In Imaging January, 2018

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In Imaging

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A compendium on the latest in radiology

JANUARY 2018

Years

THE MOST

TRUSTED & RELIABLE

BRAND

IN

MEDICAL IMAGING DEVICES

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EDITOR’S NOTE IN IMAGING | JANUARY 2018

Viveka Roychowdhury, Editor viveka.r@expressindia.com

NAMASTE AOCR-IRIA 2018!

T

he 71st edition of the Indian Radiological and Imaging Association Annual Conference (IRIA 2018) promises to be a memorable milestone in the annals of the venerable Association.

Clubbed with the 17th edition of the biannual Asian Oceanian Congress of Radiology (AOCR), which comes to India after a long gap of 25 years, the double bonanza of IRIA – AOCR comes at a time when major imaging companies are rejigging their business strategies.

For instance, a Reuters report dated January 18 quotes GE CEO John Flannery mulling spin-offs of its power, aviation and healthcare units in major turnaround bid.

In May 2016, GE's German peer, Siemens, in a major structural re-orientation, shifted focus to energy and industrial equipment and re-branded its medical imaging business as Siemens Healthineers. Siemens Healthineers could go for an IPO in the first half of 2018 but the company has asserted that it will retain majority stakes, a clear belief that healthcare has the potential to be bigger than energy and other industrial sectors.

Dutch peer Philips spun off its lighting division i 2016 to focus on medical devices and healthcare products and services.

The size of the medical imaging market is definitely drool worthy, with all research reports predicting steady

growth, driven by aging populations, rising incidence of chronic diseases and the potential capacity of patients in the Rest of the World (ROW) markets to pay for more expensive treatments as sales in US, Europe and other developed markets plateau.

According to a June 2017 Orbis Research report, the global medical imaging market will grow at a CAGR of 4.95 per cent during the period 2017-2021.

According to another agency, Global Industry Analysts (GIA), 3D medical imaging will reach $3.4 billion by 2024.

While the US will remain the largest market, RoW comprising Middle East and Africa, will have a CAGR of 10.7 per cent from 2017-2021, thanks to increased emphasis on health by these governments as well as a growing affluent middle class.

MarketsandMarkets predicts that the global diagnostic imaging market is expected to reach approximately $36.43 billion by 2021, at a CAGR of 6.6 per cent from 2016 to 2021.

The rising percentage of elderly patients presents unique challenges to the medical imaging community. Multifactorial conditions like cancer call for superior imaging techniques and technologies. In a bid to differentiate and offer a superior product with more benefits to the user community, imaging equipment are designing their equipment

with the radiologist in mind. Hence, glasses free 3D viewing systems with the added benefits of reduced eye fatigue and increased cognitive awareness will drive penetration of 3D imaging technology, according to the GIA report.

The diagnostic imaging equipment market in India, according to a Mordor Intelligence report, is expected to reach $ 2.06 billion by the end of 2020, with MRI, PET, SPECT and CT technologies set to dominate the market. While North America currently dominates the market with nearly 20 per cent of its GDP spent on healthcare, the Asia-Pacific market is expected to grow at a faster rate owing to the rapidly aging population and increase in the chronic disease population in this region. It is expected to overtake Europe due to the increasing technological advancements and growing awareness among the population. Expensive procedures and equipment, side effects of diagnostic imaging procedures, and saturation of developed markets are some of the factors limiting the growth of the medical imaging market.

Thus, the stage is set for AOCR-IRIA 2018, which promises to see the launch of new products across CR, DR, CT and MR. Do look out for RAD Daily, the show dailies brought out by Express Healthcare, the official media partner for IRIA – AOCR 2018.

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CONTENTS

IN IMAGING | JANUARY 2018

INTERVIEW P19: ‘I look forward to future collaborations and to continuing our work with our AOSR colleagues P21: ‘I would like to see AOSR become as strong as RSNA and ESR in terms of its values’ P23: ‘Sanrad believes in customer relation, which is our core value’

Partners for Better Health

12

GE Healthcare unveils new technologies at AOCR 2018

Events

38

AOCR 2018 programme

Insight

48

Cardiac MRI and Cardiac CT: An indispensable Tools for the Diagnosis of CAD

51

MR guided Focussed Ultrasound Surgery

53

Newer weapons in imaging and management of prostate cancer

Product Update

P26: ‘Digital technologies are key growth drivers’

P30: ‘Awareness, accessibility and affordability are the key growth drivers for this sector’ P32: Fujifilm India is planning to launch new DR System at AOCR 2018

P34: ‘AOCR should be a distinctive regional academic festival in Asian and Oceanic area, different from RSNA and ECR’ P36: ‘More than 25 international speakers are expected to share their experiences at AOCR 2018’

10 IN IMAGING

56

Sanrad Medical Systems: Spreading Technology

58

Disruptive Innovation in Medical Printing

59

CARESTREAM MyVue Center Self-Service Kiosk

60

DR 600: High-productivity, fully automated direct radiography system with ZeroForce Technology from Agfa HealthCare

61

DR 100e: Powerful Imaging On The Move

62

BPL commits to customer centricity and ethical business practices

63

Printer Perfect

64

Aero Dr – Digital Wireless Radiography System

66

Aeroscan Digital Ultrasound Systems

67

Phantom Healthcare – Leaders of refurbished GE MRI

JANUARY 2018

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IMPRINTLINE Presented By

In Imaging A compendium on the latest in radiology

JANUARY 2018 Chairman of the Board Viveck Goenka Sr Vice President-BPD Neil Viegas Editor Viveka Roychowdhury* Chief of Product Harit Mohanty BUREAUS Mumbai Usha Sharma, Raelene Kambli, Lakshmipriya Nair, Sanjiv Das, Mansha Gagneja, Swati Rana Delhi Prathiba Raju Design National Design Editor Bivash Barua Asst. Art Director Pravin Temble Chief Designer Prasad Tate Senior Designer Rekha Bisht Graphics Designer Gauri Deorukhkar Artists Rakesh Sharma Photo Editor Sandeep Patil MARKETING Regional Heads Prabhas Jha - North Harit Mohanty - West Kailash Purohit – South Debnarayan Dutta - East Marketing Team Ajanta Sengupta, Ambuj Kumar, Douglas Menezes, E.Mujahid, Nirav Mistry, Rajesh Bhatkal, Sunil Kumar PRODUCTION General Manager BR Tipnis

HEAD OFFICE Express Healthcare® MUMBAI Douglas Menezes The Indian Express (P) Ltd. Business Publication Division 1st Floor, Express Tower, Nariman Point, Mumbai- 400 021 Board line: 022- 67440000 Ext. 502 Mobile: +91 9821580403 Email Id: douglas.menezes@ expressindia.com Branch Offices NEW DELHI Sunil Kumar The Indian Express (P) Ltd. Business Publication Division Express Building, B-1/B Sector 10 Noida 201 301 Dist.Gautam Budh nagar (U.P.) India.

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Business Publication Division 502, 5th Floor, Devatha Plaza, Residency road, Bangalore- 560025 Board line: 080- 49681100 Fax: 080- 22231925 Mobile: +91 9552537922 Email id: kailash.purohit@expressindia.com HYDERABAD E Mujahid The Indian Express (P) Ltd. Business Publication Division 6-3-885/7/B, Ground Floor, VV Mansion, Somaji Guda, Hyderabad – 500 082 Board line- 040- 66631457/ 23418673 Mobile: +91 9849039936 Fax: 040 23418675 Email Id: e.mujahid@expressindia.com KOLKATA Ajanta Sengupta The Indian Express (P) Ltd. Business Publication Division JL No. 29&30, NH-6, Mouza- Prasastha & Ankurhati,Vill & PO- Ankurhati, P.S.- Domjur (Nr. Ankurhati Check Bus Stop) Dist. Howrah- 711 409 Mobile: +91 9831182580 Email id: ajanta.sengupta@expressindia.com AHMEDABAD Nirav Mistry The Indian Express (P) Ltd. 3rd Floor, Sambhav House, Near Judges Bunglows, Bodakdev, Ahmedabad - 380 015 Mobile: +91 9586424033 Email Id: nirav.mistry@expressindia.com

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PARTNERS FOR BETTER HEALTH

GE Healthcare unveils newtechnologies at AOCR 2018 LOGIQ™ S8 XDclear™ 2.0 Enabling superb imaging across a wide range of clinical applications Superb Imaging

FibroScan® technology by Echosens

◗Available with FibroScan® technology to aid in the screening, diagnosis, staging, and monitoring of chronic liver disease ◗ Enhanced B-Flow™ Imaging – a GE exclusive – with exquisite sensitivity to small vessels ◗ Greater portability and a smaller footprint and enhanced Power Assistant option to scan via battery alone for up to one hour ◗ Enhanced shared service capability across clinical areas ◗ On-board training module to help shorten the operational learning curve

This non-imaging tool is a reference technology for the management of patients with chronic liver diseases. Its dual function capability provides quantitative measurements of both liver stiffness and attenuation rate to support you across a variety of liver etiologies.

Together, LOGIQ S8 XDclear 2.0 and FibroScan provide a powerful and comprehensive clinical resource for screening, diagnosis, staging, and monitoring of liver disease Contrast Enhanced Imaging (CEUS) Optimized contrast agent specific waveforms to enhance the clinician’s ability to detect and characterize lesions including advanced quantification tools such as time intensity curve and parametric imaging 2D Shear Wave Elastography Provides quantitative measures of tissue elasticity and color-coded elastograms to assist clinicians in diagnostic and patient management decisions for both deep and superficial applications.

Volume Navigation Sophisticated tools combine the advantages of volume imaging with an advanced navigation system to enhance localization speed and accuracy. Needle Tracking techniques and 2D/3D GPS markers help improve confidence and efficacy in treatment planning and guidance.

Designed for Usability 10.1” size flat screen touch panel supports infection control with ease of cleaning. Smaller footprint eases navigation and patient access for portable studies.

Simplified Workflow This portable system easily maneuvers in tight spaces, making it well-suited for crowded rooms. Practical productivity enhancers – from the intuitive keyboard and large touchscreen to built-in automation tools – help reduce the workflow burden on busy staff. ◗ Automated Measurement and Optimization Tools Streamline exams with user-guided automatic measurements and image optimization tools ◗ Productivity Packages Label, measure, and describe anatomy quickly and confidently, plus generate DICOM® SR compatible summaries ◗ Power Assistant with option for mobile scanning Scan for up to one hour on battery alone with the new extended battery options ◗ Scan Assistant Customizable automation helps reduce keystrokes and

exam times. One study demonstrated a 79% reduction in keystrokes and 54% reduction in exam time versus not using Scan Assistant ◗ Compare Assistant Easily view a prior ultrasound, mammography, CT or MR image and current images together in real time via a split screen on the monitor ◗GE Raw Data Helps shorten exam times by enabling users to quickly acquire data and then apply a wide variety of image processing after the exam ◗ My Trainer On-board training modules help accelerate operational confidence.

Scalable to your needs The LOGIQ S8 XDclear 2.0 system gives you access to a wide range of sophisticated optional clinical tools.

For more information, email:harsh.chopra@ge.com or visit: http://rsna.gehealthcare.com/ products/logiq-s8-xdclear-2 12 IN IMAGING

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PARTNERS FOR BETTER HEALTH

Versana Essential™ Care with Confidence

I

ntroducing Versana Essential™: the easy to use and easy to own, worldclass ultrasound designed for peace of mind. In your OB/GYN practice, you hold the hopes of women and their babies in your hands every day. We understand that the demands of your practice are unique, and that you are ready to offer your patients the benefit of world-class ultrasound. That is why we created Versana Essential™ – to provide the capability, services, and support you want, without sacrificing the quality, reliability, and affordability you need.

A partner you can trust Align yourself with a trusted ultrasound partner – who understands the unique demands of your medical center. Versana Essential is designed with long-lasting, reliably excellent GE imaging technology.

Versana Essential brings you the complete dependability you would expect from GE Healthcare. In addition, you can count on our global support and robust warranty to run your medical center with peace of mind.

A complete solution Versana Essential is a complete ultrasound solution – one you can learn to use quickly and productively. It enables confident clinical decision making for quick referrals and immediate clinical correlation. Optional local education offerings* , including hands-on sessions and certification help get you up-to-speed quickly. Versana Essential is easy-to-own with optional financing terms* and customizable solutions to help manage the cost of ownership.

Patient focus with support from: ◗ Whizz – our one-touch, dynamic image optimisation ◗ SonoBiometry – automated fetal measurements; bi-parietal diameter, head circumference, abdominal circumference & femur length ◗ Real-time reference information from Scan Coach to help locate the correct scan plane ◗ Tips and information from our My

Trainer product training modules to configure the system and maximize workflow

An opportunity for growth ◗ Versana Essential features a range of transducers and applications that enhance the amount of information you see during your diverse patient exams. ◗ Versana essential is upgradable, and includes software designed to: ◗ Simplify your workflow ◗ Empower your clinical efficiency ◗ Suit your daily practice ◗ Meet your evolving needs ◗ Help you scan with confidence right from the start All in all, Easy to use and easy to own.

World-class ultrasound designed for peace of mind.

For more information, email: harsh.chopra@ge.com or http://www3.gehealthcare.in/en/products/categories/ultrasound/versana_essential#

Voluson E 10 BT18 The excellence you demand,the standards you set

Y

our women’s health practice is where complex cases are the rule, not the exception. Where patients demand your expertise, and trust you for answers. With the Voluson™ E10 you can deliver truly exceptional care – confidently and efficiently – every time – keeping you at the forefront of women’s health care. The Voluson E10 JANUARY 2018

encompasses the most advanced imaging capabilities combined with efficiency and security features to help you to provide confident patient answers, faster.

Unrivalled imaging for the most complex cases Display extraordinary image detail with IN IMAGING 13

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PARTNERS FOR BETTER HEALTH Voluson’s Radiance System Architecture, its sophisticated beam formation and powerful processing gives you:* ◗ 4X ultrasound pathways for spectacular 2D and 3D/4D images with increased penetration and clarity ◗ 10X data transfer rate for higher resolution and very fast frame rates ◗ 4X processing power for advanced applications and efficient workflow ◗ 4D Probe: 16X faster volume rates, flexible imaging formats (Bi-Plane), and brilliant resolution provided by the latest electronic 4D probe technology, eM6C** ◗ XD Clear™ transducer technology takes high resolution imaging to the

next level ◗ Unprecedented depth and clarity via a suite of HDlive™ technologies revealing unique anatomical perspectives and amazing detail ◗ Achieve a new standard of color Doppler with Radiantflow– Delivering easy, fast visualization of even the tiniest of vessels

Tools that empower the very best care ◗ Balance daily schedules while increasing patient satisfaction with Scan Assistant – the flexible, and customizable exam protocol tool ◗ Experience intuitive volume navigation

with Voluson xTouch while maximizing comfort and workflow through a modern ergonomic design including large OLED monitor ◗ Connect and store encrypted images with colleagues and patients with the help of ViewPoint™ ◗ Decrease complexity and increase exam consistency with Voluson’s easyto-use Sono-automation technologies and accomplish more each day ◗ Apply HDRes for elevated tissue differentiation, border definition and fine resolution ◗ Protect sensitive data with advanced security features including Whitelisting and HD encryption

For more information: email, harsh.chopra@ge.com or http://www3.gehealthcare.in/en/products/categories/ultrasound/voluson/voluson-e10

Revolution Frontier™ From Innovation to Outcome...Everyday

N

ext level of Spectral Imaging with GSI (Gemstone Spectral Imaging) Extreme.

Whether you need to boost image definition or add spectral detail, Revolution FrontierTM1 will advance the clinical value of CT.

Innovation ◗ GemstoneTM Clarity detector for 25% lower electronic noise ◗ Higher spatial resolution at 0.23 mm ◗ Smart MAR for metal artifact reduction ◗ ASiR-V™, for up to 82% dose reduction2

Outcome

Everyday

◗ May enable a reduction of unnecessary follow up oncology exams or biopsies ◗ Contrast dose optimization with GSI Pro

◗ 2x faster workflow with GSI Pro ◗ Dose neutral GSI with integrated ASiR-V

For more information, mail: atul.patwardhan@ge.com or http://www3.gehealthcare.com/en/products/categories/computed_tomography/revolution_frontier 14 IN IMAGING

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PARTNERS FOR BETTER HEALTH

Clariscan™ Coming soon Expanding our range to increase your options

C

lariscan is a macrocyclic gadoliniumbased contrast agent (GBCA) designed to support effective visualisation of abnormalities in the brain, spine and associated tissues, and will be provided alongside GE Healthcare’s comprehensive support services and solutions to healthcare practitioners worldwide.

