Imaging Technology News - January/February 2009 - (Page 10)

P I C T U R E A R C H I V I N G A N D C O M M U N I C AT I O N S Y S T E M S ( PA C S ) Company Name Agfa Healthcare American Medical Sales AMICAS Aspyra BRIT Systems Candelis Carestream Health Cerner CoActiv DR Systems Emageon eRAD FUJIFILM Medical Systems GE Healthcare COMPARISO iCRco IMSImed Product name IMPAX Catella Enterprise Class PACS Solutions AMICAS PACS AccessNET Roentgen Files ImageGrid RIS/PACS Appliance KODAK CARESTREAM PACS Cerner ProVision PACS CoActiv EXAM-PACS Unity RIS/PACS RadSuite eRAD PACS Synapse Centricity PACS ClarityOne / ClarityPlus imsiPACS Number of years offering current PACS product line (same name)? Approximate # of clients installed in 2008? (1 system = 1 client) 20 N/S 12 12 7 250 6 158 15 N/S 3 250 3 N/S 10 N/S 6 40 4 168 6 53 5 N/S 9 N/S 10 >1,000 globally 1 N/A 2 40 % of primary target market where PACS currently installed N/S N/S Hospitals, imaging centers, radiology groups, care networks 38% small hospital; 29% medium hospital; N/S 8% large hospital; 25% imaging centers N/S RHIO-10%; large hospital 10%; medium 50%; small 10%; img centers 20% Contact Cerner Medium hospital; small hospital; imaging centers; large hospital Ambulatory/imaging centers (40%); community hospital (40%); large acute care hospital (20%) IDNs primary market 48%; medium size hospital 26%; small hospital 16%; imaging centers & clinics 10% N/S Medium 1; large 2; Approx 23% market small 3; imaging center share, the largest in the N/A 4 industry 5% Does your company offer products or software from your company that integrates w/ your PAC system. If so, please list which? RIS, speech recognition, reporting, cardiology PACS, clinical apps Film digitizers, RIS, RIS, doc mgmt, document scanners, revenue cycle modality worklist broker management AccessRAD (RIS/PACS) Yes, RIS, QC workstation, Roentgen Burner Yes-IG advanced rad & RIS, Storage, CR, DR, mammo web viewer mammography, printer EXAM-RIS, EXAMRIS, EMR (Millennium), FILER-CD, EXAMED, CIS, document SENDER, EXAMimaging VAULT Archiving, EXAM-3D Scheduling, patient registration, patient tracking, film tracking, document scanning, management reports, voice recognition, + RIS, EMR, Dig.Dict, voice recognition, cardio, ortho, mammo, adv 3D eRAD RIS, adv. visualization, ortho templating, others Yes RIS-IC, CVIT, EMR, AW, NM, US rpting, mammo, Web DX Yes; iCRco CR/DR systems & acquisition software. imsiRIS, imsiHawk PRODUCT BACKGROUND Recommend a hardware, software turnkey solution. Provide server hardware, can use customer SANs and TSM, also Centera Does your company offer turnkey solutions, software only or both? Both Turnkey w/software options N/S Both Turnkey solutions only Both software & turnkey solutions Both Both Both Offer both turnkey and software. No Both requirements to provide the server Both Both. Software-only solutions for workstations w/rec. specs Both Both What is your primary system design (Web-based, client/server, etc.)? Web-deployed Server w/Web distrib/access Web-based Client/server (Webdeployed) Web-based thin client & thick client/server architecture Client/server Both Web-based & client/server Web-based Web-Based Both; Web-based and client server architecture Web-based Web-based Web-based core architecture Centricity PACS is centralized client/server Standalone Archive w/ Web-based w/ Web-based Web-start Workstations diagnostic viewer (opt) COMPARISON CHART What is/are your primary OEM hardware providers? Dell, HP, IBM, Sun, Barco, NEC Various. Client can choose if needed Dell, HP, IBM Dell, Rorke Data, Eizo IBM, Dell, EMC, Barco, Image Systems, Siemens, Eizo, Dell & Sony Rimage, Vidar, Carestream