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Novation Diagnostic Imaging Watch
Product and Practice Trends in
Diagnostic Imaging
Spring 2013
Table of Contents
Technology and Clinical Research .......................................................................................... 3
Market Overview and Hot Topics ............................................................................................... 3
Capital Landscape ...................................................................................................................................................................3
Hot Topics and Trends in Technology ............................................................................................................................. 4
Dose Management .................................................................................................................................................................. 6
CARE Bill Update ..................................................................................................................................................................... 6
A Glimpse at Reimbursement for Centers for Medicare & Medicaid Services in 2013.............................. 6
Contrast Media ......................................................................................................................................................................... 7
Technology Summaries ........................................................................................................................... 9
Angiography/Cardiovascular Suites ..................................................................................................................................9
C-Arms (Surgical and Mini) ................................................................................................................................................. 13
Computed Tomography ......................................................................................................................................................... 17
Digital Radiography and Computed Radiography ...................................................................................................... 20
Digital Radiography ................................................................................................................................................................ 21
Computed Radiography ........................................................................................................................................................ 28
Informatics ................................................................................................................................................................................ 31
Magnetic Resonance .............................................................................................................................................................. 34
Molecular Imaging – Nuclear Medicine, PET/CT and PET/MR ............................................................................. 38
Power Injection Systems ..................................................................................................................................................... 42
Ultrasound ................................................................................................................................................................................. 45
Women’s Imaging Products ................................................................................................................................................ 56
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Technology and Clinical Research
Members that manage the procurement of diagnostic imaging products should have insight into and
understanding of the technology and industry dynamics that will affect their investment decisions. Novation is
committed to being a source of this information and technology expertise. The staff continuously studies the
latest technologies and trends in diagnostic imaging. Data and other information are acquired through meetings
with suppliers, monitoring trade publications and attending events such as the Radiological Society of North
America meeting in Chicago. Novation is an associate member of the National Electrical Manufacturer
Association and participates in the activities of the Medical Imaging & Technology Alliance.
The content of this publication has been peer-reviewed by members of Novation’s Diagnostic Imaging Council,
which includes medical doctors, clinicians and engineers. The result is this overview of the latest product
technology and trends for imaging subspecialties.
Market Overview and Hot Topics
CAPITAL LANDSCAPE
Will capital dollars loosen up in 2013? Is the economy on its way back? The answers really boil down to: “It
depends on who you ask.” One survey indicates that 65 percent of health care finance leaders predict their
capital expenditures will either remain the same or increase in 2013. Yet, when asked if their organization is
cutting back on high-level, high-price technology, 86 percent answered “no.” This makes sense when the top
four areas of growth are expected in geriatrics, orthopedics, cardiology and oncology, where lagging technology
is not in the best interest of the clinicians and their patients.
Another survey indicates that information technology is another important investment area, especially for
expanded IT capabilities required for health care reform. IT systems, such as an electronic medical record, are
expected to decrease costs and increase the quality of care. These systems should also help health care
organizations manage the changes in reimbursement methodologies, such as pay-for-performance and quality
incentives. While about 60 percent of leaders say that their coordination of care is strong or very strong, it also
creates the biggest challenge.
Others, such as Moody’s, are maintaining a negative outlook for the U.S. nonprofit health care industry. The
Moody’s outlook has remained negative for the past three years because of modest projections for hospital
revenue growth and an expectation that the economy will remain soft. The weak economy contributes to lower
patient volumes as patients defer elective health care services, rising charity care and bad debt expense due to
a high level of unemployment and the loss of health insurance. In addition, Medicare averages 43 percent of
hospital gross revenue, according to Moody’s, representing by far the largest single source of revenue for
hospitals, leaving them highly vulnerable to changes in Medicare reimbursement. In this survey, only 36 percent
of finance leaders expected an increase in Medicare spending compared with the past year. IT is still prevalent
because a majority of the dollars would go toward technology as health care systems strive to meet meaningfuluse deadlines.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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Several factors are still in play when it comes to whether to spend precious capital dollars: In addition to
uncertainty about health care reform, potential decreases to reimbursement levels and the lingering effects of
the recent recession, capital spending has historically been linked to profitability. Plans may change if
profitability is compressed. Hospitals may have to pull back on major capital projects to offset decreased cash
flow levels. Reimbursement concerns top the list of factors influencing where hospitals will spend their dollars.
Labor and supplies topping the list of areas where finance leaders believe they can cut costs.
But there are also positive trends. Capital spending at children’s hospitals has been robust in recent years
relative to general hospitals, according to FitchRatings. Traditionally, strong philanthropic support has enabled
children’s hospitals to maintain strong liquidity metrics and low leverage levels. Improved operating profitability
is another positive sign. Despite these things, children’s hospitals are still vulnerable to government budget
cuts.
In 2011 and 2012, a number of hospitals resumed projects and returned to an increased level of spending
compared with the previous years. Merger and acquisition activity is likely helping the situation as hospitals
have an opportunity to grow their revenue base and increase negotiating leverage with payers and suppliers.
Although the larger health care picture is causing concern for all health care leaders, when it comes to the state
of their individual organization, finance leaders are optimistic. Almost 60 percent feel their organizations are on
the right track, according to the Health Leaders Media Industry Survey 2012. With Medicare and Medicaid
reimbursement cuts and initiatives like value-based purchasing hitting finance leaders, their priorities are
driven by patient satisfaction, cost reduction as a way to process improvement and payment reform.
Given the differing opinions regarding the state of health care, health care facilities and capital spending, it is
difficult to make a blanket statement about a direction in the industry. Despite the continued uncertainty, it is
clear that facilities have aging equipment that has to be replaced. Oftentimes, trying to stretch the useful life of
systems can cost a facility more money in the areas of support and service, and because of the extended age of
this equipment, there is a decrease in the ability to get new parts to replace older or broken components. This
should be considered highly when making the decision to put off purchasing new equipment. We expect health
care organizations will continue to be prudent and purchase on an as-needed basis.
HOT TOPICS AND TRENDS IN TECHNOLOGY
The pace of new medical technological advances is faster than most people realize, with some changes more
important than others in the radiology domain:
Use of Portable Mobile Tablets
The 2012 RSNA showcased a few products using portable radiography tablets, but there is debate about
whether the cost of the tablets is worth the time and effort to keep them from being dropped, lost or taken.
According to a HealthImaging article, “SIIM: Pros and Cons of In-hospital Tablets,” “Radiologists could use tablets
to enhance consultations and to educate clinicians and patients on rounds, which is an opportunity for imaging
professionals to become more embedded in the clinical care setting.” In addition, “iPads® could improve
efficiency for radiologists and referring physicians by reducing wasted wait time for consultation.”1 Mobile
devices do have limitations, though. The iPad and iPhone® screens are smaller than workstation monitors, and
currently users can neither dictate reports nor look at comparison films side by side2. In addition, health care
mobile apps are needed for portable tablets and smart phones.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Mobile Apps in Radiology
Mobile apps in health care are gaining popularity. The Mobile Health Market Report 2011-2016 expected that
mobile health care would add to $1.3 billion in 2012, up from $718 million in 2011.3 According to the U.S. Food
and Drug Administration, a growing number of software applications are being developed for health care
providers to use on mobile platforms, including smart phones, tablet computers and personal digital assistants.
In addition, many apps are being geared to the patients to assist in their own health and wellness management.
As these mobile platforms become more user friendly, powerful and readily available, innovators have begun to
develop mobile apps of increasing complexity to leverage the portability mobile platforms can offer.4
Introduced in spring 2012, Apple’s iPad 3 has made it easier for radiologists to review images, potentially moving
medical imaging closer to using mobile devices for diagnostic purposes. Multi-modality Imaging Software™ was
one of the first apps for diagnostic radiology approved by the FDA, opening the way for other companies.5
Challenges remain in the mobile app world and radiologists aren’t likely to abandon traditional workstations
overnight, but experts say the industry is definitely moving in that direction.
1
Cloud Imaging
According to Nadim Daher at Frost and Sullivan, the health care industry tends to lag behind many others when
it comes to investing in, or even simply experimenting with, new models of information technology deployment,
including cloud-based technology and its two major health care applications: cloud storage and cloud
computing.
The cloud computing market for medical imaging in the United States, valued at an estimated $56.5 million in
2010, is expected to grow at a compounded annual rate of 27 percent through 2018.6 As diagnostic imaging
extends across medical specialties, imaging data will account for 35 percent of all medical data by 2015,
compared with 28 percent in 2010.7
Despite concerns about data security and regulatory compliance, the use of the cloud to store and share
medical images across health care providers continues to gain interest. Cloud archiving and cloud-based
picture archiving and communication systems offer the ability to remove upfront software licensing fees,
mitigate maintenance costs, overcome departmental silos, improve collaboration and data sharing with
referring physicians, and enable upgrades with minimal downtime that health care providers find appealing.
1
Fratt, L. (2012, June 10). Clinical Innovation and Technology. Retrieved Dec. 17, 2012, from
http://www.clinical-innovation.com/topics/imaging-informatics/siim-pros-cons-hospital-tablets.
Bonner, L. (2012, November). Radiography (and Fluoroscopy) Keep Pace with Market Demands. DOTmed, pp. 66-69.
Jahns, R.-G. (2012, January 25). Research 2 Guidance. The mobile research specialists. Retrieved Dec. 21, 2012, from
http://www.research2guidance.com/us-1.3-billion-the-market-for-mhealth-applications-in-2012/.
4
U.S. Food and Drug Administration. (2011, July 21). U.S. Department of Health and Human Service. Retrieved December
2012, from http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments
UCM263366.pdf.
5
RSNA. (2012, August 1). Radiological Society of North America. Retrieved Dec. 17, 2012, from
http://www.rsna.org/NewsDetail.aspx?id=5953.
2
3
6
Medical Device Network. (Jan. 5, 2012). The US cloud computing market for medical imaging. Retrieved Dec. 27, 2012, from
http://www.medicaldevice-network.com/features/featuresnapshot-the-us-cloud-computing-market-for-medical-imaging/.
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(Medical Device Network, Jan. 5, 2012)
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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DOSE MANAGEMENT
As policy makers and the general public have become more aware of the hazards of radiation, there has been an
increased emphasis on radiation safety, particularly in the United States, which has created the need for better
dose tracking and monitoring tools. In California, legislation passed July 1, 2012, with new requirements for
computed tomography scanners. A facility using CT scanners now must track dose metrics, and these metrics
must be included in the radiology report for all patients undergoing diagnostic CT scans. Suppliers of radiology
equipment are now offering dose tracking functionality within their workstations.
The Medical Imaging and Technology Alliance and the FDA have been working on an initiative to ensure that
necessary dose and patient information, like age and weight, for X-ray imaging procedures are recorded in
digital imaging and communications in medicine radiation dose-structured reports, which then can be easily
transferred to a dose registry.8 More recently, the FDA has bolstered its efforts to reduce and control radiation
doses for pediatric patients. The FDA is working on final guidance rules for a proposal, Pediatric Information for
X-ray Imaging Device Premarket Notifications, which will recommend that new X-ray imaging devices be
manufactured with protocols and instructions that address use on pediatric patients.9 The FDA initiative, along
with the continued efforts of radiologists, radiographers, medical physicists and health care organizations,
should further ensure that patients are receiving optimal benefits from medical imaging exams while
minimizing potential risk.
CARE BILL UPDATE
The American Society of Radiologic Technologists announced on June 26, 2012, that the Consistency, Accuracy,
Responsibility and Excellence in Medical Imaging and Radiation Therapy Bill, S. 3338, was introduced in the U.S.
Senate by Sen. Mike Enzi, R-Wyo., and Sen. Tom Harkin, D-Iowa. The CARE bill would ensure that basic minimum
education and certification standards are established as part of the Medicare program for all medical imaging
and radiation therapy personnel. As of July 13, 2012, there were 130 bipartisan cosponsors of the CARE bill.10
With the passage of proposed federal legislation and state licensure laws, the public will benefit from being
cared for by properly educated and certified radiologic personnel. 2
A GLIMPSE AT REIMBURSEMENT FOR CENTERS FOR MEDICARE &
MEDICAID SERVICES IN 2013
The 2013 calendar year is going to be a challenging one for health care. The one good note from a doctor’s
perspective is the recent fiscal deal reached on New Year’s Day. The deal produced a patch that fixes the Centers
for Medicare and Medicaid Services Sustainable Growth Rate through Dec. 31, 2013. The fix keeps
reimbursements stable for physicians and avoids the 27 percent reimbursement cut that was set to take effect
Jan. 1 based on the SBG formula. Unfortunately, the fiscal deal did not stop any cuts coming to imaging and
health care, in general.
8
9
10
(Bonner, 2012)
(Bonner, 2012)
The ASRT. (2012, June 26). American Society of Radiologic Technologists. Retrieved Dec. 21, 2012, from
http://www.asrt.org/main/standards-regulations/regulatory-legislative-news/2012/06/27/care-bill-introduced-in-theu.s.-senate.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Imaging will face more cuts in 2013. What makes this more difficult is that the cuts in 2013 will be in addition to
the $1 billion in cuts in imaging and radiation therapy services in 2012. Based on the Physician Practice
Information Survey adopted by CMS in 2010, radiation therapy centers will see an overall reimbursement
decrease of 9 percent and radiation oncology providers will see a 7 percent decrease, according to AuntMinnie.
com associate editor, Kate Yee. CMS will also expand the multiple procedure payment reduction to include a 25
percent reduction in reimbursement for interpretations made on CT, magnetic resonance imaging and
ultrasound subsequent scans, provided to the same patient on the same day. While the news was not good for
imaging in 2013, hospitals did not fare any better.
Although the fiscal deal on Jan. 1 delayed the CMS physician reimbursement cuts for at least a year, the cost for
that patch was about $25 billion. The majority of that $25 billion was found through coding and reimbursement
adjustments for hospitals. CMS made adjustments to recover overpayments for inpatients through MS-DRGs,
which should produce about $10 billion in savings during the next years. Also, the statute of limitations was
changed from three years to five years to recover Medicare overpayments. This adjustment could bring in about
$500 million. CMS made changes to bundled payments for dialysis care, which could save CMS about $5 billion.
CMS also will save close to $6 billion by implementing cuts to Medicaid disproportionate-share hospitals and
reducing reimbursements for subsequent therapies when performed on the same day. All of these measures
will affect hospitals’ bottom line and probably be felt by each department of a hospital system. The next 10 years
will be challenging for health care, and doctors and hospital administrators will have to work together to find
more savings and become more efficient.
CONTRAST MEDIA AGENTS 2013-2014 DRUG PRICE FORECAST
Period Projected Inflation Rate: 0 percent
Portion of Drug Spend: 1.28 percent
Year in Review
Despite the absence of generic equivalents in the United States, the contrast media market basket, especially
X-ray, is displaying behaviors of a mature product line with significant pricing erosion and consolidation of tiers.
With pricing in 2012 hitting a new low for most contrast media manufacturers, many of the perceived clinical
differences in the types of contrast media are diminishing. Opportunities for standardization to the most costeffective agent, proper administration and appropriate patient management are becoming more relevant than
ever. With implementation of health care reform and the emergence of accountable care organizations looming,
health care professionals can begin to reexamine how, when and why contrast media are being administered,
focus on real clinical significance rather than perceived adverse reactions, and concentrate on the relative
effect of the choice of agents on patient outcomes, and the efficiency and profitability of the imaging suite.
