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FEATURES
DIRECTOR’S CUT
Tennis star’s advice for graduates applies to leaders, too!
COVER STORY
Technology provides many advantages to health care providers and patient care.
RISING STAR
Donald Faustin serves his country and fellow members of the U.S. Armed Forces.
AUGUST 2024
IMAGING NEWS
Catch up on the latest news from around the diagnostic imaging world.
PRODUCT FOCUS
Check out these devices and what they can offer your facility!
EMOTIONAL INTELLIGENCE
A look at three factors that allow leaders to implement change in the most effective way with minimal resistance.
FOCUS IN KELSEY MACH
St. Luke’s Health Brazosport Director of Imaging Services
Kelsey Mach, R.T. (R), (T), (CT), CRA, MSA, decided to become a nuclear medicine technologist because she wanted to be “cool.”
The way Mach tells the story makes a lot of sense!
“I have always wanted to work in health care, I even knew that I wanted to be a nuclear medicine technologist. I grew up within the rodeo community and one of the top barrel racers at the time was a nuclear medicine technologist.
I wanted to be that cool, also,” Mach explains. “I first decided that I was going to become an X-ray technologist so I could work while I chased my other dreams. I quickly decided that I wanted to become a radiation therapist because of the hours and pay. I stayed for 8 years
because I really enjoyed my patients and getting to help people in a tangible way and be present when they finally beat their cancer.”
“Becoming the director was a complete surprise to me,” she adds. “I had never considered myself management material, lead yes, director no. I was very suddenly asked to fill in as interim director and I accepted. After I had done the job for a couple months, I decided that I could actually do the job and applied for the position. The hospital saw something in me that I could not, and I thank God every day that they did.”
In fact, when asked about her greatest accomplishment she was quick to reply.
“My greatest accomplishment is taking the director position and not stopping there. Once I became director, my goal was to become CRA certified. I became a Lean Six Sigma Green Belt, completed a
Kelsey Mach is the director of imaging services at St. Luke’s Health Brazosport.
master’s degree in hospital administration and have completed most of my Ph.D. This job motivated me to expand the person I am professionally and mentally to become a better manager for my employees,” Mach says.
She enjoys every second of it.
“I love my job because of the people I work with. Each director trusts the other and works together to solve problems in the moment. Even though we work for a very large hospital system, it feels like a community hospital. Each director and manager speak to the CEO, CNO and CFO on a daily basis,” she says. “My employees really do feel like family. I make time to speak to each individual often just to keep a clear line of communication open and give the employees a person they can trust and respect.”
Looking into her crystal ball, Mach sees a huge potential for AI to improve patient outcomes.
“I think that AI is going to
KELSEY MACH
become bigger and bigger within imaging. Imagine if AI could accurately find a tumor before the human eye can even detect it. It would revolutionize the way we treat cancer,” Mach says.
She explains her leadership goal “is to be the leader that the department needs. I feel as directors and managers you have to become more adaptable to the situation rather than sticking to one style. Clear communication and expectations are paramount to a director. If you establish expectations quickly then you can gain buy in from the employees. You must hold yourself accountable to your job and employees. The leader leads by example. I always take suggestions and feedback. I jump at every opportunity to learn something new. The more educated you are, the better you can see a clear picture of your department and potential problems that could be avoided.”
Machs first mentor left a lasting
St. Luke’s Health Brazosport Director of Imaging Services, R.T. (R), (T), (CT), CRA, MSA
1. What book are you reading currently? Currently, I am reading the Disney villains series. I love to see the prospective of the villains and it’s a great childhood escape that doesn’t take a ton of time to read.
2. Favorite movie? All the Harry Potter movies. I love the idea of magic being in the world (even if it’s only for two hours at a time).
3. What is something most of your coworkers don’t know about you? Honestly, I’m an open book. You can ask anyone who has met me for more than 5 minutes and they will agree. I am willing to tell people the truth if they ask, so beware!
4. Who is your mentor? Curt Bush
5. What is one thing you do every morning to start your day? I have several games I play daily on my phone to wake my
impression on her.
“Curt Bush was my mentor. He was one of the first people to contact me when I became the director. He emailed me congratulations and asked if we could connect by phone for introductions. He then included me in all of the new CHI radiology group. He then connected me with the AHRA and spoke to me at my first ever conference. He taught me to choose kindness when meeting others. He was always there when I called and was always willing to help me. I truly do miss him every day,” Mach says.
Speaking of kindness, Mach likes to celebrate with her team every year.
“I throw a huge party for my department each year to tell them thank you. This party is interactive and immersive. This year’s theme is Alice in Wonderland,” she says. “ It will take up two hallways and includes actors! It’s just a super fun thing to plan and show my employees how much they truly mean to not only me but the community that they serve.” •
brain up. One is solitaire and the other is a puzzle. The games are not super hard but take a bit of concentration that wakes me up.
6. Best advice you ever received? Choose to be kind.
7. Who has had the biggest influence on your life? My mother is the strongest person I know. She’s wild, crazy and a mess but she is my best friend. I have watched her face heartache and loneliness but instead of making it about death she found God. God has opened her life up to friends and opportunities that she would not have known hiding in her house. I have watched her become a beautiful person who took a tragedy and made it a gift.
8. What would your superpower be? Teleportation. I just want to be there or home not in-between.
9. What are your hobbies? Horseback riding
10. What is your perfect meal? Steak and lobster
Clock Off THE
Qaisra Yasmin Saeed Faces
Challenges Head On
Heart disease remains a leading cause of death worldwide, which means the demands on cardiology departments have never been greater. The interventional cardiology campaign “Close to the heart” shows an understanding about interventional cardiologists and their passion. It shows how innovation can help cardiology departments deliver exceptional heart care to patients.
“Close to the heart” shares a remarkable story.
Qaisra Yasmin Saeed, M.D., is an interventional cardiologist based in Millburn, New Jersey. Her love of helping patients and her love of climbing mountains – both activities filled with challenges and triumphs – can serve as an inspiration.
Saeed’s journey into cardiology began early on.
“My decision to pursue cardiology happened during my time in medical school. Initially, I wasn’t sure what field I wanted to specialize in. However, as I delved deeper into the study of cardiology, I found it to be a fascinating and dynamic field that really
captured my interest,” she recalls.
Her passion for mountain climbing, on the other hand, was sparked much later.
“Growing up, I wasn’t particularly athletic. My parents emphasized studies and education. However, when my son took up taekwondo, I joined him for the sake of discipline. It was through a friend I met there that I was introduced to climbing,” she shares. Her most recent climb was to the summit of Mount Everest.
The parallels between her profession and her passion for climbing are striking.
“Both require seeing an objective, planning it out, and being prepared. In cardiology, you assess the lesion, gather your equipment, make a plan, and then implement it. It’s the same with climbing. I study the route, figure out the elevations, estimate the hours needed, plan it all out, train for it, and then execute the plan. Both pursuits demand a similar mindset and approach,” she observes.
While not in a position to help with her climbing, Philips is committed to make planning and executing the life-saving percutaneous coronary intervention
(PCI) procedures, like those Saeed performs in her cath lab on a daily basis, as easy and effective as possible. The Philips Azurion allows interventionists to control the real-time imaging and information display needed during a PCI from a touchscreen alongside the patient table, enabling them to make faster, better-informed decisions.
Deployed on the Azurion Platform, the Dynamic Coronary Roadmap is a navigation technology that creates a motion-compensated, real-time view of coronary arteries. It has been shown to reduce the need for contrast agent by 28.8 percent, reducing the risk of contrast agent induced acute kidney injury in susceptible patients. The company’s intravascular ultrasound (IVUS) imaging, another innovation in vascular imaging, provides detailed images from within the patient’s blood vessels to tailor and adjust PCI procedures in real time.
These solutions address the clinical challenges that interventionists like Saeed face. They also address the organizational challenges that today’s cardiology
departments face. Patient volumes continue to increase, financial constraints remain a significant concern and health systems face issues due to ongoing staffing problems. The recruitment and retention of staff pose a challenge, with health care job openings reaching an all-time high. Saeed, like many other health care professionals, also has to navigate those challenges.
Saeed’s climbing experience and her success as a cardiologist
are testament to the fact that challenging boundaries and going beyond personal limits can teach valuable lessons.
“It’s very rewarding to take care of someone in the hospital who’s really sick, like someone who comes in with a heart attack, and then see them recover. I enjoy giving people the opportunity to live their life the way they want to, whether that’s watching their friends graduate or achieving their goals,” she says. •
Interventional cardiologist Qaisra Yasmin Saeed is seen preparing to perform a procedure.
Rad idea
BY NICOLE DHANRAJ
SELF-ADVOCACY FOR IMAGING LEADERS
As imaging leaders, navigating the complexities of our demanding profession often means putting the needs of others and the organization before our own. Yet, while caring for others, it’s all too common to neglect our well-being.
This Rad Idea is not revolutionary but a rather audacious attempt to urge all of you to commit to self-advocacy for yourselves and those under your care.
Self-advocacy and setting boundaries aren’t just about drawing lines in the sand; it’s about reclaiming yourself, protecting your mental health and fostering a healthier work-life balance.
