Clinical Applications in Vue PACS

© Carestream Health, 2013

Clinical Applications in Vue PACS

January 16, 2013

© Carestream Health, 2013 carestream.com/vue

Advanced Clinical PACS Applications

The Industry• Advancement in medical imaging protocols

presents large amount of data and perspective• Volume CT• Fusion of modalities such as PET/MR• Full Field Digital Mammography and digital

breast tomosynthesis• Radiologist productivity is reduced when using

multiple dedicated, stand-alone workstations• Referring community is seeking faster report-

turn-around with comprehensive clinical data

The Need• One PACS workstation with native advanced

clinical applications regardless of the modalities

• Capable of embedding critical quantitative data into the final diagnostic report

http://www.carestream.com/vue


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Advanced Applications in Vue PACS

Native• Advanced functionalities accessible within the PACS workflow just like other basic

features such as zoom, pan, magnify, window/level.

• Consistent software development without third party vendor involvement

• Convenient single-sign-on

Comprehensive• Platform that includes automatic registration and

volumetric matching of 3D studies at the pixel level, comparison of studies created at different times and by different modalities

• 3D post processing real-time as part of the default display protocol

• Oncology lesion management*

• Mammography workflow plus digital breast tomosynthesis

* Pending 510(k) clearance



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Economical• No need for dedicated workstation and

integration costs

• Single service contract to maintain

Productivity• Radiologist enjoy access to critical functionalities without logging onto a dedicated

workstation

• Automatic volumetric comparison saves the need to manually link datasets from different modalities

Positioned for the future• No need to worry about third party

application advancement matching your PACS

• Automatic registration and volumetric matching enables fusion and comparison of other mix of modalities

Benefits of Native Applications

PowerViewer™



Uniquely Carestream Vue PACS

PowerViewer• Automatic volume registration of two or more CT and MRI studies allows matching of any

two volumetric datasets and saves the need for a manual link

• Relate tool provides a cross reference at a pixel level, which synchronizes all views of all studies to match the click point

• 2D, oblique, mipPR or minPR display within the viewer, enabling comparison of different studies in the same exact orientation

• Automatic link and reference lines support comparison of 2D and oblique views of current and prior studies

3D Post Processing• Can be built into display protocol so it automatically displays

– MIP, MPR

– Volume Rendering, Tissue Definition, Vessel Tracking and Analysis, Automatic Bone Removal

• PET/CT fusion, SUV calculations

• Cardiac review and analysis, Coronary Artery Analysis, Calcium Scoring



Latest Additions

Bookmarking• Bookmark used to collect findings and measurements, stored with in the context of the

clinical data. Easy to navigate for future comparison

Lesion Management*• Oncology bookmarking tool for

evaluating and monitoring cancerous and other lesions in CT and MR

• Volumetric or 2D measurement and segmentation

• Compare between datasets from different modalities and time

• Calculation for size assessment and volume change over time

• Simple to review comparison chart that can be embedded into final diagnostic report Lesion Management*

* Pending 510(k) clearance



Latest Additions

Mammography Workflow• User configurable and intelligent mammography specific display protocols

• Computer-Aided Detection (CAD) available

• Comparison of multiple priors

Digital Breast Tomosynthesis (DBT)• Store, route, and display DBT exams

using industry standards

• Automatic positioning of DBT images and mammograms that eliminates manual manipulations

• Optimized comparison of priors and image placement

• User configurable Hanging Protocols that display DBT procedures along with any other procedure

Digital Breast Tomosynthesis Display



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Clinical Differentiator

“The CARESTREAM PACS PowerViewer feature has helped us win new contracts based on our ability to provide better and faster radiology reports. We just signed a contract with a new imaging facility that does a lot of PET/CT oncology exams. Almost all the patients are bringing prior studies with them from different facilities. We are able to upload the priors and use Carestream Health’s innovative automatic registration for more accurate comparisons.”

The Result

“The referring oncologists are pleased with the speed and accurate measurements we are able to provide, and that’s how we won their business.”

Randall A. Stenoien, MDPresident, Innovative Radiology PACEO, Houston Medical Imaging

Houston Medical Imaging is a multi-specialty outpatient imaging services provider in Houston, TX area.

The Challenge

• Competitive market thus need to streamline operations, provide clinical consultations quickly and quick report turn-around time.

The Solution

• PowerViewer in Vue PACS for all 3 locations, radiologists can report all exams regardless of location

• Vue Motion for referring physicians



Other Features of Vue PACS

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Dictation and Reporting

• Speech recognition or digital dictation options

• Automatic inclusion of structured report templates: patient information from HIS or other clinical applications, measurements or analysis from PACS (such as Ultrasound measurements, 3D analysis), key images and Bookmarking

• Single click or voice command to user-defined templates, structured reports

• Integration of structured data directly into EMR or HIS

• Saves radiologist reporting time

• Reduces manual error

Other workflow enhancements

• Critical Results Notification

• Teaching Files

• Voice Commands



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Renaissance Imaging

Renaissance Imaging Medical Associates (RIMA) is a single-source, full-line provider of specialized diagnostic imaging services. Operating 24x7 in hospitals, free standing imaging centers, large medical group clinics and private medical group practices at 11 different locations.

With 32 radiologists, RIMA offers comprehensive line of services including specialties such as MSK, Neuro, Nuclear, PET/CT, Pediatric and Women’s Imaging, totaling about 500K exams per year.

The Challenge

• Streamline distribution of reporting while balancing radiologist workload

The Solution

• Vue PACS+ Reporting with Vue Connect

• Vue PACS with native Vue Reporting streamlines the workflow boosting productivity and patient services

The Result

“(Vue Reporting) dramatically saves the radiologist the time it would take to otherwise (manually) enter this data. To my knowledge, Carestream is the only company with this feature and it is a direct benefit of reporting directly from the PACS.”

Dr. Andrew Deutsch,

President of RIMA

Customer Videos posted:http://www.youtube.com/user/carestreamhealth1



Vue merges our lineage of imaging innovation with leading-edge IT technology. Powered by proven expertise and leadership, Vue delivers streamlined workflow, clinical excellence and superior patient care.


Clinical Applications in Vue PACS

Health & Medicine

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