The University of Florida Health’s (UF Health, Gainesville, FL) Wisdom in Diagnostic Imaging (WIDI) program is hard at work preparing for the 2018 Emergent/Critical Care Imaging SIMulation (SIM). Described as “SIM 6”, the SIM provides diagnostic radiology residents from dozens of community, academic and government institutions the opportunity for state-of-the-art assessment, training and targeted remediation. Visage is proud that Visage 7 is the exclusive enterprise diagnostic viewer for the SIM. Through Visage’s latest blog post, you’ll learn more about the SIM, and why Visage 7 has proven to be indispensable to the program.
400 million. That's the number of radiology studies (currents and priors) that have been processed and used for primary interpretation by U.S. imaging organizations operating within a Deconstructed PACS strategy over the last four years. Indeed, the modularization of PACS has come a long way, delivering on "best of need" for healthcare organizations from coast to coast.
We've analyzed the transformation, highlighting the current state with fresh perspective in two new articles. Thank you to AuntMinnie.com for publishing Revisiting Deconstructed PACS: Part 1 and Revisiting Deconstructed PACS: Part 2 over the last two days.
What's your imaging journey? If you are considering or have executed a modular PACS strategy, we'd love to hear from you. Please be sure to post your feedback on the AuntMinnie.com Forums, your favorite social media channel, or drop us a note.
[Note: If you missed the original 2014 article on AuntMinnie.com, here's the link to: The Time is Now for Deconstructed PACS.]
It’s time to close the book on another outstanding RSNA! For the 50,000+ of you who attended, thank you for making RSNA 2017 a record year for Visage Imaging! While we need to wait until January 2018 for the RSNA to report the official 2017 attendance figures, we’re not waiting to share our 7th Annual Visage’s Top Five. But first, if you haven’t read Visage’s RSNA 2017 announcements, I encourage you to review our pre-show press releases [“Enterprise Imaging Excellence with Visage at RSNA 2017”, “Visage Signs Yale New Haven Health”, and “Visage Speeds Ahead with AI”] and blog post, “Sneak Preview | RSNA 2017”. Now, on with Visage’s Top Five!
This blog post shares insider insights that will help customers and RSNA attendees learn more about Visage at RSNA 2017, and for those not attending RSNA, provide visibility into what differentiates Visage. This year we're in two locations at McCormick Place: (1) Our main booth in the South Hall - A, McCormick Place, Booth #4365 on the corner of the major cross-aisle (off of the escalators) at the rear of the hall. (2) Our deluxe kiosk is in the first of its kind, RSNA Machine Learning Showcase, Booth 8149M, North Hall - B). We’ve detailed below some of the refinements we’re bringing to Chicago, including booth renderings and actual booth graphics. We hope you enjoy your insider access!
As one of several members of the Visage Imaging (“Visage”) team with both clinical and business backgrounds, I am privy to seeing “the good, the bad, and the ugly” when it comes to customer implementation processes. With the knowledge of having a clinical background and participating in numerous technology implementations, I’ve seen what worked and what didn’t, and it has given me an interesting perspective. My multi-decade clinical background covers multiple modalities (CT, MR, Diagnostic Radiology, and Angiography), as well as administrative roles as a modality manager and department management. The business side of things often conflicts with the clinical side, but must align in the end for the greater good of the department and ultimately the institution.
Over the course of the last 20 years, user expectations in the PACS world have grown exponentially. Ultimately, we all want our cake… and we expect to be able to eat it too. But, like a cake, if you don’t know the ingredients to use, don’t have access to all of the ingredients, have poor quality ingredients, or have an incomplete recipe, the final outcome may not be very palatable. Beyond ingredients, execution of your team, including preparation of your oven, are critical. Perhaps your oven temperature is consistent, but what happens if no one is watching the oven? Or maybe a timer isn’t being used? Or maybe your pan runs hot or it wasn’t properly greased? There are many ways to screw up the cake, or make it flat out delicious.
We've finally arrived at our last post in our "speed" series of blogs, “Can you? Visage can.” In our last chapter, we discussed how how legacy solutions haven't handled multiple workflows very well, requiring third party software, additional licensing and servers required to support the additional requirements. In contrast, Visage 7's elegant architecture eliminates redundant dataflows, streamling the enterprise imaging infrastructure.
In today’s Imaging environment, interoperability reigns supreme. Radiologists don’t read off of a series of displays in a vacuum, they read in an integrated cockpit. Surrounded by multiple large format, high resolution displays, multiple applications perform an orchestrated ballet in patient context with each and every new study launched. Within a 180 degree glance, the radiologist typically has visual access to their reading worklist, their reporting application, their diagnostic viewer, the EHR, as well as other diagnostic and clinical software applications.
And that brings us to our next topic in Chapter 11: Interoperability.
Welcome to the second to last post in our "speed" series of blogs, “Can you? Visage can.” In our last chapter, we discussed how most people think about speed in terms of the front end (e.g., the viewer(s)), but don't adequately consider the speed of the backend (e.g., the server(s)).
A good way to look at speed is that they are two sides to the same imaging coin. If either is slow, it's going to slow your imaging organization down. If you're an organization with significant incoming volume, the slower the backend, the likelihood your radiologists will be working from behind is high. If both sides of the Imaging coin are slow, then you'll likely have a slew of problems organizationally that only get compounded with scale. One measure of backend speed is study ingest performance, or how quickly can the server(s) process incoming DICOM studies. Visage 7 is scaled to support massive ingest performance, supporting tens of millions of studies annually. It's also important to repeat that Visage has never encountered a PACS, viewer, archive or VNA that can even come close to the speed, ingest performance and scale of Visage 7.
Most legacy PACS architectures do not have streamlined architectures, meaning they require multiple servers, with a variety of functions, networked together in order to deliver the total requirements of the PACS. When institutions want to add (for example) additional locations, add multiple new modalities, add mobile imaging access, and support new -ologies, additional servers are typically required. These add to the architectural complexity that must be supported, but how does it impact speed?
And that brings us to our next topic in Chapter 10: Multiple Workflows.
As many healthcare institutions look to assemble governance, obtain budget and execute strategies for their enterprise imaging programs, I’ve observed a common barrier in crossing the chasm from planning into reality: perceived risk.
Risk is something that has not happened (yet) and it may never happen. It’s a potential problem. When used to evaluate an enterprise imaging strategy, several key decisions must be made:
Thank you for your interest in our "speed" series of blogs, “Can you? Visage can.” In our last chapter, we discussed how access to prior exams at the point of interpretation is a continuing challenge for many institutions. There's numerous reasons for that struggle, from the inability to access the priors from their originating institutional archive(s), to the massive aggregate size of multiple priors (particularly for multi-slice CT and DBT studies). In contrast, Visage 7 has an all priors philosophy, without any sacrifice of quality or speed. In addition to Auto Prior rules for current/prior display, all priors in Visage 7 are always immediately available for display. Radiologists deserve to have immediate access to all priors, whenever and wherever required, in order to deliver optimal patient care. That is the standard Visage 7 provides, for each and every interpretation. Just last week Visage 7 went live at an esteemed regional institution, and for the first time in their history, radiologists have immediate, routine access to all patient priors at the time of interpretation. We'll explore this story in a future blog post, but once again speed is the enabler.
And that brings us to our next topic in Chapter 9: Study Ingest Performance.