A Paradigm Shift in Innovation

MITA Imaging Forward

The launch of Medical Imaging & Technology Alliance’s (MITA) “Imaging Forward” campaign highlights the many innovations in medical imaging over the last several decades. These advancements enable faster, more targeted disease detection and earlier diagnosis and treatment, and eliminate the need for invasive or exploratory surgeries.

With looming reimbursement cuts to medical imaging, it is more important than ever to show how medical imaging has undeniably transformed the way healthcare providers deliver better patient care today and will continue to shape the future.

At Toshiba, developing innovative technology to improve patient care and healthcare delivery is a priority and a commitment to healthcare providers. Recent medical imaging advancements that make healthcare safer and faster and reduce unnecessary healthcare spending continue to develop here at Toshiba.

Improving Stroke Patient Outcomes and Lowering Costs—Clinical and Operational Solutions with Advanced CT Imaging

Stroke accounts for approximately one out of every 18 deaths in the United States, according to the American Heart Association, and is the fourth most common cause of death. Stroke is also the single greatest cause of disability. More than 780,000 strokes occur annually. With three-fourths of strokes occurring in people over 65 and it being such a widespread event, the cost of treating stroke is astronomical, estimated at about $73 billion in the U.S., including both treatment costs and disability.

Today’s top hospitals and stroke centers use the latest CT technology, such as Toshiba’s Aquilion™ ONE and Aquilion ONE ViSION Edition, to diagnose stroke and treat patients faster than ever before. With clinical and operational solutions that make work flow, the Aquilion ONE covers up to 16 cm of anatomy using 320 ultra-high-resolution 0.5 mm detector elements that produce 640 slices to image an entire organ, including the brain, in a single rotation. It can show the brain’s dynamic blood flow and real-time function, which is crucial for stroke patients and enables rapid and accurate diagnosis when time is critical.

CT Technology

Advanced CT Imaging

Toshiba’s technology has offered healthcare providers solutions to prepare for episode-based care by effectively utilizing patient-focused imaging technology and a multidisciplinary collaborative treatment approach. One such example is Toshiba’s partnership with Kaleida Health’s Stroke Care Center (SCC) at the Gates Vascular Institute in Buffalo, N.Y., to diagnose acute stroke using Toshiba’s Aquilion ONE CT system. The SCC is a modern acute care center offering a full range of medical and surgical services, including world-class neurological and stroke care. The neuro-radiology department has integrated Toshiba’s state-of-the-art training and imaging with an outstanding multidisciplinary team, comprehensive education and community outreach. The result has been a multi-year improvement in both patient and financial outcomes in the diagnoses of acute stroke.

SCC found tremendous results for patients and their bottom line, and quantified those results through a two year study. In 2009 and 2010, SCC achieved an annualized cost savings of more than $2 million dollars for the top three ICD-9-CM stroke codes. The patient benefits were also significant with a reduction in length of stay and improved discharge dispositions. As healthcare providers everywhere will soon be challenged to provide more efficient and accurate care for patients, this is an example of how a collaborative approach to patient care can be successful in migrating to alternative payment models under the Affordable Care Act.

Dose Tracking System: Visualize Radiation Exposure Like Never Before

Dose Tracking System (DTS) is Toshiba’s latest advancement in optimizing dose management for its Infinix™ cardiovascular X-ray systems. DTS exemplifies innovation in medical imaging to further improve the safety and well-being of patients during long interventional procedures.

To develop DTS, Toshiba partnered with researchers at the University at Buffalo’s Toshiba Stroke and Vascular Research Center over the last decade. For the first time ever, peak skin dose is displayed in real time on an intuitive and easy-to-interpret 3D patient graphic, minimizing the guesswork required for patient dose monitoring.

The DTS estimation of skin dose goes beyond cumulative air kerma and other dosimetric indications. It tracks and incorporates movement of the X-ray beam relative to the patient graphic, providing a distribution of dose rather than a single cumulative number. Realistic patient models can be selected to closely match the actual patient undergoing the procedure for specific source-to-skin distance corrections.

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Dose Tracking System

Appropriate selection and matching of the patient graphic to the patient being imaged is a critical step in maintaining the accuracy of the skin dose estimates provided by the DTS. The appropriate patient model can be selected according to the height, weight/physique and sex of the patient from a library of more than 40 realistic patient models based on 3D digital scanning technology.

Summary dose reports record peak skin dose and other pertinent information, including snapshots of the skin dose distribution. Dose reports for up to 500 patients can be automatically stored on the DTS system. Archival and backup of dose reports can be accomplished through export to a USB memory device or a Windows-networked drive.

Real-time feedback provides skin dose information when it is needed most—during the procedure. DTS joins an industry-leading set of more than 40 dose management and reduction technologies, combined to provide clinicians with the necessary tools to succeed in today’s healthcare environment.