The Windy City may be cold, but McCormick Place will be filled with what's hot in imaging when the 92nd Annual Meeting and Exhibition of the Radiological Society of North America (RSNA of Oak Brook, Ill) takes hold November 26–30. Aside from multiple mini-reunions with friends and colleagues, one of the best RSNA-related perks is seeing the best and brightest—and the future—of technology, solutions, and services.

And attendees aren't the only ones looking forward to checking out "what's next." Many of the manufacturers exhibiting at the event are just as eager to see what's on display.

"We always look forward to exploring the modality developments at RSNA," says Lynda Domogalla, marketing manager of Barco Medical Imaging Systems (Portland, Ore). "These give us insight into the future and provide us with a direction for the product advances we plan to bring to the market."

In addition to looking at the horizon, exhibitors also scout the hall for partners who could make an immediate impact.

"We will be looking at all the different applications of x-ray technology to see how our products—digital x-ray image detectors and x-ray tubes—can best be integrated into customers' systems," says Kenneth Brooks, PhD, vice president of marketing and sales at the Varian X-ray Products Division (Salt Lake City).

MEDRAD Inc (Indianola, Pa) has a similar goal. "I think the most interesting and potentially market-changing technology from our standpoint is interfacing the CT injector with the CT scanner," says Tony Maiore, marketing manager of CT injectors at MEDRAD. "I'm expecting to see some very interesting concepts as this technology starts to show its potential for data management and information sharing with equipment in the CT suite."

From electronic medical records (EMRs) to Integrating the Healthcare Enterprise (IHE), many eyes also will be on current trends that impact every area of the health care industry.

"I'm expecting new steps in some trends that are becoming more important. Medical facilities are working toward the merge of all kinds of patient data into one EMR. How will this information find its way throughout the whole hospital?" asks Piet Candeel, senior vice president of Barco (Kortijk, Belgium). "Another confirmation we will probably find is the trend toward advanced visualization. How can we handle all the information that becomes available via the more and more efficient and powerful modalities?"

According to David Chambers, vice president of sales and marketing for Agfa HealthCare Americas (Greenville, SC), "In particular, I am eager to see how the IHE initiative has been progressing. To improve the way health care data is shared electronically, making hospitals and caregivers more efficient, is key to Agfa's mission."

New Offerings: Better Than Pumpkin Pie

An annual tradition for many imaging professionals, the post-holiday gathering in Chicago offers something the family festivities don't: new stuff. In addition to the standards—300-plus refresher courses, 200 scientific sessions, 719 exhibitors—the Radiological Society of North America (RSNA of Oak Brook, Ill) is serving up several supplementary subspecialty series and a case-based course in MR. The subspecialty courses combine education and research to delve into a variety of topics, including interventional oncology, pediatric radiology, and emergency radiology. Looking for immersion? Pick one of the daylong, case-based sessions tackling neuroradiology, pediatric radiology, interventional radiology, or radiation oncology. A "Review of MR" course also is available. Attendees will have access to the audience-response system, which allows for self-assessment. Another new all-day endeavor is the radiologist assistants (RAs) program kicking off on Sunday, November 26. Designed to meet the educational needs of the professional RA as defined by the American Registry of Radiologic Technologists (ARRT of St Paul, Minn), the curriculum is slated to cover abdominal imaging, pediatric imaging, practice standards and ethical issues, and career advancement through clinical portfolio development over a span of 21.5 days. Speak Easy Distinguished speakers are scheduled throughout the week. Highlights include: Monday, November 27: The Eugene P. Pendergrass New Horizons Lecture, "Image-Guided Cancer Treatment: The Science and Vision of an Emerging Field," delivered by J. William Charboneau, MD; Tuesday, November 28: The Annual Oration in Diagnostic Radiology featuring the lecture "Cardiac Imaging—A Second Chance" delivered by Kerry M. Link, MD; and Wednesday, November 29: The Annual Oration in Radiation Oncology, "Looking Beyond Anatomic-Based Treatment in Radiation Oncology," delivered by Theodore S. Lawrence, MD. Getting Stronger An anticipated 60,000 individuals are poised to swarm the 510,220 square feet of the McCormick Center, and the revamped, user-friendly floor plan is sure to make it easier for everyone to get where they want to go. To help attendees find refresher courses, scientific sessions, and plenary sessions that include information on quality improvement, quality assessment, and patient safety, the online program—as well as the printed meeting program—tags them with a "QA" content code. This feature also is noted in the appropriate subspecialty content brochure, which will be available on-site. This year's meeting sees the increase of the maximum number of American Medical Association Physician's Recognition Award (AMA PRA) Category 1 Credits available at 85. To further help attendees maintain certification requirements, the RSNA is offering 19 self-assessment modules in a variety of subspecialty and general content areas. Making a command performance are the Digital Mammography Training and Self-Assessment Workshops, which debuted last year and were a crowd favorite. Offered over 4 days and starting on Sunday, November 26, the 12 data sets incorporate interactive training sessions to challenge skills and improve performance in mammography screening. For more information about the 92nd Annual Meeting and Exposition, visit rsna2006.rsna.org. —D. Hinesly

Standing Tall

The only thing that eclipses vendors' excitement for the wares of others is their pride in displaying the results from another year of research and development at their respective companies. Each new booth is all but guaranteed to boast solutions and products that are new or improved—or both.

Focus appears to be split relatively evenly between technological enhancements and software-based developments; for many manufacturers, it's both.

"Our product innovations may manifest themselves in either technology or software," explains Clay Larsen, vice president of marketing and network business development of FUJIFILM Medical Systems USA (Stamford, Conn). "As both a modality vendor and a software services provider, we innovate along both ends of the spectrum."

According to John Allen, assistant director of Canon Medical Systems (Irvine, Calif), "Canon has made both technology and software advancements. With the introduction of the CXDI-40EC and CXDI-50C, Canon addresses the needs of DR systems that deliver high-quality images with minimal x-ray exposure to patients, making it ideal for pediatric and orthopedic use, among other applications. Canon's latest software complies with HIPAA and IHE standards for interoperability to help ensure easy, effective integration with an organization's network."

Hitachi America Medical Systems (Twinsburg, Ohio) also has made improvements in both categories. "The addition of the Echelon [1.5T MRI] to our lineup is certainly a technology advance. Echelon's conventional horizontal field technology is complemented by cutting-edge subsystems, and … a very powerful scan/reconstruct/processing engine we call Vertex," says Shawn Etheridge, director of MR marketing for Hitachi Medical. "Software features that take advantage of this architecture include many pulse sequences and capabilities migrated from our open MR products, plus new features like time-resolved MRA [MR angiography] and RADAR, our radial imaging capability."

Also making improvements in both categories is TeraRecon Inc (San Mateo, Calif), which introduces the VolumePro 2000 board featuring a new processor. "The Falcon processor technology represents a significant technical advance for volume visualization applications where visualizing and analyzing extremely large 3D/4D volume data is an essential requirement," says Steve Sandy, VP of marketing at TeraRecon. "VolumePro 2000 is designed and optimized for real-time visualization of extremely large volumetric data sets in critical applications, such as advanced medical diagnosis and procedure planning."

Functionality from technology, including the emergency management planning opportunities offered from DMS Health Group (Fargo, ND), also will have its day at RSNA. "One phone call will activate a personal emergency plan that has been formulated specifically for the health care facility's imaging department," explains DMS CEO Paul Wilson.

The Only Constant Is Change

Leave well enough alone? Never! Manufacturers are a tough lot to please, and even with market-leading products, they continue to tinker and sweat to advance their offerings.

"We have significantly enhanced our RMS product and renamed it RISynergy. The product now optimizes the workflow within a radiology department that also uses a PACS and/or voice-recognition system," says Randall Swearingen, president and CEO of Swearingen Software Inc (Houston). "RISynergy also has been greatly enhanced to make it more applicable to clinics and imaging centers with the addition of an integrated billing module, precertification capabilities, and numerous marketing reports. And it is in the initial stages of becoming Web-enabled."

Growing capabilities of services or products is another area of robust growth. "We've expanded our services in two key areas. First is IT solutions, focusing on customer compliance, standardization of reports, and nuclear medicine center management," explains Lynn Bender, director of PET marketing, nuclear pharmacy services, at Cardinal Health (Dublin, Ohio). "[The second area is] our PET Foundations program, focusing on the clinical benefits of PET in cardiology and providing tools to market that service to help grow patient volumes for our PET customers."

Medical Muse

It's like the iPod: creativity and function blended together to make everyone else think, "Why didn't I come up with that?" Yes, inspiration comes in all forms—and for original equipment manufacturers (OEMs), it drives the future of the industry.

Some sources are sought for specific goals. "The evolution of our products has stayed true to our core—complexity made simple through elegant workflow and enhancing communication," says Susan A. Wood, PhD, executive vice president of marketing and product development at Vital Images (Minnetonka, Minn). "Our biggest drive to the RSNA is developing an innovative solution for Web-deployable, customized clinical solutions for enterprise-wide advanced visualization and analysis."

RSNA 2006: Inside the Guide

A Preview of Products: Breast Imaging Cardiology/Angiography CR, DR, Film, R&F, and X-Ray CT Data Archiving, Storage, and Distribution Furniture Monitors and Displays MRI Nuclear Medicine, PET, and SPECT Oncology PACS/RIS Printers and Printing Supplies Services Software Ultrasound Other Products    Also: When in Chicago...

Others gain impetus from a wider view. "Our [motivation] is to enhance the workflow, productivity, and reporting capabilities of radiology departments," Swearingen says. "We are always on the lookout for any new technology that will facilitate us in that effort."

Face Time

Despite million-dollar products, high-level meetings, and well-funded marketing budgets, what really determines the bottom line for most vendors is simple: Are customers happy?

"The RSNA is always an exciting meeting to attend, because it gives us an opportunity to discuss new customer requirements with the show's attendees and explore new applications with them," says Canon Medical's Allen.

Allen is not alone in that sentiment. "The customer's needs are our primary drive," says Joseph Habovick, product manager of infusion systems for MEDRAD. "We frequently ask the medical community for problems and challenges incurred that may prevent providing their customer—the patient—with high-quality care. This one method allows us to problem-solve with creative and innovative design."

One guarantee of this and every RSNA is that it provides the opportunity for businesses and their markets to come together, working to improve the industry. To help you prepare for an event that is always over too fast, we've compiled the following preview of products from more than 130 companies that will be exhibiting at RSNA. Medical Imaging will be there, too—stop by South Hall Booth 3115 to say hello.

Breast Imaging

Clockwise from top left are breast imaging offerings to be showcased: the SoftScan from ART Advanced Research Technologies, the 1.5T Dedicated Breast MRI from Aurora Imaging, the CT Laser Mammography system from Imaging Diagnostic Systems, and A-Spots markers from Beekley Corp.

ART Advanced Research Technologies Inc (Montreal). ART's SoftScan is an optical medical-imaging device that provides an alternative to x-ray mammography. Women are examined without any breast compression or exposure to ionizing radiation. Also from ART is the eXplore Optix, an optical molecular imaging device designed for monitoring physiological changes in living systems at the preclinical study phases of new drugs. The system noninvasively interrogates biological tissues to accurately reveal fluorescent biodistribution and concentration in vivo.

