ECR 2013.indd - Agfa HealthCare
ECR 2013.indd - Agfa HealthCare ECR 2013.indd - Agfa HealthCare
use it all the time," says Dr. Saxhaug."It gives us a better visualization ofthe image volumes, and it is easierto interpret the images and to findpathologies. Another major use forIMPAX Volume Viewing is to comparetwo sets of images effectively byusing the registration tool: either acomparison of two different sequencesfrom the same exam or a comparison ofthe same sequence from two differentexams. This is an efficient way ofmonitoring tumor development andtreatment response over time."IMPAX Volume Viewing offers advancedvisualization tools including MIP/MPR,volume rendering and segmentation,and allows users to save reconstructedseries, static screenshots and videocaptures. With IMPAX Volume ViewingPLUS (an optional extension for IMPAXVolume Viewing), users at the NorwegianRadium Hospital can also view series infusion mode or subtraction mode, andit offers automatic registration of bothvolumes. "The advanced functionalityof automatic registration and fusion isextremely helpful and useful for us," saysDr. Saxhaug.A tight integration with IMPAX PACSmakes IMPAX Volume Viewing highlyefficient. "It improves the workflow, andyou don't waste time loading all theimages," comments Dr. Saxhaug. "It isseamless, easy to use, fast, offers a highlevel of automation and it has a familiaruser interface."Radiology-led MEETINGS benefitwith better view of patientinformationThe radiologists at the hospitalhold daily and weekly meetings inthe radiology department, wherethey demonstrate pathology for thehospital's clinicians. "In Norway,these meetings are a central wayfor the radiologists to provideinformation to clinicians," says Dr.Saxhaug.The daily meetings focus on cancerpatients who will be operated on, orreceive radiation treatment, that day.Clinicians attend in groups, accordingto their specialty area. For examplethe oncologists who are working withbrain tumors come as a group, or thesurgeons who are working with breastcancer. "We use Volume Viewing 'live'when we demonstrate pathology forthe clinicians, because we can chooseto display IMPAX Volume Viewing onthe projector screens. It gives thema better picture of the pathology. Forthe surgeons, for example, it makesit easier to visualize the tumors inreference to neighboring structures."The radiologists also host weeklymulti-disciplinary team meetings,which are attended by surgeons,oncologists, pathologists and nurses.These meetings include discussionson cancer treatment options and nextsteps, and here also the participantsrefer extensively to patient images.“The advanced functionality ofautomatic registration and fusionis extremely helpful and usefulfor us.”Dr. Cathrine Saxhaug,Specialist in Oncologic Radiology20 THERE
“It gives us a better visualizationof the image volumes, and it iseasier to interpret the imagesand to find pathologies.”Dr. Cathrine Saxhaug,Specialist in Oncologic RadiologyIn addition to providing a better viewof the images, the implementation ofIMPAX Volume Viewing has also helpedto streamline the daily and weeklymeeting process. "Because the VolumeViewing is so tightly integrated withIMPAX, we can start volume viewingright when we are in a specific study,"describes Dr. Saxhaug. "We use theIMPAX PACS as the 'mother' system, andwe have two image screens plus a thirdscreen where we have Volume Viewing.We are looking to add a fourth screen,which will add an area for text as well."New applications to helpmanage images and aid indiagnoses coming in futureA challenge for the Norwegian RadiumHospital, and for hospitals aroundthe world, is how best to manage theexponential increase and complexity inimages and data. Agfa HealthCare hasintroduced IMPAX Volume Viewing anda range of other clinical applicationsin answer to this need, and is workingon others that will further address themanagement of large image and datavolumes.For Dr. Saxhaug, advances intechnology in this area will becomeincreasingly important. "We use acombination of different imagingtypes and different modalities in themajority of patients, which meansa lot of information for radiologiststo sort. We need more help fromcomputers, in sorting differenttypes of signal intensities from allthe different types of sequences.This is what I think technology willdo in the future. If you 'teach' it, acomputer can sort this huge amountof