The list of offerings at the 91st Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA of Oak Brook, Ill)?November 27?December 2 in Chicago?is a long one. However, while certification courses, scientific publications, and vendor displays are the principal draw, the inherent networking opportunities are invaluable. Attendees will put names to faces and build new relationships while strengthening others.
“The meeting has grown from a product showcase to a ?concept’ show, providing a glimpse into the future of radiology?all based on insight from our customers,” says John Desch, VP of marketing, North America, for Philips Medical Systems (Andover, Mass). “It also provides more opportunities for us to meet with and listen to our customers.”
Ed Misukanis, president of Alpine Solutions (Camarillo, Calif), concurs. “We are very interested in hearing more of what our customers need or how we can help improve our services to them,” he says. “We also hope to gain a better knowledge of this market, a better understanding of our competition, and identify new and emerging technologies.”
For vendors, interacting with clients feels more like a collaboration than anything else. Although they’re always happy to hear what pleases consumers, most manufacturers actually choose to hone in on complaints.
“The best takeaway from RSNA is always the new things I learn from customers,” says Ken Rosenfeld, worldwide general manager of the PACS and enterprise archiving software business for Kodak’s Health Group (Rochester, NY). “What is going to make [our products] more efficient in delivering radiology services? What new aspects of patient care are creating opportunity or concern?”
Most exhibitors subsequently incorporate this valuable information into the product-development cycle.
“I hope to gain a deeper understanding of the needs of our customers, their barriers to success, and how we can help remove them,” says Tim Kulbago, VP of product innovation for Merge Healthcare (Milwaukee). “I always learn something new when I talk to the people who live and breathe RIS/PACS every day.”
Another benefit to having manufacturers and clients under one roof? “RSNA is a terrific opportunity for us to personally meet our customers and offer our thanks for their support,” says Jeff Axelrod, senior VP of DMS Interim Solutions (Fargo, ND).
What to See
More than 60,000 medical-imaging professionals and corporations will fill the McCormick Place, and many of them are as eager to see what other companies are revealing as they are to showcase their own wares.
“With every RSNA comes high expectations and anticipation of what new technologies will be displayed,” says John Allen, senior manager of sales and marketing for Canon Medical (Lake Success, NY). “It is a great opportunity to gain market insight and introduce the latest upgrades to our DR technology.”
For those interested in finding out the most recent trends and the direction of the industry, the best tactic might just be to stick to the outside. Smaller companies are often not just on the edge of the show floor, but also on the cutting edge of technology.
“I particularly enjoy walking the periphery of the trade-show floor,” says Peter McClennen, president and COO of AMICAS (Boston). “The technology [I see there] correlates particularly well to future trends.”
Home Away From Home
The growth of the meeting is welcome by all, but an increase in booths means an increase in competition for the attention of attendees. To stand out from the crowd, exhibitors are focused on supplying answers and information in user-friendly and inviting formats. Presenting access to hands-on demonstrations and personal interactions with products is a common approach?and a priority.
“We provide attendees with the opportunity to try our desk and wall mounts and our wireless-ready computer carts,” says Lynn Spieker, senior marketing manager of Healthcare for Ergotron (St Paul, Minn). “They can feel the difference it makes in workflow efficiency.” After all, experience is the best teacher.
In fact, after last year’s show, the team at GE Healthcare (Waukesha, Wis) wanted a way to distribute information about their products that would ensure no one felt shortchanged. “We are going to have periodic presentations that will go quickly through comprehensive presentations of the Innova new-user interface, 3-D peripheral imaging, and other new features,” says Karl Kellar, Americas marketing manager of vascular and interventional imaging for GE Healthcare. “These speakers will be followed by detailed demonstrations of the features on an individual basis for those who want more detail.”
Speaking of demonstrations, the folks at Siemens Medical Systems USA (Malvern, Pa) plan to create their own “reality show” at their booth. Clinicians will be placed in a familiar environment to see how the company’s solutions handle real-life scenarios. “The booth is designed to show how a patient travels through a hospital experience, so we can simulate the patient experience or the radiologist workflow,” says Tom McCausland, president of Siemens Medical.
And, of course, local companies are eager to welcome everyone to both RSNA and Chicago.
“We really try to roll out the red carpet and provide our special brand of Chicago hospitality for our customers who attend from all over the world,” says David Kuehn, VP of marketing and sales for Dunlee (Chicago).
The Buzz
Technology is pushing the limits of medical imaging on a daily basis. It’s no surprise, then, that the majority of professionals are journeying to the show to take in the latest innovations. For many, the further applications of CT hold particular interest.
“The growth in cardiovascular imaging in 2005 will be a key topic of interest to the medical community in the United States and worldwide,” says Douglas Ryan, director of the CT business unit for Toshiba America Medical Systems (Tustin, Calif). “There has been a strategic shift to 16- and 64-slice technology based on clinical requirements, and one of the greatest demands we are seeing is for ongoing workflow enhancements.”
All aspects of CT are expanding, including the integration of flat-panel imaging technology with CT exams.
“I am most eager to see how the various manufacturers are integrating flat-panel imaging detectors into their equipment,” says Robert Kluge, president of the X-ray products business at Varian Medical Systems (Palo Alto, Calif). “This is relatively new technology with capabilities that have not been fully explored.”
Additionally, the continuous evolution of digital imaging is at the forefront of many attendees’ and exhibitors’ minds.
“I’m especially eager to see to what extent the radiology market has matured through acceptance of digital imaging and PACS technology,” says Kobi Margolin, VP of marketing and business development for NeuroStar Solutions Inc (Atlanta). “Generally speaking, I believe that PACS and digital image acquisition techniques have opened up the potential for a whole new spectrum of applications and services, and the radiology market has yet to tap into them.”
Although no one will know the prevailing “hot” topics until the doors close on December 2, recent changes in the industry’s corporate players is one sure-to-be-discussed topic. Many are eager to chat with their peers about the impact of recent acquisitions and subsequent consolidations, such as Philips and Stentor, Agfa and Heartlab, and GE Healthcare and IDX Systems.
One guarantee of this year’s show is the opportunity it provides for businesses and their markets to come together, partnering to improve the industry. The other certainty is, despite days packed with sessions, exhibits, and countless conversations, it will all be over too fast.
