| Significant changes are emerging in the medical | | | | become more prominent. Mobile imaging systems |
| imaging industry with innovations that move away | | | | also will give first responders, the military, and |
| from expensive, large, stationary, and complex | | | | others access to the technology, especially in |
| systems to smaller, easier to use, and more | | | | remote areas where large, stationary devices are |
| accessible devices. Technological advances mean | | | | impractical. They will greatly improve survival |
| imaging capabilities will no longer be confined just | | | | rates in circumstances such as a stroke, when |
| to large hospitals and institutions. Rather, they will | | | | there is a small window in which to diagnose and |
| begin showing up increasingly in small hospitals, | | | | treat a patient. |
| physicians' offices, and on wheels outside medical | | | | In fact, the medical imaging industry already is |
| settings. | | | | manufacturing smaller, portable units that are user |
| Newer imaging technologies focus on combining | | | | friendly and provide highly accurate diagnosis with |
| ease-of-use with higher levels of accuracy, | | | | little patient discomfort. The newer designs are |
| allowing information to be accessed efficiently, | | | | more cost effective by allowing for quicker more |
| while providing higher throughput. These new | | | | accurate diagnosis and allow for use over a |
| solutions are cost effective and can be used in a | | | | variety of applications. |
| variety of clinical applications. | | | | Future innovations will see the technology get |
| Of the systems entering the market, many offer | | | | increasingly smaller as hand-held devices used for |
| systems that do not require specialized training. | | | | screening and diagnosis become more prevalent. |
| For example, GE Healthcare's CardIQ Function | | | | These small imaging devices will allow access to |
| Xpress contains a fully integrated post-processing | | | | more people no matter where they are which will |
| and analysis tool tailored specifically for cardiac | | | | allow the medical community to quickly diagnose |
| use. Boston Scientific received 510K approval for | | | | and treat a problem. |
| its iLAB Ultrasound Imaging System, which has an | | | | The University of California, Berkeley, is currently |
| easy-to-upgrade platform that promotes the | | | | working on cell phone that could one day be used |
| advancement of innovative technologies. | | | | to make medical imaging accessible to billions of |
| Facilitating Information Sharing | | | | people around the world. The phone would be |
| Digital imaging has made it possible to share | | | | hooked up to the data acquisition device then |
| information with multiple team members via | | | | transmit the raw data to a central server where |
| wireless communication. The iMRIsneuro, owned | | | | the information would be used to create an |
| by the University of Virginia Health System, is a | | | | image. The server would then relay the image |
| multifunctional, moveable, high-field MRI that allows | | | | back to the cell phone, where it can be viewed on |
| a medical team to scan, review, and share | | | | the cell phone's screen. This will significantly lower |
| information during a surgical procedure. | | | | the cost of medical imaging because the |
| Digital imaging also allows for the integration of | | | | apparatus is at the patient site and the technology |
| intraoperative procedures with imaging guided | | | | greatly simplified. There is no need for personnel |
| surgery to provide real-time data. This reduces | | | | highly trained in imaging processing. |
| surgical time, increases efficiency, and helps | | | | Hybrid Imaging Combines Methods |
| medical facilities recover their investments more | | | | The use of hybrid imaging methods over |
| quickly because they can schedule more patient | | | | single-method scan also will increase steadily over |
| scans per day. | | | | time, especially in the field of oncology. Image |
| Portability also is emerging as a standard | | | | fusion in particular is increasingly useful in merging |
| component of medical imaging systems made | | | | two or more different images to create one |
| with lighter materials to allow for transport to | | | | "fused" image. Studies have found that hybrid |
| multiple sites. The majority of new FDA 510K | | | | systems were able to detect the presence of |
| approvals for imaging systems feature designs | | | | cancer better than single systems allowing for |
| that allow for portability. For example, Digirad | | | | early treatment. |
| Corporation's XPO System can be configured or | | | | Philips currently markets the Precedence SPECT |
| fixed for mobile operation and services many | | | | CT system, a hybrid system that allows |
| different sites. Mobile imaging services currently | | | | physicians to perform SPECT and CT scans |
| comprise 70 percent of Digirad's annual revenue. | | | | simultaneously. It then fuses images from the |
| Other companies investing in the development of | | | | two scans, providing physicians with crucial |
| mobile imaging technologies include Toshiba, GE | | | | information about metabolism and structure. Philips |
| Healthcare, Siemens, and Teratech. There is a | | | | also developed Syntegra, a multi-modality |
| trend emerging in Europe in which systems are | | | | software that automatically superimposes |
| using higher slice configurations. Both Toshiba and | | | | physiologic data (such as PET) with anatomic data |
| Philips market systems that use 256-slice | | | | (CT or MR). The real-time data aids in the |
| configurations in cardiology imaging that result in a | | | | identification of tumors, shortens the radiation |
| 256 mm coverage area. A 256-slice CT, for | | | | therapy planning cycles, and results in more |
| example, can perform a full bank of five key | | | | confident diagnoses. |
| diagnostic tests on the heart or tests in the brain | | | | The use of hybrid technology will continue to |
| thereby exposing the patient to far less radiation. | | | | emerge as the combination of imaging methods |
| This equates to as little as one-eighth to one-third | | | | proves to be more effective in diagnosing |
| of the dose required in testing with the 64-slice | | | | problems over singular imaging methods. Fusion of |
| scanner. | | | | multiple image data from multiple systems will be |
| Innovation Trends | | | | used to recreate accurate anatomical structures. |
| Medical imaging systems will continue to get | | | | With the market forecast to increase by 6 |
| smaller and more mobile, and in the foreseeable | | | | percent annually through 2010, innovative designs |
| future, hand-held imaging devices are likely to | | | | will continue to keep competitors on their toes. |