Aurora Imaging Technology Inc (North Andover, Mass). The company will introduce the SpiralRodeo technology for use with the Aurora 1.5T Dedicated Breast MRI System. The new feature means improved resolution with a significant decrease in scan time for better dynamics. Acquisition efficiency is also superior with the SpiralRodeo—three times greater than traditional 3D fourier transformation reconstruction, according to the company.

Beekley Corp (Bristol, Conn). "A" marks the spot thanks to Beekley's new A-Spots Radiopaque Palpable Mass Markers. Burnout resistant and easy to see on tangential views, the distinct triangular shape of the A-Spot precisely and unmistakably documents the location of a palpable abnormality directly on the image. The ultrafine .25-mm-diameter radiopaque material minimizes obscuring of underlying tissue detail, but still images brightly.

Imaging Diagnostic Systems Inc (IDSI of Plantation, Fla). The CT Laser Mammography (CTLM) system will be featured at RSNA, along with clinical results from IDSI's Luminary Partner sites. The CTLM system combines the technologies of optical molecular imaging and CT and is intended for use as an adjunct to mammography. Requiring neither compression nor injection, the procedure images angiogenesis, helping clinicians to differentiate between benign and malignant lesions and possibly reduce the number of negative biopsies.

Breast imaging products include Sentinelle Medical’s Vanguard breast MRI table (left) and Varian/Interay’s GE Senographe replacement tubes (right).

Sectra (Linköping, Sweden). Using photon-counting technology, Sectra's MicroDose Mammography promises fundamentally new digital detector technology to significantly reduce the patient's radiation dose without compromising image quality. The company's Sectra Breast Imaging PACS incorporates workflow optimization with blind double reading and CAD capabilities. Both products are components in Sectra's total mammography solution, which—in addition to the MicroDose technology and dedicated PACS—includes a mammography stand and the capacity to integrate with existing information systems.

Sentinelle Medical (Toronto). The Vanguard breast MRI integrated table features improvements in coil technology, needle guidance and access, and ergonomics that benefit both patient and clinician. An open architecture design provides complete medial and lateral access to the breast, and additional access in the anterior direction enables breast positioning similar to stereotactic mammography. The Vanguard system currently is compatible with GE Healthcare's 4- and 8-channel MRI.

Varian Medical Systems/Interay (North Charleston, SC). Two new GE Healthcare (Waukesha, Wis) mammography-replacement products are available from Varian/Interay. Featuring a Rhodium/Moly track for emission performance, the M152 is a direct replacement for the DMR Senographe and is designed to calibrate flawlessly in the DMR systems. The new M153 is designed to replace the GE D4162M in both the Senographe 700T and 800T systems.

Cardiology/Angiography

AADCO Medical Inc (Randolph, Vt). Working to minimize radiation overexposure from the use of x-ray fluoroscopy during diagnostic and interventional procedures, AADCO has developed a sterilized disposable surgical drape. Called the X-Drape, it is made from AADCO's proprietary nonleaded composite radiation-absorbing material, X-Ban. The X-Drape is placed within the sterile field over the patient's body and absorbs the radiation scattered from the patient, reducing the dose by as much as 98%.

Cardiac imaging products include MIMvista’s CTCA software (bottom), Philips Medical’s Allura Xper FD20 (top left), and Shelley Medical’s vascular models (top right).

MIMvista Corp (Cleveland). New features of the MIMcardiac will be demonstrated at RSNA, including CT coronary angiography (CTCA) and SPECT/PET perfusion/metabolism registration, which allows for the localization between 3D and cross-sectional images. MIMvista also has added automatic extraction and 3D/2D visualization of CTCA image volumes to its MIMcardiac display and analysis software.

Philips Medical Systems (Andover, Mass). Adding to its line of cardiovascular x-ray solutions, Philips Medical will introduce the Allura Xper FD20, which can capture twice the amount of clinical information at a resolution four times greater than that of conventional angiography systems. Boasting a 2k imaging flat detector system with pivoting functionality, the FD20 is designed for a complete range of vascular procedures, both diagnostic and interventional.

Shelley Medical Imaging Technologies (Toronto). Two new anatomically correct vascular models will be on display from Shelley Medical Imaging Technologies, division of Shelley Industrial Automation Inc. First is a flexible right carotid bifurcation stenosis; second is an anterior circulation model that connects to the company's existing line of aortic arch and abdominal models. The company also will display its accurate and realistic vascular and computer-controlled physiological flow simulation products for use with quantitative flow, angiographic and endovascular techniques, and training.

Toshiba America Medical Systems (Tustin, Calif). Toshiba Medical's Infinix VC-i with 12 x 16 Flat-Panel Detector will be on display. This dedicated cath lab angiography system streamlines workflow through an all-digital system for clear images and efficient exams.

CR, DR, Film, R&F, and X-ray

Biospace (Paris). Crossing the Atlantic to join RSNA, Biospace brings with it EOS, its new dual x-ray 2D imaging system. Combining the advantages of 3D imaging, very low irradiation doses, and full-body scanning (including simultaneous face and profile), EOS is able to produce 3D reconstruction of the entire osteoarticular system. Employing two microstrip gas detectors placed at 90° angles, the digital dual-radiography scanning system promises doses 5 to 10 times lower than conventional x-rays.

CR, DR, film, R&F, and x-ray offerings at this year’s RSNA: Biospace’s EOS dual x-ray 2D imaging system, Canon Medical’s CXDI-40EC, Radcal’s 4085D+ Multipurpose Analyzer, and Fluke Biomedical’s CR RadChex test tool.

Canon Medical Systems (Irvine, Calif). Canon will spotlight the two new additions to its DR product line: the CXDI-50C Portable DR system and the CXDI-40EC Premium DR system. The CXDI-50C system features a 14- x 17-inch image area with LANMIT 7 (Large Area New-MIS Sensor and TFT) detector technology, which is geared toward pediatric use because of its ability to deliver high-quality diagnostic images with minimal x-ray exposure to patients. The CXDI-40EC system is equipped with a 17- x 17-inch imaging area for capturing large and small images without adjusting the detector orientation.

CPI Canada (Georgetown, Ont). The CPIVision is a new digital fluoroscopic workstation for the CPI Indico family of RF generators. Capable of saving an entire fluoroscopic series and designed to store images directly to disk, the solution system is compact and easy to deploy. The CPIVision also features DICOM integration, angiographic, and annotation tools.

Fluke Biomedical (Cleveland). Two new devices will be available for review at RSNA. First, the 35080M Non-Invasive kV Divider is a pocket-size device that measures kV when directly exposed to an x-ray beam. Test results are displayed instantly in direct numerical kV values on the 35050 Triad Dosimeter, or values can be calculated using an oscilloscope. Second is the CR RadChex test tool. Now available in a wireless configuration, it is used to ensure that the system is delivering the proper dose to the patient and CR imaging plate.

GE Healthcare’s Definium 8000.

GE Healthcare (Waukesha, Wis). The company's portable digital x-ray system, the Definium AMX, was designed to meet the needs of virtually any portable application. Also on display will be GE Healthcare's next-generation, fixed-room DR system, the Definium 8000, which offers multiple configurations from a wall stand to a full, comprehensive radiographic room. The Definium 8000's Auto Image Paste function generates single panoramic views of the human anatomy, particularly the spine and legs, without any visible seam lines. And the VolumeRad application allows for multiple images to be acquired on the digital detector with only a single x-ray exposure.

iCRco Inc (Torrance, Calif). The iCR7200 Dual Bay CR system employs patented technology to scan phosphor screens (CR plates) and simultaneously process two cassettes. The result is a throughput of 180 full-size plates per hour using its two high-resolution CR bays. A patented design incorporates iCRco's flat scan path, a scan mechanism that works without ever touching the active area of the plate. Because no stresses are placed on the plate during the scanning process, the result is consistent, ultrahigh-resolution images with high fidelity across the entire image. The iCR7200 Dual Bay comes standard with a touch-screen monitor, a user interface, and an integrated bar code scanner.

Imaging3 Inc (Burbank, Calif). The Dominion 3D, based on low-dose fluoroscopy, is able to deliver detailed 3D medical diagnostic images of virtually any part of the human body in real time. The device is sized to be able to roll through a standard hospital-room doorway and can run off a standard wall outlet so that a separate room or facility is not required. The Dominion's slim, flat-panel detector imaging head provides unfettered access to the patient's entire body.

Kodak’s DR 9500

Kodak's Health Group (Rochester, NY). A new multipurpose DR system will debut in Kodak's booth. The DirectView DR 9500's ceiling-mounted U-arm tube and detector, combined with multiple operator interfaces, equips this single-detector system to perform exams that normally require dual detectors. Able to accommodate a variety of popular mobile radiographic tables, the system's three operator interfaces minimize the need for technologists to move during imaging exams. It also moves with ease around the patient, making it well matched for general radiography, pediatric, geriatric, and trauma patients.

Radcal Corp (Monrovia, Calif). The 9095 Multi-Purpose Analyzer measures dose, dose rate, kV, time, and mAs. Users can set time and radiation units, temperature, and pressure-compensation modes; choose or eliminate main-menu functions; and control other parameters. Radcal also will be introducing a new instrument line to complement its ion-chamber-based instruments. The automated, 4085D+ Multipurpose Analyzer is based on diode dose sensors and is coupled with the company's Accu-kV technology for true kV measurements. Exclusive FFT kV technology, waveform output, interchangeable sensors, and total remote control round out the package.

Clockwise from top left are more CR, DR, and x-ray products, including Source-Ray’s SR-130D portable x-ray system, Swissray’s ALLinONE, and Varian Medical’s PaxScan.

Source-Ray Inc (Bohemia, NY). Source-Ray will feature three models of its portable x-ray systems. First, the SR-130D Direct Capture Digital Portable X-Ray system uses a 14- x 17-inch x-ray sensor panel and an integrated touch-screen computer, making it possible for images to be captured, viewed, and verified at the bedside. Next, the SR-130 delivers the maximum mR/mAs, producing 3 kW of power that can reduce exposure times on difficult radiographic anatomical views, minimizing patient-motion problems. Finally, the durable and highly reliable SR-115's folding design makes easy work of moving the 85-pound system.

Swissray International (Elizabeth, NJ). Patient data, such as weight and height, is automatically collected and wirelessly transmitted to the ddR system being used via Swissray's ALLinONE Stand. After receiving the data, the eXpert 5000 calculates the perfect x-ray exam technique for that particular patient's physique. Swissray also now adds its Automated Positioning System (APS) to all of its DR systems. APS automates all positioning and image-acquisition requirements and transfers patient data directly from the RIS/HIS via a DICOM worklist. Another announcement is the launch of its worldwide Proactive Remote Monitoring service. Jointly developed with Questra Corp (Redwood City, Calif), the service fully supports monitoring, diagnostics, proactive, and reactive alarms; remote desktop control; software configuration management; and analytics on a real-time, around-the-clock basis.

Toshiba America Medical Systems (Tustin, Calif). The company's ceiling-mounted T.Rad-Plus Digital system's portable DR panel is built with independently moving components. It boasts a 700-pound table capacity and a color touch-screen control panel for tableside operation. Next, with its portable DR panel, the Kalare R&F is a 100% filmless system that works like two, improving the utility of one room. In vascular x-ray, Toshiba Medical will showcase its patented suite of integrated planning tools available on its full line of Infinix 3D vascular labs—DeviceFusion and BoneFusion. And GuideView technology enhances visualization of guide wires and other devices by fading live image backgrounds during fluoroscopy procedures—potentially reducing contrast use, exam time, and device positioning.