To help you prepare and maximize your time, we’ve compiled the following preview of products from more than 130 companies that will be exhibiting at RSNA. Medical Imaging will be there, too?stop by South Hall
Booth 2616 to say hello. And now…on with the show!
Breast Imaging
Advanced Imaging Technologies (AIT of Richland, Wash). AIT will showcase its holographic ultrasound (HU) technology, through which a “transmitted” wave of ultrasound is combined with holography to gather real-time image information. The HU2400 Breast Imaging System is the first application of this proprietary technology. Designed to address many of the inherent challenges associated with breast cancer detection and diagnosis, the HU2400 safely combines the best features and functions of competing imaging techniques.
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| Clockwise from top left are a handful of the breast-imaging products that will be on display at RSNA 2005: the MammoPad from BioLucent, the ComfortScan system from DOBI Medical, the 3200S/12K LumaGEM gamma camera from Gamma Medica, the MammoSmart system from DatCard, MammoViewer AVS from Diversified Diagnostic Products, and the Cassi rotational core biopsy device from Sanarus Medical. |
Aurora Imaging Technology Inc (North Andover, Mass). The Aurora Dedicated Breast MRI System is a commercially available, FDA-cleared imaging system designed specifically to image breasts with whole-body MRI technology. Designed and optimized specifically for breast imaging, the Aurora operates on WindowsNT with a user-friendly platform.
BioLucent Inc (Aliso Viejo, Calif). The MammoPad is a single-use, FDA-cleared foam cushion that covers the cold, hard surfaces of commercially available mammography equipment. The MammoPad is an innovative way to increase patient comfort during screening without decreasing image quality. Also on display, the MammoPad Select is BioLucent’s certification and outreach program for breast centers that provide the MammoPad breast cushion to all women presenting for mammograms. Participating centers are certified as Softer Mammogram Providers and receive a complete marketing and communication program at no additional charge.
DatCard Systems (Irvine, Calif). The new MammoSmart is a new way to provide complete mammography history and breast-care information on an automatically produced CD-R/DVD-R. Once integrated with existing registration, PACS, and RIS/mammography systems, MammoSmart allows facilities to quickly and easily design the look, feel, and content of each CD/DVD.
Diversified Diagnostic Products Inc (Houston). The new MammoViewer AVS provides an economical way to compare last year’s films with this year’s digital mammograms. Designed with the radiologist’s comfort in mind, images are compared using a standard 4-over-4 display, with minimal distance between the upper digital monitors and the lower film viewer?regardless of image size or configuration.
DOBI Medical International (Mahwah, NJ). Stop by the DOBI booth for a look at the ComfortScan system. This noninvasive, nonionizing optical-imaging system assists in the diagnosis and management of breast cancer by providing new, physiology-based images of abnormal vascularization in the breast without X-rays. Premarket approval clinical studies are now under way.
Gamma Medica Inc (Northridge, Calif). Gamma Medica will introduce its most advanced LumaGEM camera, the 3200S/12K. The latest addition to the company’s LumaGEM line of breast-imaging systems, the 3200S is a solid-state gamma camera with advanced gamma ray detector technology based on Cadmium Zinc Telluride crystals. An array of more than 12,000 pixels, each just 1.6 x 1.6 mm, is an improvement in spatial resolution in the camera’s space bandwidth product. A powerful diagnostic tool, especially for dense breasts, the 3200S attaches to existing upright mammography systems. The camera mounts directly onto the system in place of the film bucky.
Livingston Products Inc (Wheeling, Ill). Effective for both digital and analog mammography machines, Livingston’s Advantage paddle allows for flexible personalized tilting compression up to 12? to produce maximum image quality and patient comfort during mammography exams. The uniform compression achieved using the Advantage paddle allows for quality images on large breasts with one exposure, making for improved imaging and superior patient comfort. The paddle can be locked at any tilt angle from 0? to 12?, or left to automatically adjust for individual compression requirements.
Planmed (Helsinki, Finland). Planmed will present Nuance, a full-field digital mammography system for screening and diagnostic mammography. Suitable for any clinical environment, Nuance has its own diagnostic workstation for soft-copy reading and features optional CAD connectivity. Planmed also will demonstrate the Nuance DigiGuide. Small and lightweight, the unit’s Side Access feature allows users to move the tube head to the side for optimal patient access, resulting in quick, easy installation of biopsy procedures. Also joining the line is Planmed’s Nuance Classic, a mammography system that is truly upgradeable to a direct digital unit.
Sanarus Medical Inc (Pleasanton, Calif). The 2005 MDEA Winner in the Surgical Devices category, Sanarus’ Cassi rotational core biopsy device is an automated large-core biopsy device used in the diagnosis of breast disease. This single-patient-use form doesn’t require setup or maintenance, enabling breast biopsies in physician offices, and delivering reliable cores without a sizable capital investment. Cassi’s patented Stick-Freeze technology uses CO2 to immobilize the target tissue to be biopsied.
SenoRx (Aliso Viejo, Calif). The EnCor MRI Breast Biopsy System promises to deliver a new level of simplicity to breast-biopsy procedures. The latest system includes a number of enhancements, such as a choice of programming selections so clinicians can optimize the specimen-removal process; automation that, when activated, sweeps continuously through the chosen cut pattern until the desired number of samples are obtained; and a closed system that transports specimens onto a collection tray immediately after collection.
Cardiology/Angiography
Cerner Corp (Kansas City, Mo). Cerner will debut a suite of cardiology solutions, including CVNet, which automates processes across the continuum of cardiac care, from patient registration to scheduling, reporting, and coding.
CodeRyte (Bethesda, Md). A new tool is available for coding angiography, one of the most complicated subsets of interventional radiology coding due to the need for multiple CPTs for each procedure. CodeRyte’s new technology reduces the coding time for each record by assigning these codes directly from the free-text of the medical record. The new tool also rank-orders the applicable relative value units as well as displays unique anatomy diagrams for each note, along with a summary table.