While many clinicians understand the indications for the use of contrast media, such as computed tomography,
interventional procedures and cardiac caths, many clinicians have historically focused solely on contrastinduced nephropathy as being the primary reason for choosing a particular X-ray contrast media agent. As a
result, manufacturers have done an excellent job marketing the features and benefits of their high-osmolar,
low-osmolar and iso-osmolar products to prevent adverse patient events such as contrast induced nephropathy
through premedication and strict protocols.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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During the past few years, a few papers were published to determine the differences in the nephrotoxicity of
iso-osmolar agents with that of low-osmolar contrast media and for the management of patients with unstable
angina/non–ST-elevation myocardial infarction. The expert panels responsible for authoring the guidelines state
that the strength and consistency of relationships between specific iso-osmolar or low-osmolar agents and CIN
or renal failure are not sufficient to enable a guideline statement on selection among commonly used lowosmolar and iso-osmolar media. Instead, the group recommends focusing on operator conduct issues shown to
be important to protect patients, via proper patient preparation with hydration, and adjustment of maximal
contrast dose to each patient’s renal function and other clinical characteristics. Furthermore, the authors take
the same approach as in 2007 of not recommending any contrast agent (low-osmolar or iso-osmolar) over
another.
In September 2012, Novation’s Clinical Pharmacy Advisory Group found there were no clinically meaningful
differences in the various types of common injectable X-ray contrast media agents (LOCM and IOCM agents).
Likewise, the group confirmed that CIN could be minimized with adequate patient hydration and adjustment of
dosing protocols to each patient’s individual renal function and/or other clinical characteristics.
Election 2012: The practice of radiology, going forward
There is still a great deal of uncertainty about the impact of health care reform on the various imaging
procedures. Based on a Regents Health Resources report, by 2014 CT and magnetic resonance procedures
could increase by an average of 13 percent, ranging from 3 to 22 percent, depending on location and modality.
www.imagingbiz.com/images/site/pdf/apr_may12_market_file.pdf
Myocardial Perfusion Imaging Used 50 Times More Than Cardiac Computed Tomography
Angiography
In November 2012, a study presented at the RSNA meeting showed that coronary CT angiography is vastly
underutilized when compared with single-photon emission computed tomography myocardial perfusion imaging
in patients with suspected coronary artery disease, despite its status as a competitive test. In fact, between 2007
and 2010, cardiac computed tomography angiography utilization began a steady decline, reducing the probability
of any incremental use of iodinated contrast media.
www.auntminnie.com/index.aspx?sec=rca&sub=rsna_2012&pag=dis&ItemID=101647
References on Marketplace|Procure
Drug Monographs
w Non-ionic Iodinated Radiocontrast Agents
w
Gadolinium-Based Radiocontrast Agents
Additional Resources
2011 ACCF/AHA Focused Update of the Guidelines for the Management of Patients with Unstable Angina/ Non–
ST-Elevation Myocardial Infarction (Updating the 2007 Guidelines)
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Technology Summaries
The following technology summaries represent an overview highlighting the latest technologies and key existing
offerings of interest to members. A brief overview of the imaging modality or related technology gives a
foundational education for those who may not be fully engaged in diagnostic imaging. An emphasis has been
placed on Novation contracted suppliers. Not all suppliers in the market have been addressed. For additional
information, links to supplier websites have been included whenever possible.
ANGIOGRAPHY/CARDIOVASCULAR SUITES
Cardiovascular systems constitute some of the most sophisticated and expensive X-ray systems on the market.
Angiography is a fluoroscopic technique enabling clinicians to obtain images in real-time as radiopaque contrast
material is infused into the blood vessels of interest. These systems generally come in configurations which
include a single or dual c-arm with an X-ray tube that may be either floor or ceiling mounted. A complete system
will be equipped with an automated positioning table, computer workstations and high-resolution viewing
monitors. Images may be captured in monoplane or biplane fashion, which may include features such as realtime digital subtraction angiography, bolus chase angiography and three-dimensional reconstruction. The key to
this imaging modality is the ability to provide clinicians faster access to critical information and increased
accuracy in diagnosing and treating cardiovascular disease.
SUPPLIERS
TECHNOLOGY SUMMARY
GE
FlightPlan for Liver
http://www3.gehealthcare.
com/en/Products/Categories/
Advanced_Visualization/Applications/FlightPlan_for_Liver
FlightPlan for Liver helps interventionalists plan their liver embolization
procedures. The liver’s complex vasculature can make precise identification
of tumor-feeding vessels a challenge that often requires significant time,
radiation and contrast media. FlightPlan for Liver automatically highlights
vessels, travelling from the catheter tip to the vicinity of a hypervascular
lesion in just three easy steps. Then, these vessels are used as threedimensional roadmaps to help guide the catheter with Innova™ Vision.
Innova™ IGS 540*
The Innova™ IGS 540 provides excellent image quality, exceptional dose
efficiency and tools that help health care professionals work with confidence.
It offers the following features:
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a large field of view for vascular and interventional imaging, and built-in
protocols for a range of procedures
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exquisite detail in excellent images at any angle
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coverage of anatomy with fewer runs for efficient use of contrast and dose
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multi-modality images to view more information in real time
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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clinically relevant applications like Innova three-dimensional
reconstruction of cardiac and vascular images, Innova CT for CT-like
soft-tissue imaging in the lab and digital subtraction angiography for
outstanding images at a low radiation dose
Innova™ IGS 630
Innova™ IGS 630 is a biplane interventional imaging system that helps health
care professionals meet their most challenging clinical needs with enhanced
image quality and advanced reconstruction at a low dose. The system offers
the following features:
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a design that provides consistent, excellent imaging in a full range of
procedures: cardiac, general vascular diagnosis and intervention,
electrophysiology, neuro and a variety of non-vascular interventions
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clinical tools that integrate with the user interface in the control room and
at tableside for optimized workflow
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a robust design that combines a floor-mounted three-axis C-arm and a
ceiling-suspended C-arm with GE’s Innova solid-state digital detectors
and that is 31 cm x 31 cm
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dose efficiency and customization, remote connectivity and fluoroscopic
uninterrupted power supply backup
*In clinical use, the results of the application of dose reduction techniques
will vary depending on the clinical task, patient size, anatomical location
and clinical practice. The intended operator (for example, interventional
radiologist), assisted by a physicist as necessary, has to determine the
appropriate settings for each specific clinical task.
Philips Healthcare
http://www.healthcare.philips.com/us_en/clinicalspecialities/Cardiology/index.wpd
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The Allura Xper FD20
The Allura Xper FD20 offers an open architecture and focus on integration.
This flexible flat detector system can handle the full spectrum of
interventional radiology procedures. The system also offers the following
features:
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ability to expand a practice via unique, live three-dimensional guidance
tools that support challenging cases, including interventional oncology
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multi-modality interventional suite that allows for the ability to integrate
multi-modality capabilities, combining existing MR/CT information as well
as on-the-fly ultrasound
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ability to reduce X-ray dose for patients and staff via DoseWise and
DoseAware Personal Dose Meter System that provides instant feedback in
the examination room, enabling staff to immediately adjust working habits
to minimize radiation exposure
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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Siemens
http://www.medical.siemens.
com
hybrid operating room suite FlexMove option for Allura Xper FD that
moves the X-ray imaging system more freely in the treatment area and
can be parked in standby position near the table; provides more room
around the table and gives access to other equipment
Artis Q*
Artis Q product line for interventional imaging is a breakthrough in X-ray
generation and detection that takes performance and precision to the next
level. Features include the following:
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unparalleled performance with the new powerful GIGALIX X-ray tube
based on flat-emitter technology for a clearer visualization of small
devices and vessels
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high dynamic range detector that enables enhanced image quality in
advanced three-dimensional imaging
*Artis Q is pending 510(k ) clearance and is not yet commercially available in
the U.S.
Artis Q.zen*
Artis Q.zen product line for interventional imaging is a breakthrough in X-ray
detection with unique sensitivity enabling ultra-low dose imaging. It also takes
performance in X-ray generation and precision to the next level. Features
include the following:
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a groundbreaking new detector technology based on crystalline silicon
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reduction in electronic noise and imaging at ultra-low dose levels
*Artis Q.zen is pending 510(k ) clearance, and are not yet commercially available
in the U.S.
The Artis zen family includes the following:
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floor-mounted system, ceiling-mounted systems for cardiology,
angiography or hybrid O.R. with a dynamic flat detector
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bi-plane flat detector system for cardiology or angiography with two
dynamic flat detectors or frontal plane and a lateral plane
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floor-mounted system for electro physiology to be used in conjunction
with Stereotaxis Magnetic Navigation System (with magnet system
purchased separately from Stereotaxis) with a dynamic flat detector
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Artis zee multi-purpose for interventional radiology with a dynamic flat
detector
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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Artis zeego robotic system for hybrid O.R. and multi-use interventional
radiography and interventional cardiology applications
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improved visualization by intelligent noise reduction, advanced temporal
filtration and better visualization of coronary stents
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highly precise three-dimensional diagnostic imaging tool to quantify and
visualize lesions with accuracy
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intuitive workflow with improved ergonomic tableside control panel and
flexible detector /collimator positioning
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standard with all Artis zee and zeego systems: combined applications to
reduce radiation exposure that provides optimal image quality while
minimizing radiation exposure to the patient, physician and staff
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AXIOM Sensis XP and EP with bidirectional communication and functions
of integrated recording solutions, accessible via tableside touchscreen
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straight view that supports radial approach and allows patients to leave
the hospital sooner
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improved workflow for cardiology
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help in reducing complications
New features that are not applicable for all applications:
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Neuro PBV SW that provides structural and functional imaging in one
location to assist in examinations like stroke management, tumor biopsy
and embolization or intracranial aneurysm procedures
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aortic valve guide software that supports TAVR examinations, provides
automatic segmentation, helps select the proper angle for valve
introduction and positioning, and provides improved guidance with overlay
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IC stent that offers better stent visualization
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CAREMonitor that allows visual display for staff to see accumulated dose
per angle or position to better manage dose to patient during procedure,
and is saved and stored vis DICOM SR for reporting purposes
Artis zeego robotic system specific features include the following:
12
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robotic technology for unique positioning flexibility for both clinical and
parking
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Artis zeego with 360-degree acquisition capability in six seconds and
esocentric acquisition capability for DynaCT
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improved image quality
DIAGNOSTIC IMAGING WATCH - SPRING 2013
Toshiba
http://medical.toshiba.com/
products/cv/index.php
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reduction in amount of dose and contrast to patient
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fewer motion artifacts
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capability to do a 360-degree full-body DynaCT acquisition, which is
unique to Siemens with the flat detector
Toshiba’s Infinix-i Angiographic Systems
Toshiba’s Infinix-i Angiographic Systems are shipping with DICOM Dose
Structured Reporting data output as a standard offering.
Another new capability for Infinix-i systems equipped with the threedimensional angiography option is compatibility with Vital Images’ Vitrea
Enterprise Suite, a thin-client solution providing three-dimensional image
display and manipulation throughout the enterprise and beyond. VES adapters
can access the three-dimensional data from where they are at the moment,
rather than the historical need to go to the standalone Vitrea workstation for
access.
Economic Impact: Advanced imaging techniques continue to evolve with improvements in image quality, dose reduction
techniques and efficiencies in workflow. Keeping up with the latest technology available is important when attempting to
attract physicians. Capital purchase of this equipment tends to outpace leasing based on the financial models for this
type of equipment. The cost for a single-plane angiographic system will range from $750,000 to $1.5 million, with
bi-plane systems costing $1.4 million to $2.8 million, depending on the configuration.
C-ARMS (SURGICAL AND MINI)
Surgical mobile X-ray systems are generally configured with a C-arm platform for maximum flexibility when it comes to
patient positioning and access to the field of interest. These systems can be simple units to highly sophisticated digital
units with multiple high-resolution displays. Systems now offer volumetric imaging with three-dimensional
reconstruction and interfacing with intraoperative navigation systems. The C-arm market should begin to see more
integration of flat-panel technology. Flat-panel technology provides better image quality, and the newest models have
become more reliable because they have less chance of overheating, which can result in shutdowns during procedures.
The standard size C-arm generally has a larger footprint and higher cost than the mini C-arm.
The mini C-arm market has been growing steadily. These systems are often used in the orthopedics, emergency rooms
and even physician offices. They are preferred over the standard size C-arm when doing fluoroscopic imaging of
extremities.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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SUPPLIERS
TECHNOLOGY SUMMARY
Philips Healthcare
Veradius Neo Mobile C-arm
http://www.healthcare.
philips.com/us_en/products/
xray/products/c_arms/index.
wpd
Siemens
The Veradius Neo Mobile C-arm provides the user the clarity, space and
convenience to carry out cardiac, vascular and orthopedic surgeries, and
the most challenging minimally invasive procedures. Features include the
following:
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excellent contrast for the most demanding cardiac, vascular and
orthopedic surgery
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fast startup time that streamlines workflow in the O.R.
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consistent high image quality through unique automatic calibration
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1.6 k x 1.4 k image matrix that provides high resolution in a mobile C-arm
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large field of view that is unaffected by geometrical distortions and that
supports wide range of applications
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flat detector that is not affected by magnetic distortions so the system can
be freely positioned
ARCADIS® Avantic
ARCADIS® Avantic is a multipurpose high-end C-arm for a vast range of
applications, including cardiac surgery, vascular surgery, gastroenterology,
orthopedics and many other fields of practice where high power and a large
field of view are required. It has the following features:
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powerful performance with up to 25 kW
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large field of view by industry-leading 33-centimeter (13-inch) image
intensifier
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optimized clinical workflow
ARCADIS® Orbic
The three-dimensional functionality of the ARCADIS® Orbic is best-suited
for intraoperative use in orthopedics and trauma surgery, such as threedimensional imaging of bones and joints of the lower and upper extremities,
entire spine and hips, as well as maxillofacial applications.
ARCADIS Orbic can be equipped with NaviLink™ 3D, the direct threedimensional navigation interface, or NaviVision® 3D, the integrated optical
navigation platform.
ARCADIS Orbic allows with its isocentric design and 190-degree orbital
movement for unlimited projection flexibility, which eliminates the need for
C-arm repositioning. It is best-suited for intraoperative use in orthopedic,
trauma, pain management and spine surgery. It has the following features:
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
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truly isocentric design that enables time and dose savings
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syngo®-based for a unique software platform
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comprehensive connectivity and specialized interfaces
ARCADIS® Varic
Focused on improving everyday practice and solely led by needs, ARCADIS®
Varic incorporates numerous unique to-the-point solutions. From image
quality to operability, from versatility to efficiency, the ARCADIS Varic features
set new benchmarks – with outstanding functionalities that make excellent
imaging a snap and an overall ergonomic concept that redefines clinical
workflow in many fields of practice. Features include the following:
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brilliant 1K2 image quality
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user-friendly operation
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optimized clinical workflow
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syngo-based for a unique software platform
SIREMOBIL® Compact L
SIREMOBIL® Compact L supports the spectrum of X-ray-based applications
in the operating room, including in orthopedics, trauma surgery and general
surgery. Features include the following:
Ziehm
http://www.ziehm.com/us/
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optimized clinical workflow and connectivity
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high-quality imaging
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user-friendly operation
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dose savings
Ziehm Imaging Mobile C-arms
Ziehm Imaging Mobile C-arms represent the forefront of X-ray, video and
digital imaging technology, as well as mechanical excellence. Ziehm offers a
wide range of products from compact systems to systems that are well-suited
for interventional cardiology and radiology.
Ziehm Vision RFD
Ziehm Vision RFD offers flexibility of a mobile C-arm combined with fixedroom imaging capabilities and the following other features:
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increased clinical confidence thanks to distortion-free image quality from
flat-panel technology
DIAGNOSTIC IMAGING WATCH - SPRING 2013
15
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expanded anatomical visualization with a 30 cm x 30 cm panel compared
with conventional 12-inch image intensifier
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extended performance in demanding procedures with advanced active
cooling
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optimal anatomic penetration with minimal dose thanks to a high-power
pulsed fluoroscopy monoblock generator
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substantial cost savings eliminating expensive installations
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well-suited for demanding procedures in cardiovascular surgery,
endovascular surgery, interventional cardiology, interventional radiology,
and neuro and spine surgery
The Ziehm Vision FD Vario 3D
The Ziehm Vision FD Vario 3D combines excellent two-dimensional image
quality with a highly efficient intraoperative three-dimensional imaging
module. Intraoperative three-dimensional imaging plays a vital role,
especially in bone surgery, such as traumatology and orthopedic surgery, and
in neurosurgery, as well as in oral and maxillofacial surgery. Ziehm Vision
FD’s fully-digital, distortion-free image acquisition and processing technology
increases accuracy and image quality to a previously unknown level, especially
when combined with navigation systems or computer-assisted surgery. The
C-arm’s intelligent and compact design, and its unmatched ease of use benefit
surgeons and operation staff.
