Defining Innovation in Medical Imaging

Measuring the Impact of New Technology

“Innovation” is a desirable goal in healthcare. Many imaging providers seek news ways and breakthrough Carestream-Health-Award-Logotechnologies to improve patient care. But how do you measure innovation? How do you determine which new solutions to invest in? According to Frost & Sullivan, new technology investments “must have a positive and demonstrable impact on the cost efficiency, the quality and the outcome of imaging enterprises’ service lines.”

To help providers with their decision making, Frost & Sullivan evaluates and benchmarks products on their attributes and their impact on operations. Recently, Frost & Sullivan put our DR, fluoroscopy, ultrasound, CBCT and healthIT imaging informatics products through its rigorous evaluation and selected Carestream as the winner of the 2016 North American Medical Imaging New Product Innovation Leadership Award. The award is yet another proof point that our products help enhance the value, profitability and marketability of the radiology profession.

You can click the image below to learn more about Frost & Sullivan’s 10-step process for evaluating candidates for the award, and the reasons they chose Carestream as the winner.

Carestream OnSight 3D Extremity System received FDA 510(k) clearance in September 2016.

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.

Video: Testing the New DRX Plus Detectors

The road to superb durability, reliability, and image quality can be a little bumpy. That is why we do extreme testing with our DRX Plus detectors to ensure that they are durable and able to provide reliable quality in the healthcare environment.

Checks such as the Bump Test, Vibration Test, Load Test, Humidity Test, Drop Test, and Water Resistance Test put the DRX Plus detectors in the most intense conditions. You can watch the video below for more details and see the tests in action.

Video: Introducing the New DRX Plus Detectors

Last week brought about the announcement that we have entered into the third generation of DRX detectors: the DRX Plus 3543 and the DRX Plus 3543C detectors.

With this new generation of detectors, users can expect the following benefits:

  • 79% increase in battery life allows for improved productivity and allows increased imaging between battery changes
  • Higher DQE enables the potential for lower dose and improved image quality
  • Fast calibration time, boot time, preview time, and time to full resolution display

The video below includes more information about the capabilities of the DRX Plus detectors.

A Closer Look at Carestream’s New Fluoroscopy Systems

Last week marked another important milestone for Carestream as we entered into the radiography/fluoroscopy market. The new systems, DRX-Excel and DRX-Excel Plus are now available for orders worldwide, and we also were displaying information in our booth at AHRA 2015.

A big advantage of the Remote Fluoroscopy system is that it allows a facility to maximize their utilization of the room because of the systems capability to do not only fluoroscopy but also general radiology.

These new systems from Carestream can enhance workflow and perform contrast exams using fluoroscopy that can be associated with a radiography image, in addition to specialized contrast procedures that record both fluoroscopy and radiography sequences and interventional procedures.

Below are the product details for each of the systems.

DRX-Excel Plus Features:

  • Extensive SID capability exceeds competitors, acquiring images at any distance between 110 to 180cm
  • Table features a 265kg weight capacity with NO limitations on movements
  • +/- 90 degree tilting to enable all exam types
  • Table lowers to 48cm (19inches) making it easily accessible for wheelchair patients
  • Full system access from every side for easier patient transfer and exam versatility
  • Fully motorized, easy-to-use compression for abdominal and other exams
  • Control system operation remotely, or right at patient’s side
  • Motorized movement of tube and column maximizes speed and convenience
  • Offered with either an Image Intensifier* with high resolution CCD camera that maximizes image quality during fluoroscopy or a Flat Panel Detector that offers high image quality for either fluoroscopy or general radiology images
  • Auto positioning, as a function of extensive anatomical programs, facilitates faster exam set-up times
  • Patient overage of 201cm allows full exploration of even very tall individuals without repositioning
  • Relaxing ambient lighting and selectable music maximize patient comfort
  • DAP measurements allow tracking of the exact radiation dose received by each patient
  • Optional DRX-1 detector offers the power of the X-Factor and allows easy positioning for cross-table and weight-bearing exams

 * DRX-Excel Plus with Image Intensifier is not available in the U.S.

