hcis vue pacs roadmap - carestream medical and dental imaging systems and healthcare ... · hcis...

HCIS Vue PACS HCIS Vue PACS

HCIS UK User Group Meeting Manchester, Sep 2014

HCIS Vue PACS HCIS Vue PACS

RoadmapRoadmap

Neville Skudowitz

Director of Commercialization & Product Management

Aug 2014

HCIS Delivery & Focus

HCIS continues to provide technology solutions that enable superior healthcare

delivery around the world

� Maintain leadership position in “core radiology”, enterprise imaging and healthcare IT

• Vue RIS & Vue PACS• Vue Client• Vue Reporting• Vue Motion• Clinical apps• Bookmarking• Tomosynthesis• MyVue

• Archive Solutions• Life Cycle• Security, privacy• Remote distribution• DIACAP• Distribution

• Archive Service• Reading Service• Enterprise Service• Portal for Radiology• Portal for Physicians• Portal for Patients

• Vue Connect• Multi-Site workflow• Teleradiology• Collaboration

Products and Features: ENTERPISE IMAGING WORKFLOW

What we will talk about?

HCIS Vue PACS and related solutions with v12.0

• Clinical Excellence & Vue Reporting

• Patient Management / Collaboration and Sharing

• Centralized Clinical Data IT Management, & Archiving

• Vue For Teleradiology

Notes:

• The product roadmap is provided for information purposes and is subject to change as the program evolves based

on market trends and customer requirements

• The content of this presentation is confidential, provided to our customers and should not be shared

Clinical Excellence

Clinical Excellence: What we have?

Efficiency; One Workstation does it all

• Radiology reading & reporting workflow

• 3D tools such as MPR, 3D, Vessel Analysis, Cardiac, PET-CT, VolR, Lesion Management, Tomosynthesis

• Vue Reporting built in

Clinical

Confidence

Intuitive

SimpleEfficientEfficient

Lower costs supporting &

serving the

enterprise

Faster Results, Enhanced Quality

Clinical

Confidence

Intuitive

SimpleEfficientFaster Results, Enhanced Quality

• Power Viewer enhances introduced native volumetric analysis & comparisons embedding into the standard Viewer

• Bookmarking providing intelligent follow up over time without reporting work already done.

Efficient

serving the

enterprise“The CARESTREAM PACS PowerViewer feature has helped us win new

contracts based on our ability to provide better and faster radiology reports”

“We are able to upload the priors and use Carestream Health’s innovative

automatic registration for more accurate comparisons.”

-- Quote: HMI (Innovative Radiology, Houston) --

Faster Results, Enhanced Quality

Clinical

Confidence

Intuitive

SimpleEfficientFaster Results, Enhanced Quality

• Power Viewer enhances introduced native volumetric analysis & comparisons embedding into the standard Viewer

• Bookmarking providing intelligent follow up over time without reporting work already done.

IT & Clinical productivity

• Single system providing effective workflow in single or multisite environments backed by a single IT infrastructure; providing a single global worklist

Efficient

serving the

enterprise

Clinical Excellence: Recent Enhancements

Lesion Management

• Value proposition: Intelligent, efficient and productive

• Utilizing the PowerViewer and Bookmarking directly inside the viewer

Automatic, fast, consistent

Vue PACS Clinical Excellence

Pain to measure lesions

The ways of the Past

Automatic, fast, consistent

� Measurements and lesions stored as bookmarks

� Relevant prior lesions automatically identified

� Same area in the current study automatically located, measured & coupled with prior

� Measurements and supporting data (RECIST) automatically populated to the report

• Requires manual segmentation of current & prior

• Requires manual measurement of current & prior

• Calculate RECIST (on paper)

• Manually cut and paste into the report or dictated "lesion noticed at image #24, measuring….etc.“

NIH supporting white papers (using Vue PACS Client Lesion Management software)

1. “Comparison of Tumor Size Measurements in Simulated Metastatic Lesions on Serial CT in a Phantom” (Tuesday, Nov. 27, 11:20-11:30 AM, Room S104A)