Ziehm also offers a wide portfolio of II based systems.
OrthoScan
http://www.orthoscan.com/
OrthoScan is a privately held medical device company founded in 2002 with
the intent to bring to market a state of the art mini C-arm and to provide
innovative product solutions in orthopedic imaging.
OrthoScan HD
The OrthoScan HD with flat detector is the new standard in mini C-arm
imaging. Fine details of relevant anatomy are visible due to the increased
gray scale and contrast capability of flat detector technology. The OrthoScan
HD with flat detector reduces the distortion inherent with image intensifier
technology, improving diagnostic accuracy.
The OrthoScan HD with flat detector opens valuable space in the work area. The
small, thin design affords maximum maneuverability, resulting in ease of movement.
A greater arc depth of 19.2 inches provides the surgeon with space to work more
comfortably. The slim profile of the flat detector provides additional positioning
options for better patient access.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
COMPUTED TOMOGRAPHY
Computed tomography is a noninvasive, radiographic technique that utilizes computers to evaluate data and
convert them into a tomography plane (virtual slice). Individual image slices can also be combined or
reconstructed to produce a three-dimensional image of body structures (for example, bones, organs) that can
be virtually rotated to allow viewing from any perspective. CT imaging is used to image virtually every organ or
area in the body and serves various clinical practices, including radiology, cardiology, oncology and other clinical
areas.
Discussions on radiation dose reduction continue to be at the forefront and remain a key initiative of many
radiology administrators. Following the “as low as reasonably achievable” principle that reduces radiation doses
to the lowest possible level, suppliers are making significant efforts to reduce patient radiation exposure. These
include proactive warnings to equipment operators when chosen imaging protocols would exceed dose
standards and iterative image reconstruction technology for CT scanners. Iterative reconstruction is a software
algorithm which can lead to a significant reduction in dose without sacrificing image quality. Dose monitoring
and reporting standards developed by the Medical Imaging Technology Alliance are being integrated into most
new CT systems.
SUPPLIERS
TECHNOLOGY SUMMARY
GE
Optima™ CT540
http://www3.gehealthcare.
com/en/Products/Categories/
Computed_Tomography/Optima_Series/Optima_CT540
Optima™ CT540 is a daily partner in the CT department, helping to manage
a busy workplace with its updated user interface, enhanced workflow
features and innovative dose reduction technology. This intelligent 16-slice
CT scanner is designed for clinical excellence and diagnostic versatility. With
its clinical breadth, Optima CT540 is a partner in a large panel of applications
and environments, from oncology to computed tomography angiography to
emergency room to dedicated CT to interventional procedures.
http://www3.gehealthcare.
com/en/Products/Categories/
Computed_Tomography/Optima_Series/Optima_CT660_
FREEdom_Edition
Optima™ CT660 FREEdom
The Optima™ CT660 FREEdom is a new generation, intelligent volume CT
scanner that brings together diagnostic power and workflow efficiency,
enabling fast, high-quality acquisitions at an optimized dose for exceptional
patient care and operational excellence. It features full capabilities in
advanced applications such as cardiac, oncology, angiography and dynamic
imaging. Streamlined workflow helps make it simple for less focus on the
buttons and more on the patient, while using 60 percent less energy than
previous GE CT systems.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
17
http://www3.gehealthcare.
com/en/Products/Categories/Computed_Tomography/
Discovery_CT750_HD/Cardiac_CT
Discovery™ CT750 HD FREEdom Edition
Philips Healthcare
Ingenuity CT
http://www.healthcare.philips.com/us_en/products/ct/
index.wpd
The FREEdom edition of the Discovery™ CT750 HD is a breakthrough in
cardiac CT that provides clarity and confidence for the clinician. Built on GE’s
exclusive HD technologies, it offers high image quality with low dose and is
able to correct for coronary motion for an unprecedented level of detail. With
GE’s Gemstone™ Spectral Imaging, the CT750 HD can perform quantitative
lesion characterization and separate materials like calcium and iodine to
generate a virtual non-contrast-like image. Its high-resolution, low-contrast
detectability, noise reduction and artifact reduction raise the bar in diagnostic
imaging to address the foremost challenges in cardiac CT, such as dose,
calcium blooming, high heart rates, plaque composition and myocardial
perfusion.
The Ingenuity CT is a 128-slice scanner that has a new gantry design with a
wider patient aperture, new user interface and a faster image reconstruction
engine. RapidView IR is 137 percent faster than the first-generation
reconstructor used by Brilliance scanners. Ingenuity offers improved image
quality (spatial resolution by 33 percent), with up to 80 percent less dose and
up to 15 percent less contrast.
iDose
Philips’ iDose iterative reconstruction technique is a solution for radiation
management. iDose is designed to provide equivalent diagnostic image quality
with the same look as full-dose images at a fraction of the dose. iDose works
in concert with other DoseWise tools, including filters, detectors, collimators
and automatic current selection, which adapts tube current to patient size,
and dose modulation tools. Philips iDose can reduce doses up to 80 percent
while maintaining diagnostic image quality and fast reconstruction times.
When used in combination with the advanced technologies of the iCT, Ingenuity
and Brilliance scanner families, this provides a unique approach to managing
important risk factors in patient care for low-energy, low-dose and lowinjected contrast imaging.
Brilliance iCT TVI
The Brilliance iCT TVI is a new approach to total vascular imaging, using
a unique combination of low-kVp scanning and an iterative reconstruction
technique to improve low-contrast sensitivity.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Siemens
SOMATOM® Perspective
®
http://www.usa.siemens.com/ The SOMATOM Perspective is designed so budget-conscious community
hospitals, critical access hospitals and outpatient centers can extend the
ct
range of available examinations to their communities at reduced radiation
doses. With fully assisting scanner technologies, such as FAST Planning
and FAST Cardio Wizard, to help simplify and automate time-consuming
procedures, the 128-slice SOMATOM Perspective features a slim gantry
design and a footprint of 194 square feet. At this year’s RSNA, Siemens
unveiled a 64-slice version of the SOMATOM Perspective.
SOMATOM® Definition Edge
The SOMATOM® Definition Edge single-source CT solution offers high image
quality, dose reduction and dual-energy acquisition in clinical settings,
including the emergency department. The SOMATOM Definition Edge features
the unique Stellar Detector, which for the first time fully integrates the
detector’s miniaturized electronics within the photodiode.
The recent KLAS “How Stellar Can a Detector Be?” report featured interviews
with several early adopter sites of the SOMATOM Definition Flash and Edge
with the new Stellar Detector. Recurring themes in the interviews were the
lower dose, improved image quality and an associated higher confidence to
deliver diagnostic-quality exams. Spine and bariatric exams stand out as well
as pediatric imaging benefits. More information: www.klasresearch.com/
reports
www.siemens.com/care-right CARE Right
CARE Right is a holistic approach based on the belief that after the recent
innovations in radiation reduction, a singular focus on low dose-only is
not sufficient anymore. Efforts must now be targeted at a comprehensive
understanding of the right dose, a balance between applied radiation and
image quality. Thus, CARE Right encompasses three key areas:
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right-dose technology
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right-dose levels
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right-dose management
Introduced at RSNA 2012, Optimized CARE is a consultancy program designed
to guide users toward optimizing the use of radiation in order to lower dose,
enhance workflow and optimize contrast usage. Optimized CARE will be
available in spring 2013.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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Toshiba
Aquilion™ ONE
http://www.medical.toshiba.
com/products/ct/dynamicvolume/index.php
Aquilion™ ONE and Premium scanners provide an adaptive iterative dose
reduction algorithm as standard. AIDR reduces noise in the image, while
maintaining image texture, significantly reducing dose.
http://www.medical.toshiba.
com/products/ct/multidetector/index.php
AIDR joins a full lineup of Toshiba dose reduction technologies, including
SUREExposure™, SUREExposure™ Pediatric, QDS and Boost3D®, providing
patients with safer CT exams without sacrificing the diagnostic confidence.
http://www.medical.toshiba.
com/products/index.php
VeloCT*
VeloCT on Toshiba’s Aquilion 64 and 32 scanners provides adaptive iterative
dose reduction algorithm as standard and includes 128- and 64-slice
reconstruction, respectively. Current Aquilion 64 and 32 CT scanners can be
upgraded with the VeloCT console to provide AIDR technology.
*VeloCT upgrade is currently pending 510(k) clearance in the United States.
Aquilion™ PRIME*
Aquilion™ PRIME is the industry’s first 160-slice CT scanner that includes an
AIDR as standard. Aquilion PRIME incorporates a variety of dose management
tools based on technologies developed for Aquilion ONE that can significantly
reduce patient exposure dose during helical scanning, including active
collimator, AIDR, SUREExposure™ 3D Adaptive and Boost3D™.
*Aquilion™ PRIME CT is currently pending 510(k) clearance in the United
States.
Economic Impact: The exceptional speed of 64-slice scanners enables detailed tomographic images of the
entire body in sub-30-second scan times. With 256- and 320-slice CTs, clinicians can image an entire organ in a
single rotation of the gantry. Given the rapid pace of this technology, many facilities are faced with whether to
purchase or lease. Configurations can vary widely, depending on add-ons and software packages included in the
purchase. Plan to spend between $800,000 and $1.8 million for a 64-slice scanner and from $1.3 million to more
than $3 million for a 160-slice or higher scanner. As with most technologies that have price erosion with age, a
lower-end CT Scanner (32-slice or less) can be purchased for much less.
DIGITAL RADIOGRAPHY AND COMPUTED RADIOGRAPHY
General radiography and fluoroscopy systems are used for a variety of imaging needs, including chest X-rays,
intravenous pyelography, and upper and lower gastrointestinal tract radiography. Conventional X-ray is
commonly used due to its simplicity, price point and low operational cost. According to a recent market report
published by Transparency Market Research, “Digital Radiology Market – Global Industry Size, Market Share,
Trends, Analysis and Forecast, 2012 – 2018,” the global radiology systems market is estimated at $9.7 billion in
2012 and is expected to reach $13.3 billion by 2018 at a CAGR of 5.4 percent from 2012 to 2018. Globally, the
North American region is expected to maintain its lead in revenue until 2018. North America held about 41.9
percent of the global digital radiology market revenue share in 2012 followed by Europe. In terms of volume, the
global digital radiology market is expected to reach 158.2 thousand units by 2018.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Conventional radiography images may be produced in analog or digital formats. The use of medical film to
capture images in analog format has been declining significantly year-over-year due to adoption of picture
archiving and communication systems. Digital technology eliminates hardcopy film and enables electronic
distribution. Two types of digital image acquisition are computed radiography and digital radiography. Computed
radiography uses very similar equipment to film-based radiography, except that in place of a film to create the
image, an imaging plate made of photostimulable phosphor is used.
Digital radiography technology was first introduced in about 1997. DR typically captures the image directly onto
a flat-panel detector without the use of a traditional cassette. This technology has matured and is more efficient
and affordable than ever. Portable flat-panel DR detectors are proving to be extremely versatile, providing more
flexibility to meet imaging needs. This presents an option for the cost-conscious because a conventional X-ray
room can be retrofitted with a digital solution without a complete overhaul. This same methodology also applies
to portable X-ray units. Secure wireless image transmission is also available, which adds to the geographic
independence.
DIGITAL RADIOGRAPHY
SUPPLIERS
TECHNOLOGY SUMMARY
GE
Discovery™ XR656 with FlashPad
http://www.gehealthcare.
com/usen/promo/campaigns.
html?CampaignID= GPONO5SM2012JAN
This GE next-generation digital radiographic system streamlines exams with
auto-positioning and auto field of view, and adds flexibility with the FlashPad™
wireless digital detector. Quality is enhanced with advanced applications
that help provide diagnostic confidence. VolumeRAD™ acquires volumetric
patient data with up to 60 low-dose exposures from one sweep across the
patient. It displays anatomy at various depths, removes overlying structures
and enhances tissue separation. Auto Image Paste images long anatomy,
stitching up to five images to form one single, seamless image. Dual Energy
Subtraction separates X-ray data into a soft-tissue image and a bone image,
helping visualize abnormalities and to see whether they are calcified.
Philips Healthcare
DigitalDiagnost
http://www.healthcare.
philips.com/us_en/products/
xray/products/radiography/
index.wpd
http://www.healthcare.
philips.com/us_en/products/
xray/products/fluoroscopy/
index.wpd
This high-end digital radiography features exceptional performance and
flexible rooms, including a cutting-edge emergency setup.
MobileDiagnost wDR
Access all areas with the premium DR room-to-go, with a flexible and easyto-maneuver mobile X-ray system.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
21
Juno DRF
The Juno DRF digital system for both radiography and fluoroscopy
examinations allows users to increase workflow and patient throughput, while
at the same time enhancing room utilization. This is a two-in-one system with
a range of applications. Juno DRF is designed to conveniently carry out exams
on obese patients. With a very high table weight capacity, the large table-top
size and ample distance between table and tube make the system especially
suitable to virtually all patient sizes.
EasyDiagnost Eleva with DRF Room Solution
The EasyDiagnost Eleva delivers exceptional image quality with excellent
X-ray dose efficiency. Combine it with other devices to perform a
comprehensive range of fluoroscopy and digital radiography procedures
swiftly and easily.
Siemens
Fluoroscopy
http://www.medical.siemens.
com/webapp/wcs/stores/
servlet/CategoryDisplay~q_
catalogId~e_-1~a_
categoryId~e_12753~a_ca
tTree~e_100010,1007660,
12753~a_langId~e_-1~a_
storeId~e_10001.htm
Fixed Radiography
http://www.medical.siemens.
com/webapp/wcs/stores/
servlet/CategoryDisplay~q_
catalogId~e_-1~a_
categoryId~e_12759~a_ca
tTree~e_100010,1007660,
12759~a_langId~e_-1~a_
storeId~e_10001.htm
http://www.medical.siemens.
com/webapp/wcs/stores/
servlet/CategoryDisplay~q_
catalogId~e_-1~a_
categoryId~e_14334~a_cat
Tree~e_100010,1007660,127
59,14334~a_langId~e_-1~a_
storeId~e_10001.htm
22
Siemens’ fluoroscopy systems provide the capability for a wide range of
applications, from fluoroscopy, including gastrointestinal and genitourinary
exams, to special procedures to routine radiographic work. The product
selection also provides a choice of under-table or over-table systems,
depending on the member’s preference. In addition, Siemens offers a product
spectrum, from fully digital, to cassette analog systems, to fit every budget.
Siemens’ radiography systems are designed together with users to optimize
workflow and improve efficiency and convenience in the radiography
department. To provide a unique and optimal approach to your daily routine,
the product spectrum fits every budget and includes fully digital with flat
detector technology to analog cassette to mobile X-ray systems.
Mobilett Mira
The wireless X-ray system combines digital mobility with wireless technology,
taking mobile X-ray to the next level. As a fully integrated system, Mobilett
Mira provides the answers to everyday challenges with wireless freedom and
flexibility:
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transfer of images wirelessly to and from the PACS
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high image output of up to 35 kW
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counter-balanced rotating swivel arm with integrated cables
DIAGNOSTIC IMAGING WATCH - SPRING 2013
MOBILETT XP Digital
MOBILETT XP Digital (30 kW) is a digital mobile X-ray imaging system with
flat-panel detector technology and instantaneous digital image display, which
can be seamlessly integrated into standard clinical processes. Features
include the following:
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compact design, outstanding imaging power, easy maneuverability and
positioning
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ease of cleaning due to the hidden cable design
MOBILETT XP Hybrid
MOBILETT XP Hybrid (30 kW) can easily be positioned for X-ray imaging in
virtually all conceivable projections with the patient recumbent, sitting or any
position in between. The self-calibrating high-power X-ray generator enables
short exposure times down to 1 ms, virtually eliminating motion blurring.