Varian Medical Systems / Interay (North Charleston, SC). Varian Interay has been adding to its line of replacement tube products. The RAD-11 is intended as a direct replacement for the RADPLUS 2100 D2652P tube unit used in GE Healthcare's AMX4+ Portable x-ray systems. With a 0.8-mm focal spot, 196kHU, and 14° anode, the RAD-11 autocalibrates when loaded into the AMX4+ MX75 H.1 housing. Next, a replacement for the Philips Medical Systems SRM 2250 Grid-Switch X-ray Tube, the P-456, offers a grid-controlled 0.5/1.0-mm focal spot, a 22/50kW 15° target angle, and a 400 khu anode. Loaded in Philips Medical's ROT-500/ ROT-501 Housing, it is designed to calibrate on Philips Medical generators, including the CP series.

Varian Medical Systems (Palo Alto, Calif). In addition to its full line of x-ray tubes and cancer-treatment technologies, Varian Medical hits RSNA with a host of new and updated PaxScan digital x-ray image detectors. The new PaxScan 1313 is intended to replace the 6-inch image intensifiers currently used in many mini C-arm systems and is able to produce up to 30 images per second. Next, the PaxScan 2520V replaces the 2520 for cardiac and conventional C-arm users. The command processor has been replaced with virtual software, and new ASIC chip technology makes it possible for the system to deliver 14-bit grayscale contrast resolution. Finally, the PaxScan 4030CB—with the company's new second-generation Command Processor (CP2)—is used for cone-beam CT imaging. It can acquire high-resolution fluoroscopic images at up to 30 frames per second (fps) and radiographic images at up to 7.5 fps.

CT

Beekley Corp (Bristol, Conn). Beekley wants radiologists to save an average of 8 minutes per biopsy with its new GuideLines CT-guided biopsy grids. Available in two sizes—4 x 5 inches and 7 x 7.5 inches—and made from medical-grade adhesive, GuideLines is suitable for every biopsy scenario. Each grid consists of multiple nonlead lines with an open window between each line, giving physicians an easy and precise method for identification of the needle-entry site.

CT offerings include (from top) echelon’s course on 3D CT, Koning’s cone-beam CT scanner, and Shared Imaging’s mobile CT programs.

echelon (Orlando, Fla). Online courses from echelon provide educational opportunities for imaging professionals. An updated PET/CT course is available, as is a new course focused on 3D CT. Courses deliver overviews of each modality, exploring current and future professional issues as well as the role of the imaging professional in these developing technologies. Learning is reinforced through interactive modules, and a post-test acts as a final assessment tool.

Fluke Biomedical (Cleveland). The new Nested CT Dose Phantom Set is a more lightweight and portable set of QA phantoms for measuring CT dose index in both children and adults. The pediatric head and pediatric body/adult head segments nestle inside the large adult body. Weighing 60 pounds lighter than the separate three-phantom set, it fits in a wheeled carrying case.

Koning Corp (West Henrietta, NY). Koning Corp is pleased to introduce its first cone-beam CT scanner, the Koning CT for breast and extremities. A horizontal gantry permits comfortable patient positioning with modular positioning inserts to accommodate various body parts. Image viewing is both 2D multislice, multi-planar, and full 3D visualization. According to Koning, the potential of cone-beam technology is extensive, including in situations where current CT systems cannot be used due to size, cost, or technical limitations. Koning CT is not yet approved for sale in the United States.

Kyoto Kagaku Ltd (Kyoto, Japan). The Chest Phantom N1 provides a realistic model designed to enrich training opportunities. The unique radiological substitute material and the elaborate 3D models of pulmonic blood vessels offer lifelike x-ray and CT images. Applicable to both plain radiography and CT scanning, the inner parts of the Chest Phantom N1 consist of mediastinum, pulmonic blood vessels, and abdomen blocks. All parts are easily detachable, allowing mimic tumors or other lesions to be attached in the lungs.

CT offerings include Kyoto Kagaku’s Chest Phantom N1 (left) and Siemens Medical’s Somatom Definition (right).

MEDRAD Inc (Indianola, Pa). MEDRAD will introduce enhancements to its Stellant D CT Injection System. SmartFlow saves time by automatically suggesting injection protocols after factoring in patient-specific parameters, such as body weight, scan duration, and contrast concentration. SmartFlow allows preferences for settings to be determined in advance so that the technologist enters only patient-specific parameters. Additional options include the ability to perform a saline test inject for vein patency; a test bolus for contrast timing; or a diagnostic injection with contrast, DualFlow, and saline flush.

Shared Imaging (Streamwood, Ill). Shared Imaging's mobile and fixed CT programs include site-planning assistance, transportation of diagnostic imaging equipment, OEM maintenance and emergency service, and training for existing staff members. The company's CT programs are all-inclusive and customizable.

Siemens Medical Solutions (Malvern, Pa). Siemens Medical will highlight its new dual-source CT system, the Somatom Definition, which is capable of imaging full cardiac detail with as much as 50% less radiation exposure compared to traditional CT scans. Making it possible to image patients with high or irregular heart rates, or even arrhythmia, without beta blocker medications, the Somatom Definition also enables physicians to better identify and characterize plaque. Featuring a 31-inch bore opening and a 79-inch scan range, the Somatom Definition is equipped with z-Sharp Technology, the Straton x-ray tube, and CARE solutions.

Data and Image Archiving, Storage, and Distribution

Acronova Technology Inc (North Brunswick, NJ). Acronova provides solutions to fulfill all disk-replication needs and requirements. The company's DupliQ solution automatically loads and unloads disks, and up to 25 disks can be loaded at a time for an automated batch operation. Apus-EZ Plus is a high-performance, compact, autonomous CD/DVD duplication system. Boasting a patented vertical in-line loading hopper, it is capable of storing and burning up to 100 CDs or DVDs at a time.

Acuo Technologies (St Paul, Minn). V5.0 of Acuo's DICOM Services Grid solution brings with it improved functionality for end-users to better reconcile, distribute, and maintain medical image data. Enhancements in the latest version include support of superior lossless and lossy image-compression quality via Wavelet-based JPEG 2000; support for Storage Commit as a Storage Class Provider for reliable delivery of image data; Acuo RIS/PACS Synchronizer to promote broker-less environments; support for SQL Server 2005; and VPN-less Encryption support for high demand by multisite customers.

Ashva Technologies Ltd (Chennai, India). Debuting at RSNA is a PC-based DICOM CD station with the ability to query/retrieve DICOM images from an existing PACS or from multiple modalities. Multiple users can concurrently access and store images on a local database and write them onto CD/DVD in an automated manner. Customized labeling of burned CDs/DVDs also is performed automatically.

BRIT Systems (Dallas). The Roentgen Router is now available for use with any vendor's DICOM-compliant PACS or teleradiology system. System managers use the Roentgen Router to build routes based on information within the DICOM header of radiographic images, including body region, modality type, and referring physician. By using this product's intelligent prefetching feature, comparison studies can be sent along with the new studies to reading services.

Data and image distribution products to be showcased include the ImageGrid 1500 from Candelis (left) and the Virtua Medical Disc Publisher from Codonics (right).

Candelis Inc (Irvine, Calif). The company's line of fully integrated, DICOM-compatible server appliances will be on display. The newest ImageGrid promises up to 11.25 terabytes (TB) of raw capacity in an easy-to-implement, rack-mountable 3U form factor. It is available with the optional ImageGrid ILM software integrated with Sony tape libraries for advanced information life-cycle management. Candelis also announces its comprehensive, built-in support for the HL7 international standard, providing the required inputs for modality worklist, modality performed procedure step, minimum departmental scheduling services, and study validation.

Codonics Inc (Middleburg Heights, Ohio). Requiring just 2 feet of counter space, the Virtua Medical Disc Publisher will make its RSNA debut this year. The network-based CD/DVD publisher automatically records and labels patient studies, off-loading disk recording from the modality and PACS workstations. A user-friendly interface has an intuitive touch screen that displays all queued patient studies at once, and Virtua's dual-drive functionality records large studies onto several disks without requiring operator intervention. CDs can be customized with a DICOM viewer for distribution to a patient, referring physician, or outside facility.

Data distribution and storage offerings: Commissure’s RadWhere Workflow Orchestrator (top left) , EMC’s Clariion CX380 (right), and iCRco’s PaxBox (bottom left).

Commissure Inc (New York). The RadWhere Workflow Orchestrator, the latest addition to Commissure's RadWhere Suite of solutions, enables radiology departments to connect multiple PACS, RIS, 3D, advanced visualization, and teleradiology information into a central worklist. Joining these many systems eliminates the need for radiologists to switch between systems to bring up a worklist, view images, and dictate cases.

DatCard Systems (Irvine, Calif). MammoSmart makes it possible for patients to have their complete mammography history and breast care information on an automatically produced CD/DVD. MammoSmart integrates with existing hospital registration, PACS, and RIS/mammography systems so as not to interrupt department workflow. Each disk contains a wealth of educational patient information, such as medical history, digital mammography images, and more.

EMC Corp (Hopkinton, Mass). The three models of EMC's new CLARiiON CX3 UltraScale series will be shown as a midrange storage architecture able to simultaneously support high-speed 2 and 4Gb/s Fibre Channel disk drives, as well as high-capacity 2Gb/s Low-Cost Fibre Channel disk drives for maximum flexibility. Providing a secure, central record repository, the EMC Captiva Enterprise Information Management and Documentum Enterprise Content Management solutions make it possible for EHRs to easily retrieve, collect, and aggregate information to provide a consolidated view of patient records. Finally, the EMC Centera content addressable storage provides immediate access to and active archiving for PACS applications, e-mail, file systems, and content management.

Evolved Digital Solutions Inc (Brentwood, Tenn). The Radweb—Evolved's online, fully integrated workflow engine—tracks patients and their images from initial order entry to the signing of the clinical report. Evolved operates on a managed services model, offering clients end-to-end customer service and support for all solutions.

Healthy-IT (Rockville, Md). Based on TelePax technology, the NetPax is a Web-based DICOM and image-distribution server. This Internet-deployable technology uses Web-enabled technologies to provide access to patient information. The system's WebPax software provides Web-based report and image viewing, security and privacy features to facilitate hospital HIPAA compliance, automated workflow tools for increased productivity, and a scalable design for hospitals of all sizes.

iCRco Inc (Torrance, Calif). PaxBox—a fully integrated DICOM standard image storage solution—is available with up to 8 TB of storage. The PaxBox server appliance offers a streamlined workflow by managing everything from image acquisition, ID, and digitizing to image-quality control and processing. The reliable, HIPAA-compliant storage and archival system is able to route images directly and concurrently from each modality for immediate storage, eliminating the inefficient need to manually transfer images to CDs or DVDs for archiving.

InSiteOne (Wallingford, Conn). Making its debut at RSNA is InSiteOne's next-generation InDex managed service. Significant enhancements include increased data-access capabilities and monitoring with protection for patient- and site-specific data. Fully compliant with emerging XDS standards, the InDex managed service facilitates sharing patient information across multisite enterprises within a geographical region.