Clariscan is currently a successful product of choice for radiologists in Europe. GE Healthcare talks about various advantages of using Clariscan: + Adding inclusivity: Clariscan is indicated for diagnostic contrast enhancement in Whole body MRI, MRI of the CNS, MR angiography + Adding efficiency: Clariscan offers a wide range of indication-specific packaging

+ Adding confidence: From API production to final delivery, every stage of manufacturing is managed entirely by GE Healthcare + Adding dependability: A robust supply chain + Production capacity that is prepared for growth + The efficacy and safety profile of gadoteric acid has been well characterised: 1 ◗ 49 clinical studies, 2813 patients, adult and paediatric ◗ 6 post-marketing observational studies with >137,000 patients ◗ accumulated post-marketing safety data totalling ~30 million doses Clariscan now adds to the family of GE contrast media and imaging products alongside the existing linear agent for MRI, Omniscan, which has been used in

For more information, email: coreimaging.india@ge.com or http://www3.gehealthcare.in/en/products/categories/medical_diagnostics

routine diagnostic practice for over 25 years with over 80 million administrations.

Macrocyclic Clariscan, manufactured using a proprietary GE process, extends choice for radiology professionals, backed by the well-established quality, reliability and surrounding services that GE customers have come to expect.

Clariscan is the latest in a line of products and services provided by GE Healthcare to the radiology community, which include a wide range of contrast media as well as a portfolio of systems and products across MRI and X-ray/CT modalities. GE Healthcare has provided comprehensive partnership and support services to the radiology profession for over 30 years.

Not available for commercial sale in India now, awaiting regulatory approval in India

Reshape your mammographyexperience Senographe Pristina At GE Healthcare, it’s our constant endeavor to improve the entire mammography experience. We partnered with radiologists, technologists and patients to create a mammography platform that’s sensitive to each of their needs Sensitive to Patient ◗ An attractive gantry like a piece of art promoting a sense of calm ◗ World’s first self-compression in mammography: A first-of-its kind,

self-compression technology- Patients can work guided by technologists to reach the compression that is right for them. ◗ Only FDA-approved mammography that provides 3D scans at the same dose as standard 2D mammography Sensitive to Radiologists ◗ The new image chain also helps reduce the exposure time in 2D with no compromise on image quality at low dose ◗ breast tomosynthesis platform allows excellent visualization of breast lesions without increasing the dose compared to a 2D exam.

Sensitive to Technologists ◗ A new design to avoid physical strain of positioning the patient ◗ The console and gantry are ready to use within a few minutes ◗ Change from 2D to 3D mode in just one click with pre-set default acquisition.

Senographe Crystal Nova Digital Mammography transformation simplified.

Introducing the fast, easy and affordable way to access digital mammography with the benefits of a GE world-class premium product. ◗ The fast easy and affordable way to access 2D digital mammog-raphy with the benefits of a GE world-class premium product ◗ Proven econtrast technology ◗ Access images the way you like them with the Seno Iris Lite workstation ◗ An Exceptional patient throughput (of up to 18 patients per hour) performance on the market ◗ One-touch gantry adjustment with quick patient positioning

For more information, email: jayant.gupta@ge.com or http://www3.gehealthcare.in/en/products/categories/mammography/senographe_pristina JANUARY 2018

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EVENT UPDATE

The radiologyindustryin India looks up to Asia's biggest radiologycongress The conference will have four-day of scientific lectures spread across six halls, five halls for presentation of papers

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he 17th Asian Oceanian Congress of Radiology (AOCR) and the 71st Annual Conference of the Indian Radiology and Imaging Association (IRIA) will be held in Mumbai from January 25 – 28, 2018.

With four-day of lectures spread across six halls, five halls for presentation of scientific papers, E posters on screens across the conference arena, more than 20,000 sq feet of space for Scientific Exhibits, Mumbai Chaat Street, three consecutive nights of top-notch social events, and stay available at the venue itself for those taking the residential package, this event is packed with tremendous academics and enjoyment for all delegates who will be attending AOCR 2018, an event reaching Indian shores after a gap of 25 years.

A strong participation from AOSR group of countries is expected for this event, with international and national faculty that will make this a not-to-miss event in the annals of radiology conferences in India. The conference is open to IRIA members of India, and members of the AOSR. Dr Bhupendra Ahuja, President,

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IRIA said, “The organising committee is putting in tremendous efforts to make this event a great academic feast. The scientific programme is being planned keeping in mind of residents’ teaching and more of clinical radiology, which is a demand of today. I am sure that this congress will be a resounding success and delegates will go back with fond memories of the conference. The members of IRIA are requested to attend this mega academic event in large number and make it a grand success.”

YI-Hong Chou, President, AOSR said, “As the President of AOSR, I would like to welcome all members of AOSR to this biennial congress of AOSR. On behalf of the Executive Committee of the AOSR, I shall thank all members of the Organising Committee of AOCR 2018, the strong team from IRIA, for their hard work and very warm hospitality in organising the AOCR 2018, the most important scientific and educational event of AOSR. AOCR is traditionally designed for your to explore and experience new developments and clinical applications of radiological science. The scientific programme is studded with lectures by

eminent international faculty from various international societies and also from various countries of AsianOceanian region on the latest trends in radiology. I hope you will also take some time to interact with your peers and colleagues, exchange your experiences and knowledge with the internationally recognised experts/professors. One of AOSR’s missions is to expand the opportunities for radiologists throughout Asian and Oceanian region and the world to practice in newly developed technologies through the scientific and education programmes.

Our goal is to enhance the level of patient care through medical imaging, one of the most exciting and progressive disciplines and the frontier in current medicine and healthcare.”

The organising chairmen are Dr Jignesh Thakker and Dr Bhavin Jankharia; Vice Chairmen, Dr Suresh Chandak, Dr Suresh Saboo, Dr Rajesh Kapur; organising secretaries, Dr OP Bansal, Dr Shailendra Singh and Dr Sanjeev Mani, Joint Secretaries, Dr Lalendra Upreti, Dr Aniruddha Kulkarni and Dr Mrudula Bapat, Treasurers, Dr Pramod Loniker and Dr RK Sodani.

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INTERVIEW

DR VIJAY RAO David C Levin Professor and Chair, Department of Radiology, Thomas Jefferson University, Senior Vice President and Chair, Enterprise Radiology and Imaging Jefferson Health President, Radiologic Society of North America

‘I lookforward to future collaborations and to continuing our workwith our AOSR colleagues’ JANUARY 2018

Describe your journey from AIIMS to being the President of RSNA. I was born in New Delhi in a family of physicians and engineers. I am the youngest of six. After graduating from AIIMS, I came to the US with my husband Koneti Rao to pursue higher education. I completed my residency education in radiology at Thomas Jefferson University and got recruited by my chairman Jack Edeiken, MD to join the faculty to do head and neck radiology. Little did I know that Jefferson would become my home away from home. I enjoyed the challenge of bringing new emerging technologies such as CT and MRI to build a strong service at Jefferson. My next chairman David Levin, MD got me interested in health services research. Health services research became my second passion. I cherished presenting my research work both in head and neck radiology and health services at national meetings especially RSNA. RSNA Scientific Assembly and Annual Meeting became one of the most exciting events in my professional life year after year. Each year I looked forward to the meeting because this was the venue to see revolutionary IN IMAGING 19

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INTERVIEW

technologies, innovation, and have an opportunity to participate in forums discussing cutting-edge science and education. I got invited to present refresher courses at RSNA, ASHNR and other meetings. I became more and more passionate about the mission of the RSNA, volunteered to serve on a variety of committees and then was fortunate enough to be appointed to the RSNA Research & Education Foundation board, and subsequently to the RSNA Board of Directors. Being named RSNA president is a privilege.

What innovative changes have taken place at RSNA? The RSNA Scientific Assembly and Annual Meeting grows bigger and better each year, with the latest technological innovations on the exhibition floor, more interactive Diagnosis Live sessions and expanded virtual meeting offerings. Innovation was front and centre at RSNA 2017 with an emphasis on artificial intelligence and machine learning. We had a dedicated area featuring machine learning education, as well as the machine learning showcase, which gave attendees the chance to view the latest in AI technology from vendors. The theme for RSNA 2018 is 'Tomorrow’s Radiology Today,' and we are looking forward to providing more groundbreaking radiology innovations in our sessions and on our show floor.

What future role do you envision between RSNA and AOSR? One of RSNA’s core tenets is to foster collaborations with other groups and societies. We have had a number of successful partnerships and collaborations with our international colleagues, and I value the relationship we have with the AOSR. 20 IN IMAGING

In 2016, RSNA and AOSR jointly sponsored the RSNA/AOSR Symposium, which addressed a growing health issue of concern on both continents: liver cancer. The symposium was held at both AOCR and the RSNA annual meeting and was very well received. In 2018, the RSNA/AOSR joint symposium—to be presented at AOCR in January 2018 and RSNA 2018—will be on multi-modality of head and neck imaging.

In 2017, our societies jointly organised an RSNA International Visiting Professor (IVP) programme in Malaysia, marking the first such collaboration in the IVP programme’s history. In 2018, a joint RSNA/AOSR IVP team will visit Indonesia.

I look forward to future collaborations and to continuing our work with our AOSR colleagues to strengthen radiology around the world with the shared goal of optimising patient care.

What advice would you like to give for radiologists from the Asian OCEANIAN region?

It is critically important that policymakers and radiologists identify and follow trends in utilisation, cost and quality of imaging. We must always be asking ourselves how imaging influences patient care and how our quality improvement efforts affect outcomes. While practice patterns and policies vary from country to country, radiologists everywhere should explore ways to add value and help reduce waste in healthcare.

On the research side, artificial intelligence is an emerging trend to which we all must pay attention and employ to improve patient care.

Artificial intelligence applications hold the promise not only to benefit research

and education, but also to ease manpower shortages and make radiologists more effective, quantitative and precise in diagnostic and therapeutic interventions.

Whathas been the most useful innovation in radiology?

There have been so many.

Technological innovations such as ultrasound, CT, MRI and PET have revolutionised the field of imaging.

More recently, the advent of precision medicine has brought about many remarkable imaging technologies.

Combining imaging biomarkers with genomic information may increase imaging utilisation.

I think artificial intelligence applications are already proving themselves extremely useful in radiology, and we’ve only begun to scratch the surface. Artificial intelligence applications provide tools to make us more efficient, freeing up time for radiologists to become more visible and patient-centered. This will allow us to make a more meaningful contribution to personalised medicine in the years to come.

What are the biggest challenges you face in your field of speciality?

Currently, the way radiology practice is structured in the US, emphasis is placed on volume. Policymakers lack understanding of imaging’s contribution to patient care, as well as the array of services that radiologists provide. To continue down this path would be disastrous for our speciality.

That is why it is imperative that we transition to a value-based model of care, where radiologists are actively consulting with patients and their referring physicians as part of the healthcare team.

JANUARY 2018

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PROF DINESH VARMA Acting Program Director of Radiology & Nuclear Medicine, Head of Emergency & Trauma Radiology, The Alfred Health & Monash University, Melbourne, Australia

‘I would like to see AOSR become as strong as RSNA and ESR in terms of its values’ JANUARY 2018

Tell us about your journey so far.

I graduated from Nalanda Medical College and went on to do my house job at Maulana Azad Medical College with further six months at AIIMS. Then I returned to Patna Medical College and Hospital to do MD in radio-diagnosis before migrating to Australia in 1989 to join my wife, Rita.

I had to go through Australian Medical Council examinations to get my Indian qualifications recognised and then did a five-year specialist training in radiology at The Alfred Hospital in Melbourne.

During my training programme, I was elected as the first trainee representative on Royal Australian and New Zealand College of Radiologist (RANZCR) Council.

I subsequently got elected to the Council for three terms finishing as the President of the College in 2013.

When I was in the final year of my term, I was nominated by my college to be on AOSR Executive Council. This is when my journey IN IMAGING 21

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with AOSR started. I was then elected as the treasurer and honorary secretary and that was my path to becoming the President of AOSR. What drew you to the activities of AOSR? Although AOSR has been in existence for a long time, the organisation still has a long way to go and we are making a steady progress. I realised that there was a lot I could contribute to AOSR in strengthening the organisation from my experience gained during my long tenure at Royal Australian and New Zealand College of Radiologists (RANZCR). We slowly worked through streamlining the internal processes of the organisation, strengthened the financial position, reached out to member countries and were successful in establishing AOSOR. We also established various terms of references and implemented fixed terms for counsellors and election processes.

What will be your primary goals as the President of AOSR over the next two years?

I would like to see AOSR become as strong as Radiological Society of North America (RSNA) and European Society of Radiology (ESR) in terms of its values, educational output, providing a platform for various member countries to come together and share their experiences and reach out for any assistance in uplifting the standard of care of their patients.

What are your views regarding radiation safety and how do you 22 IN IMAGING

AS RADIOLOGISTS,WE ARE IN ACOVETED POSITION TO EDUCATE OUR COLLEAGUES REGARDING THE HAZARDS OF RADIATION AND WORKWITH THEM TO ENSURE THAT PATIENTS GETTHE BESTCARE YETUSE THE ALARA PRINCIPLES

wish to address them?

I am a strong advocate for justification of the use of radiation and appropriate use of radiological investigations. As radiologists, we are in a coveted position to educate our colleagues regarding the hazards of radiation and work with them to ensure that patients get the best care yet use the ALARA principles at every instance.

We can also address the appropriate use of radiological tests by educating our patients and informing them about various other options available in investigating their medical conditions.

The implementation of Diagnostic Reference Levels at every facility is a very effective way to ensure that every radiation emitting equipment is working at an optimal level.

Tell us about your experience in Melbourne?

Melbourne is a great city and ever since moving to Australia I have lived here so I am heavily biased.

Despite this, when we get overseas or interstate visitors they leave with a great impression about Melbourne and that makes us feel that there is a lot of truth in our impression about Melbourne. It is a great place to bring up a family and our son and only child, Ritesh is a true Melbournian.

We are known for our coffee culture, fantastic restaurants serving cuisine from every corner of world, and international events that occupy every month of the year.

Where else would you get four seasons in a year that you do not ever have to pack away your summer or winter cloths or your umbrella? This is Melbourne.

What has been your connection with India?

Besides my family I have also established a large network with Indian radiologists. I have been invited by IRIA on numerous occasions and also assisted Society of Emergency Radiology in getting it off ground and was very honoured to have been made a founder member. I have participated in all of their scientific meetings and would like to see it grow bigger and stronger.

I am also involved with Australia-India Trauma System Collaboration (AITSC). This collaboration started in 2013 with Australian and Indian government committed to spending $2.6 million to find best ways of delivering needed care to injured people.

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RATISH NAIR CEO, Sanrad Medical Systems

‘Sanrad believes in customer relation,which is our core value’ JANUARY 2018

What is your company's focus in the Indian market? And how would you like to add value to diagnostic imaging service through your products?

Sanrad Medical Systems are the pioneers in supply and service of pre-owned MRI & CT Scanners for over 25 years. It expanded its operations in Bangalore in 2007. Due to proximity of customers, Bangalore became the inventory and headquarters for Sanrad.

The Sanrad Group is a 450 million turnover company with offices at Mumbai, Bangalore, Coimbatore, Calicut, Hyderabad, and Pune. The company has installed more than 370 CT & MRI systems in India and abroad.

Sanrad represents a fundamental new approach and transcends previous limitations to deliver a host of revolutionary advances in the field of diagnostic imaging equipment.

The company’s strong engineering skills and commitment towards improving the functionality and IN IMAGING 23

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performance of the equipment alongwith enchancement of economic advantages to customers has endeared them to a lot of customers, Sanrad is respected in the industry for ethical business practices and has won the acclaim from the medical fraternity, associations and related professionals for efficient and prompt services.