2. “Semi-Automatic Target Lesion Localization, Segmentation and RECIST Measurements on Serial CT Studies” (Tuesday, Nov. 27, 11:30-11:40 AM, Room S402AB)

3. “Optimizing Efficiency and Consistency of Metastatic Disease Treatment Evaluation Using CT Semi-Automated Lesion Analysis” (Tuesday, Nov. 27, 11:40-11:50 AM, Room S104A)

“Automated lesion measurement facilitates quantitative metastatic disease evaluation,

making treatment response assessment faster and more consistent.” -- Quote: NIH --

LTT Finds &

measures

previously

segmented lesions

LMA Example: Segmentation, Measurements, Lesion TrackingSegmentation, Measurements, Lesion Tracking

segmented lesions

Bookmark List & Automatic ReportBookmark List E-Report

Bookmark List

Measurements & charts Automatically inserted

into the Radiology Report

(when Vue Reporting is used)

Markup of Findings

• Each finding is localized, classified and quantified either manually or automatically (“Bookmarking”).

The Bookmark as a Tracking and Communications Tool

automatically (“Bookmarking”).

Follow-up

• A database of findings is established and used to drive follow-ups.

Communicate

• Bookmarks becomes hyperlinks in the report for two purposes:

1. immediate live access to the bookmarked item

(image, measurement, follow-up information)

2. simplified communication between radiology stakeholders.

Bookmarks & Hyperlinks

Loading Current and two Priors

Registering Current and Priors

Report of Prior 1

Clicking Bookmark Hyperlink

Measuring the maximal diameter of the aneurysm in the current study

Measurement automatically bookmarked and paired…

Opening the report editor with a template automatically selected

Dictating findings

Previously described aneurysm of the abdominal aorta has increased in size

Select findings

Select related bookmark

Selected text becomes a hyperlink to the bookmark on the images

Previously described aneurysm of the abdominal aorta has increased in size (50.4 mm)

Open the study in Vue Motion, the Web Clinician Portal

Click on the link in the text to navigate to measurement

Click on the bookmark icon to see all bookmark information

B01 B03

46.5 mm

Click prior's bookmark Info to compare with prior study

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

procedures along with any other procedure

Digital Breast Tomosynthesis Display

• Tomosynthesis Slabbing

– MIP, MPR, Slab thickness supported

– Enhanced detection of micro-calcifications and low density objects

Clinical Excellence: More…

64 bit software conversion

• Software fully 64 bit compliant; ahead of “emulation mode”

• Enhanced user experience when interpreting large datasets and comparing

many priors

• Foundation for future server side rendering

– Leading to advanced zero footprint WS

– Natural for cloud implementations

Clinical Excellence: More…

Clinical Productivity

• Clinical Enhancements & Tools

– Lesion Management lymph node segmentation tool

– Enhanced automated head-neck protocol in Vessel Analysis

– PET-CT Sphere tool: VOI measurement of SUV data

• Workflow

– A single report for multiple studies linked together

• Bookmark efforts

– Bookmarks can be marked, navigated, and reported in 3D applications

– Follow up of line and ROI measurements

– SUV measurement support for bookmarks and lesions

Vue Reporting

Vue Reporting: Added Value

Rich multi-media report content; Information at your fingertips

• Automatic inclusion of RIS HL7 information into the report

• Automatic inclusion of DICOM information into the report

–Patient demographic data, study information, modality type

• Automatic Inclusion of PACS generated information into

the report

– Hyperlinks to navigate directly to the images

– Key Images

– Bookmarks

– Analysis reports (vessel, calcium scoring, stenosis, aneurysm, lesion management etc.)

• Automatic insertion of DICOM structured report data into

the report

–E.g. Vascular and Obstetric Ultrasound measurements and Radiation dose

Vue Reporting: Added Value

Rich multi-media report content; Information at your fingertips

• Automatic inclusion of RIS HL7 information into the report

• Automatic inclusion of DICOM information into the report

–Patient demographic data, study information, modality type

• Automatic Inclusion of PACS generated information into

the report

– Hyperlinks to navigate directly to the images

– Key Images

– Bookmarks

– Analysis reports (vessel, calcium scoring, stenosis, aneurysm, lesion management etc.)