Numa Inc (Amherst, NH). The NumaStore Image Management Solution receives, stores, organizes, and distributes study data. Enabling users to sort and query images by 46 different attributes and create custom attributes or groups for research and teaching, NumaStore is an expandable solution that maintains the integrity of the original images. Next, designed to translate images from non-DICOM to DICOM format, NumaRead migrates offline tape/MOD/CD image archives to online image-management systems. The system can move records for a single patient, a study, or series, or the entire media contents. The company also will highlight NumaServer, which facilitates remote site connectivity for images.

TDK Medical (Garden City, NY). With its embedded network-ready PC and a CD-R/RW recording drive, the TDK DICOM Media Creator (DMC) 2000 system makes it possible to output patient studies on as many as 80 disks each day. The system can be configured with a DVD recording drive to accommodate very large patient studies and serve as a shelf archive and backup solution. Compatible with a variety of modalities, including MRI, CT, and PET, the DMC 2000 can create a single CD with multiple studies from the same patient.

Furniture

AFC Industries Inc (College Point, NY). The sleek, curved work surfaces and ergonomic design of the duel-tier Banana Corner Desk Cart will be unveiled at RSNA. Available in a range of colors, finishes, and widths, the cart is designed to maximize the accessible work area and minimize footprint. Its two tiers adjust up and down independently with the touch of a button, making it possible for multiple users to share the same workstation. The rear tier is capable of accommodating as many as six display mounts and a film illuminator.

Furniture offerings: AFC’s Banana Corner Desk Cart (right), Anthro’s Elevate Wrap for PACS (top left), and Biodex Medical’s SoundPro Combination Table (bottom left).

Anthro Corp (Portland, Ore). The newest member of Anthro's Elevate Electric Lift Table family is the Elevate Wrap for PACS. Sitting on a frame composed of 16-gauge steel, the Wrap can go as low as 27 inches and reach up to 53 inches; its curved main surface will house up to four flat-panel monitors. Next, a POC Cart for radiology is a compactly designed mobile station that can be customized with a variety of accessories, including a bin, small equipment shelf, and LCD arm. The cart's top shelf has a 50-pound load and measures 20 inches wide and 20 inches deep. Finally, Carl's Table now holds up to four monitors on arms that can be pulled closer to the radiologist when necessary. The work surface can be adjusted to fit every user, and the tilting surface supports the forearm and shoulders.

Biodex Medical Systems (Shirley, NY). Biodex unveils the Sound Pro, a table combining the imaging features of two of its recently redesigned tables: the Ultra Pro table for ultrasound and the Echo Pro table for echocardiography. Designed specifically for imaging facilities with limited space or budget, the Sound Pro Combination Table offers a 30-inch width, a 500-pound patient weight capacity, and a height range from 23 to 39 inches. All table adjustments are accomplished with either a hand or foot controller and allow scanning from a seated or standing position.

From IES-Patient Comfort System are TEMPUR positioning cushions.

IES-Patient Comfort System Inc (Hayward, Calif). Developed in conjunction with Tempur-Pedic Medical Inc (Lexington, Ky), the new product line of mattress pads, wedges, and positioning cushions replaces original equipment pads and redistributes pressure away from weight-bearing points of body contact, reducing sensations of discomfort and pain. Made from TEMPUR material, the products conform to a thin form factor. IES will present studies that demonstrate the product line's impact in significantly minimizing patient-motion artifacts during imaging exams.

Surgimed Solutions LLC (Prospect, Conn). The ITD line of carts and roll stands from Surgimed offers six different series of carts, designed to accommodate everything from the smallest devices to the most complex systems. Modularity is the hallmark of the company's products, allowing for step-by-step design and construction to fit a myriad of needs. Like its carts and stands, Surgimed's line of wall-mounting systems provides customization through modular design. Multiple flat-panel mounts, arms, keyboard trays, CPU brackets, and ancillary accessories allow for the design of systems to meet space, budget, and equipment requirements.

Monitors and Displays

Barco (Kortrijk, Belgium). The Coronis Color 3MP Diagnostic Luminance is an exceptionally bright color display system equipped with Diagnostic Luminance technology. The monitor boasts increased diagnostic precision, thanks in part to Barco's proprietary Uniform Luminance Technology, which corrects luminance nonuniformities that are typical for traditional LCDs and backlights. NIO Fusion 4MP also will be at RSNA. Designed for either multiple PACS images at the same time or for working with large CT data sets throughout the hospital, the advanced display solution can be installed on either the wall or a mobile cart.

Broadwest Corp (New York). Broadwest will introduce the new Rolloscope MD monitor. Intended to ease the transition from analog to digital, the Rolloscope MD improves viewing conditions through its automated and ergonomic structure. Above one LCD monitor, 101 frames accommodate 6 over 6 of 18- x 24-cm films, four across of 24- x 30-cm mammograms; above two monitors, three across of 14- x 17-inch MRI or large ultrasound films can be accommodated. The Rolloscope MD can be shipped with a removable mounting bar for the monitors and used initially as a film-only device.

Monitor and display offerings at RSNA include (clockwise from top left): Barco’s Coronis Color 3MP, Broadwest’s Rolloscope MD, Planar’s Dome E5, and Double Black’s 3-MP LCD.

Double Black Imaging Corp (DBI of Westminster, Colo). The latest addition to DBI's existing M-Series line of self-calibrating LCDs with remote administrative software, the 3-MP high-bright color self-calibrating LCD features retractable front sensors for autocalibration that emerges from the bezel then retracts when DICOM grayscale calibration is complete. LumiCal Calibration Software is included with the display, allowing for remote DICOM 3.14 calibration and monitoring, and sending notification when servicing is required. DBI also will showcase DICOMetrix, a resource tool that enables users to actively monitor, historically track system performance, and send alerts about system slow-downs and outages.

EIZO Nanao Technologies Inc (Cypress, Calif). Two new 5MP high-performance digital mammography LCD monitors will make their debut at RSNA. The monochrome displays offer a display of high-fidelity images with a choice of glare (RadiForce GS510-G) and antiglare (RadiForce GS510) panels according to the usage environment. Alongside its latest offerings, EIZO will showcase its existing line of grayscale and color monitors.

Matrox Graphics Inc (Montreal). The Matrox MED5mp technology will be available to customers in the form of the Totoku LV52P1 display controller board. Matrox MED Series display controller boards provide extensive multi-monitor support, pristine image quality, and robust drivers. Capable of driving all types of displays, MED Series display controller boards feature a range of grayscale and color, resolution, and operating system support.

Maxant Technologies Inc (Niles, Ill). Unveiling the latest enhancements to MediPort, its digital viewing station, Maxant promises the space-saving construction and access of a wall-mounted film viewer with the feature-rich functionality of a digital workstation. Improvements include a built-in CD/DVD player, a fold-up keyboard tray, and the opportunity to incorporate a 2MP color or grayscale monitor without incurring the cost or space of a multi-monitor configuration.

NCD Medical Corp (Eastlake, Ohio). NCD Medical is introducing two new imaging workstations with review/diagnostic processing capabilities that can be used as stand-alone units or in conjunction with NCD's mini-PACS/document service called e-WIX. The company's review workstation (PN: RVWS-80) is a 2MP dual-monitor HP workstation with diagnostic view/process/store software. The diagnostic workstation (PN: DNWS-80) is a 3MP dual-monitor system with diagnostic viewing, processing, storage, and imaging software.

Planar Systems (Beaverton, Ore). Planar is showcasing its line of Dome EX displays that includes a host of grayscale and full-color options. Designed to keep up with the most demanding PACS, the Dome E5 grayscale display features 3,061 unique shades of gray and offers full DICOM conformance, automatic calibration, and remote monitoring and maintenance. The Dome E3 grayscale display supports an open architecture design and has the capability of high-speed 3D and volumetric rendering. Planar will exhibit its color options as well.

RedRick Technologies Inc (Mount Brydges, Ont). The new SYN Triple and SYN Quad monitor mounting solutions help clinicians view images in the way that's most comfortable for them. Both products allow facilities to mount heavy diagnostic monitors, making it possible to easily adjust the display systems. The units allow for vertical and horizontal motion, as well as tilting and swiveling to acquire ideal positioning. RedRick also designs and manufactures fully adjustable and durable workstations custom-made for any user.

US Electronics Inc (USEI of Minneapolis). Presenting a range of new high-resolution medical-grade displays, USEI also will show the Totoku model ME551i2, a 5MP grayscale LCD with front sensor, 24/7 DICOM-conformance check, and a built-in protective filer. Ideal for digital mammography, the display's features include simultaneous display of 11-bit (2,048 shades of gray), a luminance-stabilizing system, and a hardware-pivot function on the main board for fast drawing in portrait orientation.

MRI

Avotec Inc (Stuart, Fla). Avotec provides visual and audio stimulus or DVDs using any common head coil. At RSNA, the company will feature three offerings for visual stimulus presentation during a functional MRI exam. The Silent Vision Model SV-5200 low-resolution rear projector can be used to either send stimulus to patients during presurgical brain mapping (fMRI) or to show DVDs to patients during an extended MRI scan (when used with the Silent Scan Model SS-3000 Audio System). Two different audio systems are the Silent Scan Model SS-3000 clinical audio system and the Silent Scan Model SS-3100 research audio system. All products manufactured by Avotec are completely inert and have been tested on magnets up to 4.7T.

Clockwise from top left are MRI products to be showcased at RSNA: the Silent Vision Model SV-5200 from Avotec; the Upright MRI from FONAR; the Echelon 1.5T MRI from Hitachi Medical; and the MRidium MRI Infustion System from IRadimed, which is distributed by Mallinckrodt.

Beekley Corp (Bristol, Conn). Ideal for extremities, soft-tissue masses, and breast MRI, Beekley's new MR-Spots .75-cm Packets with Radiance enable the marker to image only on the slices specific to that area of interest. Specifically engineered for use in MRI, MR-Spots packets' flat design delivers optimum patient comfort and a distinct, unmistakable image on every sequence.

FONAR Corp (Melville, NY). Making it possible to image patients in a weight-bearing state, FONAR's Upright MRI allows patients to simply walk in and be scanned. The magnet is convertible to also allow for prone scanning, standing, sitting, flexing, extending, rotating, and lateral bending. FONAR's latest MRI scanner is the FONAR 360, a room-size recumbent scanner in which the magnetic poles of the scanner are located in the center of the room. Patients are positioned in the center and are accessible from any angle.

Hitachi Medical Systems America (Twinsburg, Ohio). The Echelon 1.5T MR system is a compact imager with a list of standard features. The Echelon also includes Vertex, the integration of a multi-processor CPU and an advanced scan/reconstruction engine. Next, the Altaire High-Performance Open MR provides advanced imaging capabilities optimized for the open environment, including single-shot EPI, diffusion-weighted EPI, RF fat saturation, and FSE with short interecho times. Finally, designed with the company's asymmetric two-post open architecture, the Airis Elite Advanced Mid-Field Open MR helps deliver a 0.3T field strength in a vertical orientation with high homogeneity. It incorporates multichannel active shimming, a Scalable DualQuad RF receiver, and advanced capabilities like RF fat saturation.

