1 / 33

RADIOLOGY Technology Trends and Their Impact on American Healthcare

RADIOLOGY Technology Trends and Their Impact on American Healthcare. Monte Clinton, CRA Director of Radiology Dartmouth-Hitchcock Medical Center Lebanon, New Hampshire USA Kodak Healthcare Advisory Board Shanghai. American Healthcare. Academic Medical Centers (not for profit)

veda-miles
Download Presentation

RADIOLOGY Technology Trends and Their Impact on American Healthcare

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. RADIOLOGYTechnology Trends and Their Impact on American Healthcare Monte Clinton, CRA Director of Radiology Dartmouth-Hitchcock Medical Center Lebanon, New Hampshire USA Kodak Healthcare Advisory Board Shanghai

  2. American Healthcare • Academic Medical Centers (not for profit) • Hospitals (both for and not for profit) • Rural hospitals (both for and not for profit) • Imaging Centers (for profit) • Private office (for profit)

  3. Radiology Trends and Opportunities • Routine Radiography • Mammography • Ultrasound • Magnetic Resonance Imaging • Computed Tomography • Vascular Interventional • Nuclear Medicine • PACS and IT • What is Needed Now • The Future

  4. Routine Radiography • The Trends • Volume will continue to fall • Film-based imaging will remain in small facilities • The Opportunities • Digital radiography (DR) increasing • DR required for PACS and increased productivity • Chest radiography with CAD • Dedicated trauma and pediatric DR equipment

  5. Technologist Work Components

  6. Upright DREastman Kodak Company

  7. Mammography • The Trends: • Digital becoming standard in large centers • Film will continue to be used in small centers • The Opportunities: • Digital equipment with CAD • Breast MR for dense and high risk patients • Tomosythesis shows great promise • Breast biopsy in Radiology will be standard

  8. TomosythesisHologic Corporation

  9. Ultrasound • The Trend: • Volume of referrals will continue to increase • The Opportunities: • 4D in OB ultrasound • Ultrasound guided biopsy • Molecular imaging and therapy coming • New contrast agents for characterizing lesions • Gene therapy delivery • Musculoskeletal imaging – sports medicine

  10. 3D UltrasoundPhilips Medical Systems

  11. Magnetic Resonance Imaging • The Trend: • Volume will increase with new developments • The Opportunities: • Huge potential in cardiac imaging • 1.5T – 3T – 7T migration • Molecular imaging will develop quickly • New applications: Perfusion Imaging, Functional Imaging, Diffusion Tensor Imaging, Peripheral Angiography, MR Spectroscopy • Site specific contrast agents

  12. 3T MRI General Electric Company

  13. CAD Breast MR – Volume SummarySeattle Cancer Care Alliance – CADstream Confirma

  14. CAD Breast MR – AngiomapSeattle Cancer Care Alliance – CADstream - Confirma

  15. Cardiac MR – Scar MappingJustin Pearlman, MD, PhD

  16. Computed Tomography • The Trends: • The volume will increase with new techniques • Huge number of images requires PACS • Multi detector migration – 32, 64 and beyond • The Opportunities: • Cardiac CT Angiography • Coronary calcification scoring • Virtual Colonoscopy • Lung screening

  17. Volume CT (64 Slice)General Electric Company

  18. Volume CT Heart

  19. Vascular Interventional • The Trend: • Steady volume increase as more procedures are developed with Cardiology, Oncology and Vascular Surgery • The Opportunities: • CT/Interventional equipment will be standard • Cancer therapy collaboration with Oncology • Gene therapy delivery – pancreas and liver • Chemoembolization • Radio frequency ablation

  20. Nuclear Medicine • The Trend: • Volume will continue to increase - 35% Cardiac • New PET techniques • The Opportunities: • PET cardiac and Alzheimer’s screening shows great potential • PET/CT becoming the standard equipment • Functional imaging

  21. 3D PET/CTUniversity of Texas, MD Anderson Cancer Center, PET Center General Electric PET/CT

  22. PACSPicture Archive and Communication Systems • The Trends: • Major hospitals are adopting PACS • Small hospitals are hampered by high cost • The Opportunities: • Low cost (turn key) PACS for small facilities • Integration within the hospital’s electronic record • Wireless transmission of images directly to the referring clinician

  23. Radiology’s PACS and IT • The Trends: • All American hospitals to have EMR in 10 years • Billing standardization required • Portability of medical record is essential • Radiology PACS images imbedded in EMR • Radiology – IT collaboration required • The Opportunities: • Single RIS-PACS source solutions • DR/CR – RIS – PACS – HIS • Other clinical areas - Vascular - Cardiology

  24. Patient Summary Access

  25. Radiology Reports

  26. Viewing Images via CIS

  27. What is Needed Now? • Lower cost DR and PACS equipment • Integrated DR and PACS equipment • Image transmission to central interpretation hub • Equipment that enhances productivity • Well built equipment that is easy to use and maintain • Better use of mobile imaging equipment – CT, MR, PET/CT, VIR, Cardiac Catherization, Mammography, Radiography and Ultrasound

  28. The Future • Robotic imaging • Automated CAD with interpretation and reporting • Integrated RIS-PACS-HIS through I.T. • Portable medical records – perhaps imbedded in patient • Molecular Imaging • Image guided chemotherapy and gene therapy

  29. Questions? • Monte Clinton, CRA • Dartmouth-Hitchcock Medical Center • Lebanon, New Hampshire USA • Monte.Clinton@Hitchcock.org • www.dhmc.org

More Related