Clinical image from Siemens
SOMATOM Definition CT
Siemens RSNA Roundup: Cutting Edge Imaging and IT
November 28, 2005
CHICAGO, Nov. 27 and 28, 2005 - At RSNA, Siemens Medical Solutions demonstrated the company's trend setting through imaging and information technology (IT) solutions to drive efficiency and improve patient outcomes. Siemens is showcasing its leadership in healthcare IT and molecular medicine, as well as other leading-edge imaging innovations that will enable physicians to predict and detect disease earlier.
"Siemens is leading the way in developing and bringing to market healthcare innovations that will increase the quality of life," said Dr. Erich Reinhardt, president and CEO, Siemens Medical Solutions. "The future of healthcare relies on our ability to utilize technology to understand disease earlier, develop the best treatment plans, improve clinical workflow and decrease costs - and ultimately help patients enjoy longer and healthier lives."
The Future is Molecular Medicine
Siemens has assumed a leadership role in the evolution of molecular medicine through the allocation of significant resources for research and development and its strategic partnerships. The recent acquisition of longtime partner CTI Molecular Imaging, Inc. marked a milestone in Siemens' quest to forge new paths in molecular medicine.
"Along with our customers, we see the future of healthcare in molecular medicine," said Reinhardt. "Our efforts in preclinical, clinical and biomarker solutions will help to drive the discovery of new methods for diagnosis and treatment of disease."
Molecular medicine is expected to assist physicians and researchers in the understanding of the root causes of disease, rather than simply managing the resulting conditions. Siemens is taking the lead in developing a comprehensive set of diagnostic tools that include molecular imaging techniques that will enable pre-symptomatic and early disease detection.
"We expect molecular imaging will lead not only to improved clinical outcomes, but also could initiate a dramatic shift in the delivery of healthcare from `managing sickness' to a focus on maintaining wellness," said Michael Reitermann, president, Molecular Imaging Division, Siemens Medical Solutions.
Trendsetting in Healthcare IT
As connectivity and interoperability continue to drive the healthcare discussions from Washington, D.C., to points around the globe, Siemens is providing solutions that help link physicians and patients, as well as all of the clinical information about a patient, throughout the healthcare continuum. Visitors to the Siemens RSNA booth see the role of syngo and Soarian in delivering end-to-end workflow capabilities, while providing the foundation for an electronic health record by allowing real-time access to the complete patient record, including images and data.
As the first major diagnostic technology vendor to provide a comprehensive portfolio of integrated imaging and IT solutions, Siemens has attained a string of trendsetting achievements in healthcare IT, including:
* Siemens acquired Shared Medical Systems in 2000, a strategic move that merged Siemens' imaging expertise with a company with established leadership in healthcare IT.
* Since launching Soarian - the core element of its new generation IT strategy - Siemens remains the only vendor to develop a net new, Web-based, workflow-driven health information system (HIS).
* Today, more than 100 healthcare facilities are live on Soarian modules. Soarian is the only HIS with a workflow engine that integrates IT, modality and communication solutions.
* Siemens has expanded the successful syngo image management platform, including integrated Radiology Information System (RIS) and Picture Archiving and Communication Systems (PACS), with unprecedented linkages to Soarian. This brings together all Siemens software into a single instrument to support patient care.
Seeing is Believing--SOMATOM Definition
From molecular medicine to solutions in imaging and IT, the future of healthcare relies on the ability to understand disease earlier, improve patient outcomes and decrease costs. Diagnostic imaging innovations from Siemens are integral to this process and vital for the continuum of care. The company's technological advancements in diagnostic imaging - including X-ray, ultrasound, magnetic resonance imaging, computed tomography (CT) and molecular imaging are all being demonstrated at RSNA 2005. A key attraction at the Siemens booth is the SOMATOM Definition, the world's first dual source CT system, which was introduced to the market less than two weeks ago. The first system to incorporate two X-ray sources and two detectors, the Definition provides two data sets that allow doctors to differentiate, characterize, isolate and distinguish body tissues and fluids, providing unmatched image resolution and the most detailed diagnosis.
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Healthcare IT Portfolio Also Showcased
Highlighting its comprehensive, integrated workflow environment that forms the basis of a true electronic health record (EHR), Siemens Medical Solutions also featured the syngo Suite at RSNA.