Features include the following:
Carestream
http://www.carestream.com/
drmain.html
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lightweight and compact mobile X-ray system with industry-leading arm
range
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two power sources: long-life rechargeable batteries and a conventional
power outlet
CARESTREAM DRX-1 System
The CARESTREAM DRX-1 System offers a quick, easy and affordable way
to transition to digital radiography. Based on the unique X-Factor platform,
a wireless DR detector simply slides into existing X-ray equipment and can
be used with imaging systems throughout a facility. The detector is also
the center point of the DRX line – a complete line of innovative DR systems,
including full radiology rooms and mobile X-ray systems.
CARESTREAM DRX-Mobile Retrofit Kits
Carestream’s mobile retrofit kits use a single wireless detector to convert
existing mobile X-ray equipment, regardless of supplier, to a DR system fast
and cost effectively. Maximize current investment and upgrade to digital
radiography productivity with three easy-to-install, easy-to-use retrofit kits.
CARESTREAM DRX-Revolution
The CARESTREAM DRX-Revolution is the industry’s only mobile X-ray
system with a fully automatic collapsible column. Powered by a wireless DRX
detector, this X-ray room-on-wheels is easy to drive and gives fast, highquality images.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
23
CARESTREAM DRX-Evolution DR Room
The CARESTREAM DRX-Evolution DR Room is a versatile digital radiography
system with configurable, modular components that combine to fit space,
workflow and budget. It performs a variety of general radiographic exams
with remarkable convenience, productivity and patient comfort, and it is
powered by portable, wireless DRX detectors. X-ray rooms can be upgraded
with three configurations: automated, hybrid and standard-Q that can expand
to fit increased needs.
CARESTREAM DRX-Ascend System
The CARESTREAM DRX-Ascend delivers high-end DR system features at an
affordable price for imaging centers, orthopedic facilities, urgent care clinics
and hospital radiology departments.
http://www.carestream.com/
cs-9300.html
NEW CS 9300 System
FUJIFILM Medical
Systems
FDR AcSelerate Suite™
http://www.fujimed.com
Combining true panoramic imaging, cone beam CT technology and optional
cephalometric capabilities, the CS 9300 will make expanding your ears nose
and throat and dental imaging services easy and affordable.
The FDR AcSelerate Suite™ is a fully integrated dual-detector DR system
designed to be a complete radiographic room replacement solution. FDR
AcSelerate offers improved workflow and superior image quality. In as little
as three easy steps, complete a patient exam and see the image displayed in
two seconds.
FDR D-EVO™
The FDR D-EVO™ is a six-pound, 14-inch x 17-inch flat-panel detector that
is the lightest weight FPD in its category, and its thin size presents an
easy retrofit to existing analog rooms, making D-EVO ideal for all types of
diagnostic environments. The FDR D-EVO wireless flat-panel detector was
created to enhance workflow and meet needs.
FDR GO™
The new portable FDR Go™ features a sleek new design, quiet and smooth
drive, large display, two-second image previews, low dose and high-quality
images FUJIFILM is known for.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
AGFA
http://www.agfahealthcare.
com/usa/en/main/products_
services/direct_radiography/
mobile_system/dx_d_100.jsp
DX-D 100
The AGFA next-generation wireless digital detector with the DXD 100 portable
enables lower dose and facilitates higher visualization of anatomic details.
The DX-D 100 can handle a broad range of general radiography X-ray studies,
even for less mobile patients. Available with cesium-based DR panels, the
improved DQE delivers improved image quality and potential dose reduction
for patients and operators.
The DX-D 100 offers a very short exposure time, so images are available for
validation immediately. The combination of greater productivity and image
quality translates into lower cost per exam and higher diagnostic efficiency.
With excellent handling capabilities, patient waiting times are reduced and
diagnostic confidence increased. Overall, the DX-D 100 helps meet the need
to constantly enhance patient comfort and performance in the radiology
department.
Shimadzu
http://www.shimadzu.com/
SONIALVISION G4 RF System
The SONIALVISION G4 is a best-in-class multi-functional universal RF system
that is useful in a variety of examinations and examination environments.
It provides high image quality minimizing X-ray dose levels and is easy to
operate.
The system has been designed for a diversity of users in a diversity of
situations, making it ideal for a variety of examinations, such as orthopedics,
general radiography studies, barium studies, endoscopy, urology and
angiography. Long imaging chain’s movement capability and 17-inch x 17-inch
wide field FPD will provide more than 2 meter? long patient coverage without
moving a patient, which enables you to perform all kinds of examinations in
very safe conditions.
RADspeed Series Digital Radiography System
The RADspeed series has been awarded Best in KLAS for four consecutive
years and has been highly evaluated for its efficient preparation of
examinations, including the auto-positioning feature interlocked with the
anatomical programmed radiography. This function moves the ceilingmounted X-ray tube support to any desired position at the press of a single
button and can automatically set the X-ray tube angle. Also highly evaluated
was the collimator with a filter that is switched in accordance with the region
being imaged or the imaging menu, enabling appropriate and efficient imaging
while minimizing unnecessary exposure.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
25
MobileDaRt Evolution and MobileArt Evolution
The MobileDaRt Evolution digital mobile X-ray system lineup features dual
wireless flat panel detectors FPD. The new thinner large-view-field FPD has
a thickness close to a conventional film cassette and is lighter than previous
FPDs. Carrying and position the FPD is extremely simple. The 32kW high
output of the system permits radiography in a short time. It offers images
with little motion blur for children and other patients who find it difficult to
hold a posture and in emergency situations where a stationary state cannot be
maintained.
Swissray
ddRFormula® Plus
®
http://www.swissray.com/for- The ddRFormula Plus performs direct digital radiographic examinations on
recumbent, seated and upright patients. All movements are fully automatic
mulaplus.html
and can be operated by remote control or push buttons on the system. It
includes the eXpert™ 5000 control and communication center, which provides
utmost positioning convenience and highest patient throughput. The eXpert
View feature is an integrated video camera that monitors the patient’s position
so the technologist can ensure that correct positioning has been maintained
from the control room. The ddRFormula Plus also has off-center and offdetector imaging capabilities.
The ddRFormula Plus also has an Automated Positioning System™ – which
enables full programmable user functions, including automatic positioning
from the eXpert 5000 for every body part as well as from existing images on
SwissVision® XG, and is capable of performing the same workload as four
conventional cassette-based radiography systems.
http://www.swissray.com/
element.html
ddRElement™
The ddRElement™ was designed based on more than a decade of feedback
received from consumers. Without sacrificing image quality and functionality,
Swissray offers a space-efficient, multifunctional, affordable DR system. The
ddRElement delivers the highest quality radiographic images in just seconds
and is the perfect system for all general radiography examinations. All system
positions are achieved manually using the push buttons on the control handle
to patient positioning, and it offers variable source to image-receptor distance
and allows off-center and off-detector imaging. It features the new FP-6000™
amorphous silicon flat-panel detector and the latest cesium iodide detector
technology, which delivers excellent image quality at low radiation dose.
The ddRElement utilizes eXpert/SwissVision® XG workstation which simplifies
and organizes every aspect of the radiographic procedure. The software is
designed for simple, fast and intuitive use, and provides the most optimized
workflow and productivity.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
http://www.swissray.com/
combiplusfp.html
ddRCombi® Plus FP
Toshiba
RADREX-i
http://medical.toshiba.com/
products/xr/kalare/index.php
The ddRCombi® Plus FP performs direct digital radiographic examinations
with efficiency and versatility. It consists of a floor-mounted positioning
device and a vertically motor-driven ceiling suspension system. It performs
automatic tube/detector centering with its Follow-Me function and offers
preprogrammed system positions for fast and convenient positioning. All
detector movements can be controlled by remote control or push buttons on
the system, and because of its automated detector rotation, the patients can
be examined for anterior-posterior and lateral views without repositioning. It
includes the eXpert 5000 control and communication center which provides
utmost patient throughput.
The 14-inch x 17-inch wireless REXPanel™ detector performs a range of
procedures, and the RexSpeed auto-features include auto-mapping, autocenter stop, auto-collimation, auto-tracking and auto-park.
T.RAD Plus
The T.RAD Plus radiographic systems for general purpose radiography are
available with multiple prepackaged configurations and more standard
features to provide high-quality imaging, exam efficiency and excellent patient
care.
The T.RAD Plus systems have been designed to provide members with a
modular family approach to meet a variety of clinical, budgetary and space
requirements, while providing application versatility and configuration
flexibility, including:
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floor-mounted and ceiling-suspended X-ray tube support
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manual, motorized and automatic continuous collimator
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50, 65 or 80 kW generator
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elevator Bucky table and vertical Bucky wall stand
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barless tomography with no mechanical coupling for free access to
patient and reliable operation
DIAGNOSTIC IMAGING WATCH - SPRING 2013
27
COMPUTED RADIOGRAPHY
Computed radiography is applied to an imaging system that includes a photosimulable storage phosphor plate, a
computed radiography reader and digital electronics to convert signals into a digital form. CR is largely driven
by its low-end system prices, its ease of integration into existing X-ray systems and the proven reliability of its
technology, which has undergone very little change since its introduction in the mid-1980s. According to Frost
and Sullivan, CR unit shipments are expected to grow to 4,811 in 2016, at a CAGR of 2.2 percent from 2009 to
2016, and CR revenues are expected to grow at a CAGR of 0.8 percent during the same period, reaching $242
million in 2016.
Low-end systems include only single-plate CR systems with basic functionality. These systems are more typical
in decentralized work environments, where facilities have chosen to purchase several low-cost CR units that
can be placed near each of their imaging locations rather than purchasing a single, high-capacity multi-plate
reader that requires transferring cassettes to a centralized area.
High-end systems include single-plate CR systems with enhanced functionality (e.g., high-resolution scanning)
and all multi-plate CR systems. Multi-plate systems are more typical in centralized work environments, where
cassettes from several locations in a department are taken to a central area for processing.
SUPPLIERS
TECHNOLOGY SUMMARY
AGFA
DX-G
http://www.agfahealthcare.
com/global/en/main/products_services/computed_radiography/index.jsp
The DX-G digitizer unites superb image quality with a drop-and-go buffer
based workflow. The combination of needle-based detectors and standard
phosphor plates with specific cassettes and image resolution mode makes the
DX-G ideal for a broad range of applications, including general radiography,
orthopedics/extremities, dental, pediatrics/neonatal and full leg/full spine.
When used with the exclusive DirectriX needle-based detectors, the DX-G
provides superb image quality with a much higher detective quantum
efficiency, offering the potential for a significant patient dose reduction.
CR 10-X
CR 10-X is an affordable computed radiography solution. The table-top CR
10-X digitizer is based on tried-and-tested AGFA HealthCare technology, with
a modular, yet robust design, offering affordability without compromising on
image quality. Versatile, this CR digitizer can handle general radiography,
orthopedic, chiropractic, full-leg/full-spine and dental applications. The total
cost of ownership remains low, thanks to its ease of installation, maintenance
and use, making it an affordable way to move from analog to digital. With
the CR 10-X, lower volume practices, rural hospitals and private practices
can take advantage of the convenient and fast workflow offered by digital
radiography.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Carestream
http://www.carestream.com/
cr-main.html
DIRECTVIEW CR
The DIRECTVIEW CR systems offer a variety of CR solutions, from flexible
point-of-care CR options to a central system with multiple workstations.
Carestream provides an affordable entry to digital mammography when
coupled with DIRECTVIEW CR mammography cassettes and EHR-M screens.
These solutions scale to meet the specific needs of the facility and can
integrate seamlessly with existing equipment. Offerings include the following:
DIRECTVIEW Classic CR System
The compact, single-cassette DIRECTVIEW Classic CR system, which handles
up to 69 plates per hour, improves workflow and boosts productivity.
DIRECTVIEW Elite CR System
The DIRECTVIEW Elite CR System accommodates up to 90 plates per hour.
This single-cassette system is designed for distributed and central CR
applications where image quality, rapid image availability, lower costs and
high departmental productivity are paramount.
DIRECTVIEW Max CR System
The DIRECTVIEW Max CR System multiple-cassette performance maximizes
throughput, productivity and patient satisfaction. This system “drop-and-go”
workflow can process up to 101 cassettes an hour and handles 16 cassettes at
one time. It is an ideal solution for even the highest volume imaging facilities.
FUJIFILM
FCR Systems: FCR XG5000, XG2000 & Carbon
http://www.fujimed.com
The FCR Carbon is small and powerful, with all the productivity and image
quality of a full-size CR system in a size that fits in every imaging environment.
The XG5000 is fast, efficient and reliable, With four independent cassette
insertion drivers, this high-performance system is perfect for centralized
imaging, multiple exam rooms or any busy environment. Throughput speeds
of up to 165 images per hour and image previews in as little as 23 seconds put
the XG5000 at the top of its class. The XG200 is the fastest dual-cassette drive
reader available today.
Konica
REGIUS MODEL 210
http://www.konicaminolta.
com/medicalusa/products/
cr_solutions
REGIUS MODEL 210 is an all-around system that achieves maximum
productivity in various environments, succeeding the “super distribution
system” concept from REGIUS Model 170. The system offers a 43.75 μm*
read function for mammography, with new, enhanced console features.
The C-PLATE series cassette with columnar crystal phosphor is ideal for
mammography and pediatric use.
*Optional license
DIAGNOSTIC IMAGING WATCH - SPRING 2013
29
ImagePilot Sigma
ImagePilot Sigma delivers a compact and affordable imaging solution that
maintains the superior image quality and reliability expected from REGIUS
products. Combined with the redesigned ImagePilot software, the Sigma
provides simple operation and smooth workflow to a range of medical
practitioners.
REGIUS Nano CR
The REGIUS Nano CR is a high-performance single-bay CR system that can
process up to 76 plates an hour (14-inch x 17-inch) for fast patient turnaround
time and improved workflow. Its touchscreen control station provides intuitive
software tools for generating superior image quality with a few easy steps.
This compact reader is designed with dependable, high-quality components
to ensure system reliability. Nano CR will satisfy a range of needs from those
of a large hospital or imaging center to that of a standalone clinic or surgery
center. Whether it is networked with another Nano CR, an Xpress CR or the
REGIUS DR system, Nano CR delivers speed, workflow and redundancy.
ImagePilot
ImagePilot is the newest technology in CR imaging. AutoPilot image
processing completely automates the image optimization process for
consistently superb images with every exposure.
In addition, ImagePilot pioneers the true meaning of an integrated CR system.
It combines patient registration, CR acquisition, image viewing and storage
in one system that is easy to use and maintain. These advanced features
eliminate the need for a separate PACS.
Economic Impact: The CR and DR market is highly competitive with no shortage of suppliers. The use of
traditional film-based imaging has dropped to less than 5 percent and is expected to all but disappear within the
next few years. The installation of analog-based imaging equipment simply continues to diminish because of the
combination of DR and CR. With that, DR is becoming the technology of choice largely due to increased
efficiencies. The expectation is that DR system purchases will outpace CR system purchases by a ratio of about
three to one in the coming year. But the cost of CR is still less expensive than DR and continues to drop, making
it an economical solution for facilities that cannot afford DR. Single-plate CR readers can range from $30,000 to
$75,000, with multi-plate readers costing from $55,000 to $150,000. CR mammo can range from $65,000 to
$85,000 for single-plate readers, and multi-plate readers start at about $125,000. For DR, the cost starts at
about $120,000 for a single wireless detector system to dual-detector rooms ranging from $200,000 to
$800,000. Given the healthy competition in these areas, costs are expected to continue to be driven down.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
INFORMATICS
Informatics is an integral part of diagnostic imaging operations. The primary components include the radiology
and cardiovascular information systems, picture archiving and communication systems, voice recognition and
advanced visualization tool sets. These systems must also communicate and/or integrate with the hospital
information system and electronic medical record. The lines between all of these systems continue to become
less and less delineated as most IT suppliers are offering integrated solutions and the ability to seamlessly
share information. The notion of an enterprise-based image management system appears more prevalent.
