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October 2003Siemens unveils reclining gamma camera for cardiology; GE Medical Systems acquisition of Instrumentarium approved; R2, iCAD settle patent suits; Fujitsu introduces MO drive with Dicom software; Vital images to integrate Mirada image fusion software
GE MEDICAL SYSTEMS acquisition of Instrumentarium approved The commission also analyzed the impact of the merger in the x-ray machine markets for mobile C-arms and mammography devices. However, the in-depth investigation did not reveal any serious competition concerns in particular in view of the significant position of competitors and other specific features of these markets. In addition, the commission cooperated closely with the US Depart-ment of Justice in the review of the GE/Instrumentarium case.
Fujitsu introduces MO drive with DICOM software The DynaMO Pocket with DICOM Viewer allows ultrasound and health care professionals to easily transport DICOM images and data on 3.5-inch MO disks (MODs) from medical imaging equipment to notebook PCs and workstations for convenient offline review. The DynaMO Pocket marks the first turnkey solution for offline image review from a desk or away from the office.
Kodak unveils new mammography system
The Min-R EV film contains a new asymmetric emulsion that provides both high contrast and wide exposure latitude, resulting in optimal exposure of glandular tissue without contrast loss in fatty areas and the breast periphery. This capability produces improved imaging of all areas of the breast in a single exposure. In fact, the films uniquely designed emulsion grains enable increased visibility of breast anatomy and maintain contrast even as optical density increases. Improvements in Kodak Min-R EV intensifying screens deliver increased sharpness. The system, which will be available worldwide by the end of this year, was trade tested at selected US breast imaging clinics. These sites included St John Hospital and Medical Center in Detroit and the Elizabeth Wende Breast Clinic in Rochester, NY. Kodak Min-R EV screen-film system provides exceptional contrast and detail, which enables me to detect tiny abnormalities and fine speculations, even in dense breast tissue. It also provides enhanced diagnostic confidence because I am seeing clinically significant anatomy in all areas of the breast, says Christine Watt, MD, chairman of St Johns department of imaging services. Wende Logan-Young, MD, founder of The Elizabeth Wende Breast Clinic, also tested the new screen-film system. With the Min-R EV screen-film system, I detected irregularly outlined tissue and calcifications more easily and saw greater detail in high-density areas, Logan-Young says. In addition, dose was reduced, eliminating many retakes due to patient motion.
STUDY: DIVERSE LA POPULATION REVEALS CANCER TRENDS
Among non-Latino white and black women, breast cancer rates have nearly doubled as women have fewer children and at an older age, the researchers said. Cancers of the colon and rectum are the third most commonly diagnosed cancers among men and women in Los Angeles, although rates have declined recently among whites, blacks, and the Latino white population but are still on the rise among Japanese, Filipinos, and Koreans. Among the more surprising findings, melanoma has increased so rapidly in Los Angeles County in the past 2 decades that it is one of the areas top five most common cancers, with researchers at a loss to explain a possible reason for that increase. Fourteen cancer sites were studied, including breast, prostate, lungs, and liver. The good news? Many of the cancers were affected by lifestyle, such as smoking, meaning the rates can come down. CEDARA LAUNCHES WEB-BASED PACS VIEWER
Cedaras new Web viewer advances the current capabilities of our PAC system, says Michael Plitnikas, PACS engineer at Mount Sinai Hospital in Miami Beach, Fla. We can now distribute patient information and digital images over the Internet in a way that is clinically relevant. Technologists can send images to the emergency department, hospital inpatient units, and to physician offices via the Internet while doctors working remotely can pull the images needed to expedite the care and treatment of patients. I-Reach also allows physicians to link comparison studies, display images in tile or stack mode, and display localizers. FDA ANNOUNCES DIAGNOSTIC X-RAY MANUFACTURING GUIDANCE