Siemens' IT portfolio is designed to enable providers to deliver a cohesive, patient-focused experience - from registration to discharge - across the continuum of care. With the syngo Suite, image acquisition, Radiology Information System (RIS), Picture Archiving and Communication System (PACS), and post-processing come together with the clinical and administrative cycles addressed by Soarian, Siemens' new generation health information solution (HIS). Soarian features a longitudinal clinical repository that gives clinicians browser-based, real-time access to the complete patient record, including patient histories, demographics, allergies, results and images.
"Siemens understood the importance of integrating imaging and IT workflow early on, embarking upon a trendsetting strategy," said Tom Miller, president, healthcare IT Division, Siemens Medical Solutions. "With the syngo Suite and Soarian we are driving the future of healthcare by helping to advance accurate, quick diagnoses and early disease detection."
syngo and Soarian: Partners for End-to-End Workflow
Through syngo, all imaging workflow, from scheduling to viewing and reporting, is role-based and available at the referring physician and radiologist's fingertips. Working across all modalities and offering advanced RIS, PACS, and post-processing in a comprehensive package, the syngo Suite includes:
-syngo Imaging - Siemens' Radiology PACS, which is scalable to meet the image volume needs of large academic medical settings to smaller diagnostic imaging centers. The solution features specialized workplaces; Smart Select, a patented navigational tool; dynamic loading and intelligent layout enhancements to speed image reading; tight integration of all components; and advanced post-processing functions.
* syngo Workflow - Drives the complete radiological workflow from order entry to image and report distribution. More efficient radiological diagnoses and interpretation are supported via new integrated referring physician and radiologist portals* that combine the traditional information located in a HIS, RIS and PACS into a single user interface and workspace.
* syngo Dynamics** - A multi-modality, dynamic image review, diagnosis and archiving system, enabling evidence-based reporting to help improve the efficiency of clinical procedures for cardiology, general imaging and OB/GYN. The solution is scalable for imaging clinics, hospitals and multi-facility health enterprises and features optional interfacing to clinical or hospital information systems.
With HIS, RIS, PACS and post-processing on a single unit, integrated workflow with syngo and Soarian:
* Optimizes decision making for physicians by providing seamless transition between diagnostic images and the patient record with a simple mouse click.
Provides access to patient histories, results, images, medications and lab data via a single workstation, helping to support safe and efficient care and more accurate diagnosis.
* Enables physicians to verify the appropriateness of tests with more complete information.
* Helps improve financial outcomes through more efficient standardized tools to control cases, identify irregularities, and generate accurate claims.
* Creates knowledge to transform existing standards of care, leading to prevention, earlier diagnosis, greater efficiency and better outcomes.
Meeting The Needs of Diagnostic Imaging Centers
Through the company's strategic partnership with NextGen Healthcare Information Systems, a leading provider of ambulatory electronic medical record (EMR) and practice management (EPM) software, Siemens also provides an end-to-end workflow solution for standalone diagnostic imaging centers. (The companies recently achieved the first successful go live of Siemens RIS/PACS integrated with the NextGen EPM system at Galen Medical Group, the largest multi-specialty medical group in the Chattanooga, Tenn. region, in October 2005.)
"There is much being said about the need for greater IT adoption in healthcare and the integration of imaging and IT, but Siemens is the vendor that is making it happen and meeting our business model needs today," said James Busch, M.D., director, Specialty Networks, the application service provider (ASP) for the Galen Medical Group. "From a standalone imaging center perspective, having RIS/PACS interoperating with an EPM system provides a complete solution for managing our imaging workflow - from scheduling, registration and interpretation to billing - and that is what we achieve through our Siemens partnership."
In collaboration with Siemens, Specialty Networks expects to bring at least nine other diagnostic imaging center customers live on the Siemens/NextGen solution in the coming year.
Notes:
* The syngo Portals "Radiologist" and "Referring Physician" are not yet commercially available.
** 510(k) approval pending.
Siemens Also Showcases Advanced Clinical Applications for Magnetic Resonance Imaging; MAGNETOM MRI Systems and Software Improve Healthcare Delivery
Focusing on the powerful combination of Tim(R) (Total imaging matrix) technology and syngo(R) applications, Siemens is also showcasing its advanced magnetic resonance imaging (MRI) applications at RSNA. From spinal to breast imaging and body diffusion techniques to remote assistance, Siemens' MRI leads the industry with advancements that are helping medical professionals improve the delivery of healthcare.
"As an innovation leader in MRI, Siemens is constantly enhancing its portfolio of clinical applications, helping the clinician achieve faster, more accurate diagnostic workflow," said Nancy Gillen, vice president, MRI Division, Siemens Medical Solutions. "Tim-powered applications have brought medical imaging to the next level by allowing doctors to detect and diagnose disease states earlier, offer more treatment options, and increase workflow and efficiency."