30 per cent of our CT/MRI market is dominated by preowned / refurbished models and out of this 60 per cent are controlled by Sanrad.

Sanrad’s HQ is in Bangalore and Mumbai. We have business/service centre at Calicut, Coimbatore, Chennai, Hyderabd, Kochi, Pune, Rajkot.

What are the factors that drive the success of Sanrad?

Brand Name : Sanrad is an organisation specialising in offering affordable medical imaging equipment and providing impeccable after sales and maintenance service since last 20 years, dealing with preowned CT & MRI Scanner imported from Japan, Sanrad is a market leader in this field with an array of satisfied clientele. Sanrad is widely acclaimed by the medical fraternity in India for its outstanding service with the highest up-time and maintaining excellent customer relationship.

Sanrad, over the years, has installed more than 370 Preowned CT & MRI units in India and abroad, a testimony to its commitment to quality and uncompromising service.We work with a cross-section of brands from varied industry verticals who are leaders in their respective domain and we are proud 24 IN IMAGING

WE WISH TO EXPAND OUR OPERATIONS ACROSS NORTH & EASTINDIAAND TO THE NEIGHBOURING COUNTRIES.TO KEEP PACE WITH LATEST TECHNOLOGYPRODUCTS AND CONTINUE TO PROVIDE THEM ATAFFORDABLE PRICE IN INDIA

to share success and equity in the market place.

Equipment Model: This is another important factor while choosing the right equipment model. We sell all segments of CT from single slice to 64 slice. But the trend now is towards 16 slice.

We are presently selling Asteion 4 slice / Activion 16 / Aquilion 64 with scan time of 5 sec. and slice thickness of 0.5 mm, and wide gantry bore of 720 mm.

Sanrad is very popular for its customer’s friendly approach and this is our biggest USP. Quality: Sanrad does not compromise on quality from installation to support and service.

Before delivering an equipment, it is thoroughly checked by Sanrad’s trained engineers in its local factory and all tests, calibrations and faults are rectified. Damaged parts if any

are replaced.

CTs are ensured for 100 per cent working order based on our continuous improvised checklist.

Our trained engineers ensure that the checklist addresses rare conditions either anticipated or addressed in the past. The equipment is then cleaned if necessary to give a new look. Further, it is duly tested to check its performance against our acceptable benchmarks. These actions will ensure that the machines perform almost at the same levels as their new counterparts.

Sanrad has measurable process and practices to recondition the device almost equal to the OEM's specifications. Preowned CTs supplied by Sanrad come with the same warranties and supports the same clinical applications as new units. Customers get the same clinical functionality, throughput, performance, and service up-time as new equipment.

Customer sites are visited and the installation begins only after the site plan is approved by the AERB board.

Warranty: As pre-owned equipment, Sanrad has moral responsibilities of support, performance of these equipment and supply of spare parts at least the next 5-7 years and above all cater to patient safety. Sanrad provides considerable savings by AMC offers instead of CMC offers.

Cost savings: The most notable benefit of purchasing a preowned machine from Sanrad is the financial saving. Refurbished machines are often 30-40 per cent cheaper than a new machine. Lower prices allow smaller hospitals and diagnostic centres to have more facilities in JANUARY 2018

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their hospitals/clinic while staying within their budgets. The exact savings will depend on the type of machine, the machine's overall condition in proportion to its expected lifespan and warranty options. Sanrad offers cost effective solutions and provides lowest life cycle costs in the industry.

User reference: Sanrad is not only a well-recognised brand for medical imaging equipment, but also has turned into a concept by itself.

This concept embraces a range of customer support systems that have been designed for cost conscious customers in India for a market that is both technology oriented and demanding. Our reference customers are key growth initiators in our business. It is important for the customers to check with existing user of the same equipment about the vendor, equipment, spare parts, failures, service support etc.

Product reliability and support: This can be a crucial point, as many times the customer cannot get an idea about the product origin, history of problems, first customer experience, reliability record etc.

Sometimes, even with a brand new equipment, reliability can be an issue, especially with a newly developed product or software. Sanrad invests in extensive training, and development of knowledge driven manpower on all ranges of CT models including the newest version. The lead engineers at Sanrad are trained at the site till they meet the training criteria. Sanrad helps customers by providing the information upfront.

Sanrad believes in customer relation, which is our core value. As a thumb rule, Sanrad doesn’t sell very old equipment. Reason being, it will JANUARY 2018

result in frequent breakdown or outdated technology.

Sanrad has 60 per cent of the CT/MRI preowned market today because, we offer spare parts exstock and at low costs, provide wide network of service support. Our response time for support and service is best and we improve on responsiveness with measures. Most important benefit that Sanrad offers is our service first and pay later attitude that has been crucial for saving lives today.

Vendor track record: As a Sanrad culture, engineers and marketing understand the customers’ requirements, cost and business pattern. Based on those factors, help the customers select an appropriate model to meet all the criteria. This is one of our success factors and hence our reference customer percentage is growing year on year. We believe that we have moral responsibility for support, performance of the equipment and supply of spare parts with maximum up-time. This adds to our credibility in the industry.

What are the innovations that you wish to bring to India?

In the next 3 years, our plans are ◗ To include digital radiology devices ◗ Higher models of MRI (3 Tesla) ◗ Introduce 128 slice CT Scanner ◗ Mobile MRI on Wheels Any expansion plans?

We wish to expand our operations across North and East India and to the neighbouring countries. To be an integrated participant of healthcare industry, keep pace with latest technology products and continue to provide them at affordable price in India and other developing nations

worldwide. ◗ Innovate to bring down cost and reach more customers ◗ Improvise on processes in service and support to reduce the turnaround time ◗ Focus on enriching customer’s experience from our expert database of knowledge How are you participating in the AOCR 2018 conclave in India?

We are entering as Diamond Partners in the AOCR 2018 event. We expect our brand to get extra recognition in terms of the best quality of the products and the services that we provide to our esteemed customers.

What are your expectations from this event?

We look forward to make new business relationships and expand our business horizons through the exposure received in this event.

Are there any product launches planned at this event?

We plan to launch Mobile MRI on Wheels which is our new product How will attending the AOCR 2018 add value to your business plans for India? ◗ Business Development activities ◗ Enhancing public image ◗ Increasing marketenxposure ◗ Meeting our existing customers We believe that the event has lot of quality participants and has been organised by the peers of the health industry. This being the plus point of the event, we are rest assured that by attending the event and participating we shall benefit vehemently.

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DILIP BHOSALE General Manager -West Agfa Healthcare India

‘Digital technologies are keygrowth drivers’ 26 IN IMAGING

How is the radiology industry growing and what are the current advancements in the field?

Indian radiology sector is in the phase of continuous evolution and will remain a key growth segment for many medical institutions in their aspirations of becoming ‘gold standard in care giving’.

In my opinion, radiology users in India stands divided in six segments: ◗ Private corporate large hospitals including hospital chains ◗ Smaller multi speciality / super speciality hospitals ◗ Diagnostic Centres - privately held and corporate chains ◗ Large network of govt hospitals, PHC’s and CHC’s ◗ Private and Govt academic centres ◗ Other sectors like orthopaedic clinics With increasing installed base of radiology solutions and changing trends of care giving, radiology product market is experiencing pull for ‘value for money’ segment.

Innovation is the key driver behind JANUARY 2018

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every product offering. Intelligent marketers will be able to experience growth of 10 per cent YOY. “Digital India”, “Public Private Partnership” and “Make In India” initiative by Government of India will push the medical devices manufacturer to offer tailor made India centric, creative solutions to the fast changing public services sector.

Latest offerings in the area of CT / MRI are reaching large govt and privately owned institutional customers catering to small mass of elite patients. Disruptive marketing and examination pricing can make large change in the way mass population of India will receive benefits of such innovative solutions across India. Growing awareness and need to counter cancer threat will also drive product, institutions and company growth in this segment.

Increasing patient awareness in area like Mammography, at patient level and Govt level, will also contribute positively.

Large mass of ortho centres and nursing homes treating patients for various ailments will drive growth of digital X-ray in urban and rural area.

How would you rank the Indian radiology market?

There is a clear difference, how Radiology examinations are treated in US, Europe and developing markets like India.

While technology solutions to enhance clinical capabilities and speed of conducting an examination using hardware and software solutions, has reached Indian shores, volume of examinations conducted are far more in India.

Commercial considerations per JANUARY 2018

examinations in India are also far lower. In terms of clinical results of examinations conducted, I am of the opinion that India offers some of the best talents, resulting in lot of reporting workload being diverted to India from developed countries. This has resulted in some organisations running business models of remote diagnosis using technologies and internet intelligently.

Are digital technologies disrupting the sector in India? And How? Digital technologies, are key growth drivers going forward. However, price points at which radiology examinations are conducted, makes decision of complete digitisation a challenge.

Homegrown solutions or Indianised IT solutions can offer an alternate path for this sector. Key considerations for technical and clinical validations of these solutions and benchmarking them with international standards will remain a challenge. Enterprise wide adaptation of IT will hinge on the Return on Investment experienced by varying customer profiles.

Public services sector will face further challenges in selecting workable solutions, which are technically advanced, future ready and are designed to meet tendering process followed.

What is your company's focus in the Indian market?

Agfa Healthcare is one of the pioneers in digital imaging solutions including Direct Radiography(DR), Computed Radiography (CR) and associated printing solutions. More than 5000 customers across India,

believes in our product capabilities and have placed their faith with us to offer innovative new technologies in their quest to serve their patients more efficiently. Our focus will be, to be customer centric, and help them by increasing bandwidth of our offerings.

What are your expectations from this event?

AOCR 2018, being one of the largest radiology event in Asia, will surely attract respected radiologist not only from India but from countries in ASEAN. Agfa Healthcare is proud to be ‘gold’ partner in this event with a large booth exhibiting some of our latest innovations and technologies.

Agfa Healtcare is celebrating 150 years of our presence in this industry with special event planned for the same during AOCR. We expect to reinforce our strong presence in this industry with brand and product promotion programme charted for this event.

Are there any product launches?

At AOCR 2018 will be our launch pad for key technologies in the area of mammography and DR. How will attending the AOCR 2018 add value to your business plans for India?

Key event like AOCR offers necessary exposure and attention for brand like AGFA. Product launch, live demonstrations offers best results during such shows. We strongly believe that Agfa Healthcare will be able to propel its commitment to radiology using this show. We remain committed to our tag line “Care You Can See”.

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SUSHANT KINRA Country Business Manager, Carestream Health India

‘Awareness,accessibility and affordabilityare the keygrowth drivers for this sector’ 30 IN IMAGING

What is your perspective on the Indian radiology sector?

The Indian radiology sector is quite exciting and poised for phenomenal growth. India spends less than three per cent on Public healthcare as compared to the ten per cent global average and we have no option, but to invest in the sector in order to improve the quality of healthcare. Awareness, accessibility and affordability are the key growth drivers for this sector. The availability and accessibility of data is growing in the radiology segment and big data analytics, artificial intelligence and machine learning are the key technological advancements in this field.

When you compare the Indian market to the rest of the world, where would you rank the India Radiology industry?

Currently the Indian market is on the lower side considering the population of our country but there is no doubt that it will grow to be one of the top-ranking JANUARY 2018

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markets across the world.

Are digital technologies disrupting the sector in India?

The key trends are on artificial learning and needless to say, we should be ready for a potential disruption in the way the work flow and efficiency is managed currently. This will bring tremendous value to the patient as well as our customers by improving the overall quality of healthcare, while bringing down the overall cost of healthcare.

On what does Carestream India have its focus on and how will it add value?

Our focus is to accelerate the digitisation of the radiology market. We do this by offering CRs and DRs in the Indian market with the aim to accelerate the conversions of analogue data to digital and then augment this with our world class Healthcare IT solutions to manage this data and improve workflow and efficiency for our customers, which in total adds great value to the overall healthcare ecosystem.

What innovations are you bringing to India?

One of our core value is innovation and we continue to strive hard to bring innovative products to the market. Our

JANUARY 2018

WE ARE LAUNCHING THE ONSIGHT3D EXTREMITY SYSTEM,MYVUE CENTRE KIOSK AND OUR “VUE CLINICAL COLLABORATION PLATFORM” IN THE HEALTHCARE IT SEGMENT.WE WILLLEVERAGE THIS PLATFORM TO ENGAGE WITH OUR CUSTOMERS pipeline is quite strong this year. We plan to launch our OnSight 3D Extremity System, which uses cone beam technology for extremity exams(including load bearing exams) at the lowest dosage possible. We also plan to launch our innovative printing solution –MyVue Centre Kiosk which helps the healthcare provider to improve the workflow in their own setup. MyVue Centre Kiosk is accessible to patients 24X7, and helps them manage their own reports based on their own preference. They can

conveniently access the report and images, print it, and send it to someone or they can get a digital image on a USB drive. We are also bringing our zero footprint “Vue Clinical Collaboration Platform”, a customised Healthcare IT solution, which increases the efficiency and improves the workflow of any radiology setup.

How will attending AOCR 2018 add value to your business plans for India?

AOCR 2018 is a unique conference where we are able to harness the views of all our customers under one roof. This helps us to understand their needs better and helps us to design our product and solutions to suit their requirements, apart from showcasing our innovative products and solutions What can we expect from Carestream at AOCR 2018?

We are launching the OnSight 3D Extremity system, MyVue Centre Kiosk and our “Vue Clinical Collaboration Platform” in the healthcare IT segment.

We will leverage this platform to engage with our customers, understand their problems, discuss the latest trends in radiology space, and use this information to manage our product lifecycle.

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CHANDER SHEKHAR SIBBAL Senior Vice President, Head of Medical DivisionFujifilm India

We are seeing a prominent presence of FujiFilm India in the Indian Radiology Market Place. What plans does the company have for India?

At Fujifilm, we are continuously innovating, creating new technologies, product and services and depending on the market demand we will be introducing new products. We are introducing endoscopy, bronchoscopy and new DR machines which would help in early detection of cancer.

We are concentrating more on customer service by increasing our manpower and service centres.

Fujifilm India is planning to launch newDR System at AOCR 2018 32 IN IMAGING

How did FujiFilm make the transition from film making to cameras and the entire bouquet of products currently on offer. Please describe the journey Fujifilm was established in 1934 with the aim of producing photographic films. Over the decades the company has diversified into new markets and built a strong presence around the globe. In the year 2000, when the wave of digitalisation led to the decline of JANUARY 2018

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film demand, Fujifilm considered this to be an opportunity instead of a crisis.

In response to this, Fujifilm HQ implemented management reforms aimed at effecting drastic transformation of its business structures. The company utilised its core technologies and diversified to form six new business fields: healthcare, highly functional materials, document solutions, graphic arts, optical devices and digital imaging.

While most film manufacturers recognised this fundamental change, Fujifilm adapted to this shift much more successfully and its diversification efforts also succeeded.

Fujifilm has leveraged its imaging and information technology to become a global presence known for innovation in healthcare, photo imaging, graphic arts, recording media, industrial products, optical devices, highly functional materials and other hightech areas. The Company is continuously innovating-creating new technologies, products and services that inspire and excite people everywhere. Their goal is to empower the potential and expand the horizons of tomorrow’s businesses and lifestyles.

What is the innovative way in which FujiFilm India is gearing up to tackle breast cancer in our country?

Fujifilm India, a pioneer in the development and application of imaging and information innovations to healthcare technologies, had partnered with different institutes all over India for the installation of its 50 Micron 3D Mammography machine- a highly advanced breast cancer diagnostic machine that has made early detection of breast cancer a reality for women. Fujifilm’s advanced tomosynthesis technology reveals the JANUARY 2018

THE COMPANYIS CONTINUOUSLYINNOVATINGCREATING NEW TECHNOLOGIES,PRODUCTS AND SERVICES THATINSPIRE PEOPLE EVERYWHERE.THEIR GOALIS TO EMPOWER THE POTENTIALAND EXPAND THE HORIZONS OFTOMORROW’S BUSINESSES AND LIFESTYLES

internal structure of the breast thus simplifying the detection of lesions that gets overlooked in a routine mammography.

FFIN conducted a symposium in Delhi with Batra Hospital, Mumbai with NM Medical Center, Chennai with SRMC and Kolkata with Peerless Hospital followed by press conference to generate the awareness about the cause.