A leader who prioritizes self-care isn’t selfish; they’re stronger.
Here are some ideas on how to get started:
• Reflect on Your Limits: Identify stressors and energy drains, and remove what depletes you.
• Clarify What Matters Most: Remember what’s essential outside work – family, hobbies, and well-being. Do you know your non-negotiables? My life is not just about work. I am a multifaceted individual fueled by many things other than work.
• Speak Up: Advocate for your needs directly and honestly. I’ve decided to start speaking up and advocating for myself more. It’s not easy, but I’ve found that being direct and honest about my needs is the only way to make progress and our sanity.
• Take Small Steps: Begin with comfortable boundaries, like limiting after-hours work communication. Whew, that was hard as I felt guilty, but I reminded myself of the intent behind this action, which forced me to commit.
• Stay Firm: It’s natural to encounter resistance. Despite pushback, propose alternatives; for example, if someone needs urgent information after hours, suggest alternative solutions, including alternate staff members to contact and remind others that boundaries benefit everyone. I am also a giver, and I recognize this. But I’m learning to stay firm and remind myself that my well-being is worth it. You might worry about appearing unavailable. But remember, a leader who prioritizes their well-being is more effective.
• Lean on Others: Seek support from trusted colleagues and friends. I’ve found comfort in confiding in trusted colleagues and friends about my struggles with setting boundaries. Their support and encouragement have been invaluable as I navigate this journey.
• Practice Self-Compassion: Recognize that setting boundaries is self-care, not selfishness. It’s perfectly acceptable to prioritize my well-being, even if it entails saying no occasionally. Saying no gracefully is an acquired skill, and I’m gradually mastering it.
Amid the chaos, remember: boundaries aren’t barriers; they’re pathways to reclaiming ourselves and fostering a healthier work-life balance. Let’s pledge to prioritize self-advocacy as imaging leaders. By prioritizing our well-being, we cultivate resilience, discover fulfillment and, ultimately, provide better care for those we lead. •
Nicole Dhanraj, Ph.D., SHRM-SCP, PMP, GPHR, CPSS, CRA, R.T(R)(CT)(MR), is an experienced imaging director.
Share your RAD IDEA via an email to editor@mdpublishing.com.
STAR RISING
DONALD FAUSTIN
BY JEAN HAN
U.S. Army Sgt. 1st Class Donald Faustin is a 68P, otherwise known as a radiology specialist, and is the Non-Commissioned Officer in Charge (NCOIC) at BDAACH’s Department of Radiology.
As a radiology specialist, it is his duty to conduct physical examinations on patients and take X-rays to provide detailed images of the body. He gets patients ready for tests, positions them correctly, runs the machinery, and utilizes his expertise to reduce radiation exposure to the patient.
This requires being specialized in various modalities within radiology such as computed tomography (CT), magnetic resonance imaging (MRI) and sonography (Ultrasound).
BDAACH recently installed a new field-grade CT scanner, simultaneously expanding the hospital’s radiology resources and serving as a training tool for radiology specialists like Faustin.
“It’s an opportunity for us to deploy and employ our field radiologic capabilities and provides an alternative means for our soldiers and personnel to train on our TOE equipment to the same capability,” said U.S. Army Col. Alison Batig, BDAACH Director and 549th Hospital Center Commander.
Having a portable CT scanner also allows for expedited imaging services in the field, ultimately enabling more time for care.
“The CT scanner has increased our capabilities tremendously. It allows us to have eyes inside the body and pinpoints exactly what needs to be done before sending off injured soldiers to treatment facilities. It’s a total game changer,” said U.S. Army Staff Sgt. Santosh Thapa, a fellow radiology specialist and Senior Enlisted Advisor to the Deputy Director for Nursing.
The new CT scanner provides imaging capabilities similar to the CT machine inside the hospital. It serves as a prime example of how operational training is integrated into what they do in the hospital every day.
“When the hospital is set up for it, there will be a way to connect this CT ISO to our systems in the department and we’ll be able to just push everything over there. The idea is that if for some reason the main CT that we have inside goes down, we don’t have to worry about sending patients out. We can just bring them in here to continue,” said Faustin.
“We can do our mission on a regular basis to make sure that we are ready to fight tonight with our current MTOE equipment and using the capabilities we’ll end up having in the field,” said U.S. Army Lt. Col. Audrey Boenker, Commander of 121st Field Hospital. •
U.S. Army Sgt. 1st Class Donald Faustin, Department of Radiology Non-Commissioned Officer in Charge, is pictured at Brian D. Allgood Army Community Hospital. (Photo by Jean Han)
THE TOTAL PACKAGE HAS ARRIVED.
YOU’RE INVITED...
TO A REIMAGINED EXPERIENCE
Join AHRA for a reimagined and redesigned experience, featuring an incredible lineup of guest speakers and sessions designed to help you share knowledge and expand your networks.
OF INNOVATION IN IMAGING.
The 2024 Annual Meeting, hosted August 4-7 in Orlando, Florida, will empower you to connect with experts leading the latest innovations in medical imaging technology and practice.
ICE DEBUT
TRECHIT SOLUTIONS
TrechIT Solutions is a premier IT managed services provider specializing in the medical imaging sector. TrechIT Solutions supports medical imaging companies of all sizes, from enterprise hospitals to small single modality offices.
TrechIT Solutions is excited to introduce its flagship service, PACS Admin as a Service, offering expert management of Picture Archiving and Communication Systems (PACS). Additionally, TrechIT Solutions provides workflow automation, system troubleshooting and system architecture solutions.
“At TrechIT Solutions, we are dedicated to enhancing efficiency and delivering exceptional value to our clients,” CEO Daniel Nudelman said.
ICE Magazine recently found out more about TrechIT Solutions via a question-and-answer session with Nudelman.
Q: HOW DOES YOUR COMPANY STAND OUT IN THE IMAGING SPACE?
Nudelman: We distinguish ourselves by specializing in the IT side of medical imaging, bridging the gap between the modality and IT infrastructure. We excel where the network cable meets the wall, taking over to ensure seamless integration and functionality. Our unique expertise allows us to communicate effectively with both imaging engineers and IT professionals, understanding and managing both modality settings and IT requirements. This dual fluency ensures our clients receive comprehensive support and optimal performance.
Q: WHAT IS ON THE HORIZON FOR YOUR COMPANY?
Nudelman: Our current goal is to expand and partner with service providers to ensure seamless end-to-end installations, maintenance and repairs. We aim to become the key liaison between imaging engineers and IT departments, facilitating smooth communication and efficient operations. By forging these partnerships, we strive to enhance the quality and reliability of medical imaging services for our clients.
When acting as the customer’s PACS admin, your team of imaging engineers work closely with familiar faces, fostering strong relationships and collaboration. This approach ensures that all aspects of the system are managed effectively, providing a cohesive and reliable service experience.
Q: IS THERE ANYTHING ELSE YOU WOULD LIKE ICE MAGAZINE READERS TO KNOW?
Nudelman: Our commitment to bridging the gap between imaging modalities and IT infrastructure sets us apart. We look forward to collaborating with industry leaders to drive advancements and improve patient care through superior IT solutions. Additionally, we can serve as the IT Managed Service Provider (MSP) for imaging service companies themselves, offering expertise that understands the unique demands and intricacies of the medical imaging industry. This dual capability ensures that both the imaging facilities and the service companies supporting them operate at peak efficiency. •
For more information, visit https://trechit.com, email info@trechit.com or call 888-788-5022.
Imaging News
A LOOK AT WHAT’S CHANGING IN THE IMAGING INDUSTRY
UNIVERSITY HOSPITALS DEPLOYS AI-ENABLED SOLUTIONS ACROSS SYSTEM
University Hospitals (UH) has announced the deployment of Aidoc’s comprehensive AI platform (aiOS) across 13 of its hospitals and dozens of its outpatient locations. This initiative marks a significant leap forward in leveraging cutting-edge technology for superior patient outcomes, according to a news release.
“Driven by a commitment to provide the highest standard of care, UH sought a standardized, hyper-accurate AI platform that could be seamlessly integrated across its network of academic hospitals and outpatient locations. Having utilized AI in various small-scale applications, UH chose to expand its capabilities with Aidoc to empower care teams with the information they need to address some of today’s most pressing medical issues,” the release states.
Patients at UH will benefit from faster diagnosis and treatment of acute conditions such as pulmonary embolism, aortic dissection, vertebral compression fracture and pneumothorax. When a patient arrives at a UH facility and undergoes a CT scan for an injury or pain, Aidoc’s AI analyzes the scan using its comprehensive algorithms. The technology identifies both expected and unexpected findings, helps physicians prioritize urgent cases and ensures all flagged conditions are reviewed by the care team. Aidoc’s AI facilitates communication between the care team to enhance collaboration and speed up treatment.