DRX-Excel Features that differ from the DRX-Excel Plus:

  • Extensive SID capability exceeds competitors, acquiring images at any distance between 110 to 180cm
  • Table features a 200kg weight capacity to accommodate heavier patients with NO limitation to movements
  • +90/- 30 degree tilting to enable all exam types
  • Table offers the lowest fixed-table minimal height of 79cm (31inches) in the industry making it accessible, even for wheelchair patients
  • Patient overage of 196cm allows full exploration of even very tall individuals without repositioning
  • Offered with either an Image Intensifier* with high resolution CCD camera that maximizes image quality during fluoroscopy or a Flat Panel Detector that offers high image quality for either fluoroscopy or general radiology images
  • Auto positioning, as a function of extensive anatomical programs, facilitates faster exam set-up times
  • Relaxing ambient lighting and selectable music maximize patient comfort
  • DAP measurements allow tracking of the exact radiation dose received by each patient
  • Optional DRX-1 detector offers the power of the X-Factor and allows easy positioning for cross-table and weight-bearing exams

 * DRX-Excel is not available in the U.S.

 

 

Heidi McIntosh, CarestreamHeidi McIntosh is the X-ray solutions marketing manager for Carestream.

Sports Medicine Enhancing Care for Amateur and Professional Athletes

Carestream Sports MedicineMany young football players dream of playing in the NFL. My dream was to work for an NFL team and care for the medical needs of these skilled athletes.

Anyone who has watched an NFL game has seen the elite athleticism—and its potential for injuries. Our job as athletic trainers is to help prevent, evaluate and treat conditions ranging from concussions to soft tissue sprains and strains, fractures/dislocations and internal injuries. We also care for our share of chronic conditions.

A Carestream digital X-ray system at Lambeau Field can deliver excellent images in seconds. Our staff provides these images to our team physicians and other specialists who diagnose the injury and determine whether a player can return to the “action” or is in need of further evaluation or urgent care.

Many spectators don’t realize the medical expertise that is available on the sideline for every game—which includes orthopaedists, internal medicine specialists, neurosurgeons, emergency room physicians and neuropsychologists. These experts can view images on the sideline using their iPads and make critically important medical treatment decisions in seconds.

As athletic trainers, game days are just a small aspect of our weekly routine. We monitor our players’ healthcare all year—from the last whistle of the season through the off-season program and back through another long season. We work closely with our physicians to provide optimal and personalized care for each player. Using baseline concussion testing, body composition and multiple physical exams, we are always on the lookout for conditions and injuries that may not present immediate symptoms.

Every year athletic training and physical therapy professionals are exposed to the latest imaging, diagnostic and treatment technologies that can help enhance patient care. We are seeing a tremendous growth in the number of individuals who pursue these careers, which will help enhance the health of amateur to professional athletes for years to come.

Pepper Burress, Green Bay PackersPepper Burruss was named Director of Sports Medicine Administration for the Green Bay Packers in June. He was the team’s Head Athletic Trainer for 22 years and is a Certified Athletic Trainer and Physical Therapist. He also worked for 16 seasons with the New York Jets as an Assistant Athletic Trainer. Burruss has won several awards during his career, including being honored as the NFL Physicians Society’s Outstanding NFL Athletic Trainer for the 2012 season. In 2011, he and his staff were named the NFL’s Athletic Training Staff of the Year.

A Medical Imaging Revolution at Okinawa Churaumi Aquarium

By Tomoki Oka, Manager, X-ray Systems Business, Japan, Carestream

日本語版はここで読むことができます。

The DRX-Revolution has been visiting and capturing images of some new patients in Japan at Ocean Expo Park, Okinawa Churaumi Aquarium.