In our continues effort to generate awareness about this noble cause, we have tied up with PINKATHON (women Marathon) as a 'Wellness Partner' and educate the women of the country that how early detection saves life.

We are installing mammography units in mobile vans to generate the awareness to the masses and screening women with potential risk of breast related diseases, one such example is Indian Cancer Institute at Delhi.

To generate the awareness we also

conduct patient awareness programs in association with hospitals like Tata Memorial Centre ACTREC , NM medical Mumbai, Action Balaji cancer hospital Delhi, SRMC Chennai, Shankra Cancer Hospital Bangalore.

Please brief us on the acquisition of Sonosite and the focus on point of care ultrasound machines.

In March 2012, US based SonoSite became a wholly owned subsidiary of FujiFilm Holdings corporation. Since its inception, SonoSite’s lightweight, robust products have created and led the point-of-care ultrasound market.

From sophisticated urban hospital emergency departments to clinics in austere, remote villages, SonoSite systems are used by over 21 medical specialties and provide clinicians around the world with a cost-effective tool for improving patient safety and workflow efficiency.

Currently, SonoSite has in excess of 145 patents and holds a number of prestigious design awards. It continues to be the world leader in point-of-care ultrasound. SonoSite’s compact systems are expanding the use of ultrasound across the clinical spectrum by cost-effectively bringing high-performance ultrasound to the point of patient care.

Have you planned any launch at AOCR 2018, or any new product in 2018.

Fujifilm India is planning to launch new DR System in association with local XRay manufacturer. This floor mounted DR system would be in two variants 15 KW and 30 KW with high frequency generator. With features like low x-ray radiation with high quality images, this system is very easy to use and install with improved workflow.

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BYUNG IHN CHOI Clinical Chair Professor, Dept of Radiology, Chung-Ang University Hospital

‘AOCR should be a distinctive regional academic festival in Asian and Oceanic area, different from RSNAand ECR’ 34 IN IMAGING

How was the Asian Oceanian School of Radiology conceived?

What are its goals?

AOSOR is a special task force organisation of AOSR, and was established in 2013. Under the mission statement for AOSR-led academic educational and scientific programme, AOSOR pursues education and training in radiology and scientific communication between AOSR members. The Founding Director of AOSOR was professor Jian Ping Dai from China. I have been the Director since 2014.

What are the objectives of the AOSOR? AOSOR has several academic and educational projects launched from 2014 including AOSOR conjoint session, visiting fellowship, visiting symposium, visiting professor, and AOSR youth club.

Through these projects, AOSOR tries to reach out to homogenous JANUARY 2018

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advanced academic society and to unite AOSR as a leading international organisation in the field of radiology.

academic level of member societies and to unite Asian Oceanian societies to a great powerful international regional society.

You are a founder member of AOSR, and the live wire of this organisation. Where do you see this organisation, ten years from now?

Currently, 25 Asian and Oceanian radiological societies from 25 countries are member societies of AOSR. The leading major societies in AOSR are from Japan, Korea, China, India, Australia and Taiwan.

As the third international regional society after RSNA and ESR, AOSR actively takes part in international collaboration including international trend meetings during RSNA and ESR, conjoint scientific session between RSNAAOSR, conjoint International visiting professor (IVP) programme with RSNA, International day of Radiology (IDoR) with ESR and RSNA, etc. Through those collaborations, AOSR tries to make affiliated society reaching an

JANUARY 2018

AOCR ORGANISING COMMITTEE SHOULD PREPARE THE MOSTOPTIMAL PROGRAMME FOR ASIAN-OCEANIC PEOPLE, MUSTINCREASE THE COST-EFFECTIVENESS OFTHE CONGRESS PROVIDING INEXPENSIVE TRAVELLING, ACCOMMODATION AND REGISTRATION FEE AND OFFERING AWARDS FOR YOUNG INVESTIGATORS, FELLOWSHIPS FOR YOUNG PARTICIPANTS

What are you looking forward to in AOCR 2018?

I think AOCR should be a distinctive regional academic festival in Asian and Oceanic area, different from RSNA and ECR. To do so, AOCR organising committee should prepare the most optimal programme for Asian-Oceanic people, must increase the cost-effectiveness of the congress providing inexpensive travelling, accommodation and registration fee and offering awards for young investigators, fellowships for young participants.

I hope AOCR 2018 in Mumbai will be one of the most productive and memorable congress to exchange recent knowledge and cutting-edge information in the field of radiology and to enhance mutual friendship among Asian Oceanic radiologists and related specialists.

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DR SANJEEV MANI Organising Secretary IRIA 2018 and Secretary, MSBIRIA

‘More than 25 international speakers are expected to share their experiences at AOCR 2018’ 36 IN IMAGING

Tell us us about the preparations for IRIA and AOCR 2018? What should the industry expect from AOCR 2018 clubbed with 71st Annual Conference of IRIA? The 17th Asian Oceanian Congress of Radiology and the 71st Annual Conference of the Indian Radiology and Imaging Association (IRIA) will be held at Renaissance Mumbai Convention Centre Hotel, Powai, Mumbai from the January 25- 28, 2018. With four days of lectures spread across six halls, five halls for presentation of scientifc papers, E posters on screens across the conference arena, more than 20,000 sq feet of space for scientific exhibits, Mumbai Chaat Street, three consecutive nights of topnotch social events, and stay available at the venue itself for those taking the residential package, the event is packed with tremendous academics and enjoyment for all delegates who will attend AOCR 2018, an event reaching Indian shores after a gap JANUARY 2018

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of 25 years. A strong participation from AOSR group of countries is expected for this event, with a heavy dose of international and national faculty that will make this a not-tomiss event in the annals of radiology conferences in India. We have geared ourselves to showcase an academic and cultural extravaganza and look forward to your presence at this event. We will leave no stone unturned to ensure a wonderful experience for the delegates. It is a great opportunity to meet friends, network, watch legends give cutting updates, see budding talent amongst indian radiologists, be a part of exciting on site quiz contests, see new equipment showcased at the trade exhibit, and enjoy wonderful cultural events that showcase India’s rich heritage across three social events during the course of the event.

How many radiologists and allied industry representatives are you expecting?

We expect more than 4000 radiologists to take part. More than 2500 have already registered for the conference upto October 31, of which more than 30 per cent are radiology students. The participation is expected to cross 4500 delegates, if we include trade, industry and AOSR representatives.

Our focus is on making it a great learning experience for radiology residents.

What is the focus for this year?

The focus for this year is advanced imaging across Asia. The conference is being held in association with the Asian Oceanian Society of Radiology (AOSR) by the JANUARY 2018

WE EXPECTMORE THAN 4000 RADIOLOGISTS TO TAKE PART.MORE THAN 1000 PAPERS AND POSTERS ARE EXPECTED FOR THIS EVENT.A HUGE REGISTRATION OF RADIOLOGYSTUDENTS AND RESIDENTDOCTORS IS EXPECTED,AND THE INTEREST FROM YOUR RADIOLOGY BLOOD IS HEARTENING TO SAY THE LEAST.OUR FOCUS IS ON MAKING ITAGREATLEARNING EXPERIENCE FOR RADIOLOGY RESIDENTS

Indian Radiological & Imaging Association (IRIA), and more than 25 international speakers are expected to share their experiences from across the Asian Oceanian region.

How will this year’s gathering be different from the previous ones?

Six dedicated halls for scientific sessions, and five halls for paper presentations have been planned at this event. The six session halls will have LED screens with digital screening of all lectures. We are planning a green conference with minimal use of paper and all updates and notifications on our mobile App

via SMS. Mumbai is the commercial capital of the country and the Local Organising Committee (LOC) is working hard to cover all facets of the event to make it successful. We are already primed to be the highest attended conference of radiology ever in the country. More than 1000 papers and posters are expected for this event.

A huge registration of radiology students and resident doctors is expected, and the interest from your radiology blood is heartening to say the least. Three social events will be held and will also include high voltage performances by stars from Bollywood, and culminating with a entertainment performance on Saturday night.

What are the scientific programmes focussing on? What are the kind of topics that will be covered?

All modalities of radiology under all subsections will be covered by international, Asian and the best of Indian faculty. Topics across neuroradiology, chest radiology, abdominal imaging, OBGY imaging, and all other important subsections of radiology will be covered.

Are there any learnings from the previous years that you would like to incorporate this year?

Our focus this year is on a dynamic website and Mobile app (AOCR 2018) that has already been launched. We will be providing live feeds of key moments of the conference through our live updates section on the Mobile App. Our Facebook page also showcases the event as we countdown to January 25, 2018.

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DAY 1 - 25th Jan, 2018 HALL A DR. N. RAMDAS BEST PAPER RESEARCH AWARD FOR THE YEAR 2016 0830 hrs - 0900 hrs

Ultrasound Spectrum Of Rheumatoid Arthritis And Its Clinical Correlation: A Pilot Study.

0900 hrs - 0930 hrs

Role Of Dual Energy Spectral Computed Tomography In Characterization Of Hepatocellular Carcinoma: Development Of A New Diagnostic Algorithm.

Dr. Nidhi Gouthi

ONCO IMAGING AWARD Dr. Shalini Thapar

0930 hrs - 1000 hrs

DR. MIHIR MITTER ORATION 2018 High Resolution Targetted Ultrasonography As A Diagnostic And Therapeutic Aid In Dr. P. M. Venkata Sai Dentistry

1000 hrs - 1030 hrs

Role Of Imaging In Evaluation Of Traumatic Brachial Plexus Injury

1100 hrs - 1130 hrs

Liver Elastography Guidelines & Current Scene

Dr. Richard Barr

1130 hrs - 1200 hrs

MSK USG - State Of Art & Future

Dr. Marnix Van Holsbeck

1200 hrs - 1230 hrs

Elastography Breast & Upcoming Applications In Small Parts

Dr. Richard Barr

1230 hrs - 1300 hrs

First Trimester Scan:A Paradigm Shift In Fetal Care

Dr. Jon Hyett

1400 hrs - 1500 hrs

Dr. Raju Sharma, Dr. Ashu Seith Bhalla, Dr. N. Chidambaranathan

DR. N. G. GADEKAR ORATION 2018 Dr. Atin Kumar

SK SHARMA ULTRASOUND SYMPOSIUM

SUREN KOTHARI MEMORIAL FILM READING SESSION

HALL C THEME : NECK IMAGING

1130 hrs - 1200 hrs

Imaging Landmarks Primary Tumor Evaluation

Dr. Hugh Curtin

1200 hrs - 1230 hrs

Staging The Lymph Nodes

Dr. Hiroya Ojiri

1230 hrs - 1300 hrs

Post-Treatment Surveillance

Dr. Barton Branstetter

1300 hrs - 1330 hrs

Special Considerations In Nasopharynx Carcinoma

Dr. Vincent Chong

THEME : GENITOURINARY RADIOLOGY 1430 hrs - 1455 hrs

Prostate MRI

Professor Bernd Hamm

1455 hrs - 1520 hrs

MRI and PET In Treatment Strategy Of GU Malignancies

Professor Kazuro Sugimura

1520 hrs - 1545 hrs

Imaging Of Problematic Renal Mass

Professor Seung Hyup Kim

1545 hrs - 1610 hrs

Introduction to IRIA

Dr Harsh Mahajan

1610 hrs - 1635 hrs

Introduction to AOSR

Dr. Dinesh Verma

1635 hrs - 1700 hrs

Introduction to ESR

Professor Yves Menu

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DAY 2 - 26th Jan, 2018 HALL A

SIR JC BOSE ORATION 2018 1000 hrs - 1040 hrs

Extra-Hepatic Portal Vein Obstruction (EHPVO) With Cholangiopathy:

Dr. Shalini Thapar

DR. DIWAN CHAND AGGARWAL ORATION 2018 1040 hrs - 1120 hrs

Dr. Pankaj Sharma

Elastography Of Breast Masses DR. M. L. AGGARWAL ORATION 2018

1120 hrs - 1200 hrs

Role Of MRI In Infectious Arthritis

Dr. Mahesh Prakash

1200 hrs - 1240 hrs

Fuelling A Paradigm Shift In Radiology Imaging By Leveraging Advances In Radiology Informatics. A Diy (Do It Yourself ) Approach.

1330 hrs - 1355 hrs

Early Preg Reporting And Complications

Dr. Ashok Khurana

1355 hrs - 1420 hrs

NT Scan - Achieving Perfection

Dr. Archana Gupta

1420 hrs - 1455 hrs

1st Trimester Scan - Beyond NT

Dr. Chander Lulla

1455 hrs - 1520 hrs

Current Markers In Aneuploidy In 2nd Trimester

Dr. Bimal Sahani

1520 hrs - 1545 hrs

Establishing Gestational Age & Picking Up Growth Disorders

Dr. Alpana Joshi

1545 hrs - 1610 hrs

Obstetric Doppler In Growth Restriction

Dr. Bhupendra Ahuja

1610 hrs - 1635 hrs

Fetal Skeletal Dyspalsia - Practical Approach

Dr. Jon Hyett

1635 hrs - 1700 hrs

Interesting Cases In Obs (Interactive)

Dr. Mohit Shah

DR. K. M. RAI ORATION 2018 Dr. Amit Kharat

OBSTETRICS

HALL B NEURORADIOLOGY 1330 hrs - 1355 hrs

Dr. S.B Desai

1355 hrs - 1420 hrs

State Of Art Techniques : Perfusion, DTI, Spectroscopy

Dr. Shilpa Sankhe

1420 hrs - 1455 hrs

Neurometabolic Disorders – How Do I Approach

Dr. Kshitij Mankad

1455 hrs - 1520 hrs

Imaging In Dementia - An Overview

Dr. Deepak Patkar

1520 hrs - 1545 hrs

CNS High And Low Pressure States : Do We Rely On Csf Flow Studie

Dr. Deepak Patkar

1545 hrs - 1610 hrs

Imaging In Acute Stroke - An Update

Dr. Tufail Patankar

1610 hrs - 1635 hrs

Seizures And Epilepsy Imaging

Dr. Parvez Masood

1635 hrs - 1700 hrs

Mri Of The Neonatal Brain

HALL C NECK IMAGING 1330 hrs- 1355 hrs

Tongue And Oral Cavity

Dr. Jyoti Kumar

1355 hrs - 1420 hrs

Neck Nodes : Current Guidelines

Dr. Anbarasu A

1420 hrs - 1455 hrs

Neck Spaces : Critical Landmarks And Reporting Checklist

Dr. Brig. C. M. Sreedhar

1455 hrs - 1520 hrs

Sinonasal Tumours It’s Not All Sinusitis!

