Health Imaging & IT - December 2008 - (Page 31)

Small Field Big View Capintec, the leader in energy measurement, is proud to introduce the CapIMAGE™ [ David R. Gruen, director of the Connecticut Breast Center at Norwalk Radiology in Connecticut, and assistant chief of medical staff at Norwalk Hospital, uses CADstream breast MRI CAD from Confirma. ] and identifying whether or not they enhance, and if so, measuring whether they enhance in a benign or suspicious manner. “All of the features that might suggest malignancy are at your fingertips,” he says. “Most bilateral breast MR exams consist of 2,000 to 3,000 images. If you have to evaluate all this data manually, and do it multiple times a day, you could easily overlook something, measure the wrong lesion, look at the enhancement kinetics of the wrong lesion and miss or misdiagnose an early or subtle breast cancer. This is why it really is a necessary part of the interpretation process both to find and to characterize subtle lesions, not as a second reader, but as an essential part of the interpretation process.” “Using CAD can decrease false positive rates and subsequently the number of unnecessary biopsies,” Gruen points out. “Looking forward, the key challenge is to continue to increase specificity without sacrificing the exquisite sensitivity of breast MRI. As an imaging test, it has the ability to alter the course of therapy for many women, and potentially save many, many lives.” This lack of specificity is part of the reason that some imaging centers do not perform breast MRI, according to Rebecca G. Stough, MD, director of imaging for Mercy Women’s Center and clinical director for Breast MRI of Oklahoma in Oklahoma City. “The sensitivity is wonderful, but the specificity is a problem,” she says, adding that CAD improves breast MRI’s specificity. Stough is using AuroraCAD breast CAD from Aurora Imaging Technology, which is integrated with the Aurora 1.5T Dedicated Breast MRI system. For example, if an enhancing mass with washout is found in the upper outer quadrant of a breast, Stough says she uses multiplanar reconstruction capability of CAD, does an oblique subtracted MIP reconstructed image, rotates that to find a fatty highlight and looking at the mammogram, can identify a lymph node and potentially rule it out—even with a washout curve. Stough says she does not believe it is possible to interpret a breast MRI without the use of some kind of CAD. “If you don’t have CAD to assist in interpretation your ability for an accurate diagnosis is going to be limited,” she concludes. HealthImaging.com CapIMAGE is an all new small field of view gamma camera system, ideal for imaging small organs and body parts including the thyroid, parathyroid, extremities and gated studies. This highly mobile imaging device provides for a small but stable footprint with a highly versatile head detector. CapIMAGE is designed to fit into small spaces, provide detailed images with rapid acquisition, processing and data storage via DICOM connectivity. The small footprint allows for easy maneuverability within the department, hospital hallways or the patient's room. The detector head is easily positioned for upright or supine imaging procedures. The optional ECG hookup can provide gated cardiac studies that can be accommodated by the 8.25 inch circular field of view. Functionality is the key to the CapIMAGE™. To learn more about this exciting new product contact a Capintec representative at 201-825-9500 or toll free at 800-631-3826. Capintec, Inc. 201-825-9500 • 800-631-3826 www.capintec.com December 2008 | Health Imaging & IT 31 http://www.capintec.com http://www.capintec.com http://www.HealthImaging.com

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Health Imaging & IT - December 2008 Table of Contents The Enterprise News Update Technology at Work: What You Need to Compete Why 1.5T MRI is Leading the Pack Workflow Strategies Aid Advanced Visualization Deployment Illuminating Reading Room Design for Better Reading Strategies Cardiac SPECT Sharpens its Focus OrthoPACS: The Information Backbone of the Orthopedic Clinic Imaging Tools Reader's Resource

Health Imaging & IT - December 2008

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