Konica Sun, Dell, HP, EMC, IBM Dell, IBM, HP. Barco, Planar DELL, HP HP, Dell, Dome, EMC, IBM, NEC, Rimage NetApp, EMC, Dell, HP Dell, HP, Rorke, Intransa, EMC Dell, HP, HDS, IBM HP, Dell and EMC HP Acer, Proteon, De In your standard system design do you incorporate: DAS (direct attached storage), NAS (network attached storage), SAN (storage area network)? Yes DAS AMICAS PACS will run DAS or NAS on SAN, NAS, DAS DAS & SAN + Integrated RAID5 Archive DAS, NAS & SAN SAN All, Plus CoActiv EXAMVAULT & EXAMYes, all ARCHIVE DAS, NAS & SAN (via DAS, NAS & SAN NAS gateway) DAS, NAS, SAN Based on client size Yes, DAS, NAS & SAN DAS Yes Are images stored in a DICOM Part 10 file format at server or archive level or both? Yes Yes JPEG 2K/DICOM Yes, both DICOM@both server (DICOM raw) and archive (DICOM JPEG lossless). CDs utilize PDI format. Both Both levels Yes Both Yes N/S Both Archive Yes, both BOTH Both P I C T U R E A R C H I V I N G A N D C O M M U N I C AT I O N S Y S T E M S ( PA C S ) Last software update (bug fixes)? Next update? # of updates/year? Oct. 2008, varies Sep. 08. Feb. 08. Nov. 15, 2008 - N/S - 6 Quarterly Dec. 2008, March 2009, 2 N/S Nov. 1, 2008; Next 2/1/09; 3 times Version 10.2 in 2Q08. 2/year Nov. 2008, 2-3 per year- Quarterly updates; last Two upgrades per year remotely & was Jan. 08; next Feb. automatically 09 Dec. 2008, Qtr 1, 1 update per year Quarterly Nov. 2008/Jan 2009/6 ~1 product update/quarter Dec. 2008; two (2) updates per year or as needed. Nov. 2008, Feb. 2 4 Last software upgrate (new features)? Next upgrade? # of upgrades/year? INTERFACES Do you offer a brokered or brokerless RIS interface (or both)? Cost of standard (non-custom) RIS interface? Do you currently support the IHE (Integrating the Healthcare Environment) standard? Do you currently implement JPEG 2000 compression standards? Nov. 2007, Dec. 2008, varies Nov. 15, 2008 - N/S - 3 June 08. March 09. One Dec. 2008, March 2009, 2 N/S Nov. 1, 2008; Next Feb. 1, 2009; 3 times Version 10.2 in 2Q08. 2/year Nov. 2008, 1 per yearTwo upgrades per year done remotely and automatically Last upgrade Oct. 07; next 1st qtr '09. Upgrades occur every 12-18 months Q3 2008, Q1 2009, 1 upgrade per year Annually, first quarter Jun 2008/Feb 2009/2 ~ Upgrade release is 12-18 months. 3.0 introduced in 2007 Dec. 2008; two (2) upgrades per year Sep. 2008, Feb. 2 include new features 2 under software support Brokerless. Cost varies Both 40K based on complexity Brokerless Brokerless (HL7) Brokerless RIS interface. Cost range $15k - $30k Both Both. Cost varies. Brokerless Brokerless. Standard, Brokerless $10K-$15K, Brokerless RIS. Cost non-custom RIS w/MWL varies interfaces start @ $15K Brokerless Brokerless $20,000 Brokerless w/Centricity Brokerless; DICOM RIS-IC & few others. MWL & MPPS included Brokerless. $7,500 Cost varies in standard offering. Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/S No No Yes Yes Optional Yes Yes Yes Yes, as option Yes, user selectable Yes Yes In process As work-in-progress Yes No (next version) Are images stored, compressed or uncompressed? If user selectable, please identify all options and whether proprietary or not. User-configurable, Compressed / lossless lossless or lossy. Open @ 2:5-1 & proprietary algorithm. N/S Uncompressed or lossless; user selectable, Non proprietary JPEG 2000. User selectable; DICOM uncompressed, Both; user DICOM lossless customizable compressed, DICOM lossy compressed + User selectable, standard & proprietary User selectable: not propetary. Store compressed or uncompressed. All images acquired at lossless, digital mammo stored @ lossless. All other modalities stored at various levels of