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| For cardiology products at RSNA 2005, don’t miss (from left to right) MIMvista’s MIMcardiac, CodeRyte’s new angiography-coding tool, and InfiMed’s PlatinumOne Cardiac. At right is an image captured after using MEDRAD’s Stellant D CT Injection System with DualFlow. |
InfiMed Inc (Liverpool, NY). Adding to its cardiology product portfolio, InfiMed will showcase the PlatinumOne series?in-room digital-acquisition systems that provide advanced imaging capabilities required for complex interventional procedures. Features of the PlatinumOne Cardiac include left ventricular analysis, quantitative coronary analysis, customizable physician preferences, and thumbnail displays for quick identification of available images. The PlatinumOne EP incorporates image-processing features with the low-dose pulsed fluoroscopic acquisition required for electrophysiology procedures. And the PlatinumOne ComboLab adds a real-time angiography feature set for interventional vascular procedures and full cardiac functionality.
MEDRAD Inc (Indianola, Pa). Improved CT diagnostic images of the coronary arteries with fewer artifacts are possible with the Stellant D CT Injection System’s new DualFlow simultaneous injection option, which uses variable ratios of simultaneous plunger motion to enable both contrast and saline injection at the same time. With the proper ratio and timing, the left and right heart ventricles can be illuminated uniformly. Stellant also features a pressure monitor graph, syringe auto load, and the ability to upgrade from single to dual injection.
MIMvista Corp (Cleveland). MIMvista will be demonstrating the new features of MIMcardiac, the latest release of the MIM image fusion and display software. MIMcardiac provides a range of capabilities, including ASNC orientation, automatic calculation of cardiac volumes, 4-D PET/SPECT/CT/MR fusion and display, and visual assessment of wall motion and thickening. MIM 3.5 also allows for fusion comparison of rest/stress images via difference images expressed in percentages of normal perfusion levels.
NovaRad Corp (American Fork, Utah). NovaRad will display its new NovaPACS Cardio Viewer, which helps cardiologists more easily access study images and improve reading efficiency with single sign-on access, image calibration based on catheter size, the ability to display multiple cardiac images simultaneously, easy-to-use cine tools, and digital subtraction (which shows contrast-filled vessels without any interfering background). The viewer also allows for ejection fraction and customized worklists organized by exam type, dictation status, anatomic location, referring physician, or patient location.
ScImage (Los Altos, Calif). PICOMEnterprise is ScImage’s enterprise-wide imaging engine that can meet the needs of several departments using a single database design.
Siemens Medical Solutions (Malvern, Pa). Siemens Medical’s digital, ceiling-mounted cardiac imaging system will be on display. The Axiom Artis imaging system connects the catheterization lab as an integral part of the hospital’s cardiology department. Boasting a 30- x 40-cm configuration for cardiology, the system provides the speed, flexibility, and integration needed for cardiology procedures, with a unique design for accessibility to the patient.
Toshiba America Medical Systems (Tustin, Calif). Toshiba’s newest angiography platform, the Infinix VC-i with a 12- x 16-inch flat-panel detector, is an all-digital system that produces clear imaging and highly efficient vascular exams. This work in progress offers a powerful digital acquisition, processing, and storage system; available Zoom fluoro and 3-D angio capabilities; and exceptional C-arm motion, providing unique lateral coverage and smooth operation. The Infinix VC-i also features dose-management functions, tableside controls, a flexible tabletop design, and a liquid metal X-ray tube with a high heat capacity.
CR, DR, Film, and X-Ray
ALLPRO Imaging (Hicksville, NY). The team at ALLPRO will demonstrate three digital imaging scanners at RSNA, all of which feature ALLPRO’s technology that replaces film and chemicals with reusable phosphor storage plates. The ScanX 12 system reads a 10- x 12-inch plate in less than 35 seconds and is capable of reading three plates with five views in less than 2 minutes. Next, the ScanX 14 Portable system displays images on a laptop in just 55 seconds, allowing for convenient remote diagnosis. Capable of taking up to a full 14- x 17-inch plate, the ScanX 14 Portable comes with a carrying case and power inverter for use in a vehicle. Finally, the company’s new CR scanner, the ScanX 14, takes less than 1 minute to produce 14- x 17-, 10- x 12-, or 8- x 10-inch images with high resolution. A built-in feature uniformly and thoroughly erases the phosphor storage plates, making them ready for the next study.
Beijing Aerospace Zhongxing Medical Systems Co Ltd (Beijing, PR of China). Low exposure dose, high-density resolution, fast imaging speed, and stable performance are the bases of Zhongxing Medical’s DR and diagnostic imaging devices. The company specializes in developing, manufacturing, and selling medical-imaging systems.
Canon Medical Systems (Irvine, Calif). Leading off with a showcase of Canon’s full line of DR products is the Canon CXDI-50G, a large-area portable DR system that can be integrated to a portable X-ray unit and used at multiple patient locations, such as a patient’s bedside, an intensive-care unit, or a trauma room. Visit the Canon booth to view the different portable configurations available with this system and to see other products in the company’s DR line. The company also will demonstrate its DR Image Viewer and the Mobile Access Station System.
CPAC Equipment Inc (Leicester, NY). Shipping developer without paying hazmat fees is possible with CPAC’s Autex A2 HC+ unitized developer. Its nonhazardous classification allows it to be shipped via regular UPS. Offering higher contrast and a bluer image tone than competing products, this two-part developer is ideal for such modalities as mammography. Like all Autex products, A2 HC+ works with any radiographic film.
CPI Canada Inc (Georgetown, Ontario). A new Active Dose Reduction (ADR) module developed by CPI delivers optimum image quality at the lowest possible dose, a feature that is particularly beneficial for procedures lasting several hours, such as pulsed fluoroscopy, electrophysiology, and arterial studies. The ADR module is designed for use with the Indico 100 series of high-frequency X-ray generators.
Eastman Kodak Co (Rochester, NY). With a wall stand capable of three-axis movement to capture a range of upright, horizontal, and cross-table projections, the new Kodak DirectView DR 7500 System features a fixed, elevating table with four-way float and an integrated operator console with the same touch-screen interface as other Kodak CR and DR systems. Also on display will be two of Kodak’s works in progress: the Kodak DirectView DR 3000 System and the Kodak DirectView CR Portable Long-Length Imaging System. Features of the DR 3000 include a motorized floor-mounted U-arm with a multipurpose single detector that moves around the patient and an intuitive, color-coded touch screen. Easily transported, the CR Portable consists of a 35- x 84-cm cassette and a matching grid with a caddy that can be wheeled from room to room.