information rapidly and presentit to us, much more easily than if welook through every single image ofan exam that has 7,000 images. Weare moving more and more in thisdirection," she concludes. •DID YOU KNOW…» The Institute for Cancer Research hasinternationally strong research groups withinbiochemistry, cell and tumor biology, genetics,radiation biology, immunology and cancerprevention.» The Norwegian Radium Hospital is part of theOslo University Hospital, one of the largesthospitals in Scandinavia, with more than 40different locations, and more than 20,000employees.» Oslo University Hospital treats more than 1.2million patients each year.SolutionsIMPAX Volume Viewing» Provides radiologists with advancedvisualization tools to diagnose large CT andMR volumes» Covers MIP/MPR, volume rendering andsegmentation» Allows users to save reconstructed series,static screenshots and video capturesIMPAX Volume Viewing PLUS» Optional extension, allows users to view twoseries from the same or from different studiessimultaneously and view series in fusionor subtraction mode, and offers automaticregistration of both volumes as well asstereoscopic 3D viewIMPAX PACS» World leader in enterprise-wide image andinformation management» Offers seamless integration with IMPAXClinical ApplicationsAgfa HealthCare’s contribution» Builds solutions that integrate seamlessly,across modalities and enterprise IT» In-depth knowledge of image and informationmanagement, founded on decades ofexperience with PACS» Can scale solutions and expertise accordingto modality and connectivity requirementsTHERE 21
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use it all the time," says Dr. Saxhaug."It gives us a better visualization ofthe image volumes, and it is easierto interpret the images and to findpathologies. Another major use forIMPAX Volume Viewing is to comparetwo sets of images effectively byusing the registration tool: either acomparison of two different sequencesfrom the same exam or a comparison ofthe same sequence from two differentexams. This is an efficient way ofmonitoring tumor development andtreatment response over time."IMPAX Volume Viewing offers advancedvisualization tools including MIP/MPR,volume rendering and segmentation,and allows users to save reconstructedseries, static screenshots and videocaptures. With IMPAX Volume ViewingPLUS (an optional extension for IMPAXVolume Viewing), users at the NorwegianRadium Hospital can also view series infusion mode or subtraction mode, andit offers automatic registration of bothvolumes. "The advanced functionalityof automatic registration and fusion isextremely helpful and useful for us," saysDr. Saxhaug.A tight integration with IMPAX PACSmakes IMPAX Volume Viewing highlyefficient. "It improves the workflow, andyou don't waste time loading all theimages," comments Dr. Saxhaug. "It isseamless, easy to use, fast, offers a highlevel of automation and it has a familiaruser interface."Radiology-led MEETINGS benefitwith better view of patientinformationThe radiologists at the hospitalhold daily and weekly meetings inthe radiology department, wherethey demonstrate pathology for thehospital's clinicians. "In Norway,these meetings are a central wayfor the radiologists to provideinformation to clinicians," says Dr.Saxhaug.The daily meetings focus on cancerpatients who will be operated on, orreceive radiation treatment, that day.Clinicians attend in groups, accordingto their specialty area. For examplethe oncologists who are working withbrain tumors come as a group, or thesurgeons who are working with breastcancer. "We use Volume Viewing 'live'when we demonstrate pathology forthe clinicians, because we can chooseto display IMPAX Volume Viewing onthe projector screens. It gives thema better picture of the pathology. Forthe surgeons, for example, it makesit easier to visualize the tumors inreference to neighboring structures."The radiologists also host weeklymulti-disciplinary team meetings,which are attended by surgeons,oncologists, pathologists and nurses.These meetings include discussionson cancer treatment options and nextsteps, and here also the participantsrefer extensively to patient images.“The advanced functionality ofautomatic registration and fusionis extremely helpful and usefulfor us.”Dr. Cathrine Saxhaug,Specialist in Oncologic Radiology20 THERE
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