• Automatic insertion of DICOM structured report data into

the report

–E.g. Vascular and Obstetric Ultrasound measurements and Radiation dose

Advantages of Power Reporting from PACS

• Automatic data sharing between reporting and imaging applications

– Allowing easy creation of multi-media reports

– Less sensitive to human errors

• Single application involved in achieving reading and reporting tasks

– Single log-in and user-interface

– Efficient use of desktop space

• Seamless implementation of new business scenarios

– Teleradiology & Cross Site Reading

– Web Power Reporting

• Simplifies IT

– Less integrations

– Simpler deployment and upgrades

Vue PACS

Vue Reporting: Vue RIS & PACS

Vue RIS Vue PACS Vue RIS Vue RIS

Previous Reporting Workflow

Vue Reporting Workflow

Worklist Diagnosis Reporting Distribution

Vue RIS Vue RIS

Worklist Diagnosis & Reporting Distribution

Vue Reporting is based on a “new generation” of integration between Vue

RIS and Vue PACS

Providing the ultimate in access to information and images

Leveraging the strengths and core competencies of each system

Vue Reporting: Vue RIS & PACS

Vue Reporting: Main Workflow

Exam selection from Vue RIS Worklist (Diagnose)

Patient and exam information available in Vue RIS

Admin Monitor Diagnostic Monitors

Scanned documents, patient history etc.Scanned documents, patient history etc.

Images automatically displayed in Vue PACS client

Admin Monitor

Diagnostic Monitors

Relevant Vue Reporting template automatically selected

Admin Monitor

Diagnostic Monitors

Prior exams and reports available for comparison

Admin Monitor

Diagnostic Monitors

Report Generation (Vue Reporting Module)

Admin Monitor

Diagnostic Monitors

Exam’s status changes accordinglyExam’s status changes accordingly

Single multi-media report accessible from anywhere

Summary � Radiologist Desktop

Vue Beyond: Radiology BI (PACS & RIS)

Real-time bottleneck analysis

• Patients waiting to be scanned

• Exams in all workflow statuses

• Exam & report Turnaround Time

• Optional drill down by modality,

assigned radiologist, patient class, order priority etc.

order priority etc.

• Visual alerts according to user-defined thresholds

• Data filters by site organizational structure

Patient Scheduling Edit Module (RIS & PACS)

Patient Management /

Collaboration & Sharing

The Vue Motion Zero Footprint Viewer

Radiologists & Referring Physicians Access to Multi-Media Data

Characteristics

• Light

• Easy to Use

• Secure

• Seamlessly integration

Vue Motion is FDA cleared

• Seamlessly integration

Functionality in Vue Motion

Feature Set

• Reference Lines

• Linking & Synced Scrolling

• Comparing datasets

• Automatic Volume Registration

Feature Set

• Reference Lines

3D: MPR

Feature Set

• Reference Lines

3D: MPR/MIP

Feature Set

• Reference Lines

3D: MPR/MIP/MinPR

Feature Set

• Reference Lines

3D: MPR/MIP/MinPR/VolR

Feature Set

• Reference Lines

MyVue: Web Portal driven by Vue Motion

• Patient access to images & reports

• Patients share mages & reports

• Clinicians may share Patient images & reports

• SMS enrollment

• Patient Scheduling

• Benefits: Save on burning CDs, less dosage exposure

Vue Motion: Additional Services

• Benefits: Save on burning CDs, less dosage exposure

Teleradiology: Zero foot print Report Request driven by Vue Motion

• Order entry management

• Collaboration

• Upload supporting documents

• Benefits:Zero Footprint, Less interfaces, Less maintenance,

TeleradiologyWorkflowWorkflow

Teleradiology: v12.0 Added Value

Zero Foot Print Report Request (order entry)