Key benefits of Aidoc for University Hospitals listed in the press release are:
• Seamless integration across the entire health network
• Immediate access to critical patient information
• Expedited care and improved patient outcomes
• Access to all 17 FDA-cleared AI algorithms for triage, quantification and care coordination
“The agreement leverages Aidoc’s proprietary aiOS, a groundbreaking platform that addresses common AI implementation challenges such as integrating with existing IT systems, ensuring EHR compatibility, and managing data and reporting. This comprehensive approach ensures that UH can provide leading-edge care while maintaining operational efficiency and clinical excellence,” according to the release.
PHILIPS ZENITION 90 MOTORIZED RECEIVES FDA 510(K) CLEARANCE
Royal Philips recently announced the launch of Philips Image Guided Therapy Mobile C-arm System 9000 – Zenition 90 Motorized, designed to help clinicians deliver high-quality care to more patients. Philips is partnering with its customers to improve productivity. The new mobile C-arm with expanded capabilities is designed to meet complex vascular needs, but also a range of clinical procedures such as cardiac interventions, pain management and urology. Philips showcased its newly introduced mobile C-arm at the 2024 Society for Vascular Surgery Annual Meeting.
The Philips Zenition Image-Guided Therapy Mobile C-arm Systems bring together innovations in image capture and processing, ease-of-use, and versatility, many of which were pioneered on Philips’ highly successful image guided therapy platform Azurion. Motorized and impressively fast, the Zenition 90 Motorized is an intuitive C-arm that allows clinicians to control it from the table-side with user-friendly controls and time-saving features – empowering the clinician with greater flexibility and independence. It delivers state-of-the-art image quality for the most challenging procedures and is designed to meet complex procedural needs. The system allows greater clinical efficiency thanks to its automated workflows, the image
controls via the Touch Screen Module and the advanced software solutions.
“During complex procedures, it’s vital to be able to rely on surgical imaging systems. As clinicians navigate their way through challenging anatomy, the priority is to quickly visualize small anatomical details while limiting X-ray dose,” Philips’ Mark Stoffels said. “The new Zenition 90 Motorized empowers medical teams to confidently perform a wide range of interventions while achieving the best possible outcome for their patients.”
In independent hands-on usability studies of clinicians from the US and EU with the Zenition 90 Motorized in simulated environments; 100% of users said that with the Table Side Operator, they have complete control over C-arm movements and 97% report that workflow features such as Automatic Vascular Outlining will help save time during procedures.
As part of its commitment to sustainability and providing customers with responsible choices, Philips leveraged its EcoDesign process for the Zenition 90 Motorized to improve product life by 25% and power efficiency by 13%.
Philips latest image guided therapy mobile C-arm system is also available in a non-motorized configuration.
POSITRON CORP. TO ACQUIRE FDA 510(K) FOR NEUSIGHT PET-CT
Positron Corporation, a leading molecular imaging medical device company offering PET and PET-CT imaging systems and clinical support services, has entered an agreement to acquire the FDA 510(k) for the NeuSight PET-CT from its cooperative partner Neusoft Medical Systems’ subsidiary, Shenyang Intelligent Neuclear Medical Technology Co.
Positron’s ownership of the existing 510(k) and FDA clearance will enable the marketing and sale of the NeuSight PET-CT 64 slice imaging system. This 510(k) also will facilitate future FDA clearances, including for the company’s Affinity PET-CT 4D 64 slice system. This agreement allows Positron to immediately market and sell the NeuSight PET-CT, with plans to introduce Positron’s Affinity PETCT 4D pending acceptance of an amended 510(k) submission.
Adel Abdullah, president of Positron stated, “Gaining the 510(k) is a significant milestone in Positron’s mission to offer outstanding PET-CT technology and solutions to health care practices and hospitals serving both the cardiac and oncology segments of molecular imaging. Our PET imaging product line will now feature PET-CT which will expand access for physicians and practitioners seeking to utilize the full capabilities of the PET modality in nuclear cardiology and oncology. PET-CT imaging remains at the forefront of oncology studies and has become vital to the future of nuclear cardiology. With the addition of PET-CT, Positron has a range of core products that blend cutting edge technology with strong economics, appealing to most nuclear imaging specialist and practices.”
KONICA MINOLTA HEALTHCARE, CHRISTIE INNOMED
Konica Minolta Healthcare Americas recently announced a strategic partnership with Comp-Ray Inc., a Christie Innomed company, that will bolster Konica Minolta’s Healthcare IT sales and distribution in the U.S.
Christie Innomed will be introducing its “bestin-class” Canadian Healthcare IT service offerings in the U.S. through this partnership. This alliance is projected to be a driver of business growth for the two organizations.
Comp-Ray Inc. will sell and provide services for Konica Minolta Healthcare’s Exa Platform, a software solution comprised of PACS, RIS and Billing modules for managing medical imaging and patient data across the health care spectrum. The Exa Platform provides distinct benefits of speed, security, flexibility and access with advanced features such as Server-Side Rendering, Diagnostic Zero Footprint viewer and a single integrated database across all modules.
The Exa Platform is available with cloud hosting. Konica Minolta is a leader in health care cloud hosting with over 1.5 Petabytes of data for over 200 customers with 6 million studies. As a fully
TEAM UP
web-based solution, the Exa Platform gives customers a cloud-hosting choice with either AWS or Konica Minolta’s private cloud. With either solution, Exa Platform customers have the flexibility, agility and scalability to deploy and manage software securely and efficiently.
“Konica Minolta Healthcare is excited to partner with Comp-Ray and Christie Innomed to expand our sales and distribution while leveraging their industry leading healthcare IT services,” says Kevin Chlopecki, chief operating officer, Konica Minolta Healthcare. “This collaboration is a key component of Konica Minolta’s business growth in 2024 and beyond.”
“Comp-Ray’s Healthcare IT (HIT) Solutions division will work in close collaboration with Konica Minolta’s Healthcare IT business to provide innovative solutions with the Exa Platform in the U.S. Konica Minolta’s Healthcare IT service excellence has a proven track record in simplifying complex and diverse digital ecosystems to facilitate the flow of information and streamline access to and sharing of diagnostic information through efficient and customizable workflows,” according to a news release. •
FUJIFILM LAUNCHES 128-SLICE CT SYSTEM
FUJIFILM Healthcare Americas Corporation has received FDA 510(k) clearance for its new compact, 128-slice computed tomography (CT) system, the FCT iStream. The system employs four core proprietary Fujifilm technologies, including HiMAR Plus (High image quality Metal Artifact Reduction), Intelli IPV, SynergyDrive and IntelliODM to enhance the sharpness of images, streamline workflow through AI automation, and significantly reduce patient dose.
There is a clear need to decrease patient radiation dose as much as possible during imaging, including CT scans. The FCT iStream CT system comes equipped with several technologies that drive down patient dose, including Fujifilm’s IntelliODM, an-organ based dose modulation reduction technique which modulates radiation dose in angular and/or slice directions based on patient attenuation. Additionally, Fujifilm’s IntelliEC feature helps further reduce patient dose for all CT scanning, including cardiac imaging. Intelli IPV, Fujifilm’s proprietary iterative progressive reconstruction with visual modeling (IPV) method, is another innovative technology that enhances sharpness by reducing noise by up to 90% and provides up to 83% reduced patient dose.
To streamline technologist workflow, the system captures 60 images per second and leverages Fujifilm’s SynergyDrive technology to automate, simplify and
accelerate the scanning process. SynergyDrive helps streamline the entire image capture process, assisting with automating positioning of the patient inside the CT system, mapping imaging parameters on where to scan, and scanning and archiving the images.
“Staff shortages, increased financial pressure and escalating patient demand are driving radiology departments to look for ways to streamline workflow, avoid repeat scans and ensure they are maximizing throughput,” said Shawn Etheridge, executive director, modality solutions, FUJIFILM Healthcare Americas Corporation. “We’ve designed FCT iStream to reduce the pain points these high-volume departments face by engineering an intelligent, reliable, imaging solution that will help automate clinician’s most time-consuming steps.”
Scanning patients with metal implants can distort CT images, making it difficult to clearly visualize details in and around them. To help clinicians obtain clear, high-quality images for patients with metal implants, FCT iStream leverages HiMAR Plus (High image quality Metal Artifact Reduction) technology to detect and correct corrupted data from the metal in the images. Unlike traditional methods, it combines both projection-based and image-based correction. This results in improved image quality throughout the anatomy, while clarifying metal implants and surrounding tissue. •
FIRST CLINICAL USE THE OMNIFYXR INTERVENTIONAL SUITE ANNOUNCED
GE HealthCare and MediView XR Inc., a leading clinical augmented reality medtech company, announced the successful first installation and clinical cases using the OmnifyXR Interventional Suite at North Star Vascular and Interventional in Minneapolis, Minnesota.
This innovative augmented reality-based interventional radiology suite combines a holographic heads-up display streaming live medical imaging, 3D anatomy model visualization and advanced imaging technologies, while enabling the opportunity for remote collaboration to help advance the delivery of precision care across a variety of interventional procedures, according to a news release.
Image-guided therapy is a fast-evolving space that leverages advanced imaging and visualization solutions to make it possible to treat many conditions, from cancer care to cardiovascular disease and more, with little to no surgical incisions. However, while performing these different interventional procedures, practitioners face many challenges – from positioning restrictions that obscure visual interface and display access, to time consuming workspace adjustments.
