January/February 2001


Features

Cover Story
The CCF Seeks - and Finds - True Integration
  by Rich Smith
  The Cleveland Clinic Foundation is an exemplary site for demonstrating the efficiencies to be gained in a totally integrated digital environment.

Vascular Centers: What Works?
  by Liz Finch
  In the evolving environment of vascular centers, players agree that approaching the model from a purely defensive posture is a sure way to fail.
The Launch of CREST
  by Robert W. Hobson II MD
  A commentary by the principal investigator on the Carotid Revascularization Endarterectomy vs Stent Trial currently qualifying centers for participation.
A Turn-of-the-Century Census
  by Peter Pesavento
  Current trends and future projections portray a booming future for radiology.
The Importance of RIS
  by Rich Smith
  While digital picture archiving and communications is impossible without PACS, proponents believe the radiology information system is the foundation of an electronic radiology environment.
In Search of the Value Proposition
  by Ramin Khorasani MD
  Looking beyond PACS to comprehensive information management, there is a key question to address for all intending to implement PACS: What is to be gained?


Departments

  Viewpoint
Playing the Numbers
  by Cheryl Proval
  The data contributed to this journal's first annual census underscores the fact that utilization is increasing at a far greater rate than is the number of radiologists.
  Guest Editorial
Should Your Hospital Establish a Stroke Center?
  by Richard E. Latchaw MD
  The authors make the argument for establishing an institutional resource and base for referrals.
  Technology Economics Review
Vascular Imaging in 2001: Beyond Angiography
  by Judith Gunn Bronson MS
  As MRA, CTA, and ultrasonography increasingly displace the classic contrast angiogram, radiology's biggest challenge may be in educating referring physicians on the merits of these less invasive studies.
  Imaging Business
Marketing Vascular Services: High Tech to High Touch
  by Liz Finch
  Interventional radiology is generating business through initiatives directed both at referring physicians and the general public.
Special Section

Demystifying ASP
  by R. Ernest Waaser
  By clarifying the nature, advantages, and best uses of application service providers, this report will bring its readers up to date on a trend likely to be important to the future of radiology.
ASP Infrastructure: Beyond Copper Wire and Fiber Optics
  by Rick Mancilla
  The infrastructure required to complement the remote hosting of storage and application services is actually an environment of equipment, people, and processes.
Financially Speaking
  by Nicole Pliner, MHSA
  Inquiries into ASP PACS must include a complete analysis of vendors, serious review of contractual terms, and a complete understanding of unit costs in the film environment.
Outsourcing the Electronic Medical Record
  by Osman Ratib, MD, PhD
  Health care entities attempting to create an electronic medical record could consider creating this elusive document in an application service provider environment.
Q & A: Issues in ASP
  by Robert Cooke, Douglas M. Tucker, PhD, Dean Kaufman, Rich Smith
  Representatives from Agfa Corporation address issues in application service provider models in picture archiving and communications in a question-and-answer format.
Next Generation PACS
  by Carter H. Yates
  For PACS to become mission critical, system owners must avoid the configuration mistakes that can make a system run suboptimally and prove difficult to remedy.

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