According to CDRH, diagnostic x-ray system manufacturers are subject to information disclosure obligations so that assemblers or other interested parties may obtain, upon request, information regarding the AIAT of an x-ray system to ensure it meets federal performance standards. The AIAT information should be provided at a cost not to exceed the cost of publication and distribution. The information helps to ensure compliance with performance standards that are intended to reduce unnecessary x-ray exposure to the patient and operator. The manufacturer can certify that the components or system manufactured meet the applicable federal performance standard only when they are assembled, installed, adjusted, and tested according to instructions. The assembler certifies that the system and its components were assembled, installed, adjusted, and tested according to the manufacturers instructions. Reliable certification, then, depends upon the manufacturer's providing adequate and complete instructions to the assembler. SOURCE ONE EXIT MAKES SWISSRAY SELF-SUFFICIENT Swissray is now self-sufficient in the US market, possessing the critical mass necessary to provide all services directly to our customers without intervening levels of business partners, says Terry Ross, Swissray CEO. Swissrays building phase began with a major equity investment and new management team in November 2002. Over the past 9 months, Swissray has undergone extensive reorganization and strategic repositioning, including the launch of direct sales, applications, and service teams in the United States. In related news, the company announced the promotion of Leo Ferrini to vice president of sales, Western region, and Steve Adelman to director of sales, Eastern region. Ferrini, with more than 25 years of experience in medical imaging equipment sales and senior management, joined Swissray in May 2003. Adelman, who joined Swissray in November 2002, has 20 years of sales experience with GE Medical Systems. FDA OKs 2 CADx systems The products, the Second Look Digital and Second Look AD CAD systems, will allow integration with the GE Senographe 2000D full-field digital mammography system. The Second Look AD has combined analog and digital capabilities to provide more flexibility to operate both traditional film-based mammography and newer digital mammography imaging. The Second Look AD and Second Look Digital CAD also allow multiple GE Senographe 2000D digital mammography units to process images for CAD while displaying the mammograms and CAD results on multiple radiologists workstations. Customers are demanding the combined approach of the Second Look AD," says Steve Rogers, CEO of CADx Systems. The power of the analog capabilities with access to digital CAD processing eases the transition for everyone as mammography moves from film to digital. The recent agreement with GE Medical Systems greatly expands our distribution capabilities and further confirms the value of our technology. The GE Senographe 2000D produces digital x-ray images without film and is designed to generate digital mammographic images that can be used for the screening and diagnosis of breast cancer. Viatronix gets FDA clearance fornew x-ray workstation Receiving FDA clearance to market the V3D Explorer for x-ray is a major milestone in our current strategy of establishing this product as a highly competitive and versatile general-purpose medical imaging workstation, says David Barnitt, CEO of Viatronix Inc. The V3D Explorer is a single solution that empowers the radiologist to efficiently evaluate not only CT, MR, PET, and SPECT images but also images from the new wave of digital x-ray systems and all forms of digital radiography. The V3D Explorer workstation can process both large and small radiology studies, according to the company. A multipurpose 2D and 3D viewing and postprocessing workstation, the V3D Explorer accepts DICOM-compliant images from several modalities, permitting radiologists to visualize patients studies in any 2D or 3D projection for better understanding of anatomical relationships and pathological conditions. RealTimeImage, MDexchange ink licensing agreement for web
PACS Under the terms of the agreement, MDexchange, a developer and marketer of Web-based clinical reporting systems, will embed RealTimes advanced iPACS DICOM viewer and Web-based image streaming technology into its software solution, which provides clinicians with access to patient information while protecting patient confidentiality and the proprietary clinical data of hospitals, labs, and imaging centers. RealTimeImages iPACS product line provides an open, Web-based, scalable imaging workflow solution. Based on the companys patented Pixels-On-Demand architecture, iPACS products provide the fastest image distribution and workflow solution available today according to the company. iPACS links any DICOM modality or archive to any PC or DICOM workstations, with no image compression or degradation in quality. In addition, images require no time-consuming preprocessing or intermediate storage. Philips launches AcQSim3 CT simulation workstation AcQSim3 combines the CT simulation features of the AcQSim workstation with Philips radiation therapy planning (RTP) system, Pinnacle3, creating a single shared platform and offering users an efficient integrated workflow solution. AcQSim3s integration with Pinnacle3 enables patient data to be shared within a common database, giving immediate data access to all Philips oncology workstations on a hospital or health system network. It also allows users to access Philips automatic image fusion application, Syntegra, and advanced intensity modulated radiation therapy (IMRT) application, P3IMRT. CTI and De Lage Landen form financing program for PET,