To address these challenges, OmnifyXR was designed to fit seamlessly into existing interventional suites and leverages augmented reality to support workflow efficiency and ergonomics, improved visualization, and collaborative care.
OmnifyXR leverages augmented reality innovation and is designed to support clinicians in the following ways:
• Workflow efficiency and ergonomics: Heads-up display (HUD) headset holographically displays multiple imaging video streams in a customizable way to create opportunities for improved ergonomics regardless of working position. Clinicians can simultaneously display up to four video streams (such as Live Fluoroscopy, Reference Image, Advantage Workstation Image, Ultrasound and Hemodynamics); customize the size, angle and orientation to meet workflow needs; and utilize voice commands for hands-free interaction with the application.
• Improved visualization of anatomy with 3D Assist: Designed to augment visualization and help in the assessment of complex anatomies, clinicians can interact with a holographic 3D model of the patient’s anatomy to support intraprocedural planning.
• Collaborative care: To allow for remote collaboration, consultation, training, proctoring and support, users can provide first-person view of their holographic experience through any internet-connected device to allow for collaborative care from any location.
In the world’s first clinical use of OmnifyXR, professor of radiology and founder of North Star Vascular and Interventional Dr. Jafar Golzarian performed two separate clinical procedures – the embolization of a genicular artery and the embolization of a prostate artery.
“The heads-up display and augmented reality capabilities of OmnifyXR, especially the 3D anatomical view offered by the hologram scan, are game-changing and allow for new perspectives into treatment we haven’t seen before,” said Golzarian. “I’m excited to be on the team performing these first cases and look forward to seeing how this may help improve clinical and operational outcomes for both patients and clinicians.”
OmnifyXR is a MediView product developed in collaboration with GE HealthCare and is currently available in the United States, with global expansion to follow. OmnifyXR is available exclusively with GE HealthCare interventional X-ray systems, such as the Allia IGS platform and Innova IGS platform with AutoRight, that utilize digital video distribution.
WEBINAR ADDRESSES DIRTY SECRETS –LEAD, LITIGATION AND INFECTION CONTROL
STAFF REPORT
The recent ICE webinar “Dirty Secrets –Lead, Litigation and Infection Control” is approved for 1.0 ARRT Category A CE credit by the AHRA. Presenter Nicole Dhanraj, Ph.D., SHRM-SCP, GPHR, CPPS, CSSBB, PMP, CRA, R.T (R)(CT)(MR)(FAHRA), explored the often-underestimated relationship between lead apron cleanliness and infection control in health care settings.
Dhanraj examined the hidden threats associated with lead aprons, emphasizing the significance of infection prevention beyond visible dangers to staff and patients. The presentation addressed knowledge gaps and concerns related to lead aprons, shedding light on reasons for the lack of attention to apron hygiene and reviewing litigation involving these protective garments.
The session guided imaging directors through practical steps to close loopholes in lead apron cleaning programs, aligning hygiene practices with broader infection control initiatives. Additionally, it explored common challenges that may increase the risk of litigation and infection, proposing strategies to create environments that value infection control as a shared responsibility. The session concluded
by reinforcing the imperative connection between clean lead aprons and sustaining safer health care environments, as well as a call to action for implementing more effective lead apron hygiene to enhance patient safety and infection control initiatives.
Almost 100 people joined the live presentation. A recording of the webinar is available for on-demand viewing at ICEwebinars.live. Attendee Jeff Kennelly won an ICE Magazine gym bag during the session Attendees were asked “Why do you join ICE webinars?”
“Timely meaningful topics,” said Kathryn Hall, Staff Technologist, Maui Medical Group.
“Any ICE Webinar with Nicole is a must attend when you can. Always top notch,” shared Mario Pistelli, Executive Director of Radiology, Children’s Hospital Los Angeles.
“To gain additional knowledge of topics that might not always be discussed,” said Amy Warburton, Imaging Quality and Business Operations Manager, Riverside Healthcare.
“To learn!” said Stephanie Sczepankiewicz, Diagnostic Imaging Manager, South Bend Orthopaedics. •
For more information, visit ICEwebinars.live.
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X-RAY TUBES FOR RAD, R/F, MOBILES, C-ARMS
DIRECTOR’S CIRCLE
There are many different imaging modalities in health care. X-ray is the oldest if not the most used imaging modality. ICE Magazine reached out to some imaging leaders to find out more about X-ray, including recent advancements and how it can save a hospital money.
Participants in the article are:
• Todd Anderson, Imaging Manager, Children’s Hospital Los Angeles;
• Rebecca Clinger B.S., R.T. (R) (CT), Supervisor of Radiology and the Harrington Heart and Vascular Institute at University Hospitals Conneaut and Geneva Medical Centers;
• Jill Jones, CRA, RT(R)(CT), Medical Imaging Manger, Banner Imaging; and
• Jacqui Rose, System Director of Radiology, UC Health
Q: HOW HAS THE ROLE OF X-RAY CHANGED OVER THE PAST 5 YEARS AT YOUR FACILITY?
Anderson: We have become completely digital with fully automated machines.
Clinger: Although the role of our X-ray department has not changed greatly in the past 5 years, our X-ray departments have changed in a number of ways over the last 5 years – both technologically and in staffing. Our role, as a department, remains to support our ordering physicians and their patients with their imaging needs. As a department, we’ve seen the addition of AI on some of our equipment and also used as a “first look” for our radiologists, the removal of all CR equipment, the addition
of DR systems, and an increasing need for multi-modality technologists.
Jones: In the last 5 years of X-ray in my current facility, the role has evolved into a larger volume of ambulatory outpatients. Physician offices and smaller urgent care clinics are unable to staff their X-ray departments therefore moving that volume to outpatient imaging centers.
Rose: Since COVID, we have seen many changes in X-ray. From difficult to recruit and fill positions to very high sign-on bonuses and wages to lack of capital to replace equipment. This makes the management of all resources much more difficult. We are looking for more creative ways to recruit and retain while lengthening the life of our equipment and the services to keep it running longer.
Q: WHAT ARE THE MUST-HAVE FEATURES A RADIOLOGY DEPARTMENT NEEDS IN ITS X-RAY DEVICES?
Anderson: In my opinion a dose tracking software is something every X-ray device should have built in.
Clinger: The X-ray equipment has to be user friendly, durable, reliable, interface with PACS and RIS easily, provide quality images and acquire the images quickly. These are all very important features that all imaging equipment should have. With increasing volumes, we need to be able to move our patients through our department quickly, all while providing them great patient care and quality diagnostic imaging.
Jones: With the volume of outpatient imaging clinics increasing, it is important that X-ray devices can see patients that are wheelchair bound. X-ray equipment that does not have the removable plates for imaging create
TODD ANDERSON
CHILDREN’S HOSPITAL
LOS ANGELES
BECCA CLINGER
UNIVERSITY HOSPITALS
CONNEAUT AND GENEVA MEDICAL CENTERS
an obstacle when trying to perform X-rays on patients that are in a wheelchair or bedridden. This also is a factor when trying to perform specialized imaging such as weightbearing feet and ankles on patients.
Rose: The must-have features for X-ray devices are more like characteristics. They must be cost effective, versatile, stabile and have a long life.
Q: HOW CAN X-RAYS HELP A HEALTH CARE FACILITY SAVE MONEY?
Anderson: Used as a diagnostic tool it can avoid a good amount of clinical work-up and intervention.
Clinger: X-rays can save a health care facility money by providing quality diagnostic imaging at a much lower cost than other advanced imaging modalities. X-rays can also play a vital role in getting some advanced imaging exams pre-authorized through the patient’s insurance carrier, thus ensuring payment. Radiographers are usually paid less than multi-modality and/or CT or MRI technologists, so salaries are usually lower, saving the facility money in that aspect.
Jones: X-ray can help a health care facility save money by providing the basic X-ray on patients before they are referred for an MRI, CT or additional imaging. Performing the initial X-ray on these patients often results in the patients not needing additional imaging or advanced testing which costs the facility more money in the long term.
Rose: By creating a workflow that optimizes every piece of equipment and staff, we can certainly save time and money. Creating a manageable service process and workflow is also needed to prevent unplanned downtime and expenses.
Q:
WHAT SAFETY
MEASURES SHOULD
EVERY
X-RAY DEPARTMENT IMPLEMENT?
Anderson: Dose management protocol and easy access to a lift team or equipment.
Clinger: Safety measures in X-ray departments might look slightly different than they have in the past. We still implement time, distance, and shielding for staff, but we no
JILL JONES UC HEALTH
JACQUI ROSE
BANNER IMAGING
longer shield our patients for their exams. All our technologists take the pledge to Image Wisely and Image Gently annually, to show their commitment to safe imaging of our adult and pediatric patients. We run our repeat rates and share with the technologists, for awareness, and expect a 9% or less repeat rate. Having specific protocols for adult and pediatric populations are also key to safe imaging.
