Feature | Information Technology | July 31, 2019 | By Greg Freiherr How Smart Devices Can Improve Efficiency Innovation is trending toward improved efficiency — but not at the expense of patient safety, according to… read more Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more News | Artificial Intelligence | August 05, 2019 Montefiore Nyack Hospital Uses Aidoc AI to Spot Urgent Conditions Faster Montefiore Nyack Hospital, an acute care hospital in Rockland County, N.Y., announced it is utilizing artificial… read more Related Content The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s. News | Electronic Medical Records (EMR) | August 01, 2019 DrChrono Teams With DeepScribe to Automate Medical Note Taking in EHR DrChrono Inc. and DeepScribe announced a partnership so medical practices using DrChrono EHR can use artificial… read more Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019 The Challenge of Pediatric Radiation Dose Management Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate… read more News | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … read more Key Topics for Radiology Administrators at AHRA 2019Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:33Loaded: 2.15%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -7:33 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button. How It WorksStroke images from participating acute care hospitals in Maryland and Washington, D.C., are transmitted for interpretation by a CRISP-based team comprised of a stroke specialist, neuroradiologist and stroke resident. Following diagnosis, the stroke specialist collaborates with emergency physicians to triage patients and plan treatment.The images are taken using CTs installed at the regional hospitals. A DICOM-enabled edge device, integrated with a hospital server, queries the on-site picture archiving and communication system (PACS) for the CT images, caches and then transmits them through the HIE for interpretation. Feature | Information Technology | June 05, 2018 | By Greg Freiherr HIE-Based Image Exchange Saves Lives and Money This image exchange system accelerates the diagnosis of stroke patients and individualizes the treatment program News | PACS | August 09, 2019 Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and… read more News | Artificial Intelligence | August 08, 2019 Half of Hospital Decision Makers Plan to Invest in AI by 2021 August 8, 2019 — A recent study conducted by Olive AI explores how hospital leaders are responding to the imperative read more PreviousNext Greg Freiherr News | PACS | August 08, 2019 NetDirector Launches Cloud-based PDF to DICOM Conversion Service NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options… read more Technology | Cybersecurity | August 07, 2019 ScImage Introduces PICOM ModalityGuard for Cybersecurity ScImage Inc. is bridging the gap between security and functionality with the introduction of the PICOM ModalityGuard…. read more Why StrokeStroke is the fifth leading cause of death in the U.S.; the third leading one in Maryland; and the chief cause of serious, long-term disability in the U.S. Ischemia caused by clots accounts for 87 percent of all strokes. Advanced methods for clot removal, notably the 2013 development of advanced suction catheters, have substantially improved patient outcomes, according to Phipps.Conversely, hemorrhagic stroke comes from the rupture of a blood vessel in the brain. Blood accumulation increases pressure, which causes blood loss to nearby tissues. Patients are treated by controlling the bleed and relieving the pressure.Symptoms alone do not define the type of stroke. The only way to determine the type — and the most effective treatment — is the accurate interpretation of brain scans, Phipps said. Many community hospitals lack the necessary diagnostic and therapeutic resources, much to the disadvantage of the stroke patient. Effective treatment must begin within six hours of symptoms, he said. “Ischemic strokes may only allow treatment for a short time. Time is brain.” The sooner the reperfusion, according to Phipps, the better the outcome.In 2015, research published in the Journal of the American Medical Association (JAMA) showed that more than half — and up to more than 70 percent — of patients reperfused between 4 and 4.5 hours since the onset of stroke symptoms showed good clinical outcomes after 90 days. This compared to between 20 percent and slightly more than 40 percent of patients who showed similar outcomes when reperfused between 5.5 and 6.5 hours. Improving CareIn a presentation at 2018 Healthcare Information and Management Systems Society (HIMSS) conference, Phipps and CRISP program manager Karan Mansukhani presented preliminary data about the operation of the CRISP-based image exchange. Over the last three years, patient transfers to the comprehensive care centers have risen from 43 in 2015, to 66 in 2016, to 91 last year. Repeat imaging studies were zero in 2015, eight in 2016 and five last year.CRISP allows the display of current images in the context of priors and other clinical data, including laboratory values. This accelerates the diagnostic process and dramatically reduces the time to treatment, Mansukhani said.“The data that we have collected so far shows that we are able to save 56 minutes on average in time to decision,” he said. “Because stroke treatment is time sensitive, getting images (and data) in front of a specialist is critical.”This point is underscored by the higher percentage of patients who score better on the “modified Rankin” score, which indicates disability due to stroke. Ninety days after the stroke, according to Mansukhani, 28 percent of patients showed a good outcome after the image exchange technology became operational. This contrasts with 20 percent of patients who showed a good outcome before the technology, he said. HIE Imaging SharingData gathered by Mansukhani and Phipps show that the HIE-enabled electronic image exchange is substantially better than image sharing that relies on physical media. Inefficiencies associated with these media, such as CDs, may lead to repeat CT studies, Mansukhani said.When establishing electronic image sharing within an HIE, they recommend leveraging “champions” within these exchanges who can ensure that the exchanges are set up and operate efficiently and effectively. To be effective, these exchanges need to work with PACS administrators and radiology technologists, said Mansukhani. “Without their hard work, our lofty goals would be beyond us.” Greg FreiherrA regional image exchange system is saving lives and reducing radiology costs in Maryland by improving the efficiency and effectiveness of diagnosing and treating stroke patients.The image exchange, part of a statewide health information exchange (HIE) called CRISP (Chesapeake Regional Information System for our Patients), not only accelerates the diagnosis of stroke patients, but also allows their treatment to be individualized. Further, it affords the option for transfer to a comprehensive stroke center where patients can receive advanced therapy.This one-two punch of diagnosis and treatment is particularly important for rural hospitals in Maryland that do not have experts to interpret computed tomography (CT) images or the resources to execute advanced therapies. “We have learned that we can really improve lives,” said Michael S. Phipps, M.D., MHS, director of the University of Maryland’s Brain Attack Center, which serves as one of the Maryland Comprehensive Stroke Centers. “When we are able to view images quickly, we can make better decisions faster. That changes outcomes.” Greg Freiherr has reported on developments in radiology since 1983. He runs the consulting service, The Freiherr Group. FacebookTwitterLinkedInPrint分享 How image sharing through a health information exchange benefits patients while saving time and money is depicted in this slide shown at HIMSS 2018. Graphic courtesy of Karan Mansukhani.