PET/CT
CTI Capital will expand the current financing alternatives we offer and strengthen our overall position in the marketplace, allowing us to provide a comprehensive package of products and services to our customers, says David N. Gill, CFO of CTI. With more than 30 years of experience in the leasing industry, we believe De Lage Landen has the expertise to provide CTI customers with comprehensive financial solutions, plus best-in-class service, Gill adds. He also says that De Lage Landen has extensive experience in the diagnostic imaging equipment market and has formed similar financing programs with other health care equipment manufacturers. De Lage Landen is the North American subsidiary of De Lage Landen International BV of the Netherlands, and a global provider asset-based financing products. NTP announces agreement to supply isotopes to MDS Nordion NTP has also been licensed to use MDS Nordions Y-90 production technology to produce and market Y-90 under its own brand in countries outside of Europe and North America. This new partnership will create an additional source of supply to MDS Nordion of Y-90 radiochemical for processing into Y-90 radiopharmaceutical used to manufacture cancer drugs such as IDEC Pharmaceuticals Corps Zevalin. Zevalin is the worlds first approved radioimmunotherapy and is used to treat a form of non-Hodgkins lymphoma. MDS Nordions Y-90 generators in Fleurus, Belgium, reportedly constitute the largest Y-90 production capacity in the world. With promising new radioimmunotherapies such as Zevalin already approved by the US FDA and other Y-90-based treatments moving through clinical trials, Y-90 is emerging as an important radionuclide in the treatment of cancer, says Claudette David, vice president, therapeutic products, nuclear medicine, MDS Nordion. We welcome this new partnership with NTP Radioisotopes as a concrete example of our continued commitment to supporting the development and adoption of these exciting new therapies by ensuring secure and reliable supply networks. MDS Nordion also manufactures a finished iodine-131 radioimmunotherapy product, Bexxar, for Corixa Corp. Zevalin and Bexxar are the only radioimmunotherapy products currently approved by the FDA. Caelum gains CAD grants The first award is a Phase II grant that provides continued support of Caelums research on Computer-Aided Diagnosis to Enhance Thoracic CT Image. The second is a Phase I grant for Detection of Lung Cancer via Registered Temporal Images. These two grants are Caelums 10th and 11th under the SBIR program since the companys founding in 1987. Caelums application of pattern recognition techniques to lung cancer early detection resulted in the creation of the RapidScreen RS-2000, the first CAD system for the early detection of lung cancer to be granted premarket approval by the Food and Drug Administration. The unit is marketed by Deus Technologies. Elekta to license Axeda Systems remote diagnostics for
linacs The agreement was designed to further improve Elektas service and remote diagnostics capabilities for their digital linear accelerators. As the worlds fastest-growing supplier of radiation oncology and radiosurgery solutions, we are constantly challenged to maintain the highest levels of customer satisfaction while maximizing the productivity of our service organization, says Tomas Pusepp, executive vice president of Elekta global sales, marketing, and service. By embracing the Axeda DRM system, we expect to become a more proactive service organization, ensuring better availability of our equipment for health care professionals and ultimately the patient. This will be achieved by improving our support levels and streamlining response times through the real-time automation and remote monitoring and diagnosis of vital system components. Elekta has purchased the following modules of the Axeda DRM system: Axeda Service, Axeda Enterprise, Axeda Access, Axeda Usage, and Axeda Software Management. The Axeda DRM system is a distributed enterprise software solution that allows instrument manufacturers to leverage the Internet to establish continuous connections to instruments deployed remotely at hospitals and treatment centers. Canon announces Japanese DR plant Canon established the new multimillion- dollar medical device assembly facility at the end of 2002, dedicating it to supporting the growing US market demand for DR systems. The Kamisato office facility, located in Saitama Prefecture northwest of Tokyo, will reportedly increase production capacity and reduce production costs for Canon medical products. A state-of-the-art facility that provides us with the ability to mass produce