Study (Image Data)

Remote Site: Imaging Facility

Reports

Teleradiology: Service Provider

Report Request

Reports

• Patient and Referring Physician data

• Exam specifics and life cycle data

• Procedure codes for display consistency and for billing purposes

• Patient insurance coverage

Value Proposition

• Reports can be created where ever images can be viewed

• Supporting data is available to the radiologist

• No integrations between systems at the remote site and the service provider

• Setting up additional sites is efficient, fast & low on costs

Pilot site: Innovative Radiology

CT, MRI, PET, X Ray, US, …CT, MRI, PET, X Ray, US, …

HMI(Houston Medical Imaging)

• Vue Reporting• Vue Motion• MyVue

Over 35 Remote

Imaging Facilities

Pilot site: Innovative Radiology

3rd Party

Billing

CT, MRI, PET, X Ray, US, …

HMI(Houston Medical Imaging)

• Vue Reporting• Vue Motion• MyVue

Over 35 Remote

Imaging Facilities

Vue beyond

Central Clinical Data IT Management, Control & Archiving System

Archiving System

IT: Vue Archive (VNA) & Vue Connect

Cross-site Reading with Vue Reporting

Efficient & productive

• One global worklist

• One Reporting Interface

• Synchronized multi-site workflow

Centralized, clinical information management and archiving solution

• Interoperability

• Scalability

• Flexibility

• High Availability

• Disaster Recovery

• Clinical Life-Cycle

• Tag Morphing

• Data Integrity

• Standards supported

• Security

• Disaster Recovery • Security

• Scalability

• Flexibility

• Tag Morphing

• Data Integrity

• Security

Sharing Workflow: Clinical efficiency

• Scalability

• Flexibility

• Tag Morphing

• Data Integrity

• Security

Sharing Workflow: Clinical efficiency

V12.0 Enhancements

• Zero footprint Web Portal for non-DICOM upload

• Large data file support (DICOM & non-DICOM)

• Video Streaming: Vue Motion/Vue PACS Client

A Unified Approach

A Unified Backend Approach – Store Once Consume As Needed

• The Carestream VUE suite is based on a single unified backend

Vue Suite: Unified Backend ManagerVue Suite: Unified Backend Manager

Serves

Patient PortalPatient Portal(MyVue)(MyVue)

EntEnt, Universal Viewer, Universal Viewer(Vue Motion)(Vue Motion)

Vue PACS Vue PACS WorkstationsWorkstations

Clinical Data Clinical Data RepositoryRepository

WorkflowWorkflow Security/Data AccessSecurity/Data Access

Manages

Benefits

• Any image/data archived is accessible by

of any of the viewers

• Single Database

• No complex fre-fetch and life cycle rules

between cache

• No data duplication

• Single user management, access &

control management

Dramatically reduces total cost of

ownership

Summary

HCIS continues to provide technology solutions that enable superior healthcare

delivery around the world

� Maintain leadership position in “core radiology”, enterprise imaging and healthcare IT

o Clinical Excellence & Vue Reporting

o Patient Management / Collaboration and Sharing

o Centralized Clinical Data IT Management, & Archiving

o Vue for Tele-Radiology

� Leverage the above experience and technology to deliver a patient centric medical

platform to consolidate, manage and share a variety of medical data.

o Image Capture, Store & Collaborate

o Expand meaningful & secured access and exchange of all medical content to care

providers

• Inside or outside the organization

• Through EMR or Web based portals on any web enabled device.

o Utilizing the Next Generation of Health IT Standards (DICOMWeb, XDS, HL7 FHIR, IHE profiles)

Thank You !!!!Thank You !!!!

https://www.youtube.com/watch?v=f2Xycu4c

s2Q&list=UUf8Nv_asaTDLBSTlEp4mCHw

Thank You !!!!Thank You !!!!

Talk LessLess, Say MoreMore

hcis vue pacs roadmap - carestream medical and dental imaging systems and healthcare ... · hcis...

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