Dr. Abhishek Jha

1520 hrs - 1545 hrs

Imaging Of Larynx And Pharynx - Pearls And Pitfalls

Dr. Varsha Joshi

1545 hrs -1610 hrs

Orbital Imaging A Compartmental Approach

Dr. Ata Siddiqui

1610 hrs - 1635 hrs

Temporal Bone : Middle Ear And Mastoid

Dr. Anbarasu A

1635 hrs - 1700 hrs

Temporal Bone - Inner Ear

Dr. Rajendra Solanki

HALL D

JANUARY 2018

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HEPATO BILIARY 1330 hrs - 1355 hrs

A Rational Approach to GI Ultrasound

Dr. Ravi Kadasne

1355 hrs - 1420 hrs

Liver Focal Lesaions : Location & Characterisation

Dr. Asif Momin

1420 hrs - 1455 hrs

GB: Uncommon Problems In A Common Organ

Dr. N. Dahiya

1455 hrs - 1520 hrs

Non Vascular USG Intervention

Dr. Nikit Mehta

TRAUMA IMAGING 1520 hrs - 1545 hrs

Imaging In Pediatric Fractures

Dr. Anitha Mandava

1545 hrs - 1610 hrs

Abdominal Trauma Imaging

Dr. Atin Kumar

1610 hrs - 1635 hrs

Osseous Trauma Imaging

Dr. Ankur Shah

1635 hrs - 1700 hrs

Pulmonary Trauma Imaging

Dr. Rohit Agarwal

HALL E CONVENTIONAL RADIOLOGY 1330hrs - 1355 hrs

Neonatal Respiratory Distress

Dr. Kushaljit Sodhi

1355 hrs - 1420 hrs

Reading The Skull Radiograph

Dr. Bhujang Pai

1420 hrs - 1455 hrs

The Adult Chest

Dr. Ravi Ramakantan

1455 hrs - 1520 hrs

Tubes And Lines: Xrays In ICU Setting

Dr. Sanjay Jain

1520 hrs - 1545 hrs

Barium Studies: Whats Left

Dr. G. R. Jankharia

1545 hrs - 1610 hrs

Bone Tumors

Dr. Ravi Ramakantan

1610 hrs - 1635 hrs

Hand As A Mirror Of Diseases

Dr. Anand Hatgaonkar

1635 hrs - 1700 hrs

Sclerosing Skeletal Dysplasia

Dr. V. N. Varaprasad

HALL F GYNEC IMAGING CT/ MRI 1330 hrs - 1355 hrs

Imaging The Endometrium

Dr. Geena Benjamin

1355 hrs - 1420 hrs

Ovarian Imaging

Dr. Rupa Renganathan

1420 hrs - 1455 hrs

Uterine Artery Emobolization

Dr. Gireesh Waravdekar

1455 hrs - 1520 hrs

Endometriosis & Adenomyosis

Dr. Anju Garg

1520 hrs - 1545 hrs

Developmental Anomalies Of The Uterus

Dr. Amol Gautam

1545 hrs - 1610 hrs

Imaging Ca Cervix The Figo Way

Dr. Karthik Ganesan

1610 hrs - 1635 hrs

Value Of Mri In Adnexal Masses

Dr. Raina Tembey

1635 hrs - 1700 hrs

Technotalk

Tba

HALL H 0900 hrs - 1000 hrs

RSNA - AOSR Business Meeting

1000 hrs - 1100 hrs

ESR - AOSR Business Meeting

1400 hrs - 1600 hrs

AOSR General Assembly OFFICIAL PRESIDENT HANDOVER CEREMONY

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DAY 3 - 27th Jan, 2018 HALL A FETAL IMAGING : HEART 0830 hrs - 0900 hrs

Fetal Echo Demo

Dr. Ramamurthy

0900 hrs - 0930 hrs

Making Optimum Use Of 4 Chamber View

Dr. Jon Hyett

0930 hrs - 1000 hrs

3V & 3VT : A Saviour

Dr. Ramamurthy

1000 hrs - 1030 hrs

Aortic Arch Anomalies

Dr. Chandrashekhar Kenjale

1030 hrs - 1100 hrs

Normal CNS Anatomy In Each Trimester (Demo)

Dr. Ramamurthy

1100 hrs - 1130 hrs

Ventriculomegaly - Worry Or Not To Worry

Dr. C. Lulla

1130 hrs - 1200 hrs

Posterior Fossa-Step By Step

Dr. Meenu Batra

1200 hrs - 1230 hrs

Open And Closed Neural Tube Defects

Dr. Alpana Joshi

1330 hrs- 1400 hrs

Fetal GI & GU Anomalies: Common Conditions & Outcome

Dr. S. Boopathy

1400 hrs - 1420 hrs

Don’t Forget Fetal Lungs

Dr. John Hyett

1420 hrs - 1440 hrs

Placenta & Cord

Dr. Ashok Khurana

1440 hrs - 1500 hrs

Oli And Poly : Update On Fluid & Cervix

Dr. B. Sahani

1500 hrs - 1530 hrs

Twins : Practical Tips

Dr. Bhupendra Ahuja

1530 hrs - 1600 hrs

Fetal Infections Unsolved Dilemmas

Dr. John Hyett

1600 hrs - 1630 hrs

“Quiz”

Dr. Ramamurthy

FETAL IMAGING : CNS

FETAL IMAGING

HALL B NEURORADIOLOGY: SPINE 130 hrs - 0900 hrs

Imaging In Cns And Spinal Infections

Dr. Rajiv Azad

0900 hrs - 0930 hrs

Spinal Cord Pathologies – Myelitis And Mimics

Dr. Mitusha Verma

0930 hrs - 1000 hrs

Low Back Pain Beyond Disc Disease

Dr. Anbarasu A

1000 hrs - 1030 hrs

Spinal Cord Tumors

Dr. Parvez Masood

ABDOMINAL IMAGING: LIVER 1030 hrs - 1100 hrs

Approach Of Focal Liver Lesions

Dr. Anirudh Kohli

1100 hrs - 1130 hrs

Focal Lesions In The Cirrhotic Liver

Dr. Saugata Sen

1130 hrs - 1200 hrs

Focal Lesions In Non Cirrhotic Liver

Dr. Naveen Kalra

1200 hrs - 1230 hrs

LIRADS

Dr. Karthik Ganesan

ABDOMINAL IMAGING 1330 hrs - 1400 hrs

Imaging In Hepatocellular Ca

Dr. Dushyant Sahani

1400 hrs - 1430 hrs

Role Of Interventional Radiology In Hcc

Dr. Srinivas Desai

1430 hrs - 1500 hrs

Incidentilomas : Current Guidelines

Dr. Srinivas Dandamudi

1500 hrs - 1530 hrs

Imaging Of Abdominal And Pelvic Lymph Nodes With Special Emphasis On Lymphatic Pathways

Dr. Joseph Lee

1530 hrs - 1600 hrs

Abdominal Lymphoma

Dr. Eshwar Chandra

1600 hrs - 1630 hrs

Recist Criteria

Dr. Shikha Pillai

HALL C CARDIAC IMAGING 0830 hrs - 0850 hrs

Cardiac CT: The Way I Do It

Dr. Preeti Shinde

0850 hrs - 0910 hrs

Imaging Of Congenital Heart Disease

Dr. Suman Singal

0910 hrs - 0930 hrs

Acute Vascular Emergencies Of The Chest

Dr. Kulbir Ahlawat

0930 hrs - 1000 hrs

Imaging Of Coronary Artery Disease:

Dr. Bhavin Jankharia

JANUARY 2018

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1000 hrs - 1030 hrs

Cardiac MRI : Update

Dr. Gurpreet Gulati

1030 hrs - 1100 hrs

TB & it’s Mimics

Dr. N. Chidambaranathan

1100 hrs - 1130 hrs

Interstitial Lung Disease

Dr. Ashu Seith Bhalla

1130 hrs - 1200 hrs

Infections In Immunocompromised Patient

Dr. Shabnam Bhandari Grover

1200 hrs - 1230 hrs

Chest Imaging In Icu Setting

Dr. Jayaraj Govindaraj

1330 hrs - 1400 hrs

The Spectrum Of Hypersensitivity Pneumonitis

Dr. Sudhakar Pipavath

1400 hrs - 1420 hrs

Ldct Screening Of Lung Cancer In Nonsmokers, A Prospective, Multicenter And Nation - Wide Study In Taiwan

Dr. Yung-Liang Wan

1420 hrs - 1440 hrs

Dual Energy Ct Applications In Thoracic Imaging

Joon Beom Seo

1440hrs - 1500 hrs

4-Dimensional Chest Ct Under Free Breathing : The Advantages Of DynamicVentilation Ct For Novel Thoracic Imaging

Dr. Tsuneo Yamashiro

1500 hrs - 1530 hrs

Imaging Approach To Lung Nodules

Dr. Sudhakar Pipavath

1530 hrs - 1600 hrs

Image Guided Intervention

Dr. Bhavin Jankharia

1600 hrs - 1630 hrs

Prof Noriyuki Tomiyama

HALL D MSK WITH LIVE DEMO 0830 hrs - 0915 hrs

Dr. Marnix Van Holsbeck

Shoulder Demo & Normal Anatomy

0915 hrs - 0945 hrs

Dr. Marnix Van Holsbeck

0945 hrs - 1000 hrs

Coraco Clavicular Ligament Evaluation

Dr. Nidhi Bhatnagar

1000 hrs - 1030 hrs

Normal Elbow- Live Demo & Lecture

Dr. Kunwarpal Singh

1030 hrs - 1045 hrs

“True” Cubital Tunnel Syndrome

Dr. Marnix Van Holsbeck

1045 hrs - 1115 hrs

Nerve Tracing -Upper Limb - Live Demonstration

Dr. P K Srivastava

1115 hrs - 1145 hrs

Wrist And Hand- Live Demo & Lecture

Dr. Raghav Aggarwal

MSK WITH LIVE DEMO 1145 hrs - 1200 hrs

Carpal Tunnel Syndrome

Dr. Ashwin Lawande

1200 hrs - 1230 hrs

MSK Interventions

Dr. Ashwin Lawande

1330 hrs - 1410 hrs

Knee- Live Demo & Lecture

Dr. Nidhi Bhatnagar

1400 hrs - 1450 hrs

Ankle - Live Demo & Lecture

Dr. Bipin Shah

1450 hrs - 1520 hrs

Ped Hip & DDH

Dr. Alka Karnik

1520 hrs - 1550 hrs

Ultrasound Of Adult Hip

Dr. Marnix Van Holsbeck

1550 hrs - 1610 hrs

Peripheral Nerves

Dr. P. K. Srivastava

1610 hrs - 1630 hrs

Evaluating Hernias

Dr. Sudheer Gokhale

HALL E PEDIATRICS 0830 hrs - 0900 hrs

Neonatal Jaundice

Dr. Akshay Saxena

0900 hrs - 0930 hrs

Pediatric Liver Tumors

Dr. Neera Kohli

0930 hrs - hrs 1000

Pediatric Cerebellar Atrophy

Dr. C. Amarnath

1000 hrs - 1030 hrs

Posterior Fossa Tumors In Pediatric Age Group

1030 hrs - 1100 hrs

Pediatic Abdominal Emergencies

Dr. Surendra Kumar Bugata

1100 hrs - 1130 hrs

Pediatric Abdominal Masses

Dr. Milind Gune

1130 hrs - 1200 hrs

Interactive Session Based On Pediatric Emergencies

Dr. Alka Karnik

1200 hrs - 1230 hrs

MSK Imaging In The Pediatric Age Group

Dr. Rajendra Kedar

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DAY 3 - 27th Jan, 2018 HALL E GI RADIOLOGY 1330 hrs - 1400 hrs

Imaging in Bowel Ishemla

Dr. Natasha Gupta

1400 hrs - 1430 hrs

Small Bowel Neoplasms

Dr. Lalendra Upreti

1430 hrs - 1500 hrs

MR Imaging of Fistula in ano

Dr. K. S. Sehkar

1500 hrs - 1530 hrs

Imaging of Rectal cancer

Dr. Supreeta Arya

1530 hrs - 1600 hrs

GI Bleed: Imaging & Intervention

Dr. Suyas Kulkarni

1600 hrs - 1630 hrs

TB vs Crohn’s Disease : Role Of Imaging

Dr. Raju Sharma

HALL F INTERVENTION AND VASCULAR 0830 hrs - 0900 hrs

Color Doppler Evaluation In Pvd

Dr. Mohit Shah

0900 hrs - 0930 hrs

Endovascular Intervention In Pvd

Dr. G. Waravdekar

0930 hrs - 1000 hrs

CT & MR Angiography In Pvd

Dr. Gaurav Goswami

1000 hrs - 1030 hrs

Peripheral Pseudoaneurysms

Dr. V. Someshwar

INTERVENTION 1030 hrs - 1100 hrs

Deep Vein Thrombosis

Dr. Shyam Kumar Keshav

1100 hrs - 1130 hrs

Acute Stroke Strategy

Dr. Hemant Patel

1130 hrs - 1200 hrs

Sclerotherapy of vascular and lymphatic malformations

Dr. Jongmin Lee

1200 hrs - 1230 hrs

Carotid Plaque Morphology And Recommendation For Stenting

Dr. K. Lakshmi Sudha Prasanna

1330 hrs - 1430 hrs

Game Of Jeopardy

Dr. Nirvikar Dahiya

PET CT & NUCLEAR MEDICINE 1430 hrs - 1500 hrs

PET CT : How And When

Dr. Murali Krishna

1500 hrs - 1530 hrs

Nuclear Medicine In Diagnostic & Therapeutic Applications

Dr. Vikram Lele

1530 hrs - 1600 hrs

PET CT: Future Trends And Applications

Dr. Sikandar Shaikh

1600 hrs - 1630 hrs

Techno Talk

Tba

DAY 4 - 28th Jan, 2018 HALL A GYNEC ULTRASOUND 0830 hrs - 0900 hrs

Uterine Anomalies 3D

Dr. A Khurana

0900 hrs - 0920 hrs

Usg In Infertility

Dr. Anirudh Badade

0920 hrs - 0935 hrs

Follicle Monitoring: Not Just Measurements

Dr. Shilpa Satarkar

0935 hrs - 1005 hrs

Ovarian Masses & Iota

Dr. TLN Praveen

1005 hrs - 1020 hrs

Polycystic Ovaries-Don’t Under & Over Diagnose

Dr. Mohannan K

1020 hrs - 1035 hrs

Don’t Just Report ‘Fibroid’

Dr. Ashok Khurana

1035 hrs - 1105 hrs

Endometrial Pathologies & Iea

Dr. TLN Praveen

1105 hrs - 1135 hrs

Diagnosis & Management Of Ectopic Pregnancy

Dr. S. Boopathy

1135 hrs - 1205 hrs

Gamechangers In Gyn Usg

Dr. Nitin Chaubal

1205 hrs - 1225 hrs

Ssg : ‘Epitaph’ Of Hsg

Dr. Jyoti Chaubal

1225 hrs - 1250 hrs

Digging Deeper In Pelvis: Dpe & Pid

Dr. S. Gokhale

1250 hrs - 1320 hrs

Pelvic Floor With Demo

Dr. Ashok Khurana

1320 hrs - 1345 hrs

Utero Cervical Causes of Infertility

Dr Jyotsna Sen

JANUARY 2018

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HALL B PANCREAS & HEPATOBILIARY SYSTEM 0830 hrs - 0900 hrs

Newer Concepts In Acute Pancreatitis

Dr. Suman Kochar

0900 hrs - 0930 hrs

Chronic Pancreatitis : Usual & Unusual

Dr. Dushyant Sahani

0930 hrs - 1000 hrs

Cystic Lesions Of The Pancreas

Dr. Rajendra Kedar

1000 hrs - 1030 hrs

Pancreatic Cancer Imaging

Dr. Dushyant Sahani

1030 hrs - 1100 hrs

CT In Staging Hilar Cholangiocarcinomas

Dr. Ritu Kashikar

1100 hrs - 1130 hrs

MRCP

Dr. Irfan Rabbani

1130 hrs - 1200 hrs

Approach To Surgical Obstructive Jaundice

Dr. Sunil Puri

1200 hrs - 1230 hrs

Voting Pads Quiz

Dr. Jeshil Shah

1230 hrs - 1300 hrs

Portal Hypertension : Imaging & Intervention

Dr. Shalini Thapar

1300 hrs - 1330 hrs

Budd Chiari Syndrome: Imaging & Intervention

Dr. S. Gamangatti

1330 hrs - 1400 hrs

Liver Transplant : Pre And Post Imaging

Dr. Amar Mukund

HALL C MSK IMAGING 0830 hrs - 0900 hrs

Dr. Darshna Sanghavi

Slap Or Not? The Way To Decide

0900 hrs - 0930 hrs

Dr. Srijita Ghosh

0930 hrs - 1000 hrs

Cartilage Imaging: Present And Future

Dr. Aditya Daftary

1000 hrs - 1030 hrs

Meniscal Tears : Patterns Of Injury & Instability

Dr. Alpana Karnik

1030 hrs - 1100 hrs

Imaging Of Post-Operative Knee : Cruciate & Menisci

Dr. Aditya Daftary

1100 hrs - 1130 hrs

Hip Measurements For Radiologists- What, When And Why?