Fischer Industries Inc (Geneva, Ill). The wait for private practices seeking an affordable digital X-ray system is over. The FDA-cleared Fischer A2D2 digital X-ray system is a direct radiography system that transforms existing, standard X-ray systems into digital systems.
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| Clockwise from top left are just a handful of the CR, DR, film, and X-ray offerings that will be on display at RSNA: Fluke Biomedical’s Dental Head Phantom, iCRco’s Turbo, Fischer Industries’ A2D2 digital X-ray system, and ALLPRO Imaging’s ScanX 12 digital-imaging scanner.” |
Fluke Biomedical, Radiation Management Services (Cleveland). The next best thing to a human patient, Fluke’s Dental Head Phantom provides a teaching and training tool for dental X-ray evaluation and other dosimetry applications. The model effectively mimics an average adult male head in size, shape, and structure. The phantom can be used in conjunction with CT to help detect changes in bone density and geometry.
GE Healthcare (Waukesha, Wis). Two new software programs will make a splash in GE Healthcare’s DR technology arena. The new tomosynthesis application provides physicians with 3-D high-resolution slice images of human anatomy. Digital tomosynthesis, or Volume Rad, is a method of acquiring a series of low-dose projection images during a single sweep of the X-ray tube over a limited angle. A computer assembles the information to provide high-resolution slice images that can be reviewed by the radiologist at a computer workstation. The second new application, Auto Image Paste, provides physicians with single panoramic views of the human anatomy, particularly the spine and legs, without any visible seam lines and with consistent brightness and contrast for high-resolution images. Up to five image acquisitions can be acquired, with each image taking less than 3 seconds, and the image processing taking less than 30 seconds.
Huestis Medical (Bristol, RI). Because one size does not fit all, Huestis Medical is introducing several new configurations of high-end radiographic systems. Busy facilities, such as large hospitals, will benefit from the PrecisionCare 2000t package, which includes an overhead tube crane, an elevating four-way float top table, a chest stand, and electronic tomography. The PrecisionCare 2000 radiographic system is tailor-made for the modern emergency department: It is equipped with an elevating table, allowing access by stretcher or wheelchair, and an overhead tube crane. Also, the CliniCare1000t is a full-functioning radiographic suite, with a floor-mounted tube stand, a heavy-duty elevating four-way float top table, and electronic fulcrum-less tomography. The CliniCare 1000, for outpatient clinics, comes with an integrated table and tube-stand configuration as well as a chest stand.
iCRco Inc (Torrance, Calif). Putting CR into overdrive, the iCR Turbo provides 16-bit/pixel source file (65,000 shades of gray) performance power, boosting the scanning speed and erasing DR images. The Turbo’s patented design incorporates an ultraprecise scan mechanism, a flat-scan path, and cassettes to quickly produce ultraprecise, high-resolution images. Also on display will be the Dual Bay Desktop CR, a small-format desktop CR system that processes two cassettes at a time.
InfiMed Inc (Liverpool, NY). The latest addition to InfiMed’s DR product line is the StingRay Excel. Built upon the image-processing core and flat-panel-detector technology of the StingRay DR system, the software platform has the flexibility to accommodate a range of detectors, including both static and dynamic flat-panels. The StingRay Excel features ImageEnhance, which optimizes images, eliminating the need for postprocessing; its Edge Enhancement feature allows for separate optimized enhancement of bone or soft-tissue detail.
Kyoto Kagaku (Torrance, Calif). The Multi-Purpose Chest Phantom N1 is applicable to both plain radiography and CT scanning, created from a unique radiological substitute material and 3-D models of pulmonic blood vessels. The inner parts?consisting of the mediastinum, pulmonic blood vessels, and abdomen block?are easily detachable, allowing mimic tumors or other lesions to be attached in the lungs.
Livingston Products Inc (Wheeling, Ill). The new CR Protocol Bridge from Livingston automatically transfers X-ray information to a CR console, eliminating the need for manual data entry. Easy to install, the CR Protocol Bridge requires no subsequent operator intervention and is compatible with a variety of consoles.
NCD Medical Corp (Eastlake, Ohio). NCD Medical has created a new line of high-performance radiographic systems. Called Ultra, the new models use high-quality components in affordable turnkey solutions that include installation, service/support, and a 1-year warranty. The Ultra systems are available from 50kW?80kW, use three-phase power, and can be configured with ceiling- or floor-mounted X-ray-tube suspensions, chest stands, and full-featured digital controls.
Philips Medical Systems (Andover, Mass). Philips Medical will showcase a myriad of developments in radiography and fluoroscopy. Featuring a highly flexible flat-panel detector system with pivoting functionality, the Allura Xper FD20 captures twice the amount of clinical information at a resolution 4 times greater than conventional angiography systems. Working in conjunction with the Allura 3-D-RA, the FD20 provides real-time 3-D reconstructions of complex vasculature using a single rotational scan. For CR, Philips Medical’s new PCR Eleva is a customizable system that combines reliable reader technology and excellent image quality right at the technologist’s side. The company’s DR solution, DigitalDiagnost, has a full automatic image-stitching function for long leg and spine images and is equipped with Unique, allowing for multiresolution image processing. For mobile X-ray, don’t miss the Practix Convenio. This fully motorized, mobile system has an integrated motor, a 30-kW X-ray high-power generator, and excellent positioning capabilities.
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| CR, DR, film, and X-ray product offerings at RSNA will include (from left to right) Racal’s 9095 Multi-Purpose Analyzer, Radlink’s CR Pro, Riverain Medical’s RapidScreen chest X-ray CAD system, and Unfors Instruments’ Xi X-ray meter. |
PROTEC (Oberstenfeld, Germany). PROTEC will introduce the “plug and process” concept to analogue X-ray film processing. Available in early 2006, the EcoMax incorporates a patented new concept of mounting all components that substantially influences image quality. Combining all aspects results in optimized image quality, a reduction of wasted chemicals due to oxidation, less demand for floor space, and easier access to components that require regular maintenance.
PTW-New York Corp (Hicksville, NY). For use in the quality assurance and quality control of diagnostic X-ray equipment, PTW introduces its line of instruments and tools featuring the DiaVolt line of noninvasive kVp, dose, and time meters. The line includes reference and field class electrometers; diagnostic chambers; compact, easy-to-use kVp; mAs and time meters; dose meters; phantoms; X-ray test phantoms; sensitometers; and densitometers. Also, professionals can be ready for the FDA’s new performance standards (21 CFR 1020.30?1020.33) for radiographic and fluoroscopic X-ray systems with PTW’s line of patient entrance dose and dose-rate meters for both radiologic and fluoroscopic X-ray systems.
