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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Two representative cases demonstrate the performance of PlaqueSegNet for coronary plaque segmentation. (A–D) Coronary CT angiography (CCTA) and intravascular US (IVUS) images in a 65-year-old male patient with chest pain for two months show plaque. (A) Cross-sectional IVUS image shows a lipid-rich plaque (hypoechoic, arrows). (B) Axial and (C) cross-sectional CCTA images show the same plaque (low-attenuation area, yellow line and arrows) in the proximal left anterior descending artery. (D) PlaqueSegNet segmentation of the noncalcified plaque (yellow shading) and coronary lumen (green shading) in the cross-sectional image. (E–G) CCTA images in a 57-year old female patient with chest pain for three months show multiple plaques. (E) Volume-rendered CCTA image of the coronary tree shows PlaqueSegNet plaque segmentation (yellow) in the right and left coronary arteries. (F, G) PlaqueSegNet segmentation delineates a mixed plaque (yellow shading) and coronary lumen (green shading) in the left main artery and proximal-to-mid left anterior descending artery.
CT
AI plus CCTA cuts plaque analysis time, predicts cardiac event risk
A deep-learning model quantifies coronary plaque volume from coronary CT angiography (CCTA) images.
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