Dr. Sameer Raniga

1130 hrs - 1200 hrs

Mri And Mr Neurography In Brachial Plexus Pathologies

Dr. Sriram Rajan

1200 hrs - 1230 hrs

Unstable Ankle: Imaging Of Ligamanetous Injuries - Pearls And Pitfalls

Dr. Malini Lawande

1230 hrs - 1300 hrs

Pulleys & Triggers Of Fingers

Dr. Amit Choudhari

1300 hrs - 1330 hrs

Mr Imaging Of Ligaments Of Elbow : Anatomy And Pathology

Dr. Joshita Singh

1330 hrs - 1400 hrs

Soft Tissue Tumors: What The Surgeon Whats To Know

Dr. Kulvinder Singh

HALL D DOPPLER 0830 hrs - 0900 hrs

Every Thing About Avf : Pre & Post

Dr. Mrudula Bapat

0900 hrs - 0930 hrs

Varicose Veins Clinician’s Perspective

Dr. Mohit Shah

0930 hrs - 1000 hrs

Renovascular Hypertensio

Dr. S Gokhale

1000 hrs- 1030 hrs

Carotid - Standardizing Examination & Reporting

Dr. N. Dahiya

SMALL PARTS 1030 hrs - 1100 hrs

Thyroid - Tirads - Time Has Come

Dr. THS Bedi

1100 hrs - 1130 hrs

Other Neck Lesions

Dr. P. K. Shirvastava

1130hrs - 1200 hrs

Scrotum

Dr. Rahul Sachdev

SMALL PARTS 1200 hrs - 1230 hrs

Orbit

Dr. Deepak Bhat

1230 hrs - 1300 hrs

Lumps & Bumps

Dr. Rajesh Kamble

1300 hrs - 1330 hrs

Journal : Panel Discussion

Dr. Chandramohan & Panel

1330 hrs - 1400 hrs

Journal : Panel Discussion

Dr. Lalendra Upreti

HALL E BREAST IMAGING th

0830 hrs - 0900 hrs

Mammography - Birads 5 Edition - What’s New?

Dr. K. Ramachandran

0900 hrs - 0930 hrs

Breast : Non Malignant Lesions

Dr. Manju Saini

0930 hrs - 1000 hrs

Breast : Malignant Lesions

Dr. Bijal Jankharia

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DAY 4 - 28th Jan, 2018 HALL E 1000 hrs - 1030 hrs

Breast Elastography

1030 hrs - 1100 hrs

MRI Breast

Dr. Richard Barr Dr. Sangeeta Saxena

1100 hrs - 1130 hrs

Digital Breast Tomosynthesis: State of the Art!

Dr. Niketa Chotai

1130 hrs - 1200 hrs

Contrast Enhanced Mammography: Can It Replace Mr Breast

Dr. Niketa Chotai

PHYSICS & COMPUTERS & LAWS 1200 hrs - 1230 hrs

PNDT

Dr. Chandrashekhar Sohoni

1230 hrs - 1300 hrs

Safety Issues And Statutory Guidelines In Radiology

Dr. Deepak V Mehta

1300 hrs - 1330 hrs

Radiology Investments: Play Smart

Dr. RK Mathur

1330 hrs - 1400 hrs

PACS

Dr. Harikumaran Nair

HALL F UROLOGY 0830 hrs - 0900 hrs

Adrenal Tumors

Dr. Rajesh Sharma

0900 hrs - 0920 hrs

Medical Renal Disease USG

Dr. Nitin Chaubal

0920 hrs - 0940 hrs

Transplant Kidney USG

Dr. N. Dahiya

0940 hrs - 1000 hrs

Urinary Tract Infection USG

Dr. S. Boopathy

1000 hrs - 1030 hrs

Renal Infections : Cross Sectional Imaging

Dr. Geetanjali Gupta

1030 hrs - 1100 hrs

USG In Pediatric Urology

Dr. M. S. Joshi

1100 hrs - 1130 hrs

Renal Tumors

Dr. Amandeep Singh

1130 hrs - 1200 hrs

CEUS In Urology

Dr. Richard Barr

1200 hrs - 1230 hrs

New insights into hypersensitivity to iodinated and gadolinium contrast media

Prof Clemente

1230 hrs - 1300 hrs

Prostate TRUS

Dr. Aniruddha Kulkarni

1300 hrs - 1330 hrs

PIRADS And Multiparametric MR Imaging In Cancer Prostate

Dr. Zubair kazi

1330 hrs - 1400 hrs

Prostate Embolization In BPH

Dr. Sundeep Punamiya

HALL A

JANUARY 2018

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INSIGHT

Cardiac MRI and Cardiac CT: An indispensable Tools for the Diagnosis of CAD Dr Bhavin Jankharia, Partner and Consultant, Jankharia Imaging Centre and Dr Parang Sanghavi, Consultant Radiologist,Jankharia Imaging Centre elaborate on the different ways to evaluate coronary artery diseases using CT and MRI

C

oronary artery disease (CAD) affects 7- 13 per cent of urban and 2- 7 per cent of the rural populations in India and produces a significant disease burden [1]. While, accurate evaluation of CAD is one way to improve outcomes, early diagnosis of CAD can help institute aggressive measures to control disease and prevent progression to ischemic heart disease [2].

Cardiac CT in the last two decades has made great technological leaps that has allowed it to make a difference in the evaluation of CAD. 48 IN IMAGING

Cardiac CT For many years, this was the holy grail of imaging. While electron beam CT scanners (EBCT) had the temporal resolution to allow evaluation of the calcium content of the coronary arteries [3]. It was with the advent of four slice CT scanners [4], with a slow heart rate of around 60, that it was possible to achieve a temporal resolution that could summate the coronary arteries over a few heartbeats and allow visualisation of the coronary arteries. The current 256 and 320 slice scanners allow even faster acquisition of images, though good

Dr Parang Sanghavi

Dr Bhavin Jankharia

quality studies still need a low, steady heart rate and can be achieved with 64slice CT scanners as well.

Ca scoring This was the first modality to evaluate CAD risk. Outcome data over more than two decades has shown that a calcium score of zero is associated with an extremely low coronary event risk [5]. As the calcium score increases, the event risk rises. It is an independent risk factor for coronary events and event-free survival. It is a modality ideally situated for mass screening â—— Plain scan JANUARY 2018

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Fig. 1: Volume rendered coronary CT angiogram (CTA) shows normal coronary arteries

Fig. 3 (a-c): MIP images in cross section (a) and in two perpendicular longitudinal planes (b, c) shows a complex plaque (arrows) with a lipid core (arrow in a) with significant stenosis

or stress test, CCA is the modality of choice to evaluate the status of the coronary arteries. Outcome data is now available and shows that a normal coronary angiogram has a negligible coronary event risk with a negative predictive value approaching 100 per cent [6] (Figure 1).

CCA is also used in emergency rooms to triage chest pain. A 'triple rule-out' study helps rule out coronary artery disease, pulmonary thromboembolism and aortic aneurysm with dissection [7].

Stents Fig. 2: Maximum intensity projection (MIP) CTA of the left anterior descending artery (LAD) using an iterative reconstruction algorithm shows in-stent occlusion (arrow)

â—— Low radiation â—— Easy to interpret

Coronary angiography (CCA) This requires intravenous contrast administration, a low heart rate as far as possible and a steady heart rate for the best images.

JANUARY 2018

Fig. 4: VRT CT angiogram shows 2 occluded venous grafts (fat white arrows). The saphenous vein graft (SVG) to the posterior descending artery (PDA) shows focal severe stenosis (arrow) with another 50 per cent stenosis more distally (arrow)

CCA is performed in the following situations.

To rule out coronary artery disease In patients with medium to high risk of coronary artery disease, who are otherwise asymptomatic or have equivocal symptoms or results of ECG

In-stent evaluation is still an issue. The larger the stent, the easier it is to view the lumen (Figure 2). Faster scanners with iterative reconstructions have improved the ability to see the in-stent lumen (Figure 3), though with small stents, there are still issues [8].While CCA is used in some instances to evaluate in-stent lumen, especially in patients with equivocal symptoms, often the reason to do CCA is to evaluate the rest of the vessels, with the same clinical indication as above.

Plaque evaluation Cardiac CT is an excellent modality to IN IMAGING 49

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evaluate plaque composition. The newer dual energy scanners with iterative reconstruction techniques have made plaque analysis (Figure 3) more robust, though clinical utility is still suspect [9]. The analysis of plaque-at-risk using CCA is being evaluated in multiple clinical trials, but clinical utility may still be a few years away [10].

tomography: on its way into mainstrem cardiology? Eur Heart Jour 2000;21:87

Perfusion

5. Greenland P, Bonow RO, Brundage BH et al. ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain: a report of the American College of Cardiology Foundation Clinical Expert Consensus Task Force (ACCF/AHA Writing committee to update the 2000 Expert Consensus Document on Electron Beam Computed Tomography) developed in collaboration with the Society of Atherosclerosis Imaging and Prevention and Society of Cardiovascular Computed Tomography. JACC 2007;49:378.

The newer scanners allow perfusion studies to be performed, but given the increased radiation and the availability of other equally good or better modalities with tested outcome data, it is unlikely that CT perfusion will assume an important role at least in the near future.

Following bypass surgery Cardiac CT allows accurate evaluation of grafts, both venous and arterial and can serve as the first modality to evaluate graft patency, anastomotic site pathology and abnormalities of the post-graft vessel. A recent metaanalysis shows a sensitivity and specificity of 99 per cent each for graft occlusion and 98 per cent each for evaluation of >50 per cent graft stenosis [12] (Figure 4).

REFERENCES 1. Krishnan MN. Coronary heart disease and risk factors in India - on the brink of an epidemic? Indian Heart Jour 2012;64:364.

2. Shah N, Soon K, Wong C, Kelly A-M. Screening for asymptomatic coronary heart disease in the young ‘at risk’ population: Who and how? IJC Heart Vascul 2015;6: 60.

3. Sechtem U. Electron beam computed 50 IN IMAGING

4. Achenbach S, Giesler T, Ropers D et al. Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrocardiographically gated, multislice spiral computed tomography. Circulation 2001;103:2535.

6. Mowatt G, Cook JA, Hillis G et al. 64Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis.

Heart 2008;94:1386.

7. Frauenfelder T, Appenzeller P, Karlo C et al. Triple rule-out CT in the emergency department: protocols and spectrum of imaging findings. Eur Rad 2009;19:789.

8. Taylor AJ, Cerqueira M, Hodgson JM et al. ACCF/SCCT/ACR/AHA/ASE/ ASNC/NASCI/SCAI/SCMR 2010

Appropriate Use Criteria for Cardiac Computed Tomography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance.

Jour Cardiovasc Computed Tomogr 2010;4:407e1-33.

9. Obaid DR, Calvert PA, Gopalan D et al. Dual-energy computed tomography imaging to determine atherosclerotic plaque composition: a prospective study with tissue validation. Jour Cardiovasc Computed Tomogr 2014;8:230.

10. Latif MA, Cury R, Akhlaq M et al. A systematic review and meta-analysis: prevalence of coronary plaque highrisk features (low attenuation, enlarged diameter or positive remodeling, napkin ring, and spotty calcification (lens) in acute coronary syndrome as assessed by coronary computed tomographic angiography (CTA).

JACC 2016;67:1736.

11. Varga-Szemes A, Meinel FG, De Cecco CN et al. CT myocardial perfusion imaging. Am J Roentgenol 2015 Mar;204:487.

12. Barbero U, Innaccone M, d’Ascenzo F et al. 64 slice-coronary computed tomography sensitivity and specificity in the evaluation of coronary artery bypass graft stenosis: a meta-anaylsis.

Int J Cardiol 2016;216:52.

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MR guided Focussed Ultrasound Surgery Dr Shrinivas Desai, Head of Imaging, Jaslok Hospital explains the benefits of MrgFUS and HIFU in treating uterine fibroids and more

M

R guided Focussed Ultrasound Surgery is a revolutionary noninvasive, procedure which uses high doses of focussed ultrasound waves (HIFU) to treat different tumours inside the body without surgery.

MRgFUS machine consists of a combination of an MRI scanner and HIFU transducer. MRI localises the lesion and guide the HIFU beam to destroy the target tissue safely and accurately with submillimetre precision.

The HIFU transducer focusses sound energy on the area to be treated and destroys the abnormal cells. Imagine using a magnifying glass to focus the sun's energy on a single point to burn a leaf or paper.

The focussed ultrasound energy is directed at a small volume of tumour raising its temperature high enough to cause thermal ablation (killing of the cells) without impacting other tissues. Pulses of energy are repeated until the entire volume is treated.

Following the treatment post contrast MRI images allow the Radiologist to confirm that the treatment is completed. The body gradually removes the treated tissue over a period of months after the treatment.

MRgFUS was installed in Jaslok Hospital in May 2010. Since its inception, we have treated more than 710 patients, covering more than 1600 different lesions.

JANUARY 2018

Clinical applications of MRgFUS 1.Uterine Fibroids and Adenomyosis 2.Facetal arthropathy 3.Bone metastasis 4.Primary Bone Tumour 5.Prostate cancer

Upcoming applications 1.Breast cancer 2.Brain tumours 3. Movement disorders (Intentional Tremor / persistent Parkinsonism) 4. Epilepsy 5.Liver tumours

Uterine fibroids In October 2004, FDA approved the use of MRgFUS for the treatment of uterine fibroids. MRgFUS offers a non-invasive alternative to

hysterectomy or myomectomy.

During the procedure the patient lies on her stomach on MRI table HIFU is underneath the table.

Afterwhich the patient is given a

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mild sedative and pain medication for relaxation. it is important to note that the patient is conscious and awake during the treatment.

Fibroid is treated with high intensity sound waves and destroyed

by Thermal Ablation. There is irreversible death of tumour cells if it is heated at temperature of 75 to 90 degree centigrade. MR thermometry has a unique capability to measure the temperatures online at any given point right from the skin to the tumour.

During treatment, it is normal to feel a warm sensation in the pelvic region. The patient will be given a safety stop button that allows to immediately stop the sonication if patient feels some pain.

It has been observed that large number of patients are free of symptoms, usually by third or fourth menstrual cycle following the treatment.

The body gradually removes the treated dead tissue over a period of months.

Case study A 30 year old woman came with heavy bleeding and severe abdominal pain during periods since two years.

Her iimmediate post treatment, post contrast scans (A,B) showed nonviable fibroids with volumes of 271 and 61.2 cc respectively . Follow up scan obtained at 6 months (C,D) revealed shrinkage of size and volume reduction by 45 per cent measuring 137 and 40 cc respectively . Second follow up at one year revealed(E, F) 60-70 per cent volume reduction ,measuring 90 and 19cc respectively .

MRgFUS treatment in a C/O residual fibroids post myomectomy 52 IN IMAGING

Different pathologies treated at Jaslok till date Pathology

Total number

Uterine fibroid

1265

Adenomyosis

135

Facetal joints

150

Bone metastasis

9

Other bone tumours

3

Prostate cancer

11

with surgical scar and adherent bowel loop to the uterus.

ADENOMYOSIS Adenomyosis is a benign condition with presence of ectopic endometrial glands and stroma in the myometrium (wall of the uterus) and hyperplasia of adjacent smooth muscles leading to dysmenorrhea, menorrhagia and subfertility MRgFUS has emerged as modality of choice to treat both focal and diffuse Adenomyosis as it can effectively destroy the abnormal cells without surgery, providing good symptomatic relief with acceptable recurrence rates.

Treatment of Adenomyosis –Pretreatment images (A,B) showing focal enhancing Adenomyosis in posterior wall of uterus. Immediate post treatment scan (C,D) showed non enhancement indicating nonviable tissue. Follow up scan at 3 months (E) and 6 months (F,G) revealed progressive volume reduction .

Advantages of MRgFUS in treatment of fibroids or Adenomyosis 1. Non-invasive, Incision less surgery (no touch technique) 2. No anaesthesia 3. No radiation 4. Short hospital stay (overnight) 5. Short recovery period (patient can return to daily activities the next day) 6. Low complication rate 7. Recurrence rates lower compared to conventional surgery 8. Fertility preserved 9. Cost effective

Other applications of MRgFUS MRgFUS has various other applications both oncological and otherwise.

We at Jaslok hospital have treated patients suffering from facetal arthropathy, bone metastasis, bone tumors and prostate cancer.

Upcoming applications include treatment of breast, liver and brain cancer, treatment of movement disorders and epilepsy.

JANUARY 2018

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Newer weapons in imaging and management of prostate cancer Dr Hemant Patel, President-elect, IRIA explains that accurate diagnosis of site of prostate cancer recurrence is a key factor for treatment planning and patient management and how new technologies can aid the diagnosis

P

rostate cancer (PCa) is the most common solid cancer in men and PCa is the second most common cause of death in developed countries.