Ocean Expo Park houses the aquarium and is a national government park located on the site of the Okinawa International  Ocean Exposition held in 1975. The aquarium, located within the park, is one of the most popular tourist spots in Okinawa. It is home to approximately 740 different species and 21,000 marine life that inhabit the sea around Okinawa.

Animal Management Team Sub-Leader Keiichi Ueda, is one of two veterinarians at the aquarium, and is responsible for the health and physical status of the animals. In an interview,  Vet Ueda explains the differences of human care in a hospital versus animal care in the aquarium—particularly that they have to take the animals out of the water for an extended period of time, and in the case of x-rays, the exposure dose is different and time must also be considered.

With some animals being quite large, the facility required x-ray equipment that would be able to capture high-quality images of the animals, capture multiple images without using different cassettes, and also provide enough radiation dose so image quality would not be compromised.

In the interview, Fish Team Chief Technician Makio Yanagisawa, says, “Because the Revolution can be used to expose continuous radiographic images of dolphins without having to place and change the cassettes under them each time, it is much easier to use when compared with the previous types of analog film that had to be developed after each exposure.”

Additionally, their work environment is much different than that of a hospital. There are no hallways, several small hills, and rougher terrain that can make pushing and pulling equipment more difficult.  Vet Yanagisawa found the ease of use with the DRX-Revolution to be valuable in helping to move and maneuver around the facility.

The video below shows the DRX-Revolution in action at Okinawa Churaumi Aquarium, and includes in-depth interviews with the aquarium’s medical staff.

沖縄美ら海水族館にてRevolution稼働開始

大場拓也/岡知樹

An English version of this post can be read here.

DRX-Revolutionが海洋博公園沖縄美ら海水族館に導入され、イルカなど海洋動物たちの撮影に貢献しています。

ここ海洋博公園は1975年に開催された沖縄国際海洋博覧会跡地に設置された国営公園で、沖縄の観光スポットのひとつとして人気のある沖縄美ら海水族館もこの公園の中にあります。約740種21000点ほどの沖縄近海に生息する生物を飼育しています。

動物管理チームサブリーダーの植田啓一氏は常駐する医師の一人で、動物の健康管理・体調管理を担当しています。インタビューで植田氏は、特に動物を水から出して固定及び拘束時間を考慮しなければならない点や種別に応じて撮影線量を変えなければならない点など、人と動物の撮影方法の違いを述べています。

動物の種別によっては非常に大型になるので、高線量で高画質な画像が確実に取得できること、カセッテを都度交換することなく何枚も撮影できることなどが求められます。

魚類チーム 主任技師の柳澤牧央氏は「Revolutionは、イルカの下に入れたカセッテを一回づつ入れ替えずにそのまま撮り続けることができるのが、今まで現像しないといけなかったものに比べると利点だと思います。」と述べています。

水族館は病院と違って廊下が整備されていなかったり、本体を押したり引いたりすることが困難な場合が多いのですが、DRX-Revolutionは軽い力で簡単に動かすことができ小回りが利くので非常に便利であると述べています。

インタビュービデオではDRX-Revolutionでの撮影の様子やスタッフのインタビュー内容をご覧いただけます。

Climbing to Peak Performance with the DRX-Ascend

The DRX-Ascend has been a popular piece of equipment for Carestream since it was first introduced. The high-end DR system has allowed imaging centers, orthopedic facilities, urgent care clinics and hospital radiology departments to provide high-quality, efficient imaging to patients, while having reduced installation costs.

As the video shows, departments are able to take advantage of the performance, quality, and value that the system offers.

Video: Animated Demo of the DRX-Evolution Plus

The DRX-Evolution has gone through a number of updates and enhancements over the years. So much so that the new round of enhancements has led us to release a new version–the DRX-Evolution Plus.

These updates to the system include a new look with high-tech LED lighting for function and aesthetics, capability of installing advanced apps when they become available, a higher weight capacity table for patients up to 705 lbs. (320 kg.), and extended tube and column range for sites with high ceilings.

The animated demo below walks you through these various features and enhancements.