International Society for Magnetic Resonance in Medicine (ISMRM of Berkeley, Calif). Together with the European Society for Magnetic Resonance in Medicine and Biology (ESMRMB), the ISMRM will provide detailed information about its 2007 Annual ISMRM-ESMRMB Meeting. Slated for May 19–25, 2007, in Berlin, Germany, the event promises to bring together 4,500-plus exhibitors and 265,000 participants. Other offerings include the ISMRM Molecular and Cellular Imaging Study Group (February 4–9, 2007), the ISMRM Course on MR Physics and Techniques for Clinicians (February 11–15, 2007), the ISMRM Workshop on Non-Cartesian MRI (February 25–28, 2007), and the ISMRM Workshop on Advances in High-Field MR (March 25–28, 2007).

Mallinckrodt, a Tyco Healthcare company (St Louis). Aiming to provide clinicians with a total solution for patients' MRI and CT power injection requirements, Mallinckrodt introduces its large-volume, prefilled saline syringe offerings. At 50 mL for MRI and 125 mL for CT procedures, the syringes are compatible with Mallinckrodt's OptiVantage DH, OptiStar LE, CT 9000 ADV, and OptiStat injectors. RSNA will mark the debut of the award-winning MRidium MRI Infusion System, which is manufactured by IRadimed Corp (Winter Park, Fla) and available throughout North America exclusively through Mallinckrodt. The truly nonmagnetic infusion pump makes it possible to provide a continuous flow of intravenous (IV) drugs during MRI procedures by using an ultrasonic ceramic motor, an exclusive array of IV sets, and a wireless remote control.

Clockwise from top left are additional MRI offerings: MEDRAD’s 3T Prostate eCoil, MIPM’s Tesla Guard MRI Patient Monitor, Resonance Technology’s CinemaVision, and Penn Diagnostics’ ONCAD.

MEDRAD Inc (Indianola, Pa). The MEDRAD 3T Prostate eCoil is available for GE Healthcare's Signa HDx 3T MR scanners and is designed to produce very accurate MR images of the prostate that may enable early diagnosis and staging of prostate cancer, as well as targeted radiation therapy. Consistent contact between the gland and the signal-amplifying elements of the coil is made possible through the eCoil's balloon, which conforms to the size and shape of the prostate. The result is a small field of view and high spatial resolution, sensitivity, and specificity.

MIPM Mammendorfer Institut für Physik und Medizin GmbH (Munich, Germany). The latest version of the Tesla Guard MRI Patient Monitor includes all features required by anesthesia; and ECG, SPO2, IBP, and NBP customers can add anesthetic agent analysis and Wi-Fi data transfer. Next, the Tesla NIBP is a stand-alone monitor for NIBP measurement that is designed for use in conjunction with the Tesla OxySat, an MRI pulse oximeter that includes a perfusion index for easy monitoring of signal quality. Next, with three pumps for delivering anesthesia during MRI scans, the MRI Caddy allows clinicians to load standard syringes into the pumps. Finally, the Tesla etCO2 MRI-compatible capnograph will also be on display.

Penn Diagnostics (Rockville, Md). Extensively tested using a variety of breast MR systems and protocols, ONCAD is an FDA-cleared morphology-based CAD system for contrast-enhanced breast MRI. ONCAD interprets both morphologic and kinetic indications of malignancy through analysis of margin characteristics, internal lesion heterogeneity, and contrast uptake curves. Results are produced in colored overlays that highlight suspicious findings. The ONCAD package includes customized on-site installation, integration, training, and 24/7 customer support.

Resonance Technology Co Inc (Northridge, Calif). Resonance Technology will showcase two different systems at RSNA. CinemaVision is an advanced MRI-compatible, audio-video entertainment system that integrates video display and audio systems into a single, lightweight headset. The FuncLAB fMRI system combines a complete functional imaging task presentation component with a fully automated data-processing component. Featuring high-quality 3D graphics and sound capabilities, the system eliminates complex, time-intensive manual data analysis.

Shared Imaging (Streamwood, Ill). With more than 50 MRI systems in its program, Shared Imaging offers all-inclusive, customizable plans, including fee-per-procedure programs or fixed monthly options. The company's mobile and fixed MRI programs include site-planning assistance, 1.5T technology, qualified technologists, and the option of using a modular annex or parked mobile facilities to create additional working space and house the MRI equipment.

Siemens Medical Solutions (Malvern, Pa). Siemens Medical's total imaging matrix (Tim) technology is a seamless, whole-body surface coil design that combines up to 102 integrated coil elements with up to 32 independent radiofrequency channels. Enabling flexible coil combinations allows the magnet to encompass local high-resolution imaging to large anatomical coverage up to 205 cm (6 feet, 9 inches), without having to reposition the patient or perform manual coil changes.

Toshiba America Medical Systems (Tustin, Calif). The company will demonstrate its new Exelart Vantage Atlas 1.5T MRI system—a short-bore, multichannel system with a large clinical field of view (FOV). Shown at RSNA as a work in progress, the Atlas is a 128-coil element system being developed in response to clinical demands for a flexible MRI system capable of scanning large or small FOVs while delivering high-resolution, diagnostic-quality images.

Nuclear Medicine, PET, and SPECT

Cardinal Health (Dublin, Ohio). In highlighting the Nuclear Pharmacy Services business, Cardinal Health will feature productivity, safety, and growth solutions that supplement unit dose distribution of radiopharmaceuticals for nuclear medicine and PET imaging from more than 150 nuclear pharmacies across the country. The company will be demonstrating its departmental IT solutions, CardioWriter, Syntrac, and the PET Locator; as well as cardiology lab start-up and accreditation services. Also, Cardinal Health will launch the Cardiology Module of its exclusive PET Foundations program.

Nuclear medicine offerings include (top left) Oxilan from Guerbet, the PEM Flex Solo PET scanner from Naviscan PET Systems (top right), and the Biograph PET/CT from Siemens Medical (bottom).

Guerbet LLC (Bloomington, Ind). Guerbet comes to RSNA with its nonionic low osmolar agent for diagnostic and interventional imaging, Oxilan. A completely latex-free product, Oxilan is a third-generation nonionic contrast medium that boasts such unique properties as the lowest osmolality and one of the lowest viscosities of all nonionic monomers in the United States, according to Guerbet. Oxilan's molecular structure includes a hydrophobic region to promote molecular aggregation, thereby reducing the osmolality.

Naviscan PET Systems Inc (San Diego). The new design of Naviscan's high-resolution PET device will make its debut at RSNA. The PEM Flex Solo PET scanner has proven in-plane resolution of 1.5 to 2 mm. Designed to image small body parts, other enhancements of the FDA-approved PET scanner include an articulating arm, a motorized C-arm, and compression capability. Naviscan also has developed a companion PEMView image-viewing and interpretation software. PEMView features user-configurable image-analysis tools and an embedded lexicon for standardized report generation.

Philips Medical Systems (Andover, Mass). New from Philips Medical is the 64-slice Precedence SPECT/CT system, which offers in-depth cardiac imaging. For patients with normal myocardial perfusion scans, equivocal nuclear studies, or abnormal myocardial perfusion scans, Precedence can clarify diagnostic ambiguities and aid in the identification of early disease states. The company also will feature the new PET/CT Viewer application for the Extended Brilliance Workspace, which provides PET users with an integrated image-review and analysis environment for routine clinical evaluation of PET/CT examinations.

Siemens Medical Solutions (Malvern, Pa). TruePoint technology has been incorporated into the company's Biograph family of hybrid PET/CT systems, adding 33% more axial volume coverage per bed position. Able to detect 78% more photons, the new TruePoint PET/CT platform also enlarges the PET field of view. The system automatically adjusts reconstruction and scatter-correction algorithms to individual patient size.

Society of Nuclear Medicine (SNM of Reston, Va). Providing a wealth of educational and professional resources to physicians, technologists, and scientists, the SNM will present many of its resources, including the SNM Learning Center, which has converted content from its workshops and symposia into a series of online courses. Geared toward physicians, a variety of topics are covered, including cardiology, molecular imaging, and basic science, as well as oncologic PET and PET/CT. Technologist-focused classes are available as well. CME credit is available for all courses. The SNM's professional journal—the Journal of Nuclear Medicine—will be available for review, as will a host of other journals and educational resources.

Oncology

AdMeTech Foundation (Boston). The AdMeTech Foundation will be at RSNA to increase awareness of its experimental research and clinical studies of advanced imaging techniques to improve prostate-cancer care. The nonprofit organization is collaborating with leading physicians and scientists across the country, and they have developed a new MRI technique in which a fleet of tiny magnetic particles are injected intravenously and highlight spots where metastases have occurred. Information will be available about work being done at Johns Hopkins University, where scientists are combining high-field, high-precision MRI with advanced robotics to improve guidance of prostate-cancer biopsies and treatment.

Oncology products to be showcased at RSNA include (left) BrainLAB’s iPlan RT treatment-planning platform, as well as MIMvista’s MIMfusion software (right), which offers threshold contouring.

BrainLAB Inc (Westchester, Ill). The new iPlan RT treatment-planning platform offers physicians the ability to combine various radiotherapy and radiosurgery treatment modalities, improved workflow, and increased visibility throughout the planning process. Once each patient's individual illness is defined, the newly released iPlan RT Dose software allows clinicians to customize their treatment approach with various automatic and template-based planning features. The company also will display its Novalis Shaped Beam Surgery system. This integrated treatment system shapes beams of focused high-energy radiation from all angles to deliver noninvasive, precise treatments.

MIMvista Corp (Cleveland). MIMfusion software provides users with new tools for fast and efficient PET contouring, including 2D/3D contour editing, automatic 3D PET edge detection, and PET SUV and threshold contouring. Output is in standard DICOM RT STRUCT for export to planning stations.

PACS/RIS

Absolute Medical Software Systems Inc (Houston). Making its debut at RSNA is the company's first comprehensive RIS solution with enhanced practice-management functionality. Features of the multisite, Web-based RIS include real-time and batch patient insurance eligibility verification and an enhanced claims editor/clearinghouse solution. The product also automates the self-pay collection process.

AMICAS Inc (Boston). Vision Reach, a module of the Vision Series PACS, is designed to fit the way referring physicians work, integrating the radiology report with key images, subsequently creating a single multimedia report. Included is an instant messaging system that uses common e-mail and secure messaging to deliver information to any e-mail–enabled device. Next, RadStream technology, another new component integrated into the Vision Series PACS platform, is geared to improve workflow efficiency, in part with a multi-factorial, patent-pending acuity algorithm that makes use of business/contract rules and operational metrics to allow for dynamic real-time patient prioritization and workload balancing within and across radiology practices.

Ashva Technologies (Chennai, India). The RADiON is a 3D visualization plug-in that can be configured as a viewing solution for an existing PACS or to function as a stand-alone DICOM-modality PACS. Providing multiple viewing and image-manipulation tools along with enhanced 3D features, RADiON's reporting module provides users with tools to create multiple study-specific reporting templates to reduce turnaround time. The company's PACS-iT acquires single-frame images/cine loops from any non-DICOM modality and integrates with an existing PACS/RIS by converting them to DICOM formats.

Aspyra (Calabasas, Calif). The AccessRAD RIS/PACS combines comprehensive information and workflow functionality with image-visualization and reporting tools into a single desktop environment. Next, AccessNET PACS is a modular-designed PACS solution that allows facilities to customize their systems by selecting from a variety of components. Finally, Aspyra's CyberRAD RIS offers features and functions that address workflow, patient safety, and regulatory requirements.

