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Medical Imaging with iQ
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Case Studies
Here you can review a summary of several installations, which had very demanding requirements and the way these requirements have been fulfilled by our systems.

Ibis Clinic in Warsaw, Poland
Western Cape district hospital, South Africa
Flagstaff Medical Center, USA
Indian Health Service, USA
X-ray guys, Buffalo, NY, USA
Marie Curie Hospital, Bucharest, Romania
Shifa International Hospital, Islamabad, Pakistan
University of Michigan, USA
Wake Technical Community College, NC, USA
AarReha Schinznach, Switzerland
Diagnostica Nobiliore, Italy
Yamalo-Nenets Autonomous Region, Russia
National Screening Program for Men in Scotland, UK
Methodist Hospital, Chicago, USA
Grünstadt District Hospital, Germany
CentralPACS, New Zealand
European Cyberknife Center, Munich, Germany
IMSI and Med-Net Hosting Sites, USA
University Physicians Medical Center, Philippines
University of Michigan, USA
Purdue University, Indiana, USA
Omnimagem, Brazil
Misericordia University, USA
IDIME - Instituto Diagnóstico Médico, Colombia
Lifeline Vascular Access, USA
The Medical Association, Hamburg, Germany
Cysticercosis project, Peru
Institut de Diagnostic per la Imatge, Spain
Uppsala University Hospital, Sweden
Wilbur Wright College, USA
European Cyberknife Center, Munich, Germany

The European Cyberknife Center in Munich is an ultramodern treatment center which uses high-precision image guidance and modern robotics to perform radiosurgery on patients from all over the world. The center was established in 2005 as the first Cyberknife installation in Germany. Since then more than 3,500 patients have been treated successfully with this non-invasive technology substituting surgical intervention for specially selected cases.

In the Cyberknife Center’s daily routine, good imaging is an essential prerequisite for patient selection and subsequent treatment planning, which is based on CT, MRI and PET imaging. While high-resolution CT studies are generated by the on-site CT scanner, all imaging data originating from other modalities are provided by external imaging centers from all over the world. Patients and referring physicians submit medical imaging data for initial evaluation, treatment planning and follow up either on CD/DVD, or by uploading the data through the upload option on the Cyberknife home page. The center receives up to 50 external patient data sets every day which are then transferred to the center’s PACS system using DICOMReader.

Mr. Christian Drexler, senior medical physicist, explains how DICOMReader has been integrated into the Cyberknife center’s workflow and how the software has been received by the users. 

“DICOMReader is an effective, fast and easy-to-use tool for scanning the data source, identifying suitable image files, and sending DICOM data to our PACS system with a very high success rate. An automatic DICOM query of the PACS database assures that new imaging data is reliably assigned to the proper patient by editing DICOM header information on the fly.”

Mr. Drexler continues, “We have been using DICOMReader for over 5 years now. Initially, we were testing the free DICOMReader version – among other products - and it turned out that DICOMReader was the perfect tool for reliable data import. The program improved our workflow and, most importantly, the software was quickly accepted by our office staff. After an evaluation period where IMAGE Information Systems’ support was always very helpful to identify and solve any import-related issues and was responsive to our wishes and suggestions for improvement, we upgraded to DICOMReader PRO in order to use the PACS query functionality.”

2a Cyberknife-Logo

2b Cyberknife
23 June 2011
IMSI and Med-Net Hosting Sites, USA

The PACS business is not limited only to the sale of software and licenses. There are many interesting services and products that can be offered to all kinds of hospitals, imaging centers and even private practices in order to meet their demands for solutions related to medical image storage, distribution and resulting.

For example, IMAGE Information Systems’ sales partner IMSI of Philadelphia, PA and their reseller Med-Net of Buffalo, NY are active in the medical image hosting business, where they currently offer various institutions the opportunity to outsource the management of their medical imaging data storage. This means that their clients can minimize their costs, while continuing to enjoy permanent access to state-of-the-art technology, because they will pay a per study on-demand fee eliminating most sunk costs and avoiding the chores of informatics and information system administration, which are not their core business.

IMSI and Med-Net have collaborated in the establishment of several hosting sites to accommodate medical image storage and medical applications across the United States offering three types of hosting site configurations:

  • Image storage and review
  • Image storage and reporting
  • RIS and PACS with storage

Image storage and review:

One site that services mainly “urgent care” centers has two tiers of PACS servers. One tier consists of several regional sites that each provide image store/forward and reader access for a collection of urgent care centers. Each region has their own group of reading radiologists that either read studies directly from the iQ-WEBX servers, or as downloaded to their iQ-VIEW stations, or as uploaded to their customary PACS at their various hospitals. The second tier is the iQ-WEBX archive store for all the urgent care centers.

Image storage and reporting:

A second type of site provides image archival and viewing. IMSI provides archive storage and viewing/reporting access to several major league team stadiums. The modalities located at the stadiums send their images directly to the iQ-WEBX hosted site and team doctors can view the images over the Web. iQ-WEBX provides secure access for each team and all visiting teams.

RIS and PACS with storage:

The third type of site provides complete hosted RIS and PACS services to a number of hospitals and clinics. Small and mid-sized hospitals and clinics send their imaging studies to a central PACS where they are archived and provided to the shared radiology group for reading/reporting. All RIS functions are supported including mammography tracking, billing interfaces, HIS interfaces, EMR interfaces, etc.

The radiologists use iQ-VIEW and iQ-X to read the cases. In some cases the hospitals/clinics prefer to retain their 3rd party PACS systems, therefore IMSI provides a direct interface between their PACS and the hosted RIS at the radiologist's workstation. This totally integrated hosting site also provides digital voice applications for the radiologist and complete transcriber support if they do not use voice recognition. High-quality cordless microphones are provided as part of the total solution.

The aforementioned sites have been active for four years hosting over one million medical images.


18 January 2011