SUPPLIERS
TECHNOLOGY SUMMARY
AGFA
IMPAX
http://www.agfahealthcare.
com/usa/en/main/products_
services/ris_pacs_reporting/
index.jsp
Carestream
http://www.carestream.com/
vue-healthIT.html
The system features the following:
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a design that streamlines the enterprise workflow and delivers increased
efficiency and productivity to the hospital or care facility
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fast-and-easy access to information, images and reporting tools from a
single desktop
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convenient access to all relevant information residing in both AGFA’s RIS
and PACS
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a complete workflow solution that supports the diagnostic process
effectively and efficiently, resulting in improved interpretation and report
turnaround times
CARESTREAM Vue for Radiology
Complex radiology workflow requires intuitive solutions for all end-users.
Carestream has adapted a “one workstation” philosophy when designing the
next generation RIS+PACS+Reporting. The Web-enabled Vue for Radiology
that is accessible anywhere with many native advanced tools optimizes
productivity and maximizes investment.
CARESTREAM Vue PACS
CARESTREAM Vue PACS provides one workspace for the clinical tools and
applications physicians and radiologists need for convenient local and remote
reporting.
Web-enabled Vue PACS has integrated advanced visualization, threedimensional post processing, lesion management, dictation, critical results
notification and a mammography module that eliminates the need for
dedicated workstations.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
31
CARESTREAM Vue RIS
CARESTREAM Vue RIS improves radiology workflow by automating the
patient’s diagnostic journey from order entry to results distribution, reducing
errors and improving patient care. The Web-based radiology information
system is accessible from anywhere, adapts to the needs of multi-site
enterprises or hospitals and integrates mammography workflows, peer
review and reporting to eliminate disparate systems.
CARESTREAM Vue Connect
Vue Connect, powered by Carestream’s unique SuperPACS™ architecture, lets
health care providers manage patient information regardless of location by
synchronizing multi-vendor and multi-site RIS+PACS.
CARESTREAM Vue for Vendor Neutral Archive
Enabling the clinical community to have access to a complete patient record
requires a patient-centric vendor-neutral archive with a universal viewer.
Carestream’s Vue Archive, seamlessly consolidates disparate imaging
systems into one repository using the latest interoperability standards.
Combined with Vue Motion – a zero-footprint universal image viewer – it
provides secure, real-time imaging access across the health care enterprise.
CARESTREAM Vue for Cloud-Based Services
Vue Cloud is a software-as-a-service innovative approach to imaging
information on a predictable, pay-as-you-go basis.
FUJIFILM Medical Systems
http://www.fujimed.com
Synapse® PACS
This advanced visualization solution seamlessly integrates with Synapse®
PACS, was fully designed and developed by FUJIFILM and is the most costeffective choice. Synapse was the first PACS to accomplish this extraordinary
degree of functionality for single- or multi-site PACS. The same exact Synapse
code that a runs 30,000-exam-per-year outpatient imaging center can run
a multi-server, multi-site configuration with greater than a million exams a
year.
Synapse® RIS
Synapse® RIS is the most advanced, most comprehensive Web-based
radiology management solution available. Synapse RIS offers a full-featured,
Web-based radiology management system that is fully integrated with
Synapse PACS and has complete electronic health record certification for
meaningful use in radiology.
Synapse® Cardiovascular
Synapse® Cardiovascular offers an integrated image and information system
that has been clinically proven to deliver the results that cardiologists require.
The Web-based, virtualized platform fits into a facility’s infrastructure to
cover all bases when it comes to today’s cath lab.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Philips
http://www.usa.philips.com/
Workflow Layer
Philips recently introduced Workflow Layer on its popular iSite PACS solution.
iSite PACS combines relevant patient data with clinical applications to deliver
images anywhere in the hospital enterprise in three seconds, regardless of
how old the study is.
The new Workflow Layer offers several applications that facilitate ACR
reporting, improve productivity and interdepartmental collaboration, and
enhance the delivery of patient care.
Three-Dimensional Viewing
Philips now offers multi-modality three-dimensional viewing with the latest
release of iSite PACS by having volume vision standard on board. Volume
vision adds three-dimensional hanging protocols, collaborative threedimensional workflow tools, three-dimensional exam comparison, and threedimensional measurement and segmentation tools.
BRIT Systems
http://www.brit.com/
(New contract starts May 1,
2013.)
PACS/RIS
BRIT Systems provides turnkey solutions for PACS/RIS that include patient
portals, teleradiology, critical results reporting, radiology reporting,
peer review, CD burners and importers, DICOM workstations, and crossenterprise/universal viewers. BRIT provides a free five gigabyte server for
Roentgen Work’s zero footprint viewer and image sharing platform at cloud.
brit.com. Servers are built on Unix.
INFINITT North America INFINITT, rated Best in KLAS for four consecutive years in products and
services, offers a complete selection of imaging and information products for
Inc.
http://www.infinittna.com/
the most flexible, scalable and customizable solution on the market. Features
include the following:
(New contract starts May 1,
2013.)
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single database RIS/PACS/cardiology
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PACS /mammo PACS; three-dimensional
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central, consolidated archive for all
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departments: DICOM and non-DICOM
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Web-based anywhere, anytime access
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mobile access to images and reports
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painless data migration and integration
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unified worklist for multi-vendor, multi-site PACS, creating one global
work list and a completely virtual reading environment
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virtualization option for the ultimate in flexibility, scalability and uptime
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proven technology with more than 2,700 installations globally
DIAGNOSTIC IMAGING WATCH - SPRING 2013
33
Economic Impact: Information technology suppliers, especially in the PACS arena, continue to offer both a
capital lease (capital and operating) and fee-per-study purchase model. As an application service provider,
suppliers often offer to manage image data and information remotely. The PACS and information systems
markets are saturated, however, and continue to expand their offerings. Managed storage options are becoming
more popular, well-refined and cost-effective. Because this is a replacement market, it is important to consider
the cost of the data conversion, retraining staff, and upgrading or expanding hardware.
MAGNETIC RESONANCE
Magnetic resonance imaging uses strong magnetic fields and radiofrequency radiation to translate hydrogen
nuclei distribution in body tissue into computer-generated images of anatomic structures. The primary
advantage of MRI over other radiographic imaging methods, such as computed tomography, is improved soft
tissue contrast. MRI also does not use ionizing radiation and produces no known side-effects. This imaging
modality is used to identify diseases of the central nervous system, brain and spine, and to detect
musculoskeletal disorders. It is also used to diagnose infectious diseases, detect metastatic liver disease,
display heart-wall structures, and to stage prostate, bladder and uterine cancers. Breast MRI is utilized
frequently to determine the nature of lesions discovered by conventional mammography and to detect cancer in
high-risk patient groups. Breast MRI applications are growing faster than all other types of MRI procedures.
MRI equipment is generally classified by the type and strength of the magnet. MRI equipment is available in four
general configurations.
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closed-magnet with (standard) closed-bore design
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closed-magnet with (larger) open-bore design
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high- and low-field open magnet
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dedicated extremity
Wide-bore magnets and enhancements for both 1.5 and 3 T magnets remain at the forefront. Magnets which are
7T in strength are considered ultra-high field and thus far have been implemented in research only. These
systems promise a world of unmatched resolution, enabling researchers to visualize functional detail never
before experienced. High-strength, 3 T MRI systems can provide much better image quality and reduce the time
needed for scanning when compared with lower-strength systems. Multi-transmit body coils are offered to
reduce artifact. There is also a focus on increasing the signal-to-noise ratio in order to improve image quality.
This equates to higher resolution, allowing the clinician to better view smaller anatomical structures and
lesions. As new scanners are brought to market with intuitive patient setup, protocol automation and faster scan
time, MR throughput is expected to increase. The number of annual MRI procedures performed in the United
States is expected to exceed 33 million by end of 2013.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
SUPPLIERS
TECHNOLOGY SUMMARY
GE
Discovery™ MR750w 3 T
http://www.gehealthcare.
com/usen/promo/campaigns
ml?CampaignID=GPONO6SM
2012JAN
The Discovery™ MR750w 3 T wide-bore system includes a compact
superconducting magnet and delivers a full field of view at 50 cm x 50 cm
x 50 cm, well-suited for large FOV imaging, as well as off-center imaging.
With a 70 cm patient bore diameter and the Geometry Embracing Method
Suite of lightweight flexible coils with anatomy-optimized element geometry,
the system accommodates virtually all patient sizes and shapes, providing
excellent RF and signal homogeneity to make the most of your FOV.
Philips Healthcare
Ingenia
http://www.healthcare.philips.com/us_en/products/mri/
index.wpd
The Ingenia, at 1.5 T and 3 T, feature Philips-exclusive DirectDigital RF. This
system brings MR signal digitization to the RF coil and sends the signal to
the reconstructor via fiber optic cable. The result is up to 40 percent higher
signal-to-noise ratio.
Ingenia also offers a 55 cm field of view and an embedded body coil, which
allows for 60 percent of routine exams to be performed without any coil
handling, channel independent architecture and a 70 cm bore for increased
patient comfort.
Philips Ingenuity TF PET/MR is a hybrid modality that offers Astonish
TF Time-of-Flight technology combined with the exceptional soft tissue
imaging of Achieva 3 T MRI in a whole body footprint. Ingenuity TF PET/MR
offers clinically validated advanced applications in neurology, oncology and
cardiology.
Siemens
Biograph mMR
http://www.usa.siemens.com/ The Biograph mMR is a fully integrated state-of-the-art 3 T MRI and cuttingedge PET molecular imaging system. Having MR and PET in a single scanner
mr
means a need for only one exam and one room. Simultaneous PET-MR
imaging provides for the highest level of precise assessment, planning and
intervention.
MAGNETOM® Aera and MAGNETOM® Skyra at 3 T
Siemens offers two Tim4G open-bore systems – the MAGNETOM® Aera at 1.5
T and MAGNETOM® Skyra at 3 T. The features include the following:
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the Aera 1.5 T and Skyra 3 T that both have a 70 cm aperture
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total imaging matrix fourth generation that provides flexibility, accuracy
and speed by combining coils in any way; technology that helps reduce
examination times by up to 50 percent; newly designed ultra high-density
coils combined with 48 RF channels
DIAGNOSTIC IMAGING WATCH - SPRING 2013
35
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day optimizing throughput that helps to take away the complexity inherent
in MR scanning that can slow down technologists; dot-optimized scanning
that allows for customizable patient examinations, reduction in exam
times and improved clinical outcomes
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both systems that feature the first-ever integration of Siemens Tim
4G+Dot system
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DirectRF with optical links for improved signal purity and RF stability with
integration of digital transmit/receive in its new magnet housing and local
coil design
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new Tim dockable table that allows patients to be prepped anywhere for
faster exam setup and patient throughput, allowing for a greater number
of MR exams per day
MAGNETOM® Avanto at 1.5 T and MAGNETOM® Verio at 3 T
Siemens offers two Tim+Dot open-bore systems – the MAGNETOM® Avanto at
1.5 T and MAGNETOM® Verio at 3 T. The features include the following:
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Avanto1.5 T with 60cm aperture and Verio 3 T with 70 cm aperture
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the Siemens Tim +Dot system
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total imaging matrix that provides flexibility, accuracy and speed by
combining coils in any way
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day optimizing throughput that helps to take away the complexity inherent
in MR scanning that can slow down technologists, allowing for
customizable patient examinations, reduction in exam times and improved
clinical outcomes
Siemens also provides the MAGNETOM® ESSENZA 1.5 T and MAGNETOM®
Spectra 3 T.
Hitachi
http://www.hitachimed.com/
products/mri/index.html
The Oasis™ 1.2 T
The Oasis™ 1.2 T magnet includes a gantry design that offers patient access
from all sides. The open architecture also helps eliminate claustrophobia for
patient comfort and increased throughput. Oasis XP Workflow Enhancement
takes high field open MR to new levels of efficiency and capability. The Oasis
XP platform with the Vertex II computer and Origin 4.0 MR operating software
provides computing and processing power enhancements that streamline
the entire imaging process from patient registration, through scan planning,
scanning, image processing and image management.
The Echelon™
The Echelon™ provides a high performance 1.5 T magnet, ultra-fast 150T/m/
sec slew rate gradient system, eight-channel RF receiver (with a 16-channel
XLS option) and wide range of multi-channel receiver coils.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Echelon™ Oval
Echelon™ Oval is designed around the shape of the human body, allowing for
an optimal patient experience with outstanding comfort, space and efficiency.
The game-changing 74 cm oval bore is the widest 1.5 T MR system available.
Enhanced patient accessibility combined with Hitachi’s Workflow Integrated
Technology, advanced imaging capabilities and UltraPlus Customer Support,
makes Echelon Oval an ideal solution for-improved workflow, greater
diagnostic confidence and increased cost efficiencies.
Toshiba
http://medical.toshiba.com/
products/mr/3t/index.php
Titan™ Series 3 T Large Bore Scanner
The Titan™ Series 3 T large bore scanner is scalable from 16 ch to 32 ch
RF and 30/203 gradient strengths to accommodate any members’ imaging
requirements. This is the first 3 T system on the market with the patented
Pianissimo™ technology, which results in up to a 30 db reduction in gradient
noise. It also comes with Toshiba’s industry-leading non-contrast MRA
techniques which are in their fourth generation.
Titan™ Series 1.5 T Large Bore Scanner
The new Titan™ Series 1.5 T large bore scanner is scalable from 8 ch to 16
ch to 32 ch RF and 33/148 or 34/203 gradient strengths to accommodate any
member imaging requirements. It is pending FDA approval.
M-Power, Toshiba’s new user interface, makes it easy starting a procedure to
advancing post-processing procedures, with many new automated features.
Sixteen element flexible coils will be offered, pending FDA approval, and
will come in three sizes accommodating all MSK imaging needs. These 16
element coils provide superior imaging quality, while also making placement
of the coils easier and ultimately helping to reduce coil costs by reducing the
number of coils needed.
Invivo
http://www.invivocorp.com
Expression MRI Patient Monitoring System
The Invivo Expression MRI patient monitoring system is built from the ground
up to withstand the rigorous demands of the MRI suite. Designed specifically
for ultra-high magnetic field environments, the Expression MRI patient
monitor operates at the 5,000 Gauss field line and 4 W/Kg SAR regardless of
configuration, without compromising patient safety. This level of performance
and reliability simply can’t be achieved by monitors that have been adapted
from other, less-demanding applications.
Smart features help make more informed, confident decisions about
a patient’s condition. Expression is simple to use, too, with a host of
productivity-boosting innovations. Invivo’s industry-exclusive wireless
technology makes it easy to move the patient from room to room, expediting
patient management and workflow in the MRI suite.
The Expression monitor also is the only device on the market that evolves with
needs and offers unrivaled uptime.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
37
Expression IP5 Information Portal
The Expression IP5 information portal is a convenient way to take MR patient
monitoring from the suite level across the enterprise. With the Expression
IP5, integrate the MR patient safety strategy with overall information strategy.
It works with a host of integration engines and EMR systems, making it easier
to customize the integration of the MR patient monitoring information with
your hospital information systems or EMR. On its 19-inch widescreen display,
access, view and track vital signs in the MR control room without the need for
extensive – and expensive – wireless router networks.