PACS/RIS offerings include Exam-PACS (clockwise from top left): CoActiv Medical; the IntegradWeb PACS from Dynamic Imaging, now including Barco Voxar 3D VesselMetrix; the Advantage Workstation from GE Healthcare Integrated IT Solutions; and the eRAD PACS from eRAD, now providing integrated mammography reading.

CoActiv Medical Business Solutions LLC (Ridgefield, Conn). By introducing its multimodality cardiovascular module to its full-featured Exam-PACS, CoActiv Medical's Web-based enterprise PACS now supports integrated digital cardiovascular workflow. Powerful and user-friendly, the new cardiovascular functionality combines local and remote viewing, management, distribution, and archiving of cardiac studies, including nuclear cardiology, echocardiology, MRI, and CT.

DR Systems Inc (San Diego). The new Unity RIS/PACS platform offers a myriad of features that go beyond traditional RIS/PACS capabilities, including enhanced Web-based scheduling capabilities; automated exam-specific reporting capabilities; PACS access from EMRs and HIS Web portals; and integrated mammography reading, tracking, film digitizing, and archiving. Designed to provide an advanced medical imaging and information-management system infrastructure for regional health information organizations, the Unity RIS/PACS also boasts dictation, voice recognition, billing output, remote monitoring, and Web-based report distribution.

Dynamic Imaging (Allendale, NJ). The company's latest IntegradWeb PACS integration—digital mammography—will get the spotlight at RSNA. Capable of including complete digital mammography-specific workflows with customizable reading layouts and sequences for any third-party full-field digital mammography system, IntegradWeb's digital mammography functionality has been developed to support the new IHE mammography profile, including image-manager and image-display actors. Dynamic Imaging also will demonstrate its IntegradWeb RIS/PACS, an integrated, single-desktop RIS/PACS featuring end-to-end Web-based workflow from scheduling through billing, with document management and digital dictation.

eRAD Inc (Greenville, SC). The eRAD PACS—featuring a Web-accessible archive, teleradiology, and workflow solutions—has received FDA 510(k) clearance for soft-copy viewing of digital mammography images. The eRAD system prefetches relevant prior exams from the archive for reading and comparison; reports and attachments are accessed via the Web. The company also added several features to its viewing capabilities: mammography-specific hanging protocols; mirrored rendering tools, including panning and magic glass zooming; support for R2 Technology's ImageChecker CAD markers; and BI-RAD support in reports.

ETIAM Inc (Gladwyne, Pa). ETIAM will showcase simple, automated solutions for importing and integrating images and documents with the DICOM-based network, from whence they can be stored and managed within PACS. ETIAM solutions streamline the migration from analog to digital, facilitating the inclusion of externally produced documents and images with an institution's patient records. Multiple output formats are supported, including DVD, DICOM CDs, film, paper documents, and USB keys.

Evolved Digital Solutions Inc (Brentwood, Tenn). Evolved will show its radiology and cardiology PACS solution. View2 unites radiology and cardiology on one Web-based platform, offering high-resolution 3D viewing, plus two types of 2D viewing, both static and dynamic. The scalable solution allows access to information by either workflow or patient record.

GE Healthcare Integrated IT Solutions (Barrington, Ill). The company will roll out its line of IT imaging solutions: Centricity PACS, Centricity RIS-IC, and Advanced Workstation (AW) software. V3.0 of Centricity PACS will be released at RSNA. Enhancements include new IHE profiles that automate exam acquisition, reporting, and communication for referring physicians. GE Healthcare also is releasing its Centricity AW Suite 2 and combining AW software with Centricity PACS. Also launching is the Centricity RIS/PACS solution, which allows radiologists and other providers to manage workflow and leverage a common RIS across geographically dispersed locations. It also gives clinicians immediate access to clinical findings and associated images.

Additional PACS/RIS products to be showcased include the imsiRIS.PACS from Integrated Modular Systems (left), powered by Mercury Computer’s Visage PACS 4.0; and the Carestream RIS Web-based system from Kodak (right).

Integrated Modular Systems Inc (IMSI of Havertown Pa). The newly upgraded and integrated imsiRIS.PACS is a Web-based image- and report-distribution system with an optional outsourced remote, secure hosting service. Powered by the Visage PACS 4.0 from Mercury Computer Systems Inc (Chelmsford, Mass), the system is capable of creating 3D images and postprocessing on thin-client/server platforms. A master database includes complete patient histories and allows flexible searches so that users can create customized worklists. The system includes imsiSpokenNotes, a voice-recognition program.

Intelerad Medical Systems Inc (Montreal). Intelerad is unveiling its Referring Physician's Portal for its IntelePACS, a streamlined, easy-access method for referring physicians to access images and reports. Logging in online enables clinicians to send e-mails to referring physicians that contain a direct link to their patient's completed study. Intelerad also will display its InteleViewer Workstation, a new stand-alone DICOM workstation software product for diagnostic reading. The workstation allows users to perform DICOM query/retrieve from multiple sources, such as PACS or another DICOM device.

Intuitive Imaging Informatics LLC (Bell Canyon, Calif). Announcing the development of PET Fusion functionality for its Rational Imaging PACS, Intuitive Imaging Informatics combines high-resolution, anatomic images produced by CT with functional images produced by PET in an integrated image. The product features user-selectable color maps, real-time PET transparency manipulation, automated MPR for orthogonal views, and integrated MIP for 3D rotational displays. The company also has upgraded its ImageQube Web-based PACS solution. New diagnostic functionality includes the ability to support paperless workflow, teleradiology scheduling, instant messaging, integrated 3D capabilities, and teaching files.

Kodak's Health Group (Rochester, NY). Kodak's newest Carestream PACS software upgrade offers fast and advanced visualization and 3D tools to physicians reading extremely large studies over a variety of network speeds. Enhancements include specialized mammography features that interface with integrated breast MRI and ultrasound CAD software, and automated CD/DVD archiving management capabilities. The latest version of the Kodak Carestream RIS also will be unveiled at RSNA. Key features include advanced speech recognition with voice-generated command and control, specialized features to streamline the workflow of mammography images, and a complete outpatient practice-management system.

Merge eMed (Milwaukee). Merge eMed will exhibit its line of medical imaging and information-management software and services. The next level of the company's Fusion RIS/PACS MX provides quick access to such workflow tools as embedded dictation, interrupt sessions, instant messaging, and hanging protocols. With embedded modules for applications like document management and dictation, the Fusion RIS MX boasts a list of new features, including a new call center scheduler module and real-time dashboard analytics. The company also will display MergeMammo, a multi-modality, vendor-neutral digital mammography workstation application with additional skin line detection tools, as well as CAD display with CAD vendor neutrality. Also, the eFilm Workstation 2.1 is the newest release of diagnostic imaging software that incorporates window/level presets, synchronized stacking, MPR, reference lines, cine function and integrated CD burning, and volume rendering.

NovaRad’s NovaPACS V6.5 will be part of the many PACS/RIS offerings demonstrated at RSNA 2006.

NovaRad Corp (American Fork, Utah). V6.5 of NovaPACS is now available. Enhancements include additional administration console tool features to enable better sorting, reporting, and information gathering and viewing. V6.5 also provides the ability to monitor the system in real time, along with an option for a CD/DVD publisher/printer. NovaRad also will display the latest version of NovaScan, which now has the ability to create scanning profiles that enable separate and unique configurations for multiple scanners. The solution supports film and double-sided paper scanning from the same workstation, and can scan paper from a multi-sheet feed scanner.

ODS Medical (Columbia, Md). ODS Medical has upgraded its PACScomm CD/DVD recording system, corresponding with its first-quarter 2006 redesign of PACScomm to create a fully enclosed system. The design offers a simple system install with no assembly or cabling required; it also provides a single space-optimizing footprint. The V2.6 software upgrade features such enhancements as improved DICOM import, a new external query selector for better flexibility in study search capabilities, enhanced administrative and structure report configurability, and more.

RIS Concepts Inc (Miami). RADRIS creates an innovative integrated worklist, combining studies across multiple enterprises and locations. Making its debut at RSNA, the solution features a component for billing clients on a per-exam basis. RADRIS complements RCIRIS, the company's browser-based multi-facility application that supports a comprehensive range of advanced RIS features, such as real-time scheduling, dictation, transcription, patient demographics, document scanning, and billing.

Rogan-Delft (Veenendaal, The Netherlands). The all-round View Pro-X workstation provides specialized orthopedic functionality to surgeons with advanced tools for selecting and monitoring implants in an automated way, without losing control. Surgeons are guided through a measurement system that requires just six mouse clicks to generate recommended adjustments to the needed reference lines. Auto-templating for hip, knee, shoulder, elbow, or hand measurements is done by the independent selection of the acetabular cup implant and the femur stem implant.

Sage Software’s Intergy PACS will be part of the many PACS/RIS offerings demonstrated at RSNA 2006.

Sage Software Healthcare Division (Tampa, Fla). The Intergy PACS by Sage Software, formerly Emdeon Practice Services, provides a comprehensive archiving solution within an advanced, on-demand architecture that provides optional clustering for high availability and cost-efficient disaster-recovery solutions. Powered by Dynamic Imaging's IntegradWeb PACS, the solution uses the Web to deliver access to images, reports, and patient information from any location—local or remote—at any time. Also on display is the Intergy RIS 3.5 by Sage, which includes new referring-provider marketing fields and diagnosis validation.

ScImage (Los Altos, Calif). ScImage's Web-based multi-department approach to medical imaging offers a single solution for multiple departments. Ideal for small and medium-sized institutions, the central database and a shared infrastructure aggregate data from multiple departments under a single logon. ScImage also has introduced a fully integrated RIS into its PicomEnterprise product line. The solution has a multi-site, Web-based scheduling tool; dictation and transcription modules; fully integrated billing; and mammo reporting and tracking tools.

Sectra (Linköping, Sweden). Designed specifically for today's massive data sets, the Sectra PACS promises to make quick work of displaying and managing large stacks. Accompanying it is the company's new-generation workstation, which allows physicians to perform their work efficiently in a distributed reading scenario independent from network capacity. Finally, the Sectra Orthopedic Package now boasts automatic calibration and puts improved, semiautomatic, hip-planning tools right on the orthopedic surgeon's desktop.

Swearingen Software Inc (Houston). RISynergy combines the power and flexibility of Swearingen's RMS product with a series of feature enhancements, such as a fully integrated billing component, streamlined connectivity features, a DICOM worklist manager, and daily worklist screens. Next, RISynergy Billing is a fully integrated and flexible component intended to eliminate double-keying and the need for an outside billing agency. Finally, the new DICOM Worklist Manager allows communication between the RIS and facility modalities. Flexible connectivity options ensure that the solution is compatible with virtually any existing system.

Thinking Systems Corp (St Petersburg, Fla). The new release of the Web-based ThinkingRIS unified with ThinkingPACS—powered by a single database—will be rolled out at RSNA, alongside the ModalityBroker, a new product designed to integrate specialty modalities to third-party-enterprise PACS. Also debuting is the integration with Philips/Stentor iSite PACS to provide nuclear medicine, PET/CT, echo, and cath lab solutions to iSite users. New features introduced include hanging protocols, key images, cardiac PET, and PET brain-quantification analysis. Thinking Systems also will showcase its enhanced PACS solutions for nuclear medicine, PET/CT, and cardiology.