Jones: Every X-ray department should implement safety measures that keep the patients and the technologist safe for every procedure. Verifying patient pregnancy, having lift assistance tools, and the room set up for patient movement ensures that patient safety will be met with every patient.
Rose: Every Imaging department must develop a culture of safety which goes much farther than a program. It is inherent in everything that we do to always keep our patients and our teammates safe.
Q: WHAT IS THE FUTURE OF X-RAY
IN HEALTH CARE OVER THE NEXT 5 TO 10 YEARS?
Anderson: I believe radiology will always be a important diagnostic tool, and I feel that AI will advance our field in ways that are yet undiscovered, ie. remote technologist
Clinger: AI is going to be increasingly important in the next 5 to 10 years. With radiologist shortages throughout the country, having an extra set of “eyes” on our images is imperative. Technology will also continue to improve image quality, decrease image acquisition time, increase detection of pathology, and decrease the radiation dose to the patient.
Jones: The future of X-ray over the next 5-10 years, I believe, will still be very ambulatory based with high volumes. The shortage of X-ray staff is what will hinder facilities from being able to accommodate the needs of the public and the providers.
Rose: X-ray is the basis for all imaging services and our teammates coming into the field are feeders for other modalities. It is important to develop relationships that enable us to maintain a steady stream of new talent to go into X-ray and keep them in the system. The potential is there to impact the radiographers pay to
be consistent with other modalities to enable them to continue in the modality.
Q: WHAT ELSE SHOULD ICE MAGAZINE READERS KNOW ABOUT X-RAY?
Anderson: It is a very rewarding field with lots of opportunity for advancement and room to expand your skill set.
Clinger: Radiographers are currently in high demand and there are many opportunities to grow in the profession. The imaging world is always changing and it’s important to be able to adapt to those changes. Every patient is different and has different needs. We have to be able to think quickly to make their experience in our department as enjoyable as possible.
Jones: X-ray is the first stepping stone for many patients when they have an issue. With the evolution of technology, less dose is required to obtain what is needed for these patients to begin their imaging and healing journey.
Rose: Although X-ray is the basis, it is critical to the foundation of all imaging departments and should be seen and treated as such. Without a solid foundation, every department will suffer. We, as imaging leaders, must recognize and work toward elevating our X-ray team to help maintain that solid foundation. •
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Market Report
X-RAY MARKET GROWTH CONTINUES
STAFF REPORT
The global X-ray equipment market size is estimated to grow by $3.79 billion from 2024-2028, according to Technavio. The market is estimated to grow at a CAGR of almost 5.8% during the forecast period.
An increasing incidence of chronic diseases is driving market growth, with a trend towards technological advances. However, the high cost of X-ray equipment poses a challenge.
The global X-ray equipment market is experiencing significant growth because of the introduction of new products with advanced technologies. These innovations include digital X-rays, flat-panel CR systems, and radiation-based imaging techniques. Vendors are launching new systems with improved image quality and radiation dose reduction. Digital imaging has replaced conventional film-based radiography, enhancing efficiency and image resolution. These advancements support the market’s growth in the forecast period.
The health care sector continues to invest in X-ray equipment because of its importance in diagnosing various medical conditions. The market for X-ray systems is growing, with technologies such as digital X-ray and portable X-ray gaining popularity. Musculoskeletal disorders and orthopedic issues are common diagnoses using X-ray technology. Demand for diagnostic imaging is increasing, driven by an aging population and rising health care costs.
Cancer detection is another significant application of X-ray equipment. Cardiac and arthritic diseases are also diagnosed using X-rays. The use of advanced technologies like contrast agents and computer-aided diagnosis is increasing to improve diagnostic accuracy. The market for X-ray equipment is expected to grow in the coming years because of these trends.
The X-ray equipment market is facing affordability challenges because of the high cost of equipment and associated services. Radiologists, equipment, hospital, and inpatient imaging fees add to the diagnostic costs. Technology advancements have led to increased equipment costs. For instance, the average cost of digital portable X-ray units is significantly higher than analog ones. General Electric offers various digital X-ray equipment at varying prices. However, these costs make X-ray equipment inaccessible for hospitals and primary health care centers, particularly in low-income areas, potentially limiting market growth.
Additionally, the adoption of advanced technologies like flat panels and digital radiography systems necessitates continuous research and development efforts. Radiology practices also face challenges in implementing these technologies because of high upfront costs and the need for extensive training. Furthermore, regulatory compliance and data security are critical issues that require constant attention. Overall, the X-ray equipment market requires innovative solutions to address these challenges and maintain competitiveness.
Grand View Research reports that “the global X-ray systems market size was valued at $6.7 billion in 2021 and is anticipated to expand at a compound annual growth rate (CAGR) of 2.3% from 2022 to 2030.” A major factor driving the market is increase in the demand for early-stage diagnosis of chronic diseases. In addition, continuous technological advancements, rise in product development, improved fundings, and investments by the government, especially in developing countries, such as India and China, are also expected to contribute to the market growth.
Fortune Business Insights agrees.
“The global medical X-ray market size was valued at $14.24 billion in 2023 & is projected to grow from $14.99 billion in 2024 to $23.93 billion by 2032,” according to Fortune Business Insights. •
Focus Product
1
GE HEALTHCARE
Definium 656 HD
The Definium 656 HD1 is GE HealthCare’s most advanced fixed X-ray system yet. The system acts like a “personal assistant” by delivering consistent, efficient and highly automated exams while simplifying workflow, improving consistency, and reducing errors to help keep radiology departments running smoothly. This latest generation of the overhead tube suspension (OTS) system features the highest levels of motorization, automation, assistive intelligence and advanced applications along with the fastest movement and highest weight capacity in GE HealthCare’s fixed X-ray portfolio.
Definium 656 is a commercial configuration of the Discovery XR656.
*Disclaimer: Products are listed in no particular order.
FUJIFILM Persona RF PREMIUM+ 2
The Persona RF PREMIUM+ is a multi-purpose radiography/fluoroscopy system designed for hospitals and medical centers of all sizes, providing real-time imaging for skeletal, digestive, urinary, respiratory, reproductive systems; and specific organs including the heart, lung, and kidneys. The system offers a unique range, including the ability to achieve 71 inches source to image distance (SID) to accommodate chest and long length radiography exams. The system’s unique design enables increased room utilization and fits tight spaces without compromising long-established standards for contrast, image stitching and urologic procedures.
HOLOGIC
Fluoroscan InSight Mini C-arm Extremities Imaging System
Hologic’s Fluoroscan InSight FD Mini C-arm imaging system is designed for easy positioning, flexibility and convenient mobility. The system features a rotating flat detector that is ideal for imaging long bones and, along with its collimator, enhances surgical positioning. The C-arm is designed with a forward tube source and has a 120-degree range of motion, both forward and backward, for excellent maneuverability and flexibility. Additionally, the Fluoroscan InSight FD Mini C-arm imaging system from Hologic offers a Low Dose Rate Option that enables the user to reduce dose rate while still providing clinically equivalent images. 1 The unit also lowers scatter dose by 50% at 30 frames per second. 2 The system can improve workflow as its customizable imaging parameters can be tailored to the preferences of individual surgeons.
References
1 2 Internal test report, data on file. Hologic 2017
2 When scatter radiation measurements are taken at head, waist and knee height, the InSight FD system produces on average 50% less scatter radiation to the operator compared to OrthoScan FD Pulse: Dose Study by F.X. Masse Inc., measurements based on an 2014 Orthoscan FD Pulse and a 2018 Hologic InSight FD.
CANON CXDI-Elite Flat Panel Detector Series
The Canon CXDI-Elite flat panel detector series is compatible with new AI image processing, Intelligent Noise Reduction (Intelligent NR). Intelligent NR can provide superior diagnostic image quality even at low dose by significantly reducing noise. Dr. Elizabeth Ey, chief radiologist and radiation safety officer at Dayton Children’s Hospital said: “The Canon DR system with the Intelligent Noise Reduction has produced images with lower noise content at a lower dose with no visible loss in image quality. This has allowed us to use doses that are 50% less than what we had been using in that room.”
4
KONICA MINOLTA KDR Advanced U-arm System 5
The versatile, compact design of the KDR Advance U-arm System makes it ideal for locations that need to provide superior-quality radiography services in small spaces. The flexible and fully automated floor-mounted system can be installed under 8-foot ceilings, maximizing office space and improving positioning capabilities. The U-arm architecture and portable table allow for table work when needed. Workflow is enhanced by the 17” x 17” built-in detector, constant alignment, independent tube tilting, and detector for simplified anatomy positioning. A tube-mounted console allows the operator to confirm patient information and image quality at the patient side, minimizing exam time.
