Dr. Nick van Terheyden

PACS/VNA
The Case for Deconstructed PACS: Proprietary PACS, basic VNAs will be extinct
The concept of "deconstructed PACS" has generated much interest and controversy, but does that model make the most sense for healthcare institutions? Dr. Nick van Terheyden of Dell Healthcare and Life Sciences makes the case that proprietary PACS and even simple vendor-neutral archives (VNAs) are headed for extinction.
January 27, 2016
2016 01 27 14 07 24 348 Van Terheyden Nick 200
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Understanding CT flow artifacts is key to better disease diagnosis
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Understanding the mechanics of flow artifacts on CT or CT angiography and how these artifacts are created is key to better disease diagnosis.
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Studies lacking for trans breast cancer screening trends
By Amerigo Allegretto
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Examples in two patients. (Top) Abnormal leukocyte accumulation was observed in the right 1st to 5th toes, with the radioactive lesions extending to the bone, indicating osteomyelitis (left panel, MIP image; right panel, axial SPECT/CT). Two spherical VOIs were drawn on diabetic foot infections (DFIs) and the highest SUVmax was 4.2 (higher than the cutoff of 1.1) Despite intensive treatment, the infection progressed, leading to the patient undergoing right below knee amputation 43 days after SPECT/CT. (Bottom) Mild focal abnormal leukocyte accumulation was detected in the right 3rd and 4th toes. The lesions were in contact with the bone, which raised a suspicion of osteomyelitis (left panel, MIP image; right panel, axial SPECT/CT). A circular VOI was drawn on DFIs and the SUVmax was 1.0 (lower than the cutoff of 1.1). After 10 weeks of antibiotic treatment, the infection was successfully resolved, and the foot was preserved. Image and caption courtesy of Scientific Reports.
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