Modern treatment strategies have substantially increased progression-free survival of PCa as well as overall outcome in patients diagnosed with localised high- risk PCa. Despite effective definitive therapy, 15 – 40 per cent patients experience biochemical failure.

In biochemical recurrence after radical prostatectomy, an increase of the prostate-specific antigen (PSA) level precedes much before clinically detectable recurrence. European Association of Urology guidelines define biochemical recurrence as an increase of serum PSA value above 0.2 ng/ml and over 2 ng/ ml above the nadir value after radiation therapy. An accurate diagnosis of the site of prostate cancer recurrence is a key factor for treatment planning and patient management. The selection of therapy in recurrent prostate cancer is mainly influenced by the presence or absence of metastasis, since salvage therapy is indicated in localised recurrent disease and systemic therapy is indicated in metastatic disease.

Current morphologic imaging techniques like CT, MRI or functional JANUARY 2018

Fig 1 : Physiological distribution of 68Ga PSMA ligand

Fig 2 : 68Ga PSMA PET CT in benign prostatic hyperplasia? A large homogenously enhancing prostate gland with changes of benign prostatic hyperplasia. No evident high tracer uptake on PSMA PET CT

imaging with F-18 FDG PET/CT has lower sensitivity rates for detection of site of disease in these points with biochemical recurrence. In these cases, early detection of tumour spread into lymph nodes and bone represents a challenge for current imaging

technologies.

68Ga-labelled prostate- specific membrane antigen (PSMA) -11 ligand PET/CT for imaging prostate cancer is a novel imaging technique, which is rapidly gaining popularity as sufficient literature evidence has been IN IMAGING 53

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accumulated regarding its usefulness in prostate cancer imaging. Its major advantage is the sensitive detection of lesions even at low PSA level and high target-to-background ratios obtained in metastatic lesions, which is better than that obtained with 18Ffluoromethylcholine.

PSMA is a type II integral membrane protein that is over expressed in primary PCa cells. PSMA has a transmembrane location with a large extracellular domain, which potentially renders it an advanced tracer compared with choline-based tracers. Unlike PSA, PSMA is not secreted, but is membrane bound. The expression of PSMA increases progressively in higher-grade cancers, metastatic disease and castrationresistant PCa. A physiological variable PSMAligand uptake can be observed in the lacrimal gland, parotid gland, submandibular gland, liver, spleen, small intestine, colon and kidneys as shown in Figure 1.

It has also been shown that the level of PSMA ligand accumulation is significantly lower in normal prostate gland and even in benign prostatic hyperplasia as in Figure 2.

Low accumulation of fluro-deoxyglucose(FDG) is seen in majority of prostate cancer as shown in Figure 3.

So 18F – FDG PET/CT is not now very much useful in detecting organ confined prostate cancer, local recurrence after radical prostatectomy or in differentiating between postoperative scar and local recurrence.

FDG uptake correlates with elevated PSA and the rate of disease progression. So FDG is useful for imaging in prostate cancer with aggressive disease in selected patients.

In patients in whom salvage therapy 54 IN IMAGING

Fig 3(a). Images of FDG PET CT in primary aggressive adenocarcinoma of prostate. The patient had S.PSA >100ng/ml, Gleason score -9 and biopsy proven - Adenocarcinoma.

CT scan axial view shows a large in homogeneous enhancement of prostate gland, enlarged internal iliac and para aortic lymph nodes. CT scan sagittal view shows lytic metastasis involving spine. However, such a large tumour does not show FDG uptake

Fig 3 (b) Images of 68Ga PSMA PET CT in the same patient of primary aggressive adenocarcinoma of prostate reveals high grade tracer uptake in prostate, left internal iliac and supra clavicular lymph nodes and axial and apendicular skeletal metastasis.

Max SUV - 47

decisions are pending, Ga-PSMA PETCT can be performed at lower PSA level with a detection rate of 50 per

cent. In >50 per cent, the information yielded was crucial for final diagnosis, showing findings that have not been JANUARY 2018

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visualised by CT scan. The lowest PSA value which had been associated with PSMA positive lesions has been reported to be of 0.2ng/ ml in series reported by Demirkol et al. Above the PSA threshold level of 2ng/ml, the lesion detection rate was reported as 100 per cent in their series. PSMA PET/ MRI fusion imaging has reported an increase in lesion detection rate due to combination of higher soft tissue resolution of MRI and sensitivity of functional PET imaging. PSMA expression correlates with cancer aggressiveness and represents as independent indicator of poor prognosis. The lesion detection rate of 86.7 per cent was reported for Glesaon score of < 7 and 96.8 per cent with Gleason score > 8 in a case study.

The measurement of PSA level alone is unhelpful in predicting the presence of lymph node metastases for an individual patient. CT and MRI show lower sensitivity (<40 per cent for 10 mm threshold) in PCa nodal staging as they indirectly assess nodal invasion by measuring lymph node diameter and microscopic invasions cannot be detected. PSMA-PET/CT is invaluable in detecting sub-centimetre sized positive metastatic deposits which would have been reported as reactive, inflammatory or even be considered as non-existent on a conventional CT or MRI report as shown in figure 5.

PSMA PET CT helps in differentiating post-operative changes from viable disease as illustrated in figure 6. PSMA PET-MR fusion can be used for guiding biopsy. Besides metastatic evaluation, it is also useful for treatment response assessment.

After the introduction of 68GaPSMA-11 as a new PET tracer for prostate cancer, PSMA-617, a ligand with optimised tumour cell JANUARY 2018

Fig 5 : PSMA PET/ CT imaging showing increased tracer uptake in sub centimetre sized lymph-nodes suggesting nodal metastasis.

Fig 6: CT showing soft tissue with metallic clips suggesting post operative changes.

PSMA PET/CT image showing intense uptake in the soft tissue with metallic clips suggesting viable disease

internalisation and lowered kidney uptake containing the more universal DOTA chelator, was developed for PSMA-targeted radio-ligand therapy.

177Lu PSMA- 617 is showing exciting treatment responses in men with metastatic castration-resistant prostate cancer (mCRPC) and almost certainly has an important future role in the treatment of prostate cancer.

Preliminary publications suggest it has a low toxicity profile and appears generally well tolerated in men with end stage metastatic disease. Prospective randomised trials are needed to determine its impact on survival, and

to rigorously assess its clinical benefit compared to other treatments of prostate cancer, including chemotherapy, external beam radiotherapy and androgen blockade.

In conclusion, PSMA PET/CT seems to be a highly accurate imaging tool for restaging of PCa patients with biochemical recurrence. PSMA PET/ CT imaging may be used in order to develop a treatment strategy even in patients with low PSA levels. As a theranostic approach, its counterpart Lu-177 labelled ligands have a potential for the treatment of castration resistant PCa. IN IMAGING 55

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SANRAD MEDICAL SYSTEMS:

SPREADING TECHNOLOGY

OVER THE past 18 years, the name Sanrad has become synonymous with affordable and reliable services for medical imaging equipment in India.

Sanrad is a pioneer in the industry for services of CT & MRI equipment and is widely acclaimed by the medical fraternity for its excellent customer relationship. Sanrad has installed more than 370 refurbished Toshiba CT scanners in India, with highest uptime and cost effective services.

The name Sanrad is a wellrecognised brand for medical imaging equipment. It has also become synonymous with low maintenance cost concept. This concept embraces a range of customer support protocols that has been designed for cost conscious customers of India.

Sanrad maintains the largest inventory of CT scan parts and it is probably the biggest in Asia. With 56 IN IMAGING

service bases equipped with tools, technical backup of available spare parts and a skilled and efficient team of engineers we are able to provide excellent quality service to our customers.

With is its high end products like the recently introduced Refurbished Toshiba 1.5T MRI System and highly efficient Refurbished Toshiba 64 Slice CT System, Sanrad takes technology

“MOSTOFTHE DIAGNOSTIC IMAGING EQUIPMENT BUSINESS IN OUR COUNTRY WAS CONTROLLED BYTHE MULTINATIONALS.TODAY, WE ARE PROUD THATWE DICTATED THIS CHANGE AND BROUGHTTHE STATE OFARTTECHNOLOGY WITHIN THE REACH OF EVERYONE.CUSTOMERS THOSE WHO HAVE EXPERIENCED US,WOULD SWEAR BYOUR PURPOSE AND EXISTENCE” - RATISH S NAIR, CEO and its accessibility to greater levels.

Sanrad maintains the largest inventory of CT scan parts and it is probably the biggest in Asia. With service bases equipped with tools, technical backup of available spare parts and a skilled and efficient team of engineers we are able to provide excellent quality service to our customers.

JANUARY 2018

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NEWLY INTRODUCED REFURBISHED TOSHIBA 1.5 MRI SYSTEM Sanrad has taken a forefront in supply and maintenance of MRI systems. With and already existing product range of permanent MRI systems, Sanrad has recently introduced yet another product in this category that is The Refurbished Toshiba 1.5T Super Conducting MRI. ◗ Silent magnet with painissimo technology that reduces sound by 90 per cent. ◗ Patient comfort taken to next level with the additional features of wide bore, patient camera monitoring and user friendly interface. ◗ Optimum scanning technique and high image quality

THE REFURBISHED 64 SLICE CT SCANNER THE refurbished Toshiba Aquilion 64 slice CT scanner is a multi-slice helical CT system that supports whole body scanning and comes with work flow enhancing software that delivers unsurpassed image quality, improved dose management and superior patient care. ◗ Selectable slice thickness for accurate diagnosis. ◗ Optimum for cardiac scanning with Breath holding techniques and ECG gating available. ◗ Applications of sure technologies available in the software, allow feasible options in the scanning. ◗ Dose reduction technologies and high image quality.

Contact: Sanrad Medical Systems; 1, Manek SV Road, Santacruz (West), Mumbai-400054, India Ph: +91-22 26006060,26494702 Email: info@sanrad.in Web: www.sanrad.in JANUARY 2018

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Disruptive Innovation in Medical Printing Bhavesh Mehta, Chairman and Managing Director, Accurate Medical updates on the company advanced printing technologies

T

he healthcare ecosystem in the near future will embrace innovation and disruptive technology to seek economic sustenance.

Medical imaging technologies remain the cutting edge delivery partners to assist doctors in ensuring better outcomes. Imaging has been at the forefront of this evolution but the cost of medical devices and imaging equipment remain prohibitively expensive. The ability to achieve affordable healthcare with best of the west in terms of medical imaging solutions remains beyond reach of the imaging community.

Three major factors besides a good radiologist determine great imaging solutions, standard medical equipment, safe contrast media and images. As technology evolves and development in image reconstruction becomes complex, imaging study files becoming larger moving from kilobytes to terabytes. The challenge here remains in accommodating this data on print without loss of information. Image printing solution has remained an orphan in this aspect and continued to neglect this small contributor to good radiology practice.

The printing footprint remains small in the large realm of radiology. Growing demands from patient and medical community of good quality films continue to erode into the pocket of imaging revenue cycle which continues on high

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cost of ownership.

4D colour outputs in fetal imaging, spectroscopy, tractography in MR, angiograms in MDCT with spectral imaging has raised the bar for printing solutions. We continue to see our radiology in black and white in an era of 3D and 4D. The best clinical image still remains within the realm of a radiology workstation. The fruits of such wonderful 3D/ 4D colour as well as realistic B&W prints does rarely see the light of the day in a clinicians hands to be truly appreciated.

Accurate Imaging Solutions breaks down this barrier. Accurate brought in a revolution of Filming technology in PVC prints which does not restrict the opportunity to only sonography or colur doppler. Accurate bring the same accuracy and real life imaging in colour and black and white to CT, MR, radiographs, dental radiographs as well as nuclear medicine and PET CT with same printers. Since our foray into medical printing solutions we have constantly challenged the trend and delivered. A good medical imaging print has simple parameters like long lasting without fading of true information, non mutilable, viewable on and off the viewbox. The Accurate Inkjet technology solutions deliver the promise of reduced power consumption, smaller installation footprint and all in one solutions for all medical printing on one system.

Recently we have moved into the space of Dicom Paper Printing technology using the Xerox Printing solutions which can print CT, MR, X ray as well as USG on black and white gray scale as well as colour with 3D/ 4D. This gives a newer dimension to our earlier PVC films Accurate Printing provides the flexibility of printing solution with a simplified technology, zero cost of ownership and a disruptive value network. Accurate commit 100 per cent on technology service with 98 per cent uptime. Accurate do not bring discussions of annual maintenance contracts, cost of film/ paper, cost of service or repairs on the table. Accurate team lead by example on troubleshooting our own technology getting the cartridge, toner, ink with own hands to sort problems related to printer.

As proud owners, developers and entrepreneurs of the Accurate Printing solution, we have deep training experience, Intuition and continuously iterate to meet customer expectations.

The true essence of Make in India concept is a living example in Accurate. The inhouse development of the software with constant iteration has been a completely Indian initiative. The install base boasts of large hospital chains to small diagnostic and privately owned radiology centres moved into 300+ satisfied client base and continue to grow.

JANUARY 2018

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CARESTREAM MyVue Center Self-Service Kiosk A fast, affordable and convenient system for timely, accurate diagnosis and commencement of treatment

T

he CARESTREAM MyVue Center Kiosk is the future of patient enabled imaging. This self-service radiology kiosk improves patient experiences by allowing them to print, store or share radiology images and reports while maintaining their privacy.

Patients simply step up to the intuitive MyVue Center Kiosk, use a secure method of identification and output their medical image study and radiology report. Reports and images are available quickly and globally employed accepted security protocols, ensure information remains private and secure.

The MyVue Kiosk aligns perfectly with the evolution of medical images portability. It is also on trend as consumers become increasingly accustomed to self service for paying at retail stores, printing boarding passes at airports and checking in at healthcare facilities.

The CARESTREAM MyVue Center Kiosk also helps busy radiology departments overcome challenges in meeting the expectations of growing patient populations amid reductions in operating budgets and staff thus improving workflow productivity while reducing capital and operational costs.

The CARESTREAM OnSight 3D Extremity System On Target, On Budget, On Time JANUARY 2018

The CARESTREAM OnSight 3D Extremity System uses cone beam CT imaging to produce detailed threedimensional cross sectional images of injuries to bone or soft tissue in upper and lower extremities and is designed specifically for use in hospitals, imaging centres and orthopaedic clinics. It performs both 2D and 3D extremity exams which includes weight-bearing studies which are not possible with traditional CT, thus enabling physicians to view these body parts under natural load.

A huge advantage to the patient is reduced radiation exposure. Radiation exposure is, at a minimum, 50 per cent lower than that of standard full-body CT, because OnSight only images the affected extremity. The actual scan takes only 25 seconds and complete exam can be completed in 15 minutes.

The small footprint of the CARESTREAM OnSight 3D Extremity System and its simple design cuts the time and cost of system installation.

Also the elimination of the need for a large high-cost shielded room, reduces capital costs and maintenance expenses.

This award winning system also utilises advanced scatter and metal artifact correction algorithms to improve the visibility of patient anatomy and reduces the distracting influences of metal implants. Highresolution capture and advanced software processing tools, provide a clear and unobstructed view for more accurate diagnoses.

The bottom line?

A fast, affordable and convenient system for timely, accurate diagnosis and commencement of treatment.

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DR 600: High-productivity,fullyautomated direct radiographysystem with ZeroForce Technologyfrom Agfa HealthCare W

hen did smart phones change from ‘gadgets’ to ‘necessities’?

Over the past decade, innovation has come fast and furious, changing even basic necessities about how we live.

What’s next? Self-driving cars, 3D printers, wearable technology and so much more are all leaving the realm of spy movies and science fiction, and pushing for a space in our very homes.

In healthcare, too, innovations are making a difference. But they can’t simply reflect technological evolutions; they have to answer real needs. Like the DR 600 ceiling suspended X-ray room, with its ZeroForce and EasyStitch technologies – innovations that make complex imaging problems simple.

ZeroForce Technology, makes all movements of the tube head, wall stand and table in all different directions, quick and require almost zero effort.

Easier operability means a faster workflow and increased staff comfort.

Overall, your imaging workflow is smoother and more efficient. Autopositioning technology, fullyautomated tracking and manual positioning option makes this unit indispensable for your emergency rooms.