SIEMENS X-RAY LUMINOS Lotus Max
The LUMINOS Lotus Max, an advanced two-in-one fluoroscopy and radiography system from Siemens Healthineers, enhances system utilization and reduces the need for additional imaging systems and examination spaces. It features an integrated, remote-controlled design that delivers both dynamic and static images at a high level of quality with low radiation exposure for patients. Designed to accommodate a diverse range of examinations and patient types – including pediatric, bariatric and geriatric – the system allows for streamlined operations controlled via a single interface that is accessible from both the control and examination rooms. Enhanced with robust cybersecurity measures, the LUMINOS Lotus Max helps ensures top-tier protection against cyber threats. •
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BY MATT SKOUFALOS
In working to deliver technology that facilitates the optimal patient experience, medical imaging equipment manufacturers continuously contemplate how those improvements are driven from the perspectives of the technologists and physicians who care for those patients. Health care systems that have pushed deeper into delivering a high-quality patient experience may also see that investment making a positive impact on their productivity and bottom-line metrics.
stream, not only for follow-up care, but also for family health care in general.
experience, they’ll be better positioned to make the patient experience pleasant as well.
Abby Weldon, senior director of women’s health at Siemens Healthineers North America, spoke about the significance of improving the patient experience in women’s health by connecting patients with a broader array of health care services. The imaging procedure with which many women routinely interact is mammography, which can become an entry point into other services offered by a given health care system if the experience is positive.
“A lot of facilities market their services based on the technology they offer,” Weldon said. “That’s how we can compete: better technology, greater patient comfort and boutique services. Plus, the federal breast density inform law takes effect in September, and that’s something facilities can use as a patient communication tool. It’s hard to get women to come for callbacks; it might add to their experience if they know they have dense breasts and could use some diagnostic follow-up right away.”
“Most women have a lot of anxiety and a lot of fear when it comes to the breast compression itself,” Weldon said. “We really do design this to be a more personalized experience to help encourage women to have a more pleasant experience than they were expecting.”
“If you can get it right the first time, you’re going to have to deal with fewer callbacks, retakes and having to get the patient back in,” she said. “That’s very much a part of the patient experience that does contribute to productivity gains.”
“The main difference is, in the United States, women can choose where they’re going,” she said. “Choosing where you’re going is important because it’s estimated that women make 80 percent of the health care decisions in the U.S., including for their family and friends.”
As medical imaging facilities are rated on the quality of the patient experience they provide – with reimbursement sometimes being tied to that experience – a mammogram can open up a downward revenue
Moreover, because a mammogram is an annual screening, performing the procedure competently and delivering a high-quality patient experience can ensure follow-up visits. On the flip side, a poor experience squashes the potential for repeat business. As Weldon points out, some industry estimates put the number of women who don’t return for a subsequent mammogram at nearly 50 percent.
“Why don’t they return? A lot of it is a fear of a positive result,” she said. “We’ve definitely taken a lot into account when designing the mammography systems.”
Despite mammography technology being reserved explicitly for women, Weldon points out that, historically, breast imaging systems have not been designed by women, nor necessarily even with significant input from the technologists who operate the devices. If the professionals who spend the most time with the mammography system enjoy a better
Siemens Healthineers MAMMOMAT B.brilliant is built to support patient comfort as well as technologists’ ease of access. It features paddles designed to allow for easier access in patient positioning, and with curvatures that mirror the physiology of the breast to mitigate discomfort. Likewise, the face shield on the device allows the patient to lean into the unit, both stabilizing the patient and gaining access to more posterior breast tissue during the study. Its intelligent personalized compression system is designed to optimize breast compression on an individual basis for each patient, with the aim of delivering a consistent image over time, and without compressing the tissue more than is necessary to capture a high-quality image. MAMMOMAT B.brilliant even includes adjustable mood lighting that’s intended to help reduce anxiety and soothe a patient’s nerves.
For technologists, the system display puts patient information and
COVER STORY
workflow steps at eye level, where they can be easily observed. Its ComfortMove function allows the tube unit to move independently from the image detector, which supports both improved patient positioning and greater mobility for technologists around them.
Beyond the updated mammography technology itself, Weldon said Siemens Healthineers is working to enable a more personalized screening experience for women by facilitating better follow-up and more comprehensive evaluation at the time of the study itself. All women over 40 are urged to get annual mammograms, but they should also have access to other, supplemental tools, like ultrasound, contrast mammography or breast MRI at the time of their screening or beforehand.
“What we’re looking at is how can we utilize risk management tools, or incorporate AI into screening before the patient leaves,” Weldon said. “In general, coming up with a more individualized, personalized screening benefits the patient.”
Katie Grant, vice-president of the magnetic resonance business at Siemens Healthineers North America, discussed how its new MRI technologies focus on the patient experience by making exams more comfortable, efficient and “even enjoyable.”
The manufacturer is addressing patient comfort in a variety of sensory contexts. Mood lighting and themed skins for the MR scanner can help change the scanning environment visually, while “in-bore infotainment” offers music, news or other distraction. A variety of contoured coils similar to weighted blankets helps maintain patients in position more comfortably. Patients can even download mobile applications with educational resources about the procedures they’re about to undergo, explanations of the scan experience, audio samples of scanner sounds and virtual walk-throughs of the imaging environment.
“We’ve focused on enhancing the patient experience with lighting and entertainment,” Grant said. “Now patients can watch a video or listen to music during their MRI exams. We’ve also worked to make the machines quieter, since the noise can be unpleasant, and improve the coil design for ideal comfort.”
Beyond sensory improvements, Siemens Healthineers is also working to reduce the total cost of ownership of their MRI systems through technological advancements. These include the MAGNETOM Flow, a work-in-progress 1.5T MRI scanner that only utilizes 0.7 liters of helium, thereby reducing consumable materials costs.
Another functional improvement is the 80-cm open bore on the MAGNETOM Free.Max MRI scanner. This feature helps claustrophobic patients feel more comfortable and accommodates obese patients who were previously unable to undergo MRI studies because of their size.
However, probably the most
significant improvements in both patient experience and financial bottom-line comes from the use of artificial intelligence (AI), which has the potential to significantly reduce exam times. Deep learning processes could enable practitioners to cut exam times in half, Grant said.
“Doctors often estimate exam times to be 45 minutes to an hour. We’ve reduced these times to 15 to 30 minutes,” Grant said. “Quicker exams enhance the patient experience by minimizing the time spent in the scanner and the anxiety of waiting for results.”
Grant estimates that reducing exam times could increase revenues by 20 to 50 percent through increased throughput and greater staff efficiency with the technology. Patient experience metrics can improve even further when that improved throughput results in shorter wait times and table times.
“Given the significant capital expense of MRI systems, we are very focused on finding ways to reduce these costs,” she said.
Erdogan Cesmeli, Ph.D., chief strategy, marketing and commercial officer for molecular imaging and computed tomography at GE HealthCare, described how a patient-centric approach to product development from vendors also supports health care providers’ financial positions. By considering the imaging study in three phases – pre-scan, study and follow-up – GE HealthCare is taking a holistic approach to the management of diagnostic imaging work from the perspectives of referring physicians, technologists and specialists in radiology and oncology. The idea, Cesmeli said, is for imaging analysis to be performed more intuitively, more affordably and with faster results.
Advanced functionality networks enable AI-powered patient positioning algorithms that identify anatomical landmarks to best determine patient orientation for a given study.
Precision DL
Effortless Workflow
These generate body contours, show where to center the patient within the scanner and generate reproducible results if subsequent studies are required.
“Some scanners, staff have to kind of guess where the anatomy is, and do some landmark detection and scout scan range scanning to position the area of interest,” Cesmeli said. “With automatic patient positioning based on the angles, the operator can see and position the patient better than otherwise.”
Eliminating bottlenecks at the bedside is one benefit of the AI-powered technology strategy; another is helping create more intuitive, automated workflows; GE HealthCare describes this technology as “Effortless Workflow.” In environments that may have been affected by staffing issues like turnover or retention, a lack of vocational experience, or availability, automated workflows can help drive better patient outcomes overall, not least of all by cutting appointment times down.
“From the patient point of view, it’s a better experience because staff does not have to do a lot of work,” Cesmeli said. “They have more time to focus on the patient, to get them physically and psychologically ready for the exam itself, and then be able to send the results off.”
with the results, and the patient is happy with the results coming faster,” he said. “We feel we are contributing to the topline of the hospital, and not needing to do extended hours of work, which helps the bottom line.”
functionality of imaging modalities to pediatric or sensitive tissue areas where CT may not otherwise be necessarily practicable.
Other technological advancements enable imaging studies that may not have been possible just a few years earlier. Increasing bore and gantry sizes helps accommodate a greater variety of patient body types for cardiac study, but improvements to those processes can further increase patient comfort. In the past, patients would be asked to hold their breath in order to generate the highest-quality possible images during cardiac CT. To facilitate this, some patients were administered beta blockers to help regulate their heart rates. Solutions that are currently in development at GE HealthCare would provide ultra-wide imaging coverage around the whole of the heart, thereby enabling alternatives for beta blockers, as well as the use of electrocardiograms during studies.
“Photon-counting systems have the potential to do a better job and better delineation of the region of interest,” Cesmeli said. “We aim to extract more and more insights in terms of the tissue characterization, which I think is going to be revolutionary, like virtual MR exams done on CT. We’ve also made great progress evolving existing systems and workflows, so that from the time of the acquisition, images are automatically reconstructed. The radiologist still needs to read and confirm so that there is no mistake, but it has the potential to cut hours of work down to minutes so they can think more about the nature of the patient combined with the current scan results.”
