Hospitals & imaging centers benefit from complete imaging and informatics solution


Chicago, IL - November 30, 2008 - Today at the Radiological Society of North America (RSNA) Annual Meeting, Fujifilm Medical Systems USA has announced the deployment of a completely integrated solution for RIS, PACS, Cardiovascular and Women’s Imaging1. The company has become the first major vendor to deliver seamless, Web-based access to all mammography and cardiovascular images and information, as well as to all RIS data and reports, from one workstation, with a single sign-on and familiar user interface. This solution, newly available features, and future capabilities are all being demonstrated this week at the meeting.

“With the growing utilization of modalities like complex MRI, Cardiac CTA, and Full Field Digital Mammography (FFDM), the bar has been raised for PACS performance and there is a greater need to have advanced clinical capabilities integrated into the diagnostic process,” explained Jim Morgan, Fujifilm’s Director, Network Systems. “We’ve successfully utilized the Web-based functionality of our Synapse® PACS to expand its core capabilities to include greater diagnostic functionality as well as enhanced communication tools. With a focus on radiologist productivity and the need for a more efficient diagnostic process, we will continually add more clinical areas and enhance functionality to further aid diagnosis and ultimately help improve patient care,” continued Morgan.

Together Synapse Radiology, Synapse Women’s Imaging, Synapse Information Systems and Synapse Cardiovascular build on the success of the industry’s first true Web-based PACS, providing a complete imaging and informatics platform to support the needs of enterprise imaging.

Synapse® Radiology
At the core of Fujifilm’s integrated solution is Synapse® PACS, which is now installed at more than 2000 sites worldwide. Two main goals – enhanced communication and optimized productivity for radiologists in any imaging environment – were the impetus behind the development of the new Synapse Radiology features to be available in the next product release, Version 4.02. The following features are being demonstrated at RSNA.

* Communications Accelerator – A comprehensive tool set enables full compliance with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Guidelines and the American College of Radiology (ACR) Practice Guideline for Communication of Diagnostic Imaging Findings and Peer Review. Features including Critical Results Reporting, Embedded Instant Messaging and Task List Management (scan priors, burn CDs, obtain lab results) are built-in and accessible via one click of a tab on the Synapse Power Jacket.
* Enhanced Advanced Visualization Tools2 – Synapse 3D for PET/CT expands the current MIP and MPR capabilities with PET/CT Fusion functionality. This new feature – expected to be released second quarter 2009 – allows for the fusion of PET and CT data from hybrid scanners and the calculation of SUVs required in the diagnostic process.
* Advanced Imaging Navigation – Advanced, multi-image studies can be interpreted with greater ease and fewer clicks. Thumbnails of each image in the series are now displayed at the top of the monitor, and with drag-and-drop convenience can be added into the view port. Each image is also marked as read or unread, eliminating any question or duplication.
* Configurable Patient Master Jacket – Facilities have the flexibility to configure Synapse to interface with specialty third party features such as advanced orthopaedic or 3D imaging applications. By using a standardized methodology for the interface, customers can determine their needs and independently take the necessary steps to integrate new functionality.
*Intelligent Worklist – A new “dashboard” provides a single graphical view (versus multiple worklists) of department activity for radiology and other clinical users. This is particularly useful for multi-site facilities by showing the total exams to be read and where they reside. The Intelligent Worklist also helps radiologists prioritize their time by showing stat exams without the need to open a folder, thus further increasing productivity and enhancing care by enabling faster delivery of results.

Synapse Women’s Imaging
With the introduction of Synapse Radiology 3.2.1 at last year’s RSNA, Fujifilm introduced a suite of enhanced mammography features with efficiency of use in mind. Now with the growing adoption of full field digital mammography (FFDM) and a continued focus on further improving mammography functionality, Fujifilm has added a new workstation and with more advanced features to further aid the interpretation of FFDM and other breast imaging studies.