Radcal Corp (Monrovia, Calif). Equipped with full computer control and data capture, the 9095 Multi-Purpose Analyzer from Radcal is a portable, compact system that takes the work out of multiple measurement functions, such as dose rate, auto dose, max dose rate, last dose, pulse/cine, and kV pulse. The 9095 includes Radcal’s XLPro-9095, a Microsoft Excel add-in that provides drop-down menu control of all 9095 functions and automatic data capture directly into customizable spreadsheets. Also on display will be the compact 4085 kV Analyzer, which has Accu-kV technology providing kV and time/pulses.
Radlink (Torrance, Calif). Radlink’s patented technologies to be showcased at RSNA include the LaserPro16 Film Digitizer and Image Acquire, a workflow-based software application that guides clinicians through a simple process of digitizing films for transmission to the PACS. Also look for CR Pro, which employs the company’s “sealed fiber-optic laser technology” (patent pending) to deliver high-resolution, diagnostic-quality images. The CR Pro has an imbedded CPU and complete image acquisition, storage, and DICOM 3.0.
Riverain Medical (Miamisburg, Ohio). The first and only FDA-cleared chest X-ray CAD system to assist with the detection of early-stage lung cancer, RapidScreen identifies solitary pulmonary nodules between 9 mm and 30 mm as well as other suspicious nodules on the original standard AP/PA chest X-ray. RapidScreen offers film and filmless solutions, plus an upgrade path for those seeking to convert to digital imaging.
Unfors Instruments Inc (New Milford, Conn). Unfors will showcase Xi, its multifunction, intelligent X-ray meter that uses multiple sensors and active compensation to analyze beam quality to provide accurate and precise measurements, and remove any energy dependency generally associated with solid-state sensors. Also on display will be the new Unfors DXR+, a direct X-ray ruler that allows for quick measurements on both mammography and conventional X-ray machines.
CT
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| CIVCO Medical Instruments’ Assist Positioning (top) and NeuroLogica’s CereTom Mobile CT scanner are two CT offerings to be showcased this year. |
CIVCO Medical Instruments (Kalona, Iowa). CIVCO will showcase its Assist Positioning Arm System, which enables physicians to place and hold instruments to facilitate controlled, accurate treatment during ablations, biopsies, or other minimally invasive procedures in the CT and ultrasound environments. The system holds medical instruments in a fixed location for an extended period of time, reducing the risk of repetitive stress injuries for users.
Fluke Biomedical, Radiation Management Services (Cleveland). The newly designed Nested CT Pediatric/Adult QA Dose Phantom Set is a more lightweight and portable set of quality assurance phantoms for measuring CT dose index in both children and adults. The pediatric head and pediatric body/adult head segments are simply nested inside the large adult body, making it 60 pounds lighter than the separate three-phantom set.
GE Healthcare (Waukesha, Wis). This fall, GE Healthcare announced FDA clearance of its Innova CT technology for its Innova digital fluoroscopic imaging systems. The Innova CT provides CT-like tissue visualization on the Innova flat-panel interventional X-ray systems, along with 2-D fluoroscopy during a single session of care, without moving the patient. The technology reconstructs CT-like 3-D volumes from rotational fluoroscopy acquisitions to help interventionalists in diagnosis, surgical planning, device placement, ablation, and embolization in tissue.
IMCO Technologies (Pewaukee, Wis). Multi-slice CT scans generate an enormous amount of images that demand equally impressive quantities of storage space. The MS-CT Store is a dedicated storage solution for multi-slice CT and is ideally suited for facilities without a PACS. Once a PACS is in place, all images archived on the MS-CT Store can be migrated easily.
NeuroLogica Corp (Danvers, Mass). In July, the FDA granted clearance to market the CereTom Mobile CT Scanner for use in X-ray CT applications for anatomy that can be imaged in the 25-cm field of view?primarily the head and neck. Lightweight and mobile, the scanner performs normal CT, perfusion, xenon perfusion, and angiography, reliably producing high-quality images.
Philips Medical Systems (Andover, Mass). Philips Medical will demonstrate several enhancements to workflow elements of the Brilliance CT family and the Brilliance Workspace. New clinical applications of its Brilliance family of scanners will be highlighted for radiology, cardiology, and oncology. The company also will introduce the Ambient Experience for CT, a series of products and custom solutions installed in several locations globally.
Toshiba America Medical Systems Inc (Tustin, Calif). Recent FDA marketing clearance for the Aquilion LB makes RSNA the perfect place to debut this large-bore, multi-slice CT scanner. By delivering consistent and repeatable patient positioning with high image quality and clinical performance, the Aquilion LB brings isotropic resolution to oncology. With the industry’s largest bore opening of 90 cm, and a 70-cm acquired field of view, this translates to accurate scans of patients regardless of size or position.
Unfors Instruments Inc (New Milford, Conn). In early 2005, the Unfors PSD (patient skin dosimeter) received FDA 510(k) approval. The unit prevents excessive dose usage and consequential lesions on patients due to long fluoroscopic and CT procedures by providing real-time direct patient measurements of skin dose. Its four small sensors can be placed anywhere on the body, leaving a minimal footprint on the X-ray image.
Furniture
AFC Industries (College Point, NY). Performing readings just got a little easier for radiologists using the electronically powered, fully adjustable, tilting ergonomic reading station, introduced this year by AFC Industries. Constructed of the highest quality reinforced steel, the unit features electronically adjustable height and retractable monitor stands that hold up to three displays. Exact dimensions and surface shape?including corner units?are customizable.
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| From left to right are just some of the furniture offerings that will be on display at RSNA: the Carl’s Table from Anthro, the Flexo Level 3 PACS Station from Biomorph, the HT-125 Robotic Massage Chair from Interactive Health, a PACS desk from Sound Ergonomics, and the Harmony V Keyless Entry cart from InnerSpace. |
Anthro Corp (Portland, Ore). The recently redesigned Carl’s Table provides an integrated work environment for soft-copy reading in all radiology environments. The new Carl’s Table (known as the AW-170 table in Europe) holds up to four monitors on movable arms and includes an adjustable work surface that can be positioned to work comfortably while sitting (as low as 25.5 inches) or standing (up to 50 inches). Automatic light correction reduces glare, and the rear panel is easily removed for access to monitors, cables, and power outlets.