The Expression IP5 blends smart decision-making support with robust casemanagement capabilities, evolving to become intelligent and tailorable to the
needs of health care professionals and their patients. Its advanced platform
gives more opportunities to gain deeper insights into a patient’s condition –
and helps in satisfying the never-ending quest for better decision support.
Essential MRI Patient Monitor
The portable Invivo Essential SpO2 monitor moves with patients from sedation
to imaging suite and into recovery. Essential helps create a more satisfying
patient experience, introduces new opportunities in patient monitoring and
makes better use of your human and financial resources.
Lightweight and easy to transport, with a unique wireless design, Essential
features digital technology for exceptional performance on SpO2 values, low
and high perfusion and motion. Artifact suppression also helps enhance study
quality. And with its unrestricted gauss rating, Essential can be used virtually
anywhere.
Economic Impact: Although 3 T MRI is an attractive option, due to the economic climate some facilities have
been forced to purchase a 1.5 T MRI system. When making the decision to lease or purchase, consider the
complexities associated with installing and uninstalling this modality which is much different technically from
computed tomography. Facilities that have adequate capital are installing the 3 T MR and preparing the site to
accommodate the future technology which is expected to include 7 T MR systems for clinical use. Configurations
can vary widely, depending on the number of channels and software packages included in the purchase. The
cost of a 1.5 T MRI system can vary greatly from $600,000 to more than $1.5 million. A 3 T MRI system will range
from $1.8 million to $3 million, while dedicated systems for extremities will be closer to $400,000 to $600,000.
MOLECULAR IMAGING – NUCLEAR MEDICINE, PET/CT AND PET/MR
Molecular imaging is a modality that utilizes single photon or positron emission from a locally administered
radiopharmaceutical agent. Unlike many other imaging techniques that are used to survey the anatomy, this
imaging method is used to visualize the functional and physiologic activities of various tissues and organs.
Molecular imaging is well-suited for cardiovascular and oncology applications. Gamma camera imaging is used
extensively in myocardial and cerebral perfusion studies. Positron emission tomography imaging enables
clinicians to detect chemical and physiologic changes in targeted tissues early. Hybrid positron emission
tomography/computed tomography allows for the fusion of images and is used extensively in radiosurgery
planning. This technology enables clinicians to plan with unprecedented accuracy the best orientation of
radiation beams for the treatment of disease. The birth of hybrid PET/MR systems has taken things to the next
level. This is an area that shows much promise but the full impact is unknown.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
SUPPLIERS
TECHNOLOGY SUMMARY
GE
Trimodality PET/CT + MR
http://www3.gehealthcare.
com/en/Products/Categories/
PET-CT/PET_CT_and_MR_
Trimodality_Imaging
w
exquisite soft-tissue-contrast of 3 T MR
w
exceptional metabolic insight of PET imaging
w
precise anatomical reference of CT
The Trimodality PET/CT + MR allows technicians to scan with PET/CT, transfer
the patient on an air-hover tabletop, scan on an advanced MR – then fuse the
images with integrated registration software and use, offering:
Fusing these three powerful modalities is not only financially responsible,
it holds tremendous clinical promise. Once the PET/CT and MR images are
acquired, integrated registration software on the Advantage Workstation
produces high-quality fused images with a single click of a mouse. This
opens up exciting new possibilities in the management of cancer, and
neurodegenerative and cardiac diseases.
Philips Healthcare
http://www.healthcare.
philips.com/us_en/products/
nuclearmedicine/index.wpd
BrightView XCT
BrightView XCT is Philips’ SPECT/CT system designed entirely for nuclear
medicine. CoPlanar FP uniquely integrates Philips’ BrightView SPECT in a
co-planar design with advanced Philips’ flat-detector X-ray CT technology. The
BrightView XCT uses advanced algorithms for the truest picture possible.
Astonish TF TOF PET
State-of-the-art Astonish TF TOF PET technology is now standard across
the family of PET/CT systems. Astonish TF improves the signal-to-noise
ratio, resulting in high image quality and improved accuracy. The proprietary
reconstruction design used full-fidelity list mode reconstruction to improve
image quality and SUV accuracy in seconds.
TruFlight Select PET/CT
The TruFlight Select PET/CT provides members with enhanced image quality
and speed. Diagnostic CT capabilities allow the system to be used not only
for PET/CT scans, but also for standalone CT scans, thereby serving a dual
purpose.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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Siemens
www.usa.siemens.com/MI
Biograph® mCT
The Biograph® mCT brings accurate and reproducible quantification to
molecular imaging, giving the ability to make unprecedented progress in
diagnosing and treating some of the greatest challenges facing health care,
such as cancer, neurodegenerative disorders and cardiovascular disease.
By incorporating daily system normalization with Quanti•QC, precise PET and
CT alignment with SMART innovations, and intelligent software with syngo.via,
the new Biograph mCT overcomes inherent variability faced by conventional
PET/CT systems.
The Biograph mCT’s OptisoHD detection system optimizes all components of
the imaging chain. With isotropic detector elements, industry-best 400 x 400
reconstruction matrix* and high-definition PET technology, Biograph mCT
delivers the industry’s finest* volumetric resolution of 87 mm3.
Siemens Biograph mCT is the leader in dose reduction technologies for PET
injection combining ultraHD•PET and TrueV to increase scan sensitivity,
allowing members the choice of a 50 percent decrease in radioactive injected
dose.
Biograph mCT is the only PET•CT that combines the large bore of 78 cm with
a 224 kg (500-pound) table limit to accommodate most patients. Equipped with
a high-end CT, Biograph mCT provides a true dual-use workflow solution that
enables increased utilization.
Biograph mCT helps to achieve results that are more accurate and
reproducible for greater diagnostic confidence, more accurate therapy
monitoring and more informed treatment decisions.
* Based on competitive literature available at time of publication; data on file.
Symbia® T
Symbia® T is an advanced and highly integrated diagnostic SPECT•CT solution.
Offered with 2-, 6- or 16-slice diagnostic CT, Symbia T expands the role of
nuclear medicine into routine surgical planning, orthopedics, advanced
cardiology and much more.
Whether it’s heart or brain imaging, renal exams or bone scans, the Symbia
T series of nuclear medicine imaging equipment performs a complete range
of studies. And it offers the broad spectrum of configurations and options to
meet each price point and need. Symbia SPECT•CT offers minimum dose and
maximum speed at the same time.
For example, IQ•SPECT on Symbia SPECT•CT enables four-minute routine
cardiac perfusion imaging, or half-dose and half-time imaging at the same
time. The innovative scanners offer the highest NEMA resolution in the
market and unique productivity features.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Symbia ensures this clarity through its advanced HD detector, innovative
bed design, BiCORE™ collimators with AUTOFORM® technology, Flash
reconstruction and full diagnostic multi-slice CT capability.
Supported by automated quality control, automated collimator changer and
fast spiral CT, Symbia’s automation helps achieve imaging speeds that were
previously unattainable, leading to faster patient diagnosis and treatment, and
the ability to support increased patient volumes.
Symbia® S
Siemens bestselling imaging platform, Symbia® S, is a premium multipurpose SPECT system that can be upgraded to diagnostic SPECT•CT at any
time. Unique features such as automated quality control make Symbia S
perfect for hospitals and clinics looking for top performance, flexibility and
investment protection.
To help further expand SPECT clinical utilization, IQ•SPECT on Symbia S
enables four-minute routine cardiac perfusion imaging or both half-dose and
half-time imaging. Symbia S offers minimum dose and maximum speed at the
same time, and it delivers the highest NEMA resolution* in the market and is
equipped with unique productivity features.
*Based on competitive literature available at time of publication; data on file.
Comprehensive Amyloid Imaging Solution*
The comprehensive amyloid imaging solution for evaluating Alzheimer’s
disease and other causes of cognitive decline combines reliable
radiopharmaceutical manufacturing and distribution with innovative PET
CT hardware and software for the detection of amyloid plaques — one of the
necessary pathological features of Alzheimer’s disease1, 2, 3 — in the living
brain.
The system includes three unique elements — the new Biograph mCT PET•CT
scanner, syngo.PET Amyloid Plaque neurology quantification software, and
the manufacturing and distribution of amyloid imaging biomarkers.
1
Hyman BT, Phelps CH, Beach TG, et al. National Institute on Aging –Alzheimer’s Association guidelines for the
neuropathologic assessment of Alzheimer’s disease. Alzheimer’s Dement. 2012; 8 (1): 1-13.
2
Mira SS, Heyman A, McKeel D, et al. and participating CERAD neuropathologists. The Consortium to Establish a Registry
for Alzheimer’s Disease (CERAD): Part II Standardization of Neuropathologic Assessment of Alzheimer’s Disease.
Neurology. 1991; 41 (4): 479-486.
3
Thies W, Bleiler L; Alzheimer’s Association. Alzheimer’s Association Report: 2012 Alzheimer’s Disease Facts and Figures.
Alzheimer’s Dement. 2012.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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www.usa.siemens.com/mMR
Biograph® mMR
Biograph® mMR fully integrates state-of-the-art 3 T MR and cutting-edge PET
molecular imaging that is precisely aligned for accurate imaging. It features
simultaneous acquisition of morphology, function and metabolism with wholebody MR and PET integration. This results in new insights into the progress
of disease, new paths to treatment, new areas of research and, ultimately, an
expansion of the understanding of life. Having MR and PET in a single scanner
means a need for only one exam and one room. Simultaneous PET-MR
imaging provides for the highest level of precise assessment, planning and
intervention.
Economic Impact: Molecular imaging, especially in the cardiac segment, is expected to grow with the continued
attention that cardiac disease prevention and treatment are receiving. It will be important to keep up with the
latest technology in order to remain competitive in this market. More and more cardiologists are offering
dedicated SPECT units in order to perform cardiac studies in their offices. A single-head gamma camera
averages about $200,000, with dual-head cameras costing about $300,000 to $400,000. SPECT/CT systems
range from $400,000 to $600,000 on average.
In the area of PET/CT, image fusion software continues to be refined and expanded. Many facilities have already
replaced their outdated dedicated PET-only models. A PET/CT (64-slice) can easily cost between $2 million and
$3 million.
POWER INJECTION SYSTEMS
Power injection systems enable contrast agents to be injected into the vessels. The contrast agents in turn
circulate through the bloodstream, enhancing the tissue structure of the vessels and organs. These devices are
utilized in computed tomography, cardiovascular, positron emission tomography/computed tomography and
magnetic resonance imaging. Advances with these systems continue to prove their efficacy when it comes to
image quality, safety and dose reduction.
Development efforts continue on power injector technologies with features such as dual-syringe, adjustable
flow rates, body weight protocol, personalized patient protocol technology, radiofrequency identification
technology and extravasations detection. These advances make it safer and improve image quality for the
patient during the procedures. The power injector market is growing due to the increase sales of MR, CT,
ultrasound and cardiovascular systems. GE Healthcare and Covidien offer power injection systems, however,
these were not fully evaluated as part of this publication.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
SUPPLIERS
TECHNOLOGY SUMMARY
MEDRAD
The Mark 7 Arterion™ Injection System
http://www.medrad.com/
en-us/info/products/Pages/
Arterion.aspx
The latest in the MEDRAD Mark series of angiographic injectors, the Mar &
Arterion™ Injection System is unique to the market: The front load system
simplifies setup and makes for a cleaner tear down. The clear syringe
provides a higher level of confidence about injection readiness. With a smaller
base, lighter head and a flexible articulating arm, the injector can go where it
needs to go – even around corners.
eXposure™
The eXposure™ is a comprehensive approach to monitoring and managing
patient radiation dose and offers these features:
w
tracks absorbed dose by organ/region
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ICRP 60 effective dose
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ICRP 103 effective dose
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DLP, CTDIvol, and SSDE
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size-adjusted estimates for effective dose
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incorporation of protocol management to ensure end-to-end compliance
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generation of alerts according to protocol-specific thresholds that are
based on patient age, gender, size and clinical context to minimize
unnecessary interruptions
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incorporation of a flexible reporting system with customizable dashboards
to deliver easy-to-assimilate visual data whenever or wherever they are
needed
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utilization of vendor-neutral independent dose assessment
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simplified ACR Dose Index Registry integration with built-in RadLex™
mapping
DIAGNOSTIC IMAGING WATCH - SPRING 2013
43
ACIST
http://acist.com/us/
EmpowerCTA
PREPARE
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arming at injector head
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eGFR calculator
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pendant-switch-empowered saline advance
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more control at the injector head; goes beyond stop/start
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intuitive air purge and fill process
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built-in tilt sensor that reduces the risk of air embolisms
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automated initialization, fill-and-line purging of contrast and saline
INJECT
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modular flow rate adjustment in real time
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real-time pressure monitoring at the injector head and remote
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saline advance
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saline jump
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voice prompts
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IRiSCT® Viewer that provides continual contrast tracking
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unique patented extravasation detection technology
CAPTURE
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high--capacity protocol storage and customization
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capture and transfer of data for more informed decision-making
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Windows-based operating system
Economic Impact: The purchase of injection systems is largely driven by growth in several different imaging
modality markets. This would include computed tomography, magnetic resonance imaging, angiography and
cardiovascular suites, and molecular imaging. There are a relatively low number of competitors in this market
along with a high level of market saturation in the area of CT. Potential for growth remains in the area of MRI
and molecular imaging, especially with infusion systems available for radiopharmaceuticals. In a large majority
of cases, facilities will bundle the purchase of the injector with the purchase of a new imaging modality. The
capital cost of injectors, depending on the type, will range from $20,000 to $90,000. The long-term cost of
consumables must be taken into consideration, especially when the cost of capital is being operationalized as
part of the purchase.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
ULTRASOUND
An increase in the number of chronic diseases that are detected early by sonography will help drive growth in
the global ultrasound market during the next five years, according to a new study by Transparency Market
Research. The report estimates that the worldwide ultrasound market will total $4.82 billion in revenues this
year and advance to $6.11 billion in sales by 2017, with a compound annual growth rate of 5 percent.
Ultrasound is a non-invasive technology used to obtain real-time, dynamic images of the most major soft tissues
and organs. Defined bursts of ultrasound waves are transmitted and received from a transducer. Generalpurpose ultrasonic scanning systems provide two-dimensional and sometimes three-dimensional images of
most soft tissues without subjecting patients to ionizing radiation. Four-dimensional ultrasound imaging is also
available and often used in fetal imaging. These advanced images can also be applied to cardiovascular
ultrasound in assessing treatment and therapies for heart failure management. In addition to general-purpose
systems, specialized systems are available that are optimized for specific scanning applications:
Cardiac ultrasound systems (echo machines) are designed specifically for real-time, noninvasive imaging of
cardiac structures and functions. A specialized procedure called transesophageal echocardiography uses an
ultrasound probe inserted into the esophagus to detect myocardial ischemia and assess cardiac output.
Intravascular ultrasound systems use a miniature transducer mounted on the end of a flexible catheter that is
inserted into an artery to facilitate internal imaging of the vessel walls. This is used as an adjunct to angiography
to view and assess atherosclerotic plaque.
Portable ultrasound systems are a convenient way to perform point-of-care image capture. Depending on the
probe and software calculation packages available, portable systems may be used for abdominal, OB/GYN,
urologic, small-parts, cardiac, vascular and other examinations.