* Aspire Breast Imaging Workstation Powered by Synapse3 – With the recent release of the Aspire workstation, Fujifilm became the only vendor to offer the choice of a web-based, completely deployed breast imaging PACS, or a standalone workstation for mammography that is based on the same enterprise PACS architecture. The Aspire workstation delivers multi-modality breast imaging functionality to complement Fujifilm's FFDM offering; it can be installed as an image and information management solution or it can be a supplement to facilities’ existing PACS.
* Breast Area Detection Algorithms2 - This enhancement provides a method to better align breast images at the chest wall for symmetrical presentation to the radiologist. This feature can be applied to current and comparison studies, allowing the radiologist to more easily compare the features of the images. This also provides for improved contrast display by controlling the density of non-breast areas of the image independent from the breast area. This alignment, along with image display size matching, provides the radiologist a consistent image presentation for multivendor comparisons on a single workstation.
* Patented Compression Technology4 – Already validated and used as part of Synapse for compression of CT, MR, and CR images, among others, Fujifilm’s patented AON (access over network) wavelet compression technology was recently put to the test in a blinded study for use with FFDM images. Radiologists at the Elizabeth Wende Breast Clinic, Rochester, NY, have been evaluating this technology for mammography at 20:1 and 40:1 compression with very positive results. With greater than 95 percent confidence that highly compressed images were perceived equivalent for comparison with next-year studies, researchers are optimistic that FDA approval will be received for this groundbreaking technology. In a field where comparison with prior studies is legally required, there are tremendous speed and infrastructure advantages to be gained from the regular use of image compression for mammography priors.

Synapse Information Systems
The integration of Fujifilm’s Synapse PACS and the Encompass.NET RIS was completed in 2008 and is being successfully deployed at imaging centers, community hospitals and multi-hospital IDNs. The full Web-based solution is equally ideal for teleradiology and can be accessed with the same graphical user interface (GUI) regardless of location. Fujifilm will be highlighting recently released features available with the integration, a GUI totally redesigned by ergonomic software experts, and numerous enhancements in development.

* Peer Review – Enabling compliance with American College of Radiology (ACR) guidelines, peer review allows radiologists to designate studies for double read as well as generate random study selection. Notes can be added and searched, discrepant findings appropriately handled, as well as other necessary tools.
* Critical Results Workflow – To support new JCAHO requirements, embedded workflow supports critical results reporting. Departments are ensured that the communicaiton of critical results between referring physicans and radioligists is delivered and tracked as quickly as possible. This is one of several new features of Fujifilm’s new Communications Accellerator designed to help radiology departments meet the ever changing business and regulatory requirements of radiology information management.
* Radiology Dashboard – A single view of the radiology department is available on the RIS homepage. Data includes outstanding reports to be signed, critical results waiting, patient waiting time, low inventory items, and outstanding STAT studies, among others.
* Imaging and Informatics Convergence – Integration of Fujifilm’s world class IIP platform will be demonstrated with both the Synapse PACS/RIS platforms to allow the display of images, and provide the ability for technologists to: capture dose information within the RIS, complete studies, QA exams, review Patient Alerts, view radiologist protocol notes; among other exciting features.

Synapse Cardiovascular
Synapse now has a comprehensive and totally integrated cardiovascular component – Synapse Cardiovascular 4.0. Cardiology and radiology users have access to a completely Web based solution for cardiovascular imaging with full viewing and reporting capabilities using Web communication protocols, secured via SSL, in addition to a Web URL single-click application download and installation for easier deployment. In addition to this software release, Fujifilm is also demonstrating new cardiovascular features including OpenECG.

* OpenECG – This cost-effective, single-access ECG Management System now allows facilities to manage and coordinate every ECG from any department, including the ED. Anywhere there is internet access, physicians can review, edit, confirm and print multi-modality / multi-vendor ECGs. By significantly speeding exam-retrieval access – in some instances up to 50 percent faster – the quality and delivery of care is enhanced. Further objective statistical analysis has shown Open EGC to result in cost savings up to $6 per resting exam alone over paper management.

About FUJIFILM Medical Systems USA, Inc.
As one of the FUJIFILM Corporation family of companies with 70 years of imaging experience and more than $28 billion in sales, FUJIFILM Medical Systems USA, Inc. is a leading provider of diagnostic imaging products and network systems to meet the needs of healthcare facilities today and well into the future. Fujifilm’s Synapse® PACS (picture archiving and communications system) provides a seamless solution for managing, storing and distributing images and information throughout the entire healthcare enterprise. Its Web integrated design and hardware-independence provide a technological infrastructure and deployment model that can be expanded upon in a myriad of ways to adapt to evolving technologies. FUJIFILM Medical Systems USA is headquartered in Stamford, CT.

1 This solution is not yet available in all countries.
2 Version 4.0, Enhanced Advanced Visualization Tools and Breast Area Detection Algorithms, require FDA 510(k) clearance and are not available for sale in the U.S.
3 The Aspire Breast Imaging Workstation Powered by Synapse was introduced and previously known in the U.S. as the Synapse Breast Imaging Diagnostic Workstation (BIDW). Outside the U.S., the product is still known as the Breast Imaging Diagnostic Workstation.
4 Fujifilm’s patented compression technology is not FDA approved for diagnosis with mammography studies.