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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)

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radiology technology trends and their impact on american healthcare

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

american healthcare
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)
radiology trends and opportunities
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
routine radiography
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
mammography
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
ultrasound
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
magnetic resonance imaging
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
computed tomography
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
vascular interventional
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
nuclear medicine
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
pacs picture archive and communication systems
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
radiology s pacs and it
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
what is needed now
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
the future
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
questions
Questions?
  • Monte Clinton, CRA
  • Dartmouth-Hitchcock Medical Center
  • Lebanon, New Hampshire USA
  • Monte.Clinton@Hitchcock.org
  • www.dhmc.org