Development efforts continue on ultrasound technologies to reduce size, increase transducer versatility and
expand the roll of ultrasound in the clinical setting. Diagnostic medical sonography is often associated with a
significant risk for work-related musculoskeletal disorders. Several manufacturers have implemented
equipment-related ergonomic features. Many conventional ultrasound scanners incorporate position-adjustable
display monitors, control panels and keyboards that provide more options for the operator.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
45
SUPPLIERS
TECHNOLOGY SUMMARY
GE
LOGIQ™ E9 with XDclear
The LOGIQ™ E9 with XDclear gives extraordinary images and expert tools to
http://www3.gehealthcare.
com/en/Products/Categories/ help manage the changing ultrasound environment:
Ultrasound/LOGIQ/LOGIQ_E9 w stunning penetration and resolution with innovative XDclear transducer
technology
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direct hemodynamic visualization with the innovative B-Flow™ technology
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new workflow tools and productivity packages
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auto-registration for CT fusion
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platform enhancements for a fast, powerful computer, easy speed of
sound adjustment and new fully adjustable monitor
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volume navigation that combines the advantages of volume ultrasound
with an onboard advanced navigation system
somo•v™ Automated Breast Ultrasound System
Using proprietary technology to automate the ultrasound imaging process, the
somo•v™ ABUS system was developed specifically for the high-volume,
breast cancer screening environment and is clinically proven to increase
cancer detection (sensitivity) by 31 percent. The somo•v ABUS system is
an ultrasound device approved for breast cancer screening in the United
States and licensed in Canada as an adjunct to mammography for
asymptomatic women with dense breast tissue. More than 40 percent of
women have dense breast tissue in the United States. Images generated
from the somo•v ABUS are sent to the somo•VIEWer Advanced 3D
Workstation for interpretation, enabling fast review and archiving of
patient exams to optimize breast ultrasound screening workflow.
Hitachi Aloka
http://www.hitachimed.com/
ProSound Alpha 6
The ProSound Alpha 6 incorporates the benefits of the high-end ProSound
Alpha series. It offers superior performance in one compact, easy-to-use,
economic and environmental system. The ProSound Alpha 6 addresses all
diagnostic applications in one system that supports a full range of applicationspecific probes and software, designed to target all specialist diagnostic
areas in general imaging, cardiovascular, women’s health care and internal
medicine. The ProSound Alpha 6 high-power processor allows a number of
different imaging modes previously seen only in high-end systems, without
compromise on image quality and color Doppler sensitivity.
The compact, ergonomic design of the ProSound Alpha 6 features a large,
programmable touchscreen panel for quick access to frequently used
controls. A height-adjustable operation panel and swivel LCD monitor provide
ease of use. Its lightweight small footprint offers outstanding mobility.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
ProSound Alpha 7
The ProSound Alpha 7 is a diagnostic ultrasound system that inherits the
proven technologies and functions of Hitachi Aloka’s high-end product,
yet offers outstanding mobility thanks to being one of the smallest units
in its class. The system is easily transported to deliver high performance
throughout the hospital. The Broadband Harmonics™ realizes high sensitivity
that is comparable to fundamental imaging even with harmonic echo imaging.
Directional eFLOW™ features enhanced spatial resolution for greater
detail of blood flow information. The three-dimensional automated volume
measurement requires no manual tracing for accurate three-dimensional
volume calculation. With these versatile functions, the ProSound Alpha
7 is the ideal choice for expert analyses in a wide range of applications
with the best features: Broadband Harmonics, high-quality imaging with
high-performance HST+ probes, analysis functions, and real-time threedimensional/four-dimensional in a very small console.
Hitachi Aloka’s extensive collection of probes offers a variety of imaging
capabilities to meet all imaging needs and the ProSound Alpha 7, following
the design concept of the higher-end models, provides images of excellent
contrast and spatial resolution, making the diagnosis easier.
HI VISION™ Preirus
The HI VISION™ Preirus is a new generation ultrasound platform with
advanced ergonomic architectural design, the latest broadband beamforming
technology and ultra-high speed processing capability.
The unique design of the HI VISION Preirus platform allows precise adjustment
to facilitate the performance of any examination by any operator. With its super
slim-line footprint and operator console with large digital LCD monitor moving
together in a rotational arc, positioning at the bedside can be optimized to make
diagnosis a more comfortable experience for operator and patient.
Customized scanning parameters are combined with high-speed image
processing for improved diagnostic confidence. Proven innovative
technologies confer superior penetration, temporal, spatial and contrast
resolution, giving high-quality images for every patient every time.
Avius SE®
Inspired by experience, the Avius SE® is an ultrasound system that is small
in stature but big in performance. With the same imaging performance and
attractive system design of our HI VISION ultrasound platform range, Hitachi’s
new system architecture incorporates the latest broadband beamforming
technology and ultra-high speed processing capability.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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The Avius SE supports all mainstream ultrasound applications and is
compatible with Hitachi Aloka’s full range of standard and dedicated specialist
transducers. With premium-level technologies such as Hitachi Aloka’s Realtime Tissue Elastography, four-dimensional and dynamic contrast harmonic
imaging, the Avius SE is an attractive and affordable compact ultrasound
system that can be customized to individual requirements.
ProSound Alpha 7cv
The ProSound Alpha 7cv is a diagnostic cardiovascular ultrasound system
that inherits the proven technologies and functions of Hitachi Aloka’s highend product, yet offers outstanding mobility thanks to being the smallest size
in its class. The system is easily transported to deliver high performance
throughout the hospital.
The Broadband Harmonics realize high sensitivity that is comparable
to fundamental imaging even with harmonic echo imaging. Directional
eFLOW features enhanced spatial resolution for greater detail of blood flow
information.
It features Adaptive Image Processing, a revolutionary feature for speckle
noise reduction. AIP clearly displays differences in tissues, reducing speckle
noise while maintaining the frame rate, which is an unparalleled function in
this product range. It offers a visualization of the cardiac cavities’ borders
or vessels edges with a new level of image quality previously not seen in this
level system.
The ProSound Alpha 7cv offers comprehensive cardiovascular examination
functions and highly specialized analysis capabilities useful from prevention
to treatment. These functions and capabilities include eTRACKING for
evaluating early atherosclerosis, A-SMA and strain/strain rate for evaluating
ischemic cascade, and various asynchrony evaluation functions for cardiac
resynchronization therapy.
Philips Healthcare
http://www.healthcare.
philips.com/us_en/products/
ultrasound/index.wpd
ClearVue 550 – Pending FDA Approval
The new, versatile ClearVue 550 ultrasound system offers an elegant design
and Active Array technology that integrates key imaging technologies into the
transducer for superb images in a lightweight system. The ClearVue 550 is
energy efficient for lower energy costs.
iU22 xMATRIX
The iU22 xMATRIX ultrasound system provides excellent image quality for
improved diagnostic confidence, integrated image fusion and navigation
technology, and enhanced ergonomics. The iU22 xMATRIX ultrasound system
features the new X6-1 xMATRIX transducer and 35 times more active elements
than conventional transducers, allowing for better uniformity, fewer artifacts
and finer anatomical detail.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
The iU22 xMATRIX also provides live xPlane imaging for simultaneous, highresolution real-time scanning in two planes without moving the transducer,
the ability to perform high-quality two-dimensional and three-dimensional
imaging with the same transducer, and PercuNav image fusion and
instrument navigation capabilities.
CompactXtreme
CompactXtreme is a portable ultrasound that offers a high level of clinical
performance, image quality and versatility.
SonoSite
Edge™
http://www.sonosite.com/
products/edge
The Edge™ is SonoSite’s fifth generation portable ultrasound system. It
features a 12.1 inch LCD monitor, splash-resistant silicone keyboard weighting
8.5 pounds in a “clamshell” design and a five-year standard warranty.
http://www.sonosite.com/
products/s-series
S Series™
http://www.sonosite.com/
products/m-turbo
http://www.sonosite.com/
products/nanomaxx
The S-Nerve™ is a high-resolution, all-digital, 9.25-pound (4.2 kg) ultrasound
system with 10.4-inch digital display. The system is optimized specifically for
the needs of the anesthesiology, ER, ICU, cath lab and MSK. It features the
“tablet-style” zero footprint design for stand, wall or ceiling mounting, and a
five-year standard warranty.
M-Turbo®
The M-Turbo® is a high-resolution, all-digital, 7.5-pound (3 kg) ultrasound
system with 10.4-inch digital display. The clamshell design shares service
applications, and offers a five-year standard warranty.
NanoMaxx®
The NanoMaxx® is a high-resolution, all-digital, 6-pound (2.72 kg) ultrasound
system with 8.4-inch diagonal digital display. The NanoMaxx combines high
performance with the ease-of-use, speed, flexibility and durability of a handcarried ultrasound, and a five-year standard warranty.
Siemens
ACUSON S3000™ Ultrasound System
http://www.usa.siemens.com/ The ACUSON S3000™ delivers pioneering technologies for general imaging
and interventional radiology. This ultra-premium platform enables workflow
ultrasound
excellence and provides investment protection with upgradeability and
interchangeable software, transducers and accessories across the ACUSON S
systems.
ACUSON S2000™ Ultrasound System
Superior image quality, knowledge-based workflow, adaptive ergonomics, and
innovative applications extend diagnostic reach to address a broad range of
clinical applications.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
49
ACUSON S2000™ Automated Breast Volume Scanner
The ACUSON S2000™ is the first multi-use ultrasound system that
automatically, quickly and comfortably acquires full-field sonographic
volumes of the breast.
ACUSON SC2000™ Volume Imaging Ultrasound System
This ultra-premium cardiovascular ultrasound system for two-dimensional
and three-dimensional volume imaging streamlines exams. Innovative
applications enable fast, accurate and reproducible measurements. It
improves diagnostic confidence with quantification tools and single-beat full
volume acquisition.
ACUSON S1000™ Ultrasound System
The ACUSON S1000™ provides premium image quality to achieve diagnostic
confidence in all body types. This premium imaging platform has unmatched
investment protection, where one system can be used for multiple specialties
with its complete suite of transducers and exam types.
The ACUSON X700™ Ultrasound System
The ACUSON X700™ system is built around the latest imaging technologies,
equipped with a rich set of standard features and designed for the ultimate
in comfort and usability. It redefines the ultrasound experience providing
performance and value.
ACUSON X300™ Ultrasound System
This portable system offers a broad range of solutions: comprehensive
cardiology, general imaging and OB/GYN applications.
ACUSON X150™ Ultrasound System
This small, lightweight system delivers top performance and clinical
scalability at an outstanding value.
ACUSON P300™ Ultrasound System
This complete, portable patient care solution is a compact unit with two builtin transducer ports, is battery operable and offers high-frequency imaging
up to 18 MHz. Advanced technologies are standard: speckle reduction, spatial
compounding and panoramic imaging.
Toshiba
http://medical.toshiba.com/
products/ul/aplio-500/advanced-applications.php
50
Aplio™ 500
Every aspect of Aplio™ 500 has been optimized to facilitate superior workflow.
The system offers customizable, ergonomic features that improve efficiency
and throughput, along with unsurpassed service and support that helps
minimize downtime and maximize clinical utilization.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
Also available on the new Aplio 500 ultrasound system is the industry’s first
Fly Thru® technology, a three-dimensional volume rendering technique that
allows the operator to soar through cavities, ducts and vessels from the
inside. Features include the following:
similar to virtual endoscopy, allows automatic and manual navigation
through any fluid-filled structure
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a revolutionary tool for exploring lesions and masses, and planning
interventional procedures
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available during or post exam
Esaote
MyLab™Twice
http://www.esaote.com/
modules/core/page.
asp?p=MYLABTWICE&t=SPE
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satellite ultrasound system wirelessly connected to the main cart-based
unit
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convex, linear and phased array transducer technology from 1 to 22 MHz
bandwidth; applications: abdominal, small parts, MSK, breast, cardiac,
vascular, obstetric, gynecology and urology
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Tissue Enhancement Imaging™, real-time adaptive imaging user
configurable processing (X-View), multi-angle electronic beam steering
(M-View), extended linear format (TP-View), panoramic viewing imaging
(V-Pan) (optional) and B & Doppler auto adjustment algorithm
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advanced cardiac package including Stress Echo SW (optional) and
Miocardial 2d-Base Quantification SW (XStrain) (optional)
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tissue characterization application packages including tissue elasticity
algorithm (ElaXto) (optional), contrast technology imaging (CnTI) (optional)
and radio frequency signal processing analysis
http://www.esaote.com/
modules/core/page.
asp?p=MYLABCLASSC
&t=SPE
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MyLab™Twice offers fully digital architecture for general imaging ultrasound
applications supporting the following technologies and features:
MyLab™ClassC
MyLab™ClassC features a premium digital architecture multimodality
ultrasound system and 1 to 22 MHz bandwidth for cardiac, vascular,
abdominal, small parts, MSK, breast, obstetric, gynecology and urology. Fully
digital architecture supports the following technologies and features:
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TEI, real-time adaptive imaging user configurable processing (X-View),
multi-angle electronic beam steering (M-View), extended linear format
(TP-View) and B & Doppler auto adjustment algorithm
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advanced cardiac package including coronary flow imaging, compass
M-mode (optional), tissue velocity/tissue velocity mapping (optional),
Stress Echo SW (optional) contrast technology imaging CnTI (optional) and
Miocardial 2D-Base Quantification SW (XStrain) (optional)
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tissue characterization application packages, including tissue elasticity
algorithm (ElaXto) (optional)
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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http://www.esaote.com/
modules/core/page.
asp?p=MYLABALPHA&t=SPE
http://www.esaote.com/
modules/core/page.
asp?p=MYLABSEVEN&t=SPE
52
w
advanced vascular package
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complete connectivity package
MyLab™Alpha
The system offers a premium portable multimodality productivity-oriented
ultrasound system, and a fully digital architecture, supporting the following
technologies and features:
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high-resolution rotating LCD color monitor, high-resolution touch LC
interactive display
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intelligent configuration capability, including applications, measurements
and reports enabled for the user through one of the more specific
application licenses
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image processing algorithms: speckle noise reduction and compound
exclusive productivity-oriented tools: e-Touch, SmarTouch
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two electronic high-density probe ports available (new-generation ZIF
type)
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modern and ergonomic design for user comfort, user-friendly and
efficient keyboard layout, including keys, knobs and sliders
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complete connectivity package
MyLab™Seven
The system offers multimodality digital productivity-oriented ultrasound
platform, and fully digital architecture, supporting the following technologies
and features:
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high-resolution LCD 16/10 color monitor, high-resolution touch LC
interactive display
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image processing algorithms: speckle noise reduction (X-view – standard)
and compound (M-view – optional)
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exclusive productivity-oriented tools: e-Touch, SmarTouch
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four electronic high-density probe ports available (three ZIF and one
standard)
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modern and ergonomic design for user comfort, including rotating and
height-adjustable keyboard, articulated-arm monitor, alphanumeric
QWERTY keyboard (HW and SW) for patient identification and annotation,
user-friendly and efficient keyboard layout, including keys, knobs and
sliders
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battery backup that allows the system to be moved room to room without
a full shutdown
DIAGNOSTIC IMAGING WATCH - SPRING 2013
http://www.esaote.com/
modules/core/page.
asp?p=MYLABONE&t=SPE
Mindray
http://www.mindray.
com/na/products/
m7.html?backUrl=pro_line2_
col.html
http://www.mindray.
com/na/products/
m5.html?backUrl=pro_line2_
col.html
MyLab™One
MyLab™One is an application-specific tablet ultrasound system suited for
all general imaging, regional anesthesia, emergency, MSK, vascular and
interventional applications. It is a high-performance and lightweight system
with a 12-inch sterile-friendly touchscreen display, long battery life and
wireless connectivity. It provides the following features:
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2 to 22 MHz bandwidth
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linear, convex and phased array technology
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user customizable buttons available on some of the probes
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exclusive onboard dedicated application-specific tutorials
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operating modes: B, M, CFM, Power Doppler, PW
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battery (three hours) and mains operated
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completely touchscreen operation
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Focus Touch technology
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biometry measurements
M7
The M7 epitomizes the optimal combination of advanced imaging technologies
and miniaturization technologies. Mindray research and development
engineers employ the System On Chip design within the M7 ultrasound
system. SOC enables complex technologies to be built into the M7’s compact
laptop-style chassis. Medical devices built around SOC designs are energy
efficient and highly reliable. The M7’s exceptional image quality, user
experience and versatility have expanded the performance and flexibility
envelope for hand-carried ultrasound imaging systems.
