and outside prior imaging exams; 2) developing close working relationships with clinicians that ultimately can enable better patient care; and 3) integrating themselves with the medical organizations and communities that they serve.

Competition among teleradiology and radiology groups will result in the strongest groups rising to the top and the weakest groups losing ground. So yes, there will be winners and losers. But I expect the outcome to be higher quality imaging consultation services, improved reporting times and more relevant care. Ultimately physicians and their patients will be better served. And that goal greatly outweighs the turf battles on the horizon.

So, what do you think? Is radiology becoming commoditized? And how does this affect your hospital or your radiology group?

Dr. Roger Eng:  President, Golden Gate Radiology Medical Group; Chief of Radiology, Chinese Hospital; Chief Medical Officer, Kona Healthcare

Radiology Consultants Associated enhances productivity with DRX-Evolution

 

Mark Sevcik, Operations and Development Director, Radiology Consultants Associated (RCA)

 

Note to reader:  Carestream has installed the CARESTREAM DRX Family of products in facilities across the world.  In a series of posts, customers have agreed to share their experiences.

“The integrated, automated DRX-Evolution suite delivers enhanced productivity and positioning flexibility due to the DRX-1 detectors—and it is also much more cost effective than other DR systems we evaluated. It is an ideal solution because it can perform every type of imaging exam and will help our staff handle the anticipated expansion in referral volumes at our clinic.”

Mark Sevcik, Operations and Development Director, Radiology Consultants Associated