Laurie Lafleur

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How IT innovation can improve healthcare in Canada
While Canadians fiercely defend their country's healthcare system and its universal access to care, the Canadian model suffers from woes such as long wait times and a shortage of physicians. Laurie Lafleur of Paragon Consulting Partners suggests that innovation in healthcare IT can help address some of these shortcomings.
May 27, 2018
2017 03 08 14 25 06 810 Canadian Flag 400
AI
Are you ready for a radiologist shortage?
Could the U.S. be heading toward a shortage of radiologists? The idea might not be as crazy as it sounds if current demographic trends in radiology continue. Laurie Lafleur of Paragon Consulting Partners ponders this question and proposes that technologies such as artificial intelligence and blockchain could come to the rescue.
April 2, 2018
2018 04 02 20 26 1948 Paragon Consulting Logo 400
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TI-RADS and Bethesda achieved similar performances across Black and white racial groups.
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Example of AI-assisted pulmonary nodule detection and longitudinal volumetric assessment in a 65-year-old woman with peripheral arterial disease, a 24-pack-year smoking history, emphysema, and a family history of lung cancer. An incidental 8.5-mm right lower lobe pulmonary nodule is identified at CT angiography of the abdomen in July 2022 but does not receive follow-up. Subsequent imaging demonstrates interval growth, and CT-guided biopsy confirms stage IA lung adenocarcinoma. Contrast-enhanced axial chest CT images obtained on February 2, 2024, before robotic-assisted thoracoscopic segmentectomy, show a 12.1-mm spiculated right lower lobe pulmonary nodule. (A) Conventional contrast-enhanced axial chest CT image without AI assistance shows a 12.1-mm spiculated right lower lobe pulmonary nodule. (B) Corresponding CT image with AI-assisted pulmonary nodule detection, automated segmentation, and quantitative nodule assessment identifies a solid pulmonary nodule (nodule #1) measuring 13 × 8 (11) mm, with a volume of 739 mm3, a 45% volumetric increase compared with the previous contrast-enhanced chest CT performed on October 9, 2023 (510 mm3), and an estimated volume doubling time (VDT) of 216 days. (C) AI-generated longitudinal nodule analysis displays automated segmentation of the current (February 2, 2024) and previous (October 9, 2023) CT examinations, 3D nodule reconstruction, and quantitative volumetric assessment for longitudinal follow-up. The AI interface is displayed in the original software language (Dutch).
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