Viztek Inc (Jacksonville, Fla). Viztek introduces OpalRad, its Web-based, thin-client PACS with advanced image streaming that delivers studies around the globe in real time using any available bandwidth Internet connection. Available with a range of image-viewing, management, and communications features, the PACS delivers scaleable filmless workflow with streaming capabilities that enable smaller facilities to send electronic images off-site without installing additional IT infrastructure.

Printers and Printing Supplies

aycan Medical Systems (Rochester, NY). At RSNA, aycan will introduce its new OsiriX workstation, which offers certified image-processing software dedicated to DICOM images for navigation and visualization of multislice and multidimensional studies. The company also will feature its aycan x-ray print solution, which provides an array of output options along with a cost-saving DICOM paper print system.

Printer offerings to be displayed at RSNA include (clockwise from top left) aycan Medical’s x-ray print solution, the Horizon XL from Codonics, and the UP-DF550 FilmStation from Sony Electronics.

Codonics Inc (Middleburg Heights, Ohio). The new Codonics Horizon XL offers 36- and 51-inch dry long film for orthopedic applications, for facilities seeking an alternative to traditional, wet, long-film processors. Available in two sizes, the 14- x 36-inch and 14- x 51-inch dry film is daylight safe and easy to handle, and folds to fit in a standard film jacket. Requiring just 2 feet of counter space, the Horizon XL can simultaneously print multiple sizes of diagnostic film as well as color and grayscale paper for a range of modalities.

Mitsubishi Digital Electronics America's Medical Imaging Division (Irvine, Calif). Making its debut at RSNA is Mitsubishi's CP-30DW digital color printer, a user-friendly dye-sublimation printer featuring an industry-leading 423-dpi head resolution. Suitable for a variety of modalities, the CP-30DW features an internal paper catch and a wide, illuminated paper tray specifically designed for use in dimly lit rooms. Next, offering S and L print sizes (100 x 94 mm and 100 x 148 mm, respectively), the CP-30DW prints in less than 17 seconds for S prints and less than 27 seconds for L prints. Measuring 8.27 x 4.72 x 16.7 (WHD), the product has a front-loading ink cassette, an auto load and eject feature, and a funnel-shaped entrance to guide insertion of paper.

Sony Electronics (Park Ridge, NJ). The dual-tray UP-DF550 is Sony's next-generation FilmStation dry film imager. In addition to its traditional film size of 14 x 17 inches, the dry film imager's second tray offers 8- x 10-inch, 10- x 12-inch, and 11- x 14-inch film sizes. Also exhibited will be Sony's flagship diagnostic-quality FilmStation dry film imager, model UP-DF500, designed for such modalities as CT, MRI, and x-ray. The UP-990AD and UP-970AD hybrid printers—with both digital and analog interface and full-page grayscale output—also will be on-site, along with the newly introduced UP-D77MD model for PET/CT, 3D CT, and more.

Services

Alpine Solutions Inc (Camarillo, Calif). This year's highlights from Alpine Solutions include a newly redesigned Web site and passing marks on its 2006 Registrar Surveillance Audit for ISO 9001:2000. At RSNA, the company will share information about the services its offers: repair, reconditioning, and sales of new and preowned imaging and storage devices for the medical market.

Blue Ridge Medical Imaging (BRMI of Salem, Va). BRMI provides customized solutions for hospitals, clinics, and health care systems. Whether a facility is considering an equipment upgrade, relocation, or deinstallation, or is having difficulty locating parts for an older imaging system, BRMI (ISO 9001-certified) can create a good solution.

Cone Instruments (Solon, Ohio). Celebrating its 30th anniversary at this year's RSNA, Cone Instruments will revisit 1976—at least in terms of pricing. To commemorate 3 decades as a worldwide distributor of radiology, nuclear medicine, and ultrasound supplies and imaging equipment, the prices on a number of products have been rolled back. Other anniversary specials and giveaways are planned, including ice cream cones and gift items representative of the mid-1970s era.

Connect Imaging (Honolulu). Connect's current approach to PACS is to identify a client's desired functional outcome in the context of the facility's modalities and desired workflow, at which point Connect configures a PACS solution around those functional goals. Most configurations use modules from facilities' existing product line; however, Connect also has the capacity to do custom work.

DMS Health Group (Fargo, ND). Displaying its mobile unit at RSNA, the DMS Health Group offers solutions in many areas of diagnostic imaging and patient care. DMS Imaging offers mobile diagnostic imaging shared and fixed-site services; DMS Interim Solutions provides interim/rental systems. The company's Topline Medical division offers a full line of new and used patient-monitoring and resuscitation equipment, including ultrasound systems, probes, supplies, and accessories. DMS Health Technologies is a distributor for Philips Medical Systems in the upper Midwest and provides imaging supplies and accessories to equip any department.

Merrill Lynch (Beverly Hills, Calif). A former Wall Street pharmaceuticals analyst and board-certified physician, Robert Levin is a wealth management advisor and CFP certificant. Directing a wealth-management practice serving primarily physicians, health care executives, and women with complex financial needs, Levin employs a disciplined strategy to achieve their financial goals. He also provides a myriad of services for his clients.

Millennium Research Group (MRG of Toronto). MRG offers customized surveys to suit various client research needs. Survey topics include trends in diagnostic imaging, the use of contrast agents and tracers, the adoption of 3T MRI, women's health imaging, pediatric radiology, equipment-purchasing intentions, competitor comparisons, PACS, RIS, CT angiography, x-ray, PET, ultrasound, and nuclear medicine.

Neurostar Solutions Inc (Atlanta). To its Virtual Radiology Community Web site, Neurostar has added support for both medical transcription services and 3D image-processing labs. Users of the company's Virtual Radiology Network (VRN) can access the Web site for services, resources, and information. Medical transcription services and image-processing labs can use the site's service listings and bulletin boards. Neurostar also will highlight its E-Store, an online portal where medical professionals can configure a customized VRN solution.

NightHawk Radiology Services (Coeur d'Alene, Idaho). NightHawk recently announced the availability of its proprietary workflow technology service to independent radiology groups across the country. The newly available workflow technology service, Talon, features an intelligent image-distribution system that routes images to, and creates worklists for, the appropriate physician in a highly secure fashion. Because it uses the Internet, the 100% paperless system integrates into an existing practice, enabling radiologists to better track the number and timing of studies to maintain and evaluate proper staffing levels.

Riteview Corp (Ashburn, Va). Providing a range of services designed to help practices achieve maximum efficiency, Riteview's teleradiology service provides high-quality and cost-efficient imaging interpretations 24/7. The company also provides technology solutions for radiology groups, imaging centers, or hospitals looking to maximize efficiency and revenue.

Sunset Radiology Inc (Playa del Rey, Calif). Providing nighthawk and teleradiology coverage for radiology groups nationwide, Sunset Radiology uses HIPAA-compliant teleradiology systems to be able to accept and distribute studies from any modality, server, or PACS. The company promises a network and applications IT staff that are responsive 24/7 for seamless integration and support. All radiologists at Sunset are 100% American-based, board-certified, and fellowship trained.

Templeton Readings (Sparks, Md). For more than 5 years, Templeton Readings has been providing day and night final-reporting teleradiology. The company offers overflow work models and a full suite of teleradiology reading solutions in all 50 states. Emergency night coverage services also are available.

US Radiology On-Call (Santa Monica, Calif). From level one trauma centers to solo rural practices, US Radiology On-Call provides 24/7/365 teleradiology services for radiology groups nationwide. Fully JCAHO-accredited, the HIPAA-compliant coverage solutions, including nighthawk, evening overflow, second opinions, and daytime coverage in all disciplines of radiology, are customized based on need.

Software

AMICAS Inc (Boston). Currently in development, the new Insight Dashboards solution is designed to consolidate information from both operational and clinical systems. The solution spans the entire Vision Series suite of products and services. By providing Web-based, real-time access to the customized, consolidated data, Insight Dashboard will make it possible to evaluate clinical factors, such as technologist productivity, and asset utilization factors.

Barco (Kortijk, Belgium). Barco will demonstrate Voxar 3D Enterprise, a major enhancement to its Voxar 3D software designed to provide rapid enterprise-wide access to advanced visualization. Whether accessing large volumetric studies on a high-performance diagnostic workstation or a standard PC, Voxar 3D Enterprise uses server-based technology and ATI graphics-processing units to accelerate the speed at which users can load, review, report, and communicate patient cases with clinical colleagues.

CAD Sciences (White Plains, NY). CAD Sciences and Sapheneia LLC (Jackson, Miss) have teamed up to develop a product that analyzes suspicious lesions in the lung, combining Ultra-Low-Dose CT (ULDCT) technology with comprehensive contrast perfusion analysis. The joint collaboration would extend CAD Sciences' proprietary Full-Time-Point (fTP) pharmacokinetic analysis software platform to CT. Also on display will be CAD Sciences' Server 2.4—an advanced fTP MR image postprocessing engine—and WorkSpace 2.1, a streamlined MR image viewer that facilitates the analysis of fTP-colorized images and quantitative output data.

Cedara Software (Mississauga, Ont). Cedara Clinical Control Center (C4) is a platform that allows clinical applications and plug-ins to be tightly integrated into a single workstation, sharing system resources. Next, the Cedara aXigate boasts a Web-based back-office architecture that allows a single point of access to comprehensive clinical and diagnostic information. Finally, Cedara OpenEyes provides an option for rapid application development; it includes the imaging functionality required for integrating third-party applications and high-level viewing solutions.

Cerner Corp (Kansas City, Mo). Cerner will showcase its radiology and clinical imaging solutions at RSNA. Recent improvements to the company's unified RIS/PACS solution include a critical results documentation and notification solution as well as order-review and order-approval tools. Cerner also will highlight its specialty clinical visualization software for mammography and orthopedics, as well as MultiMedia Foundation, which integrates digital images and objects within an EMR, compiling a comprehensive patient record.

CHILI USA Inc (Jersey City, NJ). The CHILI software suite is IHE compliant and includes an ergonomically designed diagnostic workstation client, a Web-enabled delivery engine for clinical archive access, and a fully integrated cooperative teleradiology system. Zen Engineering Network has expanded its partnership with CHILI GmbH and the subsequent formation of CHILI USA Inc, which will serve as the US support and distribution center for CHILI PACS radiology software products and services.

DeJarnette Research Systems Inc (Towson, Md). The company's newest program, the xDL cross-enterprise document librarian, offers inexpensive and reliable off-site storage of PACS data. The xDL is a software layer that can be placed on top of any off-site storage vendor's service offering, where it will uncouple the medical imaging domain-specific knowledge. In addition, DeJarnette will introduce V2.0 of its Intelligent Router, which will feature multiple routing rules per source, support for complex filters, support for wildcard matching in filters, and an improved user interface. V2.1 of the PACSware Migration Toolkit will support the migration of legacy Canon PACS. Finally, V3.0 of the dyseCT CT workflow engine will be able to break up TSpine, LSpine, and reformatted studies.

Eagle Image’s K2M File Compressor and EDDA Technology’s IQQA-Liver software—just two of the many software products to be demonstratred at RSNA.

Eagle Image Systems Inc (Oklahoma City). The new K2M File Compressor provides high-speed compression of digital images while preserving the fidelity and quality needed for diagnostic interpretation of images from CT, MRI, x-ray, and ultrasound. The K2M can be configured to work as a stand-alone compression system and compresses BMP, JPEG, and DICOM to PDF and JPEG2000: JPM, JP2, JPC. Capable of being seamlessly integrated with existing PACS and software systems, the K2M accepts 8-, 12-, and 16-bit grayscale and color images, and allows for variable selection of compression levels.