digital radiography sensors is the key to maintaining our leadership position in the DR market, says Neo Imai, director and assistant general manager, medical systems division, Canon USA Inc. At the facility, Canon has the ability to produce all components for each sensor, controlling all production with the Canon-developed process for creating amorphous sensor technology. The company says it has the capacity to manufacture more than 1,000 DR systems each year from the Japan location. Medrad touts new assembly line Medrad (Indianola, Pa) installed the custom-designed assembly line at its headquarters facility near Pittsburgh, making it the fourth installation in a phased initiative designed to meet the global demand for the companys disposable products through 2006. The automation converts syringe assembly and packaging into a process that doubles the syringes produced per person and maximizes consistency of the end product. No full-time permanent jobs are impacted, as the automation parallels the growth of Medrads sterile disposables revenues. Medrad currently holds more than 25 syringe-related US patents and is the pioneer of pressure-jacketless syringes for high-pressure contrast fluid injections for CT imaging. The company produces 15 different types of syringes, each specially designed for use with its vascular injection systems, which inject contrast fluids into the body during CT, MR, and angiography procedures. Syringes and disposable tubing are packaged in 47 different configurations to meet the unique needs of customers around the world according to the company. The companys new equipment first places a rubber cover over the plunger, sprays the barrel with silicone, inserts the plunger into the barrel, and then adds a dust cap to the tip of the syringe. The syringe is then manually inspected, placed in a newly formed package with automatically wound disposable tubing, sealed, and inspected again before moving to the sterilization process. The line produces a syringe every 1.13 seconds. The companys syringe technology creates more than 15 million medical images around the world every year. San Antonio hospitals to get Kodak CR units Under the terms of purchase, 25 Kodak DirectView CR 850 and CR 950 systems and five Kodak DirectView CR Long-Length Imaging systems will be placed in five hospitals and several hospital-affiliated imaging centers in the San Antonio area. The order from Methodist Healthcare includes Kodaks DirectView EVP software, which is available with Kodak CR systems, to enhance image quality by presenting both high-contrast and wide-latitude data on the same image. Kodak DirectView Total Quality Tool software was also included in the purchase. This software enables users to perform objective image tests and quality control measurements with the same interface used for examinations. Tests are conducted at the customers convenience without the cost, scheduling, or disruption of third-party testing. Additionally, testing can be suspended instantly when patients need to be imaged. Kodaks CR long-length imaging system provides hospitals and diagnostic imaging centers with digital image capture of full-leg and full-spine images. Kodaks fully automatic stitching software delivers images of up to 17 x 51 inches (43 x 129 cm) that can be viewed in softcopy or printed onto radiographic film with Kodak DryView Laser Imaging Systems.
The Acuson CV70 contains an integrated Dimaq ultrasound workstation for digital acquisition, storage, and display of complete ultrasound studies. It also contains a multihertz function that ensures improved penetration depth as well as tissue harmonic imaging that reportedly provides high diagnostic certainty in patients who are difficult to scan. The system was also designed to improve workflow and reduce costs. The products support for the DICOM 3.0 formats allows fast digital data transfer and easy integration into existing PACS systems according to the company. And images may also be stored in a digital patient folder or on a cost-effective CD-ROM in DICOM standard. Consorta renews contract with FujiFilm The contract, which includes all CR readers, imaging plates, cassettes, and accessories, is effective through June 30, 2006, and valued at approximately $15 million. Fujis complete line of digital x-ray equipment is named in the contract, including the entire FCR 5000 Series of CR readers, the compact SmartCR, and the ClearView-CS, which can be upgraded for mammography applications. The contract renewal is in addition to a film and dry imager contract also in existence between the companies. Toshiba demonstrates ultrasound system advancements The Aplio is a high-resolution, multimodality ultrasound system featuring Toshibas advanced dynamic flow (ADF) Doppler technology, dynamic microslice technology, and ApliPure real-time compounding imaging. The ADF technology provides superior visualization of micro-vessels within tumors and