Biomorph (New York). The Flexo Level 3 PACS Station Biomorph Interactive Desk showcases a flexible, true sit-to-stand design. The height of the keyboard surface is instantly adjustable with positive/negative tilt action and a 10-inch range above and below the main surface?which has one of the greatest height-adjustment ranges available (from 17.5 to 51.5 inches high). The Flexo Level 3’s heavy-duty, all-steel frame can support three to five of the heaviest monitors with adjustments driven either by fast crank or smooth electric power.
Ergotron Inc (St Paul, Minn). Ergotron will present new accessories for its StyleView cart, a mobile, easily adjustable computer workstation that makes data entry at the point of care a reality. Available in flat-panel, laptop, or tablet PC versions, all of which easily accommodate future hardware upgrades, the cart’s open architecture permits the use of any size display up to 25 pounds. The StyleView features Constant Force motion technology, which means users can adjust the workstation 20 inches straight up and down with a fluid, one-touch vertical movement.
InnerSpace (Grand Rapids, Mich). InnerSpace will be showcasing its Harmony V Keyless Entry cart. Available in four colors, the Harmony V features a programmable automatic relock, a manual key override, and a range of accessory options. For those in search of an open, accessible storage system, the company recently added the QuickStore product line, a collection of high-density, modular storage solutions that are available in stationary and mobile configurations. Another offering from InnerSpace will be spaceTRAX, a Web-based inventory-control solution that enables real-time visibility of high-cost, high-preference inventory.
Interactive Health (Long Beach, Calif). New and improved, the Human Touch Technology HT-125 Robotic Massage Chair now boasts a full-body stretching program; three levels of massage-width and shoulder-height adjustments; and upper-, lower-, and full-back massage programs. Additionally, the chair features quad-rollers, which closely replicate the therapeutic techniques used by back and spinal care professionals, and a rotating calf and foot-massaging footrest.
RedRick Technologies Inc (Mt Brydges, Ontario). The redesign of reading rooms to provide optimized soft-copy viewing is the most frequently overlooked aspect when considering the expense of converting to PACS. RedRick helps facilities make the most of their investments with customized reading-room design for new and existing facilities. The process is straightforward. While assessing the area’s physical space, workflow, ergonomics, light, air quality, and acoustics, input from the entire radiology team is gathered to determine specific goals, objectives, and concerns.
Sound Ergonomics LLC (Kenmore, Wash). Sound Ergonomics has created a PACS desk that is based on the science of proper body mechanics and postural alignment. All desks are electronically height adjustable, from 26 to 40 inches, with separate height adjustability for the keyboard and reading room chairs, offering full adjustability to accommodate a number of users.
XYBIX Systems Inc (Littleton, Colo). Adding to its selection of adjustable, ergonomic furniture, XYBIX will showcase its new, fully customizable PACS workstation. It is decked out with custom features?including adjustable, air-filtering fans; foot warmers; custom lighting; and the unique Rollervision monitor rack. Also, the chair includes I-Fit software, which allows each radiologist to program his or her individual optimum ergonomic settings.
Monitors and Displays
CPAC Equipment Inc (Leicester, NY). CPAC will introduce the Designer Series line of PerfectView X-ray illuminators. All products in the line feature an External Electrode Fluorescent Lamp (EEFL), using blue light to enhance film viewing. EEFL bulbs are flicker-free to reduce eyestrain and last an estimated 50,000 hours. Available in a variety of sizes, each system has rolling-bar film clips, rotary on-off switches with optional dimmers, and individual bulb controls on each bank.
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| Monitor options at RSNA will include (from left to right) CPAC Equipment’s Designer Series line of X-ray illuminators, National Display’s PrimeVue color displays, Ergotron’s TM Large-Display Tilting Wall Mount, EIZO Nanao’s RadiForce R31, and WIDE’s IF2202M. |
EIZO Nanao Corp (Cypress, Calif). EIZO Nanao will present two new monitors at RSNA. The RadiForce R31 is a 3-megapixel (MP) LCD monitor featuring image-rotation technology, DICOM part 14 calibration, and a comprehensive quality-control software bundle. Second, the RadiForce G33 is a 3-MP monochrome LCD monitor designed for accurate diagnosis in multiple modalities. Equipped with a Digital Uniformity Equalizer, the G33 produces optimal uniformity of the backlight’s luminance.
Ergotron Inc (St Paul, Minn). Ergotron will introduce the TM Large-Display Tilting Wall Mount, with an adjustable option for flat-panel displays weighing up to up to 175 pounds; the WM LoProfile Large-Display Wall Mount, which provides a wall-hugging approach for LCD and Plasma screens; and the DC Large Display Cart, a solution for facilities with flat-panel displays that must remain portable. Display adjustments are easy and silent, thanks to Ergotron’s Constant Force motion technology, which converts a conventional spring’s linear-force curve into a constant flat force through the range of lifting or pivoting motion.
Matrox Graphics Inc (Montreal). Earlier this year, Matrox released the latest addition to the new Aurora VX Series of display controller boards. The Aurora VX3mp is a low-profile, single-board, PCI Express solution capable of powering up to three displays, providing users with versatile multi-display options and high image quality. Adding to its existing medical line, Matrox will introduce two new display-controller boards designed specifically for medical environments with limited space: the new Low Profile RAD2mp and the Low Profile RAD3mp. Both boards offer dual-output support of up to 2MP and 3MP grayscale or color, analog or digital displays, respectively.
MIMvista Corp (Cleveland). Digital imaging can be portable with the new MIMvision DICOM viewer. An automated process creates a CD with an intuitive interface displaying DICOM modalities and their fusion, making it possible for radiologists to put comprehensive diagnostic information onto a CD. Upon receiving the disc, referring physicians can view studies in a variety of layouts and transparency settings.