EDDA Technology Inc (Princeton Junction, NJ). The FDA-cleared IQQA-Chest software solution offers real-time interactive diagnostic analysis of digital chest x-rays to support radiologists in their identification, confirmation, and quantification of lung nodules. EDDA will unveil its IQQA-Chest Enterprise, which is able to instantly deploy the full functionality of the IQQA-Chest application to PACS workstations. The IQQA-Liver also will be on display. Using data from a serial multiphase CT liver study, the imaging application provides radiologists with a tool to review all acquired phases simultaneously with automatic anatomic phase registration.

Kodak's Health Group (Rochester, NY). The CAD software designed for Kodak's CR-based mammography platforms will be displayed as a work in progress at RSNA. Kodak has offered mammography functionality as an optional feature on its DirectView CR 850, CR 950, and CR 975 systems outside the United States and Canada since May 2005. The company is currently pursuing regulatory approval for its mammography feature within the United States and Canada. When this CR-based CAD system is available, Kodak will offer an integrated single-vendor solution for digital mammography.

Mammography Reporting System Inc (Seattle). The Interactive Patient History Collection System is a soon-to-be-released addition to the MRS Mammography Reporting System. Through a tablet PC or interactive kiosk, this feature displays a series of questions for new patients to answer, providing a fast, efficient way to collect their historical data. Existing patients simply review their information and make changes as necessary. Once entered, the information is downloaded into MRS and is available for viewing and verification, immediately accessible to the technologist or radiologist.

MedQuist (Mount Laurel, NJ). Inland Imaging recently implemented MedQuist's SpeechQ for Radiology speech-recognition (SR) solution and will be on hand at RSNA to discuss its selection and implementation experiences with anyone considering SR technology. Presentations will also be given on such topics as how to prepare and set realistic expectations for radiologists when implementing SR; recommendations for involving radiologists in the selection process for speech solutions; and the integration of SR software within radiology workflow strategies.

Mercury Computer Systems Inc (Chelmsford, Mass). Making its debut at RSNA is Mercury's Visage 3D to the Core platform, which is able to support the transformation from slice-by-slice visualization to fully integrated, seamless 3D visualization. Next, Mercury's Visage MR noise-reduction technology is a high-bandwidth, analog-to-digital receiver board; phase-stabilization technology virtually eliminates phase-error-induced noise in MRI images. In reconstruction, Mercury's Cell Accelerator Board (CAB)—its latest Cell Broadband Engine processor-based product—can deliver 180 GFLOPS of performance and 25 GB/s memory bandwidth in a single PCI Express ATX form factor card for embedded medical OEM applications.

Orthocrat (Tel Aviv, Israel). Orthocrat will debut the latest version of its digital orthopedic surgical planning and templating solution: TraumaCad 3D. It guides surgeons through all presurgical planning steps and automatically displays implants to scale with patient anatomical images, enabling advanced orthopedic surgical planning through precise manipulation of soft-copy images and application of fixation and prosthetic systems. TraumaCad 3D is able to integrate with any PACS and displays images from a range of modalities.

Precision Software Inc (Atlanta). Organizations turn to state-of-the-art software, ongoing technical support, and consulting services for the scheduling of physicians and staff members. Precision offers a complete product line and services designed to meet the specialized scheduling needs of medical groups, from the initial scheduling process and dissemination of information through the aftermath of trades and swaps within the group. Available solutions include PS+, WebSchedule, TaskTrac, BidMaster, and Backup Manager.

Riverain Medical (Miamisburg, Ohio). RapidScreen is an FDA-PMA–approved chest x-ray CAD system capable of quickly identifying solitary pulmonary nodules between 9 and 30 mm. It also is capable of highlighting suspicious nodules on the original standard AP/PA chest x-ray, providing a virtual second pair of eyes for the radiologist. At RSNA, Riverain Medical will demonstrate lateral CAD chest images, further improving the ability to detect early-stage lung cancer, especially in the difficult area partially hidden by the heart.

Swearingen Software Inc (Houston). Swearingen Software's offerings include a new Web-based scheduling system. The Web Schedule Requestor allows patients and/or referring physicians to request an appointment online, anytime. The facility's scheduler then reviews each request in real time, contacting patients to confirm an actual appointment. Also, thanks to an agreement between the two companies, Swearingen's newly released RISeptionist module will include theReminderPro Patient Messaging System from JulySoft (Tucson, Ariz). In addition to tracking all contacts, the system can call at specific times (such as weekends or after business hours), and it will combine multiple calls to the same household.

TeraRecon Inc (San Mateo, Calif). The company will introduce its new Aquarius iNtuition advanced imaging workflow solution at RSNA. Aquarius uses a three-step workflow—automate, validate, and read—to minimize the manual interaction required to bring a volumetric examination to the point where a physician can make a definitive diagnostic or therapy-planning decision. These steps are achieved using the new Aquarius Advanced Processing Server, which automates preprocessing of newly acquired examinations, enables quality control by allowing a technologist to validate the automated results, and then delivers the exam to a workstation to be read.

Viatronix’s V3D-Enterprise—just one of the many software products to be demonstratred at RSNA.

Viatronix Inc (Stony Brook, NY). RSNA will serve as the launching pad for a range of new software applications from Viatronix. Leading the way is V3D-Enterprise, which uses off-the-shelf servers to allow access to all the Viatronix clinical applications anywhere on a medical facility's network. Also on display will be a range of improvements to the V3D-Colon, a CT colonography application. The company's V3D-Cardiac is capable of using the latest multiphase CT studies and provides a variety of data-analysis functions.

Vital Images Inc (Minnetonka, Minn). Vital Images recently announced significant upgrades to both its Vitrea software and the Web-based ViTALConnect solution. Vitrea V3.9 boasts new usability features as well as cardiac and neurological enhancements. Next, ViTALConnect V4.0 features improved image quality, enhanced performance, and richer advanced analysis tools that were previously available only on traditional workstations. Finally, VitreaACCESS is a solution for Vitrea users that allows them to "float" licenses between workstations throughout the enterprise or access Vitrea software's clinical tools from a secure remote Virtual Private Network.

Vocada Inc (Dallas). By automating and expediting the communication of critical test results, Veriphy helps ensure reporting consistency within departments, across diagnostic departments, and across hospital systems. After a radiologist makes a call, the system takes over. Veriphy's hosted technology alerts the ordering physician and verifies receipt of the message, escalating the notification if necessary. The original voice message is stored in a searchable archive. The real-time reporting feature of the critical test-result–management solution also assists with benchmarking and performance evaluation.

Ultrasound

Ascension Technology Corp (Burlington, Vt). The new 3D Guidance, to be unveiled at RSNA, is a pulsed-DC magnetic tracker, offering multiple sensors and transmitter options that can be customized for given procedures. Embedded in the distal tip of instruments are sensors that use a flat transmitter plate (positioned beneath a patient) to negate the distorting effects of ferrous metals in hospital beds and procedural tables. When used in conjunction with LaborPro—developed by Ascension's OEM partner, Trig Medical (Haifa, Israel)—3D Guidance makes nonradiating intrabody navigation possible for many image-guided procedures.

CHISON Medical Imaging Co (Wuxi, China). New models are the order of business for CHISON, which will roll out its CHISON iVis 60, a full-digital color Doppler ultrasound diagnostic system. With raw data image-postprocessing technology, the fully PC-based platform provides large image storage, convenient printing function, and fast data processing. Other features include backlit keys, a large backlighting trackball, and separate function and alphabetic keyboards. The portable CHISON 8300 ultrasound system boasts a 128-frame back-play Cine-loop, a built-in imaging archive, and a USB port for large image storage.

GE Healthcare’s Voluson i 4D laptop system.

GE Healthcare (Waukesha, Wis). GE Healthcare will showcase the Voluson i, a compact 4D ultrasound system designed specifically for women's health, gynecological, prenatal, and other clinical applications. This new compact laptop-sized technology, which received FDA clearance in May, allows clinicians to make immediate real-time diagnoses by bringing imaging to the patient, eliminating the need to transport them.

Kyoto Kagaku Co (Kyoto, Japan). The company's ultrasound QA phantoms are created from original phantom material that is stable and shows excellent homogeneous granular background reflection. The Cyst Phantom is a device for evaluating resolution and penetration, and it contains nonechogenic cylindrical targets in five different sizes, including 1 mm. The Basic QA Phantom contains 10 line targets and three nonechogenic cylindrical targets. The Ultrasound Examination Training ECHOZY-Abdominal Set consists of a life-size ultrasound abdominal phantom with embedded internal organs, and a decomposable life-size organ anatomical model.

From left are ultrasound products to be showcased, including CHISON’s 8300 portable system, Medison’s SonoAceX4, and Mindray’s DC-6.

Medison America Inc (Cypress, Calif). First up for Medison is the SonoAce X4, a new premium 2D and 3D ultrasound system featuring full-spectrum imaging, synthetic aperture, tissue harmonic imaging, a high dynamic range of 150 dB, quick scan times, post gain control, and high-resolution zoom, along with freehand 3D and 3D multiplanar imaging. Also to be shown are a host of features included in the first significant, comprehensive upgrade to the Accuvix XQ. Labeled as the Prestige Edition upgrade, the enhancements extend the capabilities of Accuvix XQ into radiology, cardiology, and OB/GYN.

Mindray (Nanshan, Shenzhen, People's Republic of China). In its new DC-6 color Doppler ultrasound system for general applications, Mindray has created an interactive process connecting sonographers, patients, transducers, and instruments. An ergonomic design incorporates several intelligent workflow components, such as the i-Station and i-Touch. The DC-6's powerful hardware greatly increases diagnosis accuracy and efficiency, allowing physicians to focus on the diagnosis and their patients.

Philips Medical Systems (Andover, Mass). The Vision and Performance ultrasound systems from Philips Medical will receive a revitalizing upgrade for the coming year. The 2007 editions of the systems will feature new technologies and quantification software enhancements, including iSlice intelligent slicing, using volumetric imaging to provide precision progressive views of anatomy; customizable protocol-driven exams to reduce procedure time and improve exam consistency; image enhancements and tools for interventional procedures; and the new V6-2 automated volumetric transducer.

Shantou Institute’s CTS-7700 portable system.

Shantou Institute of Ultrasonic Instruments (Shantou, Guangdong, China). The Portable Ultrasound Scanner CTS-7700 is a PC-based, portable ultrasound scanner that includes a foldaway backlit keyboard, a 10-inch monitor, and two active probe connectors. Designed for abdominal and small parts imaging, along with OB/GYN, cardiology, and urology, the CTS-7700 on display at RSNA will feature such new technologies as super broadband multifrequency, digital beam forming and signal processing, and continuous dynamic focusing.

Shenzhen Landwind Industry Co Ltd (Shenzhen, China). The Neucrystal C30, a portable ultrasound system, features a 10-inch high-definition monitor, dual-probe connectors, multifrequency probes, and a backlit keyboard with silicone buttons. The Neucrystal C20 comes standard with a 10-inch black-and-white monitor (optional 7-inch). Both systems boast advanced transducer technologies, including broadband, multifreq