M5
M5 is a full-featured, high-quality color Doppler ultrasound tool that performs
imaging across an extensive range of clinical settings and applications.
The laptop-style M5 delivers uncompromising two-dimensional performance
and exceptional value in a compact, yet durable package. The portable,
simplistic nature of the M5 makes it ideal for a variety of hospital and office
environments, including emergency medicine, breast surgery, anesthesia,
vascular, interventional radiology, critical care, PICC line placements, MSK,
obstetrics, gynecology and urology.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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Mediwatch USA
http://www.mediwatch.com/
index.php
Portascan+
The Portascan+ is unique with a large real-time screen, a patient database
and the ability to combine ultrasound scans with uroflow data wirelessly by
Bluetooth®.
Simple point-and-freeze operation makes the Portascan+ the scanner of
choice for the busy clinical environment. The Portascan+ calculates the
bladder volume automatically from an ultrasound image. An in-built thermal
printer provides a permanent hardcopy printout of results for accurate record
keeping and archiving.
Features include:
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real-time ultrasound scanning and image capture
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simple, intuitive software with touchscreen input
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3.5 to 5.0 MHz abdominal probe for adults and children
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automatic bladder volume calculation
Multiscan PVR
The Multiscan PVR has been designed for use by health care workers in a
variety of specialties and includes these features:
Medline Industries
http://www.medline.com/
category/Diagnostic-Testing/
Monitoring/cat500089
54
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ideal for point-of-care use where immediate and reliable imaging of the
bladder is required
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designed for bladder volume scanning
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simple point-and-freeze operation
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touchscreen controls for ease of use
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on-screen virtual keyboard for data input
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USB port for data output
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large database for image storage
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variety of mounting options for mobility
BioCon CUBEscan 700 Bladder Scanner
Compact and portable, the three-dimensional ultrasound device provides
quick, safe and non-invasive measurements of bladder volume and postvoid urinary retention. Real-time pre-scan helps improve accuracy, reduces
improper scans and saves time by viewing the bladder before performing
the test. Built-in printer facilitates immediate documentation in the chart.
Features include the following:
w child, male and female modes
w voice recording
w high storage capacity: up to 700 scans
DIAGNOSTIC IMAGING WATCH - SPRING 2013
w
w
w
w
seven-inch TFT-LCD (WVGA) full-color touchscreen
easy transfer of images and data to a PC and the EMR via an SD card or
USB cable
durable, encapsulated and protected probe
one-year warranty
BioCon 500 Bladder Scanner
As part of a urinary continence program, the portable, three-dimensional
BioCon-500 Bladder Scanner with pre-scan feature allows caregivers to scan
the resident’s bladder to determine if catheterization or toileting is necessary.
Residents are shown the results so they can actually see how much fluid
is in their bladder; this helps them re-learn the sensation of needing to
urinate. As a result, develop individualized toileting schedules based on each
resident’s bladder function pattern rather than at fixed times, such as every
two hours; this will save staff valuable time. Also, more accurately determine
if a resident’s bladder volume, and voided amounts are consistently low,
prompting an increase in their fluid intake.
The scanner promotes staff efficiency and requires little training. Meets Tag
F315 requirements, helps manage effective incontinence and helps minimize
unnecessary catheterization. It is a quick, safe and non-invasive way to
measure bladder volume and post-void urinary retention, and the scanner
helps benefit the residents by preserving dignity and reducing discomfort.
The portable unit is wheeled to the resident’s bedside, and the clinician
applies clear gel to the patient’s lower abdomen. The device’s wand is
then positioned over the bladder area. An image of the bladder appears on
the screen, and the device calculates the bladder volume in less than five
minutes. Onsite printing with PC transfer helps the caregiver quickly and
easily document and track the resident’s progress. It benefits the facility by
helping to improve care, reducing the frequency of catheterization, saving
staff time, decreasing total expense and reducing training time.
Samsung Medison
America
http://www.samsungmedisonusa.com/ultrasound/
General Imaging
General-purpose ultrasound diagnosis systems with sophisticated image
processing technology include Accuvix, SonoAce and MySono.
Accuvix® A30
Accuvix® A30 establishes a new benchmark for state-of-the-art imaging,
offering the world’s first 21.5-inch full HD LED monitor, enriched threedimensional performance, increased detection rates, unparalleled
automation, a sensitive interface and a forward-looking ergonomic design.
DIAGNOSTIC IMAGING WATCH - SPRING 2013
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MySono® U6
MySono® U6 provides the ultimate in content optimization for a portable
system. Vastly improved resolution provides the most accurate clinical
outcomes.
OB/GYN
Innovative ultrasound diagnosis systems leading the new standard for OB/
GYN diagnosis include the Accuvix®, MySono and SonoAce®.
SonoAce X8
The SonoAce X8 blends high-end ultrasound technologies and compact
design, providing superb value, and the best image quality and performance.
Accuvix V20
The Accuvix V20’s ultrasound imaging system represents more than a
decade of technology advancement in three-dimensional/four-dimensional
ultrasound imaging at Samsung Medison.
Economic Impact: Ultrasound is a very popular imaging modality that has relatively more market competition
than other technology, such as CT and MRI. These procedures are typically a lower-cost alternative to other
imaging procedures. There appears to be extensive growth in portable and hand-carried units. Entry-level
portable units can start at less than $30,000 with premium departmental system prices ranging from less than
$100,000 to $300,000, depending on the number of software applications and transducers purchased.
WOMEN’S IMAGING PRODUCTS
Women’s imaging products span multiple modalities, including digital radiography, computed radiography,
ultrasound, molecular imaging and magnetic resonance imaging. These imaging solutions generally reside
within the broader categories listed above.
The market for breast imaging devices is expected to recover and continue growing at compound annual growth
rate of 10 percent, reaching more than $1 billion by 2017, a market analysis shows. The report prepared by iData
Research observes that a strong trend for faster, higher-quality imaging has resulted in an almost entire
replacement of older analog mammography with more advanced systems. In addition, emergence of breastspecific gamma imaging as a supplement to mammography and ultrasound is the fastest growing segment of
the breast imaging market. Together they form the basis of a projected double-digit growth of the market.
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SUPPLIERS
TECHNOLOGY SUMMARY
AGFA
DX-M
http://www.agfahealthcare.
com/global/en/main/products_services/computed_radiography/digitizers/dx_m.jsp
AGFA’s DX-M is the only CR mammography to offer high-resolution cesium
iodide needle IP for both gen rad and mammography applications. In addition,
AGFA is the only CR mammography supplier to carry both FDA and EUREF
designations.
By supporting both standard phosphor plates and needle-based detectors, the
DX-M unites complete convenience with top image quality, while leveraging
a radiography department’s existing investments. With standard phosphor
plates, the DX-M delivers excellent image quality. When used with DirectriX
needle-based detectors, the DX-M provides excellent image quality with a
much higher detective quantum efficiency.
The DX-M digitizer unites the superb image quality necessary for
mammography, with high throughput, delivered by a drop-and-go bufferbased workflow.
Carestream
http://www.carestream.com/
womenshealthcare.html
DIRECTVIEW CR Systems
DIRECTVIEW CR systems provide an affordable entry to digital mammography
when coupled with DIRECTVIEW CR mammography cassettes and EHR-M
screens. There are also solutions to improve workflow and productivity, and
verify and report required image quality.
CARESTREAM Vue Mammo
Ranging from a standalone workstation through a comprehensive RIS/PACSviewing and reporting solution, Vue Mammo offers flexible configurations and
productivity tools to suit unique digital breast imaging workflow demands.
Film Solutions for Mammography
Carestream’s mammography films offer an integrated approach with
products, service and support.
FUJIFILM
http://fujifilmusa.com/products/medical/digital-mammography/information
Aspire™ HD Plus
Aspire™ HD Plus combines FUJIFILM’s groundbreaking Direct Optical
Switching technology with single-touch positioning and ergonomic design to
enhance the experience for patients, technologists and radiologists. Aspire
HD Plus is a fully-featured system that not only provides brilliant images and
ease of use for screening but also can be used with FUJIFILM’s stereotactic
biopsy system.
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GE
SensorySuite
Mammography exams can be perceived as uncomfortable, unnerving and
http://www3.gehealthcare.
com/en/Products/Categories/ intimidating. One-fourth of women avoid mammograms because of worry
Mammography/SensorySuite or fear. SensorySuite re-invents the experience, designed to help distract
her from the perceived anxiety by surrounding patient’s senses in an allencompassing interactive event. By letting the patient choose the ambiance
she prefers, the mammography exam can be less intimidating – addressing
many of the reasons why women avoid a mammogram. SensorySuite is
designed to:
w
improve the mammography experience for every woman
w
encourage patient compliance with mammography screening
w
promote a high level of patient care
w
differentiate a facility from others in the area
A comprehensive marketing toolkit is included for promotion of the
SensorySuite with patients and referring physicians, including pictures, a
short video, sample letters and press releases, a patient reminder card and
even an interactive patient presentation for facility’s Web page.
Hitachi Aloka
http://www.hitachimed.com/
The ProSound F75
The ProSound F75 is the latest addition to the Aloka ProSound high-end
color series. The ProSound F75 is a multi-purpose diagnostic ultrasound
system which provides unprecedented performance in a variety of clinical
applications and is comfortable and easy to use.
The ProSound F75 system has been designed with the new Hitachi Aloka “FIT”
ethos (Facilitate workflow; Investment return; True diagnostic) at its heart and
each system can be tailored to the needs of any clinician. The ProSound F75
reduces burden on the examiners and patients, maintains versatility at a high
dimension, reduces patient dependency by increasing the level of diagnostic
ability, and improves productivity of routine examinations with accuracy and
efficiency.
The ProSound F75 supports various scan methods, and a diversified lineup
of specialty probes gives a variety of imaging capabilities to meet all imaging
needs.
The system’s new high-efficiency SmartProbes™ are very lightweight and
designed to be high in energy conversion to transmit high-quality ultrasound
beams without raising the temperature on the probe surface.
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The ProSound F75
The ProSound Alpha 6 enables outstanding OB/GYN imaging even on the most
technically difficult patients. Features include the following:
w
exceptional image quality and penetration capabilities thanks to tissue
harmonic echo, Broadband Harmonics, AIP speckle reduction and spatial
compound imaging technologies
w
color Doppler, power flow and new high definition eFLOW
wfree angular M-mode for fetal heart exams at any angle
Philips Healthcare
http://www.healthcare.philips.com/us_en/clinicalspecialities/WomensHealthCare/
index.wpd
MicroDose
The MicroDose full-field digital mammography system uses a unique photoncounting detector technology that allows for outstanding image quality at
a dramatically reduced dose. The MicroDose system addresses busy case
volume by helping perform as many as 15 four-image examinations per hour
and can cut radiation by up to 50 percent.
Image resolution is 25 megapixels, enabling visualization of fine detailed
structures in the breast, such as microcalcifications and spiculations.
Siemens
MAMMOMAT® Inspiration
http://www.medical.siemens.
com/webapp/wcs/stores/
servlet/ProductDisplay~q_
catalogId~e_-1~a_catTre
e~e_100010,1007660,1275
5,1003504~a_langId~e_1~a_productId~e_182741~a_
storeId~e_10001.htm
Digital mammography presents a unique opportunity to optimize the entire
clinical workflow. The digital MAMMOMAT system offers shorter examination
times, easy storage and transmission of images, as well as increased
utilization of computer-aided detection and the improved capability to
diagnose dense breasts.
The MAMMOMAT® Inspiration platform for screening, diagnostics and
stereotactic biopsy allows for one or all applications on a modular basis.
The Opdose® feature of MAMMOMAT Inspiration is designed to minimize a
patient’s radiation dose and exposure time. The intelligent Opcomp® function
applies compression only as long as the patient’s breast is soft and pliable –
stopping at the point of optimal compression.
MAMMOMAT Inspiration allows screening of 15 or more patients per hour*
and provides a smooth upgrade path – from the standard configuration
needed for screening purposes to stereotactic biopsy.
* Results may vary. Data is on file.
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Toshiba
http://www.medical.toshiba.
com/products/mr/breastimaging.php
Bard
http://www.bardbiopsy.com/
products/enspire.php
Incorporating productivity-enhancing, patient-friendly Atlas technology,
Toshiba’s innovative 1.5 T MR and 3 T MR systems are optimized for breast MR
with the Radiance Plus Breast Imaging Package, featuring the eight-element
Sentinelle Breast SPEEDER Coil. Features include the following:
w
performing breast exams feet first, reducing the high volume of patient
exams cancelled due to patient discomfort and claustrophobia
w
dedicated, multi-element SPEEDER breast coil that is designed to provide
high-resolution images of breasts and auxiliary tissues
w
CAD compatibility that offers the ability to reduce time required to
interpret images and make biopsy planning easier for clinicians by
automating data analysis
ENCOR ENSPIRE™
Bard introduced ENCOR ENSPIRE™, the first smart biopsy system intended
to provide breast tissue for histologic examination with partial or complete
removal of the imaged abnormality.
The system offers the simplicity of an intuitive touchscreen user interface, the
ability to adapt to challenging lesions while in the breast and real-time visual
confirmation of needle activity. ENCOR ENSPIRE has versatile performance in
ultrasound, stereotactic and MRI imaging modalities.
http://bardbiopsy.com/products/finesse.php
FINESSE® ULTRA
The FINESSE® ULTRA breast biopsy system is the only self-contained,
vacuum-assisted, ultrasound-guided breast biopsy system with the ability to
acquire multiple samples with a single probe insertion. With sample cycling
time just 10 seconds, the FINESSE ULTRA acquires large, high-quality,
contiguous tissue samples rapidly from a single insertion.
Its sharp cutting tip and optional piercing mode penetrate dense breast tissue
and lesions without displacing the lesion.
http://bardbiopsy.com/products/max-core.php
http://bardbiopsy.com/products/ultraclip_dual.php
MAX-CORE®
The MAX-CORE® disposable core biopsy instrument is a single-patient use,
core biopsy device intended for use in obtaining biopsies from soft tissue, such
as liver, kidney, prostate, breast, spleen, lymph nodes and various soft tissue
tumors. The instrument is fully disposable and is available in various gauge
sizes and lengths.
UltraClip®
The UltraClip® breast tissue marker is intended for use to attach to soft
breast tissue at the surgical site during an open surgical breast biopsy or a
percutaneous breast biopsy to radiographically mark the location of the biopsy
procedure.
The marker is designed for precision and ease of use. There are various
shapes available for marking multiple sites within the same breast.
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DIAGNOSTIC IMAGING WATCH - SPRING 2013
Mammotome
http://www.mammotome.
com/
revolve™
The only device to offer advanced tissue management technology, the
revolve™ is designed to empower clinical decision-making, increase
procedural efficiency and provide optimized sample reliability.
Economic Impact: Women’s imaging products span multiple modalities, including digital radiography,
computed radiography, ultrasound, molecular imaging and magnetic resonance imaging. As such, the cost to
implement will vary based on the imaging technique(s) employed. Please refer to the appropriate section of the
technology summary for guidance on the cost for a specific imaging modality associated with women’s imaging.
Advancements in technology will continue to move at a fast pace to meet diagnostic and treatment needs in the
areas of cardiology, osteoporosis, and breast and colorectal cancers. As new technology is developed, it will
likely come with a higher initial price tag; however, existing technology that continues to be improved will tend
to experience the same price erosion as others within the same modality.
This document has been compiled based on information gathered from many primary and secondary sources, which
Novation believes to be accurate to the best of its knowledge. It is intended as general information only and is provided as
an accommodation to the members, however, and not as an authoritative basis for specific clinical decisions. Use of this
data is at your sole risk. This information is presented “AS IS” and without any warranty or guarantee, expressed or
implied, as to completeness or accuracy, or otherwise. As always, clinical decisions on behalf of any individual patient
should be made by the attending physician.
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