JPEGLossy + User selectable; compressed or uncompressed, lossless or lossy DICOM Configurable, DICOM Part 10 JPEG lossy/lossless, JPEG, compression JPEG 2000 Images stored lossless & lossy compressed; JPEG Lossless & Fuji lossy User selectable/modality. DICOM 3.0, not proprietary User selectable. Lossless compression Uncompressed, JP (JPEG2000) is included lossless, RLE loss in standard offering JPEG Lossy Images stored: Locally (@ the server level), archive level, disaster recovery level. Yes Locally & w/ choice of backup options N/S All three w/ optional off site storage from InSiteOne Locally: DICOM uncomprd or lossless comprd; archive local or remote &DR levels: remote Scalable RAID5 & Tape Library Locally, archive, disaster recovery Yes All Images acquired @ lossless, digital mammo stored @ lossless. All other Yes modalities stored @ various levels of JPEGLossy + Yes Local, archive & disaster recovery storage available Images may be stored Yes, all levels @ all 3 tiers - customer supported option. Archive level w/ disaster recovery included in standard offering Yes What long term archiving options do Spinning disk, tape, SATA HD/remote you offer (AIT, DVD, etc.)? Disaster UDO, DVD. DR options service recovery options? available N/S Long term archive : Online (DAS,NAS, SAN, direct attached SAN), DVD, removable storage. DR options: Sony AIT tape library drives or InSiteOne SAN; direct attached disk; VXA-2; LTO; UDO Many options including EXAM-VAULT QUADSATA, DVD, tape, CAS DR redundant archiving DVD, Disk Array, NAS, RCM - Repl. Cont. Mgt, Spinning media, LTO SAN, CAS off-site options NAS/LTO & mirrored disk & LTO for DR Most archiving technology is supported. DR options incl remote ASP External removable drive cartridges w/ automated backup for disaster recovery Spinning disk, hos archive PRODUCT FEATURES Do you support the capture of static color images? Dynamic color images (30 fps- if 30fps, images & secondary capture for NM, cardiac No. No. Cine playback of greyscale images adjustable from 1-60 fps Yes Is document scanning supported? If so which vendor and what is the product name? Yes, PACSGEAR Yes, Catella Pacsscan, IMPAX TS5 N/S Yes. Any TWAIN compliant BRIT product, option for scanner hardware e.g. Fujitsu Visioneer Yes. Twain Yes Yes. Cerner ProVision CoActiv scanning Document Imaging included Yes, DR Systems Unity Yes. DatCard/PACS RIS/PACS feature Scan option Cedara, Nuance, PACSGEAR, Swearingen, TeraRecon, TraumaCad, Vital Images Yes Native document scanning in application Yes. DICOM scanning from in WIA scanner or via RIS device No N/A Primary software OEM partners? Voxar, Hectec, OrthoView We write our own http://www.gehealthcar http://www.cerner.com/ http://www.agfa.com/healthc http://www.amicas.com http://pacs.carestreamh http://www.e.com/euen/iis/product http://www.digitalams.com http://www.aspyra.com http://www.brit.com http://www.candelis.com http://www.coactiv.com http://www.dominator.com http://www.emageon.com http://www.erad.com http://www.fujimed.com http://www.claritypacs.com http://www.imsimed.com http://www.ealth.com http://www.ITNonline.net

Table of Contents Feed for the Digital Edition of Imaging Technology News - January/February 2009

Imaging Technology News - January/February 2009 Contents IMRT Imaging RT Solutions for Troublesome Tumors PACS Radiology to Close the Imaging Loop Will Web-Based PACS Take Over? Is CT Dose Under Control? The Best in Digital Mammography Breast Biopsy Systems MX Series Monitors Provide University of Pennsylvania Quality Assurance Reduce Waste to Raise Revenue

Imaging Technology News - January/February 2009

For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.