Future Of Diagnostic Imaging

1
Future Of Diagnostic Imaging
(Part 3)

• A Look Into The Next Decade

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2
MR More signal, capability, procedures
History of MR
1980s
1990s
2000 - 2010
Magnets Base Systems
Gradient Systems
The Decade of RF
Excite The Protons!

• Fast Spin Echo
• Echo Planar Imaging

02
07

• Fast
• Easy to Use
• Robust
• Anatomical
• Functional

Massively Parallel
8-Channel
32-Channel
RF
Higher Field Strengths
1.5T
3.0T
Magnet
3
3.0T Comprehensive Neurosurgery

• MR-Guided Intra-Operative Procedures While
  Maintaining Full OR Functionality.

• Multi-Modality Image Guided Techniques.

• Support Variety of Surgical Procedures.

• State-of-the-Art Patient Transport Design.

• Dual use of 3T Magnet
• Diagnostic imaging
• MR Guided Surgery

4
Never been seen before new applications driving
procedure volume
2003
1998
1.5T 800 minutes 1 mm resolution
3T 3.5 minutes 0.16 mm resolution
5
Noninvasive / minimally invasive therapy
Focused US Tumor Ablation

• USA Breast Cancer 180K new cases per year
• Hysterectomies 170-300K / year for uterine
  fibroids
• 10 Sites globally are in Alpha testing of the
  technology
• 400 patients successfully treated for Uterine
  Fibroid, Breast Fibroadenoma Breast Cancer -
  negligible adverse events
• Ablation of tumors is monitored in real time
  using temperature sensitive MR imaging
• Business Case
• Potential patient population of 100,000
  annually.
• Estimated Reimbursement rate 7K-8K
• A clinic can effectively perform 3-4
  procedures/day

6
Why Is Digital Mammography Needed?

• Image Quality
• Film mammo has 20-35 missed cancers (screening)
• Film mammo has low positive predictive value
• Overexposed, underexposed films
• Film has poor contrast at skin line, chest wall
• Productivity / Economic
• Film is expensive to buy, process, handle store
• Interventional procedures
• Only one copy of film cannot be transmitted

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Todays Digital Solution
Todays Digital Solution
Review Workstation
Advanced Applications
Acquisition Platform
CAD
Printer
RWS or PACS
Storage Cache
RIS Interface
Workflow Connectivity Productivity Quality
Control IQ Dose
Improved Detection Softcopy Review Speed During
Review CAD Solutions Reduce FP/Biopsy Clinical
effectiveness
Improved Detection Dataflow Reporting Softcopy
Review Speed During Review Connectivity
8
FFDM Advanced Apps Target Mammographys Key
Limitations

• TACT 3D

• Delivered

• Delivered

Limitation Interpretation variability Overlapping
tissue Lesion 3D features Lesion not
x-rayradio-opaque Image quality and QC
Solution ? CAD ? 3D ? 3D ? ContrastU/S ? FFDM

• Delivered

FFDM/US Fusion