National Display Systems Inc (Morgan Hill, Calif). This year, National Display will be showcasing the PrimeVue high-brightness 2-MP, 3-MP, and 4-MP color displays; the dual-link support on 3-MP and 5-MP Axis (monochrome); and the 3-MP and 4-MP PrimeVue. The PrimeVue 3MP provides 400cd/m2 peak luminance with a 400:1 contrast ratio and a grayscale pallet derived from 6,631 gray levels from 12-bit precision tables, and it can be used as a primary reading device for all cross-sectional and fusion images. In combination with an Axis III, chest images and 3-D renderings can be viewed from one workstation using OpenGL or Directx.
NEC Display Solutions (Itasca, Ill). This year’s show marks the introduction of several new products from NEC Display Solutions. First, the SpectraView LCD2180WG LED professional-grade monitor features a light-emitting diode (LED) backlight and delivers unprecedented levels of image detail and color scale. Also, NEC Display will showcase the NEC MultiSync MD Series of medical-grade LCDs. Featuring X-Light architecture, the MD Series allows two adjacent monitors to have identical white points, enabling physicians to make accurate judgments when comparing scans or X-rays.
Siemens Display Technologies (Longmont, Colo). Siemens Display will be focusing on the Integrated Look-up-Table Storage (ILS) capability available on all products. ILS makes it possible for DICOM-compliant or custom look-up tables to be stored in the display firmware. Benefits of ILS include on-the-fly swapping of graphics controllers and workstations. Also on display will be the SMD 21302, Siemens Display’s newest high-resolution grayscale display, supporting resolutions of up to 3MP and incorporating such features as continuous backlight control and the built-in CIE/DICOM-compliant grayscale response. Siemens Display’s SMfit ACT (Automatic Calibration Tool) Basics is a solution that automatically monitors the display, indicating immediately if its stability is no longer guaranteed. The status messages can be checked automatically, even on remote displays.
WIDE Corp (Amsterdam). This past summer, WIDE was named the official supplier of 2-MP grayscale diagnostic display systems for diagnostic viewing to all subsidiaries and affiliates of Clalit Health Services, the largest health organization in Israel. The company’s IF2202M?which will be on display?is a high-quality display using three image-quality sensors: one rear sensor for stable brightness control and two front sensors for DICOM calibration.
MRI
Everbrite Lighting Technologies (ELT of Milwaukee). RSNA attendees can check out demonstrations of the MRI-compatible LED Down-Light. The LED engineering is central to the appeal of ELT’s MedLux family of lighting products. The technology provides a light engine that is superior to florescent and incandescent lighting yet still is compatible for use specifically in MRI suites.
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| From left to right are some of the MRI-related product offerings to be showcased at RSNA 2005: Everbrite Technologies’ LED Down-Light, IRadimed’s MRidium MRI Infusion Pump, Resonance Technology’s FuncLAB fMRI system, ProScan Imaging’s Interactive MRI Teaching Files, and Mednovus’ SafeScan MR Target Scanner. |
GE Healthcare (Waukesha, Wis). The Signa HD product family just grew a little. New technologies on both the Signa HDx 1.5T and Signa HDx 3T include 32-channel architecture, ultrafast reconstruction algorithms, advancements in parallel imaging, and new acquisition strategies. Also on display will be the new Signa HDe 1.5T, which provides a smaller, more economical way to obtain superb diagnostic imaging. Thanks to the Signa HDe’s new liquid-cooling technology, installation is quick.
InSightec Image Guided Treatment Ltd (Dallas). In conjunction with GE Healthcare, InSightec will exhibit the ExAblate 2000, a novel surgical system that combines MRI and highly focused ultrasound to noninvasively treat tumors inside the body. The system is cleared by the FDA for the treatment of symptomatic uterine fibroids. Compatible only with GE Healthcare’s Signa MR systems, the ExAblate provides MR thermal feedback, giving physicians the information necessary to ensure the targeted tumor is fully treated without damaging healthy tissue.
IRadimed Corp (Winter Park, Fla). The MRidium MRI Infusion Pump is a nonmagnetic smart infusion system designed for the MR environment. Recently granted 510(k) FDA clearance, the pump eliminates the risk of suspending medication during MR scans by enabling patients to receive intravenous medications during the procedure. The system includes a built-in dose rate calculator, bolus delivery, a battery life of up to 12 hours, and free-flow protection.
Mednovus Inc (Leucadia, Calif). The Portal 9000-C is a ferromagnetic-detection portal for identifying ferromagnetic threats prior to MR imaging. Its 32-inch aperture accommodates patients on (nonferromagnetic) gurneys or wheelchairs. Another Mednovus offering is the economical and efficient SafeScan MR Target Scanner, which is not a metal detector, but a detection system that alarms only on ferromagnetic threats, making it ideal for double-checking patients who have been cleared medically to enter the magnet room.
MEDRAD Inc (Indianola, Pa). MEDRAD will showcase its Veris MR physiological monitor, with specific configurations for anesthesia, sedation, cardiac MR, research, and basic patient monitoring. The first MR monitor with five-lead ECG waveform monitoring, the Veris MR allows for the simultaneous display of up to six waveforms for efficient comparison. Another MEDRAD offering to be displayed is Continuum, an MR-compatible infusion system that delivers critical medications during MRI exams. Next, the high-resolution, small field-of-view pelvic imaging of MEDRAD’s MR Endorectal Imaging System could not only improve treatment planning but could also assist in tumor staging for prostate, colorectal, and cervical disorders.
Philips Medical Systems (Andover, Mass). Philips Medical will unveil new MR techniques, including faster cardiac MR; faster, higher-resolution 4-D contrast-enhanced MR angiography; breakthroughs in whole-body diffusion imaging; and easier exam planning for optimized workflow. These enhancements will be applied to the Achieva 3T, Achieva 1.5T, and Panorama 1.0T. The company also will introduce improvements made to its NetForum online MR community initiative, which provides users with a central location for information, support, and services.
Portal Inc (North Logan, Utah). Conventional MRI requires patients to be scanned in the supine position, which removes the effects of gravity’s axial load on the patient’s spine during an MRI lumbar spine study. The Portal Gravity System (PGS) makes it possible to assess spinal pathologies under weight-bearing conditions by re-creating an axial load on the patient’s spine during a recumbent lumbar spine study in a conventional MRI.