“By automating A to Z, we are enabling doctors to make conclusions more confidently than they have before,” he said. “There’s still the human element and education that needs to take place, and referring physicians learning about those capabilities. That comes to partnership with the societies of physicians really making sure that this is known and that there’s no ineffective referrals.”
“We were talking about fivebeat cardiac; now we are talking about one-beat cardiac, without any ECG gating, or dose, or auxiliary pharmaceuticals,” Cesmeli said. “Now they only hold their breath for a second or two versus 10 seconds.”
“This is good not only for the staffing, of course, but good for the administration, the quality is more standardized, and in the end, the referring physician is happy
Other imaging innovations on the horizon based on photon-counting may enable reduced patient radiation doses, while helping expand the potential
Ultimately, Cesmeli said, innovations come from market research and its medical advisory board as well as its own internal evaluations and re-evaluations of workflow processes based on conversations with health care professionals at every stage of the study.
“Now we are going much more granular, working through our customers, working with our customers, to really understand their challenges beyond scanners; to understand the referring physicians, and making the designs of the machines to supplement care,” he said. •
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Ilove a great commencement speech. I recently became aware of a speech given by retired tennis player, Roger Federer, who was ranked at the top of the tennis world for years. He said he likes to think that he did not retire from professional tennis, he just graduated to his next chapter, just like those in the graduating class June 9, 2024, at Dartmouth College. I am so happy I took the time to watch his speech on YouTube. It was incredibly inspiring and educational.
He highlighted 3 main points in his “tennis lessons” that I feel could be applied to just about any position we may find ourselves in. Effortless is a myth. As a player, people would comment on how effortless his play was. The truth is that he worked very hard to make it look easy. It took discipline to prepare, both mentally and physically. Early in his career, he was an emotional player. He had to learn to focus that emotion. As the matches wore on, he would become more exhausted, and his play would suffer. Federer put time and effort into building his strength, stamina and precision. This resulted in a prematch warm up that seemed very relaxed and minimal. He says that is because he did all the hard work while no one was watching. Effortless is a myth.
It’s only a point. I am certain it took this world-class athlete years to come to grips with this concept. “You can work harder than you thought possible and still lose.” He illustrated this by comparing a tennis tournament to graduating from college. It would be like the entire class did all the preparation, completed all of the classes, worked hard for all the years but there could be only one graduate. Federer was ranked the #1 singles player in the world by the Association of Tennis Pro-
fessionals for 310 weeks and won 8 straight Wimbledon titles. When he reviewed all the matches in his career, he found that he won only 54% of the points. “When each point is behind you, it is behind you”, he stated. Move on and forget it. “Negative energy is wasted energy. You move on, be relentless, adapt and grow. Work smarter, not harder. Remember, work smarter.” That last part I think I say to my team at least 3 times a week.
Life is bigger than the court. “Tennis could show me the world, but it could never be the world.” He credits interests outside of tennis to make his life complete, such as his family, colleagues and friends. He needed a mission that had nothing to do with his sport. He organized a foundation to provide early childhood education in Sub-Saharan Africa. He is extremely proud of this work and what it has meant to not only those children, but the difference they have grown to make in the world by starting with a solid foundation.
His closing comments were like a recipe for a happy life.
“Tennis, like life, is a team sport. You stand alone on your side of the net, but your success depends on your team: your coaches; your teammates; even your rivals. All these influences help you to make who you are.”
“Whatever game you choose, give it your best. Go for your shots; play free; try everything. Most of all, be kind to one another. And have fun out there.”
He couldn’t leave the podium without giving some tips on a good grip on the racket for a killer forehand and how to change up for a powerful backhand. Who doesn’t need a tennis lesson from Roger Federer? I am going to see if any of those last tips will apply to pickleball.
If you have 25 extra minutes and need a little inspiration, I highly encourage searching for this on YouTube. (https://youtu.be/ pqWUuYTcG-o?si=1xWGNktf4LM1lYPX)
Thanks for all you do! •
PACS/IT
BY MARK WATTS
AMBIENT HEALTH AND AI
The Human Center Artificial Intelligence center at Standford turns five this year. I had an opportunity to sit in on this celebration. I was privileged to attend multiple conferences. The greatest pleasure was to meet and share ideas with world-class leaders in the field of Artificial Intelligence.
I shared my idea for the “killer app” for imaging with Dr. Cutis Langlotz, professor of radiology, medicine, and biomedical data science, but my favorite person is Dr. Fei-Fei Li. I recently completed her new book, “The Worlds I See.” As a co-founder of HAI, she envisions AI making contributions in many fields. She knows from personal experience of the need for health care innovation.
In the realm of health care innovation, few areas are as critical and yet as nuanced as ambient health. This burgeoning field, which seamlessly integrates advanced technology into everyday environments, promises to revolutionize how we monitor and manage health. At the forefront of this transformation is Li, a renowned Stanford professor whose pioneering work
is setting new standards in health care, particularly in tracking hand washing and fall prevention. Her efforts are not merely about technological advancements but about enhancing patient dignity and privacy.
Hand hygiene, a simple yet powerful practice, is fundamental to preventing healthcare-associated infections. Despite its importance, ensuring compliance has been a perennial challenge in health care settings. Li’s approach leverages sophisticated computer vision and AI algorithms to monitor hand washing practices without intrusive surveillance. These systems can discreetly observe and analyze hand hygiene behavior, providing feedback and reminders in real time. By embedding this technology into the health care environment, Li’s work supports staff in maintaining exacting standards of hygiene while preserving the integrity and comfort of the clinical setting. Fall prevention is another critical area where ambient health technologies are making significant inroads. Falls are a leading cause of injury among the elderly, often resulting in severe consequences. Traditional monitoring methods, such as wearable devices or constant human supervision, can be
invasive and uncomfortable. Li’s solution employs ambient sensors and AI to create an invisible safety net. These systems can detect unusual movements or signs of instability, alerting caregivers promptly without intruding on the person’s daily activities. This non-invasive approach enhances safety and upholds the dignity and independence of individuals.
Privacy is a cornerstone of Li’s ambient health initiatives. In a world where data privacy concerns are paramount, her work ensures that personal health data is managed with the utmost confidentiality. The ambient systems designed by Li’s team are built to operate within stringent privacy frameworks, anonymizing data and ensuring it is used solely for the intended health monitoring purposes. This approach reassures patients and health care providers that their sensitive information remains protected while benefiting from advanced health monitoring technologies.
Moreover, Li’s research emphasizes the ethical deployment of AI in health care. She advocates for AI systems that are not only effective but also transparent and accountable. By fostering interdisciplinary collaboration between engineers, ethicists and health care professionals, she ensures that the technologies developed are aligned with societal values and ethical standards. This comprehensive approach addresses potential biases and promotes fair and equitable use of AI in health monitoring.
The impact of Li’s work extends beyond immediate health benefits. By integrating ambient health technologies into health care settings, she is paving the way for more proactive and personalized health management. These systems enable early detection of potential health issues, allowing for timely interventions that can prevent complications and improve overall health outcomes. The result is a more efficient and responsive health care system that places the individual at the center of care.
In summary, Li’s contributions to ambient health are transforming the landscape of health care. Her innovative solutions for hand washing tracking and fall prevention exemplify how technology can enhance health while preserving dignity and privacy. Through her work, Li is advancing technological frontiers and setting new standards for ethical and compassionate health care. As these technologies continue to evolve, they hold the promise of a future where health monitoring is seamless, unobtrusive and profoundly respectful of individual privacy and dignity. I am here to support these efforts and bring attention to leaders like Li and efforts like HAI at Stanford.
Mark Watts is an experienced imaging professional who founded an AI company called Zenlike.ai.
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EMOTIONAL INTELLIGENCE
BY DANIEL BOBINSKI
MTHE NEUROSCIENCE OF CHANGE
ost managers and leaders seek ways to improve the effectiveness of their organizations. Such efforts are commonly discussed in boardrooms around the world. Unfortunately, leaders often encounter resistance when attempting to implement their improvement plans. The reasons for this are not personal, they’re scientific. Resistance to change occurs because of how our brains are designed.
Thankfully, neurological processes have been identified, and methods have been developed that allow for faster and better adaptation of needed change.
In this article, I’d like to point out three factors that allow leaders to implement change in the most effective way with minimal resistance. To be clear, these three factors do not originate with me. They were identified by David Rock and Jeffrey Schwartz in their research on the neuroscience of leadership.
The three factors for enabling effective change are focus, expectation and attention density.
FOCUS
A person’s focus is extremely powerful. Consider the phrase, “That on which you focus you get more of.” By focusing our attention on something, we stabilize our brain circuitry. When working with teams to effect change, the first thing to do is get people focused, and that means giving them a desired picture of the future. Usually done with word pictures, the idea is to give your team a mental image of what you want, not what you don’t want. This is important, because mental circuitry resists being changed once a picture is in place.
