Recently I have been testing the Lung CAD software for pulmonary nodule detection provided by Siemens--Syngo Via --which was bought as part of the CT scanner replacement. I have found it really useful. Currently it is a stand-alone software (not integrated with PACS-RIS workflow). However, with our PACS replacement in the near future, I can see huge improvements with the workflow. We will have a single click context link with the Siemens Syngo Via and any images we wish to save could be saved into PACS as a separate series.
This has actually made me realise that we have come a full circle here. Modality vendors created the concept of modality workstations for radiologists to report on. Concept moved to multi-modality image strore & viewing--PACS as a concept emerged. PACS moved out of radiology into general medical community. Standalone hardware based modality workstations soon became a thing of the past. VNA concept with XDS extends storage & display beyond radiology & beyond images into documents & graphs. Now modality vendors are selling speciality software like Lung CAD, Mammography CAD, vessel analysis, CT colonscopy etc which are specialist software used by radiologists for reporting--but not required by rest of the medical community, which can integrate into PACS easily. It is importnat to keep this in mind when replacing modalities.
posted on Wednesday, February 13, 2013 - 05:18 pm
I have been using the Lung CAD function on Syngo-via---it is really useful. There was some input from the Siemens Apps Specialist to get it all going. Now all my lung CT automatically get a CAD ready for review when I am reporting a body CT. Once the integration with RIS-PACS is possible with our PACS replacement, Lung CAD workflow will be 1click. The CAD certainly picks up lung nodules more sensitively than my eyes.
Make sure that in all PACS replacements--there is a clear contractual requirement for context integration with 1. Ortho-templating software 2. 3D software 3. CAD software 4. Cost for any future context integrations is clearly identified in the costings. We have all come a long way since the LSP contracts.