organs, involving a two-step process in which the Doppler digital image optimizer detects low-velocity blood flow. The microslice technology electronically focuses the elevation plane of the ultrasound beam, unlike conventional technologies, which are limited to a fixed-beam elevation. This provides a more focused ultrasound beam for thinner slices with greater anatomical detail, suited for high-resolution musculoskeletal and detailed breast imaging. Toshiba launches new 1.5T MRI system The EXCELART Vantage, a 1.5-tesla (1.5T) high-field MRI system, offers exceedingly linear 30 mT/m gradients with a slew rate of 50 T/m/s (tesla per meter per second) or 130 T/m/s. Despite the short length of the magnet, the system delivers the highest homogeneity of any magnet in the industry over a full 50-cm diameter spherical volume (DSV) (50 cm x 50 cm x 50 cm), according to Toshiba. In addition, it is equipped with a new faster CPU platform, aiming to increase patient throughput as well as future upgradability. The system also offers SuperFASE, very short echo spacing, half-Fourier RF refocused sequence for very high-speed 2D and 3D T2 weighted imaging, a technique that has also been adapted for imaging vascular structures in the abdomen and chest. With this technique, magnetic resonance angiography (MRA) images of venous and arterial vessels can be simultaneously visualized without the use of contrast agents. In addition to these techniques, the system is available with optional packages for advanced EPI functional, perfusion, diffusion, peripheral MRA, cardiac imaging, and SuperFASE imaging for even higher-resolution high-speed 2D and 3D imaging or non-contrast perfusion and MRA studies. Minnesota hospital will be showcase for Siemens With this alliance, Abbott Northwesterns heart hospital will serve as a research center for state-of-the-art imaging, diagnostic, and medical information equipment. It will focus on cardiovascular research by individual modalities, such as angiography catheterization labs and CT, as well as cross-modality clinical research to gain a better understanding of cardiovascular disease and its prevention and treatment. We are pleased to announce this alliance with Siemens and to serve as the site for them to showcase products and services, and demonstrate how a smart hospital can run, says Denny DeNarvaez, president of Abbott Northwestern. Siemens will provide additional funding for the research efforts, and Abbott Northwestern will utilize Siemens high-end cardiovascular imaging technologies. In addition, Siemens Building Technologies will assist in the layout and design of the new facility to ensure optimum patient care and comfort. When completed in early 2005, the new heart hospital will centralize the hospitals 128 cardiac beds and allow space for future growth. FDA clears Siemens linear accelerator
Through its workflow-enabling features, the introduction of ONCOR represents a milestone in radiation oncology, as well as for Siemens in debuting a new oncology workflow solutions offering, says Ajit Singh, PhD, president of Siemens Oncology Care Systems. By integrating ONCOR and the syngo-based COHERENCE Therapist workspace, Siemens provides the enabler for optimal workflow, empowering clinicians to set a new standard in the delivery of oncology care by increasing treatment efficiency and quality. ONCOR features OPTIFOCUS MLC, a new, full-field, high-resolution multileaf collimator that is based upon a unique, double-focused, fully divergent, low-leakage design. ONCORs high-resolution portal images, acquired via the OPTIVUE amorphous silicon flat-panel imaging system, provide patient positioning information and documentation. The system also incorporates Siemens patented OPTIBEAM IMRT, an optimized technique for intensity modulated radiation therapy (IMRT) delivery that uses best-in-class verification to safely provide treatments with speed and accuracy. InSiteOne joins forces with MedAssets With this agreement, InSiteOne will provide its patented InDex OnLine, Nearline, Recovery, and Web programs to MedAssets HSCA members throughout the country, enabling them to enter the filmless imaging market through a low-cost, pay-as-you-go, storage-services-provider business model. The agreement will also facilitate environments that have previously moved to a filmless platform to help meet and exceed HIPAAprescribed disaster recovery solutions for existing and future medical images. InSiteOne has established itself as the principal vendor for digital medical imaging archiving services, says Jerry Allen, director of radiology at MedAssets HSCA. Insite-Ones storage and recovery business model and breadth of services will integrate well with our hospital membership and with the large group of imaging centers we service. The service InSiteOne provides will complement and enhance other radiology services and products we administer. |
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