Enterprise Imaging

Enterprise imaging brings together all imaging exams, patient data and reports from across a healthcare system into one location to aid efficiency and economy of scale for data storage. This enables immediate access to images and reports any clinical user of the electronic medical record (EMR) across a healthcare system, regardless of location. Enterprise imaging (EI) systems replace the former system of using a variety of disparate, siloed picture archiving and communication systems (PACS), radiology information systems (RIS), and a variety of separate, dedicated workstations and logins to view or post-process different imaging modalities. Often these siloed systems cannot interoperate and cannot easily be connected. Web-based EI systems are becoming the standard across most healthcare systems to incorporate not only radiology, but also cardiology (CVIS), pathology and dozens of other departments to centralize all patient data into one cloud-based data storage and data management system.

The ASNC is one of several medical imaging societies asking Congress to repeal the appropriate use criteria (AUC) criteria mandate. They say it poses issues for clinicians and is becoming outdated by changes in CMS payment systems. The AUC requirements call for documentation using CVMS authorized software in order to show advanced imaging such as nuclear and CT is justified, or else Medicare payments might be withheld.

VIDEO: AMA will ask Congress to revise clinical decision support mandate for cardiac imaging

American Society of Nuclear Cardiology (ASNC) delegates to the American Medical Association (AMA) House of Delegates 2022 meeting Stephen Bloom, MD, and Nishant Shah, MD, explain a new AMA policy asking Congress to revise its clinician decision support mandate. 

Thumbnail

70% of ‘mini-stroke’ patients imaged incompletely, risking full-on stroke

Emergency patients diagnosed with transient ischemic attack are supposed to receive, per multiple society guidelines, a complete imaging workup as soon as possible—preferably within 48 hours of ED discharge.

Shortened POCUS curriculum leaves residents long on confidence, short on skills

Point-of-care ultrasound instruction that is less than comprehensive risks boosting trainees’ perceptions of relative proficiency without building their objective expertise in image interpretation.

~1 hour a day per radiologist: Time saved by workflow-integrated AI for chest CT

When AI-generated annotations of real-world chest CT images were made available to interpreting radiologists in a randomized prospective study, the assisted rads cut their read times from 421 seconds to 328.

Major med-tech player to tap Mayo data for research advancement, product development

Mayo Clinic is opening its stores of real-world data from 10 million de-identified patients to a U.S.-based medical technology outfit with 75,000 employees and international reach.

Refined decision aid proves fruitful for patients with kidney masses

Complex renal cysts or solid renal masses appear in 13% to 27% of individuals who receive abdominal imaging.

Ischemic stroke CT scan showing color coded blood flow for early and later arterial and venous contrast phases and areas of blocked blood flow. Image courtesy of RSNA

4 pressing ‘unknowns’ about sex, gender differences in stroke care, outcomes: American Heart/Stroke Associations

Because cerebral vessels are smaller and potentially more fragile in women than in men, future research into mechanical clot removal for stroke treatment should be “sufficiently powered to detect sex-specific differences in neuroimaging profiles and treatment techniques.”

Many clinicians flouting X-ray-first guidelines for ankle imaging

Established clinical guidelines hold that patients presenting with ankle issues should not receive advanced imaging ahead of standard radiography. New research shows a substantial proportion of ordering clinicians sending these patients straight to MRI anyway.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.

Trimed Popup
Trimed Popup