Controlling and reducing patient radiation exposure during imaging is a priority. Offering a choice of fixed, tethered and wireless detectors with Cesium Iodide (CsI) or Gadolinium Oxy-Sulphide (GOS) technology, ably

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supported by leading-edge ‘Automatic Exposure Control’ using high-speed accuracy and collimators with ‘Dose Area Product meter’, the DR 600 optimises and automatically reports xray doses.

‘Automatic EasyStitch technology’ makes your Full Leg/Full Spine (FLFS) imaging both simpler and more precise. Based on fully automated single focus technology, it minimises distortions for highprecision FLFS imaging.

Innovative tube head design features a touch screen control panel with image preview, as well as an integrated soft console on the MUSICA viewing station.

The MUSICA workflow provides quick previews that reduce time between exposures.

We’ve incorporated these new technologies right into our highproductivity DR 600, which offers comfort and speed with precision!

This multi-detector, high-throughput DR will streamline your imaging workflow, increase your throughput and enhance the experience of your patients.

In fact, everything about the DR 600 takes the newest technologies —robotisation, automation and integration – and puts them to the practical use of helping you enhance your imaging and delivery of patient care!

Agfa HealthCare firmly believes that “The diagnosis is in the details”.

After all, what is the point of innovation, if it doesn’t improve our lives?

JANUARY 2018

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DR 100e: Powerful Imaging On The Move

Where does DR fit? Everywhere Performance, mobility, budget, versatility and space. How can you balance these real challenges with the ongoing demands of patient care quality? DR can tip that balance in the right direction, with higher quality images, a faster workflow, potential dose reduction, chemical-less environment – to name just a few of the advantages.

All these benefits aren’t just for general radiography. We continue to expand our comprehensive portfolio of DR solutions, to ensure the right fit for you. We can help you take Direct Digital imaging wherever you want — from JANUARY 2018

radiology, to the ICU, to the patient’s bedside – with mobile DR. Not all patients who need imaging exams have the mobility to move to the X-ray room or to position themselves properly for optimum imaging. With the compact, wheeled DR 100e, every hospital, whatever its budget, can take imaging to the patient —instead of other way around.

DR 100e a mobile X-ray unit, with its powerful generator power and flexible handling, offers clinics and hospitals a cost-effective, high quality X-ray solution that maximises patient comfort and performance. DR 100e comes with a choice of a fixed or

rotating column, offering maximum handling flexibility. Convenient handling capabilities reduces patient waiting times and increase diagnostic confidence.

DR 100e offers you a path to direct radiography (DR), at your own pace by combining it with the Agfa HealthCare’s DR detectors or CR solutions already installed.

This compact unit can be easily navigated through narrow corridors and in small spaces, making it ideal for the ICU or bedside imaging. Finally, you have a solution that help you address your radiology department’s goal to continuously enhance patient care.

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PRODUCT UPDATE

BPLcommits to customer centricityand ethical business practices B

PL has served the medical fraternity for close to 50 years.

Since 1967, the high standards of our product performance continues to make us the preferred choice of hospitals, clinics and practicing physicians across the country. Our commitment to service is reflected in our wide network of customer care centres and a committed team of over 500 personnel located even in the farthest corners of the country. This makes us one of the largest and the most accessible medical equipment company in India.

BPL Medical Technologies is a trusted company that provides reliable products and dependable

service to its customers. Our products manufactured in an ISO 9001 : 2008 and 13485 : 2003 certified facility conform to global standards of quality assurance and best practices.

BPL Medical technologies has bagged six awards in m-health segment, won the prestigious Frost and Sullivan Best Practices Award 2011 for Market Share Leadership in the Value Segment of ECG Monitors.

To further strengthen its commitment to anaesthesia and Critical care, BPL Medical Technologies has acquired UK based Penlon in September 2015, a global leader in that segment. Our

collaboration with the best brains across the world and our high capacity manufacturing facilities, provide our customers with the latest technology at affordable prices. BPL Medical Technologies will continue to introduce innovative products and expand its customer support network to enhance the productivity of healthcare providers.

Our vision is to be the preferred and trusted medical technology company, setting highest standards on products and services, delivering affordable solutions to the last mile in markets we serve, with commitment to customer centricity and ethical business practices.

Erbis Engineering Company E

rbis Engineering Company has established business activities in India from 1994. It is the official distributor of Canon Medical Systems, formerly Toshiba Medical Systems Corporation.

Canon Medical Systems offers a full range of diagnostic medical imaging solutions. In line with our continued Made for Life philosophy, patients are at the heart of everything we do.

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Our mission is to provide medical professionals with solutions that support their efforts in contributing to the health and well being of patients worldwide so that together our industry- leading solutions deliver an enriched quality of life. We have changed our company name from Toshiba Medical to Canon Medical Systems on January 4th 2018.

In 2018, we will focus on coming

together as one company, with common goals and aspirations. We will grow our business steadily and profitably with our Made for Life philosophy as our compass and with the strength of Canon at our back. Our business direction has not changed. We will aggressively pursue organic growth of our existing imaging business as we also expand into new, synergistic domains.

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Printer Perfect Konica Minolta Healthcare India now brings you a world class colour printing solution from DNP, Japan, introducing Fotolusio range of printer model DS 820. DNP has revolutionised dye sublimation printing with DS 820 printers

D

S 820 PRINTERS are compact, desktop, high-speed, highquality printers, which can be connected to any imaging modality.

The first thing to consider when thinking about DS 820 printers is its outstanding print quality, which helps to offer excellent prints. DS 820 offers unparalleled reliability and ergonomic design for easy access and front loading of media which makes maintenance easier and less time consuming.

DS 820 printers use an exclusive internal print method that safeguards the paper from exposure to dust and other contaminants. The printers feature a cartridge-based ribbon supply that makes loading fast and easy. DS series printers are competitively prices, high-resolution printers that produce rich print quality that display full colour details and smooth gradation.

The lamination layer on the media provides resistance to fading, fingerprints, water, ozone, and dust.

The best part of owing DS 820 is that it is a complete dry process printer.

Unlike other printing solutions it does not use any kind of ink or cartridges that require frequent replacement and does not offer consistent print quality. DS 820 printers offer the same reliability print quality for years together since it requires very low

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maintenance and needs no replacement of ink cartridges.

DS 820 printers offer seamless connectivity in a network to all the imaging modalities. It gives the flexibility to format prints directly from the available modality workstation with just a print command. It is so simple that within

less than a minute the print is ready to be delivered. Especially for ultrasound applications, DS820 is ideal as it offers direct connectivity to an ultrasound system using USB. So, as a standalone printer it can be just connected to your ultrasound system.

Contact: Konica Minolta Healthcare India Pvt. Ltd Office No. 201, 2nd Floor, Atirum-2, Andheri-Kurla Road, Chakala, Andheri-East, Mumbai-400093, India.

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Aero Dr â&#x20AC;&#x201C; Digital Wireless RadiographySystem AeroDR AeroDR 14Ă&#x2014;17 inch flat panel detector It is top model of AeroDR series. AeroDR PREMIUM(AeroDR SYSTEM 2) was designed with input from customers worldwide to meet their most important needs.

High Image Quality at Lower X-Ray Dose The optimal combination of the AeroDR detector using a Konica Minolta CsI Scintillator combined with the newly developed low noise readout ICs delivers a high Detective Quantum Efficiency (DQE) even at low X-ray Dose. It is considered therefore that the AeroDR is effective to reduce the amount of radiation exposure. At the same time, we achieved the wider dynamic range of DR comparable to CR.

Scintillator Direct-Contact Technology A new technology whereby a CsI Scintillator is made to contact directly over a TFT*1 sensor panel without any protective layer in between them. This technology has made it possible to guide the light emitted from the scintillator to the photodiode without causing the light to be dispersed at the interface with the TFT sensor.

AeroDR is now Water Resistant Cassette-type DRs may be exposed to body fluids, disinfectants and other liquids accidently. Konica Minolta considered that such accidents happen & achieved the water resistance grade IPX6. The structure of the AeroDR 1417 does not allow liquids to penetrate or damage the main components.

Load and Bend Resistance Konica Minolta developed the AeroDR 1417 with actual user operation scenarios in mind. The AeroDR 1417 series provides the robustness of the current AeroDR series; as well, it has been cleared for the loading test assuming beside exposure or exposure to the patient on a stretcher.

The AeroDR 1417 achieved twice the robustness of the current AeroDR series and has especially enhanced durability against bending.

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X-ray Auto â&#x20AC;&#x153;AeroSyncâ&#x20AC;?

Detection

Mode

AeroSync, a new X-Ray exposure synchronisation technology, requires no cable connection to the X-ray generator.

Image capture automatically begins when the AeroDR senses the X-ray exposure. Existing CR or analogue systems can be converted to DR Systems

by AeroSync easily without connecting to an X-ray System.

Portable System Solution Konica Minolta has two solutions to digitalise analogue portable X-ray units.

One is proposal by portable upgradable kit. When simple configuration is suitable for customers, we can propose simple AeroSync potable solution by only panel, console and small AP. Customers can carry the system to the parking spot of the portable X-ray unit easily.

Mobile Solutions Konica Minolta has suitable AeroDR solution to X-ray studies outside HP such as home care disaster medicine. System configuration is so compact by AeroSync.

Users can carry whole AeroDR system packed in a carrying bag to exposure place. After arriving exposure site, users can unpack the AeroDR system and prepare the X-ray exams quickly.

Lightest Level Detector in the world AeroDR 1417 is the lightest level 14x17 inch size wireless cassette0-type DR in the world. Konica Minolta developed the ideal combination of components, grip material and cover design to deliver a durable panel that weighs only 2.6kg. AeroDR 1417 are ideal wireless cassette-type detectors that are easy for you to carry & for patients to hold.

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Aeroscan Digital Ultrasound Systems K

ONICA MINOLTA Healthcare India with their Digital Ultrasound AeroScan range caters to variety of segments in Radiology, Gynecology, Cardiology, & General Imaging. With Aeroscan, Konica Minolta Healthcare India can boast of providing the best in class imaging systems at affordable cost. These systems are created for excellent Image Quality & Color pick-up, Stable & Robust hardware.

Greater Confidence in General Imaging AeroScan’s advanced ultrasound platform provides superb image quality, intuitive user interface & fast scanning response. It provides high image resolution & good penetration.

User-friendly interface simplifies the daily work-flow. Features like MicroScan, Compound Imaging, and Panoramic Imaging give better precision in imaging practices.

Safeguarding the Heart With high resolution, modern interface & quantification tools help customers for cardiac studies.

AeroScan range offers extraordinary color & sensitivity that enhances the user’s confidence in Cardiac Imaging.

Features like TVI, TDI and easy Stress Echo workflow help offer the best in Cardiac Imaging.

Reaching out to Every Point-of-Care AeroScan’s premium high density linear probes give users an indispensable tool for point-of-care applications which include Regional 66 IN IMAGING

Nerve Block, Musculoskeletal & Rheumatology. A high frequency platform up to 18 MHz allows superficial image quality to be perfect and makes flow quicker & easier.

Protecting Investments Konica Minolta’s widespread service team also ensures quick & flexible solutions along with upgrade of imaging parameters keeping one updated with the latest Imaging Techniques.

The AeroScan range offers smart entry-level B/W models, B1 & B2 digital imaging systems with 12” & 15” LCD displays. Their Color Doppler Segment offers Portable as well as cart-based models. In mid-range segment, Konica Minolta offers CD30 that comes with high density probes offering excellent imaging, wide angle TVS probe with 200° field of view, easy GUI with quick selection on 8” touchscreen LCD display, Panoramic Imaging, Elastography & 3D/4D imaging.

In high-end range, Konica Minolta offers AeroScan CD45, which is equipped with powerful 4D functions, intelligent workflow which perfectly helps to meet a wide variety of GI needs. It is equipped with latest features like SonoNT & SonoAVC follicle supporting in TV Volume probe, Elastography on the high frequency probe.

Contact: Konica Minolta Healthcare India Pvt. Ltd Office No. 201, 2nd Floor, Atirum-2, Andheri-Kurla Road, Chakala, Andheri-East, Mumbai-400093, India.

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Phantom Healthcare â&#x20AC;&#x201C; Leaders of refurbished GE MRI Rochi Nargotra, CEO, Phantom Healthcare speaks about the companyâ&#x20AC;&#x2122;s journey and refurbished market in India

U

ntil a decade ago, the export of refurbished medical equipment was mainly targeted to developing countries. There has been an increase in demand for the refurbished medical equipment market not only in India but globally too. Refurbished medical equipment market is being primarily driven by factors like:

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development of e-commerce platform enhancing the ease of purchase of refurbished medical equipment, growing demand for refurbished medical equipment in the private healthcare sector and cost effectiveness. But economic crisis and cost containment issues related to healthcare budgets in developed

countries like the US and the recent economic recession of Europe has triggered the growth of this market in developed countries as well.

Indian healthcare sector is much diversified and is full of opportunities in every segment which includes providers, payers and medical technology. Rising number of private hospitals and

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diagnostic centres that are looking forward for cost effective medical equipment provide opportunities for refurbished medical equipment.

Sensing the opportunity, Phantom Healthcare got established in the year 2011. With the ability to transform promises into reality they have carved an eminent position for themselves in the complex technology of MRI Machines over the years and are slowly becoming a leader in the refurbished medical equipment's industry.

Refurbishment of equipment is an organised method or a process to inspect the safety and efficacy of the used equipment and ensure that all the safety parameters are met before the use of the equipment, without changing its proposed use as per the original registration.

Phantom Healthcare is a market leader for refurbished GE 1.5 T MRI scanners in India, with an array of satisfied clients. We, at Phantom Healthcare understand how crucial it is for clients to have their equpment running with no hassles so as to contribute to the project’s overall success and thus aims to provides the highest uptime for their equipment.

Since, the life of medical devices plays a vital role for qualification of refurbished equipment, we take utmost care to provide our clients with the optimal quality scanners at affordable price.

At Phantom Healthcare, we believe that value is not just monetary but also includes meeting client expectations by providing high quality equipment and service. Our team understands that how we operate is just as crucial as what we accomplish. It is through the spirit of teamwork and strong sense of vision 68 IN IMAGING

Phantom Healthcare works hard to make each project a success since we believe “CLIENT SUCCESS IS OUR REWARD”- Rochi Nargotra , CEO, Phantom Healthcare

that we stride towards our goals.

Phantom Healthcare has always been responsive to customer concerns and constraints from the initial consultation to the installation of equipment to the servicing of minor problems.

Phantom Healthcare has support of all leading banks and NBFCs. Our flexible financial packages and wide variety of options ensure that client's needs are met. Some of the Financial Institutions who have funded our projects in the past are India Infoline Finance Limited, Reliance Capital Limited,Housing Development Finance Corporation (HDFC), Oriental Bank of Commerce, Allahabad Bank, Canera Bank , Yes Bank, DHFL, Bank of India. Thus, healthcare institutions can grow easily with busines loans from all leading Banks and NBFCs. As a preferred service provider, we aim to develop long-term relationships with our clients and do our best possible to keep Imaging equipment up-to-date and working

like new. Our clients are our family and experience many advantages over any other sales and service provider in India.

Being a quality conscious organization, our sole aim is to provide the clients with products that are at par with global standards. Our in house testing facility boasts of a host of ultramodern testing machinery and tools that is supervised by a team of quality auditors. Moreover, we follow a welldefined quality assurance policy to help in maintaining high production standards. Strict traceability is maintained right from the procurement of equipment from supplier to the dispatch of equipment from warehouse.

Thus, whether it's a purchase of refurbished GE 1.5T or GE 3.0T MRI Scanner , an upgrade of existing equipment, implementing an extended service contract on new or used equipment, Phantom Healthcare always stands behind the products and services it sells.

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Together, we make it possible.

A new year, a new name.

Canon Medical Systems formerly Toshiba Medical

TM

TM

TM

TM

https://global.medical.canon Aquilion ONE, Vantage Galan, Aplio, and Infinix are trademarks of Canon Medical Systems Corporation.

ERBIS ENGINEERING COMPANY LIMITED 39 Second Main Road, Raja Annamalaipuram, Chennai - 600 028. Tel:044 42961400 Mail ID : info@erbismedical.com ERBIS ENGINEERING COMPANY LIMITED is an official distributor of Canon Medical Systems Corporation.

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