ProScan Imaging (Cincinnati). Put that DVD drive to work with Interactive MRI Teaching Files (IMTF) from ProScan Imaging. Extracted from the personal teaching file collection and massive case experience of world-renowned radiologist, author, and lecturer Stephen J. Pomeranz, MD, these cases create a comprehensive collection of dedicated teaching files. Available titles include MRIs of the breast, shoulder, knee, elbow, hip, and thigh.
Resonance Technology Co Inc (Northridge, Calif). Making its debut at RSNA, the new FuncLAB fMRI combines complete functional imaging task presentation with fully automated data processing to eliminate complex, time-intensive manual data analysis. The company also will showcase a new lightweight headset for its CinemaVision entertainment system, which integrates a head-mounted video display and audio system into a single unit that fits within the MRI coil.
Siemens Medical Solutions (Malvern, Pa). RSNA 2005 will welcome the Magnetom Trio MRI system to Siemens Medical’s line of TIM (total imaging matrix) technology-based products. The system is the first capable of 3T whole-body MRI available with TIM, which includes flexible coil combinations to encompass local high-resolution imaging to large anatomical coverage up to 182 cm (6 feet), without changing coils or repositioning the patient.
Nuclear Medicine, PET, and SPECT
Gamma Medica Inc (Northridge, Calif). The new X-PET Pre-Clinical Imaging System will make its debut at RSNA 2005. As part of Gamma Medica’s new Flex preclinical molecular imaging platform, the X-PET can be outfitted with the company’s existing X-O MicroCT system module, making it the first commercially available integrated PET/CT system for preclinical molecular imaging.
GE Healthcare (Waukesha, Wis). Offering increased capacity and reliability for producing PET radioisotopes, the new PETtrace10 provides users with the highest capacity, multi-isotope-capable cyclotron. Also at the GE Healthcare booth will be the Evolution for Bone suite of reconstruction tools, which reduce tomographic bone scintigraphy time up to 50%. The company also will demonstrate Discovery STE, the newest addition to the company’s modular PET/CT platform. The system offers powerful processing and acquisition along with true hybrid imaging flexibility.
GE Healthcare Bio-Sciences (Princeton, NJ). The Bio-Sciences division of GE Healthcare will present Omnipaque (iohexol), a low osmolar contrast medium that is available in the +PlusPak polymer bottle. Also on display will be Visipaque (iodixanol), a nonionic isosmolar agent for X-ray/CT, which enhances X-ray images of soft tissues?primarily blood vessels, organs, and tumors. Also to be showcased is Omniscan (gadodiamide), a nonionic diagnostic MRI agent, particularly for high-dose, high-speed procedures. In some markets, Omniscan is available in prefilled syringes and in Prefill Plus, a needle-free device that is cleared by the FDA for use in MRI.
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| Guerbet’s Oxilan contrast medium will be showcased. |
Guerbet LLC (Bloomington, Ind). Offered by Guerbet, latex-free Oxilan (ioxilan injection) provides safety and patient tolerability, along with high visualization and image quality in diagnostic and interventional procedures. This nonionic contrast medium has a molecular structure that includes a hydrophobic region to promote molecular aggregation, resulting in the lowest osmolality and one of the lowest viscosities of all nonionic monomers in the United States.
MIMvista Corp (Cleveland). MIMvista now offers an automatic PET/SPECT 3-D contouring tool that uses edge detection to define region-of-interest volumes. The tool provides 2-D and 3-D paintbrush contour editing in axial, sagittal, and coronal views. True color image fusion control facilitates contour definition, and voxel contours can be highlighted on aligned CT/MR volumes for legacy radiation therapy planning.
Philips Medical Systems (Andover, Mass). Philips Medical will showcase developments in hybrid imaging with its Gemini line of PET/CT systems, including a new PET/CT workstation and the Gemini GXL, which boasts an open PET/CT design. Also, the Precedence SPECT/CT with its Astonish reconstruction algorithm for PET-like resolution will be on display. The Precedence can perform coronary CT angiography, calcium scoring, and attenuation corrected mycocardial perfusion in one imaging session.
Siemens Medical Solutions (Malvern, Pa). Siemens Medical will showcase Symbia TruePoint SPECT/CT, which combines the functional sensitivity of SPECT with the anatomical detail of diagnostic multi-slice CT. The system quickly captures comprehensive, accurate information on both the molecular and anatomical levels, enabling clinicians to detect changes in molecular activity even before structural changes become visible.
PACS; RIS; and Data Archiving, Storage, and Distribution
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| Clockwise from top left are four of the PACS, RIS, and data archiving solutions to be displayed at RSNA: Connect Imaging’s ViewBox, IMCO Technologies’ VIP-PACS, InSiteOne’s InDex archiving solution, and INFINITT’s Web-based RIS/PACS. |
Agfa Corp (Ridgefield Park, NJ). Agfa’s HealthCare business group is focusing on Web-based solutions for everything from orders to result distribution. First is the Impax Enterprise, a workflow solution that addresses enterprise needs through an integrated image- and information-management solution by combining a multitude of products: Impax PACS 6.0, Impax RIS, SMMS, Impax Reporting, and Impax Auditing and Integration Services. Agfa also will be demonstrating Impax RIS/PACS, an integrated workflow solution for single- or multisite imaging centers and clinics.
Cerner Corp (Kansas City, Mo). Cerner will showcase two different applications. The first is its unified RIS/PACS solution, which received several new enhancements, including workflow improvements that make navigation easier and optimize the radiologist’s experience by automatically launching the tools necessary to complete the interpretation. Second is the Multi-Media Foundation (MMF), which integrates digital images and objects within an EHR, compiling a comprehensive patient record from data such as ECG waveforms, fetal monitor strips, photographs, and video images.
CoActiv Medical (Ridgefield, Conn). This year, CoActiv will bring a host of new technologies and releases. First up: Enhancements to its Exam-PACS system include expanded database capabilities, faster performance, and complete bidirectional interfaces with RIS/HIS systems. The upgrade comes with a Modality Worklist Service Option (at no extra charge) and brokerless HL7 capabilities, which allow for bidirectional HL7 interfacing to virtually any HL7-capable application. Other products include the new PET/CT Fusion workstation image-display, -distribution, and -archiving system; the new special edition Orthopedic version of Exam-PACS; and the 100% Up-Time SLA (Service Level Agreement) on the CoActiv Exam-Vault Archive service.
Connec