Ever try to get someone to do something by telling them what you didn’t want them to do? The story that made the biggest impact on me regarding the importance of proper focus comes from one of the best pitchers in Major League Baseball history, Warren Spahn. In game four of the 1957 World Series, Spahn was one out away from winning the game for his team, the Milwaukee Braves. Tension was high.
It was the top of the ninth and the Braves were ahead 4 – 1, but two men were on base for the New York Yankees and respected slugger Elston Howard was at the plate with a full count.
Spahn’s manager, apparently trying to break the tension, called “time” and came out to the mound. The only thing he said was, “Whatever you do, don’t throw him a high outside pitch.” After the manager returned to the dugout, the only words flashing through Spahn’s mind were “high” and “outside.” That inadvertently became his focus, and as you might image, Spahn’s next pitch was high and outside. Howard swung on it for a home run and tied the game.
Although the Braves eventually went on to win the game and the series itself, Spahn shared this story with many groups throughout the years, questioning why anyone would ever motivate another person by giving them a mental picture of what they didn’t want.
In terms of focus, paint a picture of what you want, not what you don’t want.
EXPECTATION
The second factor necessary to create effective change is expectation. To illustrate this, consider two neighbors. One sees people primarily as lazy while the other sees them as desiring to do their best. Each one will look for — and see — behaviors to validate their expectations.
If people don’t see what they’re expecting, their brains perceive an error. Another way to say this is it’s a deviation from the norm, and when people are in unfamiliar surroundings, they often have a sense of fear. Most people prefer familiarity, favoring the safe feeling of being in predictable environments.
Because fear is an obstacle to making changes, team leaders must create what I call “emotionally safe conditions.” That’s because when people feel safe they are more open to change. Leaders can do this by asking people to explore possibilities. In other words, come up with their own expectations. The important thing is to let team members see possibilities on their own terms. People rarely believe things will be better just because a leader tells them it will be better.
ATTENTION DENSITY
The factor that ties everything together is called attention density. This is a fancy phrase that refers to the amount of attention given to a particular subject over time. Stated another way, talking about change is not a one-and-done thing. On a regular basis, a leader must keep talking about the big picture and asking people to explore the possibilities of how that big picture can come about.
Attention density is one of the reasons extended training is so effective. A one-day training workshop puts learners face-to-face with new material for six or eight hours. In many ways, it’s a data dump. But if training is conducted one hour per week over eight weeks, learners are in training for the same amount of time, but they’ve internalized a much higher percentage of the subject matter.
This increase in retention occurs because of the two factors mentioned above, focus and expectation. First, each learner’s brain gets to stabilize its mental circuits on the subject (focus), and second, each learner has time to recognize and personally own the possibilities that accompany the new material (expectation).
In the same way that these three factors create better training, they are equally powerful when a leader wants to
implement change. By way of review, to better implement change, leaders should:
• Talk about the new idea in a broad, big picture way (Focus)
• Ask people about their ideas for how to best achieve the big picture (Expectation)
• Do both of these often, and do them informally (Attention Density)
One final tip. As leaders interact with people, they can also share insights that other team members have had, thus building momentum and unity. It’s also wise for leaders to not shut people down if their ideas aren’t exactly lining up with needed change. First, new ideas may be truly transformative, but even if the ideas are way off, a little peer pressure and side bar discussions can go a long way to straightening things out.
Bottomline, the combination of focus, expectation and attention density work well to minimize fear and resistance so beneficial change can be implemented with greater speed and buy-in. •
Daniel Bobinski, who has a doctorate in theology, is a best-selling author and a popular speaker at conferences and retreats. Reach him at danielbobinski@protonmail.com or at 208-649-6400.
MEDICINE FOR THE SOUL
8 Practical Approaches to Navigate Stress
Stress is an unavoidable aspect of working in health care. The fast-paced nature of the field and the responsibility of caring for others can lead to physical exhaustion, emotional burnout and compassion fatigue. By adopting effective coping strategies, health care professionals can lessen the impact of stress on their well-being and continue to provide high-quality patient care.
Here are eight practical approaches to navigating stress in health care:
1. RECOGNIZE STRESS:
The first step in managing stress involves acknowledging its presence and impact. Understanding the various forms in which stress can manifest, such as physical fatigue and emotional strain, is essential. By recognizing the signs of stress early on, health care pro -
fessionals can take proactive steps to address them.
2. PRIORITIZE SELF-CARE:
Self-care is not a luxury but a necessity, especially in demanding health care environments. Regular exercise, sufficient sleep and nutritious eating habits are key when it comes to self-care. Even with busy schedules, health care professionals can find time for short bursts of physical activity, like a quick morning run or a brief yoga session. Establishing a consistent sleep schedule and focusing on balanced meals can significantly impact coping with stress.
3. PROFESSIONAL APPEARANCE:
Looking and feeling professional can boost confidence and reduce stress levels. Care+Wear’s underscrubs offer style and comfort, serving as a base layer to help one feel confident in any environment.
4. BUILD SUPPORT NETWORKS:
Having a strong support system of colleagues, friends and family members can offer encouragement, un -
derstanding and support. Additionally, joining online communities and taking part in conversations is an effective and relatable way to share and learn about dealing with health care demands. Many also seek professional counseling services like therapy, which can provide valuable resources for guidance and support.
5. PRACTICE MINDFULNESS:
Mindfulness practices are a great way to help stay grounded amidst the chaos of long hospital shifts. Taking a few minutes each day to engage in mindfulness techniques such as deep breathing exercises like the 4-7-8 method can help foster self-awareness and cope with anxiety in the face of stress.
6. SET BOUNDARIES:
Learning to say “no” when necessary and establishing clear boundaries around work responsibilities are essential for preventing burnout. Health care professionals must prioritize their own well-being and recognize their limitations to maintain a healthy work-life balance.
7. PRACTICE GRATITUDE:
Cultivating a mindset of gratitude can help health care professionals maintain perspective and find meaning in their work. Reflecting on moments of connection with patients, small victories and acts of kindness from colleagues can provide a sense of fulfillment and motivation during challenging times. Take these thoughts and write it down in a journal so you can revisit them and celebrate those special moments.
8. TAKE BREAKS AND REST:
Prioritizing rest and relaxation is essential for replenishing energy and preventing burnout. Health care professionals should schedule regular breaks during shifts, prioritize time off and engage in activities that promote relaxation and rejuvenation.
By implementing these strategies, health care professionals can better navigate the demands of their profession while safeguarding their own well-being and providing quality care to their patients. •
For more information, visit www.careandwear.com.
THE ROMAN REVIEW
MANNY ROMAN
IREGARDING MY PALM TREE
have been involved in the healthcare technology management industry for over 43 years. I came on board before the industry had a name. I have been provided the good destiny to serve the industry in many capacities.
My travels have taken me through two manufacturers (OEM), two diagnostic imaging service training organizations, one independent service organization (ISO) and one ISO association. I have had the privilege of participating and conducting presentations at national, regional and local industry shows and conferences. These, however, are nebulous entities. The real experience, satisfaction and fulfillment has been the people with whom I worked and interacted. This industry is brimming with amazingly caring, dedicated and professional individuals. The people have taught me many things that have made my professional and personal life such a joy. Here is a very short list of the most powerful lessons I have internalized:
WE ARE IN A RELATIONSHIPS BUSINESS
Establishing long lasting, mutually beneficial and honest relationships is the foundation for productive and favorable business. I was told a long time ago, “People like to do business with people they like to do business with.” The relationship matters.
COMMUNICATION IS KEY
Good communication is a skill which can be learned. It is a relatively simple matter to tell the what, the why, and provide what can be expected as a result. This along with a good, shared feedback process goes a long way to diminish misunderstandings and unrealistic expectation. Emails and texts lack the voice inflections and the nonverbal cues that are a huge part of any message.
LEADERSHIP IS INFLUENCE
Leadership guru John Maxwell states that, “Leadership
is not about titles, positions or flowcharts. It is about one life influencing another.” “Leadership is one life influencing another, nothing more, nothing less.” To be a great leader, it helps to also be a great follower. Power is earned, and is granted, by those being led.
PERSONAL REPUTATION MATTERS
Having a well-defined value system will ensure that your decisions are consistent and within your value system. This will establish an unwavering personal reputation that others can consistently rely upon. It will provide you with peace of mind and satisfaction with your honor system. Your personal reputation is essentially the only thing you can carry with you everywhere.
So … Why am I taking this particular tone in this column? Ruth and I have decided that it is time to hang up my writing instruments and pursue a more relaxed and actual retirement.
We have loved this industry dearly as well as the people who have made it an exciting and fruitful journey. We thank all who have shown us kindness and support through the years.
We especially value the deep friendships that have evolved through our travels. Even though we only saw some of you at shows and conferences, we were received with the warmth and love of long-time friends. We already miss all of you. However, we are not going away. If I may be of assistance let me know (manny. roman@me.com) and I will come out from under the palm tree.
We hope that in some way we have left at least some of you better for having known us as you all have left us better for having known you. Ruth and I wish you all continued success and thank you for making our professional and personal lives a pleasant journey. •
Manny Roman, CRES, is association business operations manager at Association of Medical Service Providers.