Innovative Applications
During RSNA 2005, Siemens is showing the capabilities of syngo Expert-i* with two live scans each day of the RSNA show. These syngo Expert-i demonstration scans will be conducted in real-time from the University of California - Los Angeles and Northwestern University in Chicago, allowing visitors to experience the advantages of remote assistance. syngo Expert-i gives physicians and experts the ability to interact remotely during the MRI examination from virtually anywhere, making it possible to address difficult clinical questions via a networked personal computer while a patient is being scanned. The entire patient set-up, imaging data and all sequences can be viewed in real-time, requiring less training while improving efficiency, quality and throughput.
Other Siemens MRI solutions highlighted at RSNA include:
-- syngo SPACE - Providing fast and more accurate 3D imaging with contrasts, SPACE is ideal for complex spine, head, inner ear, abdomen and pelvis cases, replacing multiple 2D acquisitions. With the combination of SPACE and Tim's Parallel Imaging capabilities, medical professionals are able to identify small plaques with higher confidence as well as survey the brain in less than five minutes with isotropic resolution. It is also ideal for spinal foramina examination.
-- syngo SWI - Siemens is the only medical solutions provider offering Susceptibility Weighted Imaging (SWI), a technique that reveals blood products and venous structures with great clarity in a matter of minutes. This allows for better depiction of bleeding in stroke and brain trauma patients, visualization of contusions and shearing injuries, and identification of minute intracranial vascular malformations.
-- syngo REVEAL - REVEAL, a body diffusion technique, provides additional information for differentiation of lesions throughout the entire body, offering high sensitivity to potential malignant lesions. This technique provides functional information about primary and metastatic tumors with great image quality. With Tim, examinations can be done locally and can extended to other organs without coil or patient repositioning.
-- syngo GRAPPA - GRAPPA, a Parallel Imaging Technique that provides robust image quality, speeds up spine imaging for patients with severe back pain or small children. Providing high temporal resolution in cardiac imaging even in double oblique orientations, GRAPPA is capable of being used with a small field-of-view with high spatial resolution for higher diagnostic confidence - even smaller than the subject's anatomy.
Women's Health and MRI
MRI is an integral part of breast imaging, providing not only increased visualization of the extent of lesions but also the involvement of ductal structures. With an estimated 211,240 new breast cancer cases expected to occur and a prediction of 40,410 related deaths in the U.S. this year, the need for earlier detection is evident. Siemens' MAGNETOM MRI systems and software make the process of imaging and evaluation easy-to-use, fast and reliable.
"MRI has the ability to serve as another option in screening for cancers as it is essentially uninfluenced by breast density, unlike traditional mammography," said Gillen. "This improves the doctor's ability to identify breast cancer and administer treatment at an early stage, ultimately saving more lives."
As part of the standard configuration, Tim Breast Suite includes dedicated protocols in various orientations, providing image assessment in any plane and increasing diagnostic confidence with techniques such as bilateral VIEWS. DynaCAD provides radiologists with Siemens-optimized computer-aided diagnostic tools to assist doctors in detecting disease earlier and streamline workflow by managing the large volume of images involved in today's studies. The integrated solution of DynaCAD and Siemens' MRI systems is distributed by Siemens on a worldwide basis for all MAGNETOM MRI users.
Powerful Imaging Systems
Siemens MRI systems featured at RSNA include the MAGNETOM Trio, the first 3 Tesla (3T) whole-body MRI with Tim, opening new doors to clinical applications including abdominal, cardiac, spine, whole-body and orthopedic. Also shown is the MAGNETOM Espree(TM), the world's only open bore 1.5T MRI system - also equipped with Tim - that offers more room than the traditional MRI. This is the only system to adequately address issues related to obesity, claustrophobia, elderly and pediatric patients, while capturing high-field 1.5T quality diagnostic images. Siemens' Tim technology is the first seamless, whole body surface coil design that combines up to 102 seamlessly integrated coil elements with up to 32 RF Channels, opening the door to the most advanced clinical applications available today. Tim technology enables flexible coil combinations to encompass local high resolution imaging to large anatomical coverage up to 205 cm (6'9"), while other systems require the radiologist to change coils and reposition the patient three times for a whole-body MRI procedure.
Note:
*syngo Expert-I is pending 510(k) review and is not yet commercially available in the U.S.