A Flexible Medical Image Archiving and Reporting System

Nowadays diagnostic imaging systems have being used as a daily routine in medical institutions. The evolution of electronics, image technologies and communications has led to quick growing a quantity of medical applications and devices, that process visual information for diagnosing and treatment purposes. For quality management and patient protection reasons these systems are integrated into complex hospital information systems (HIS). Radiological imaging has the highest standardisation level and is widely used with PACS and within Radiology Information Systems (RIS). Unfortunately, other modalities, e.g. ultrasound, microscopy and etc., are suffering from a lack of standards for creating, processing and archiving image material. To fill this gap, many research and commercial organisations have been proposing various local solutions. This paper describes an approach in the application development that supports physicians in selecting appropriate decisions and provides image archiving in a flexible way. The application is positioned first to be used in echocardiography

A Flexible Medical Image Archiving and Reporting System

Nowadays diagnostic imaging systems have being used as a daily routine in medical institutions. The evolution of electronics, image technologies and communications has led to quick growing a quantity of medical applications and devices, that process visual information for diagnosing and treatment purposes. For quality management and patient protection reasons these systems are integrated into complex hospital information systems (HIS). Radiological imaging has the highest standardisation level and is widely used with PACS and within Radiology Information Systems (RIS). Unfortunately, other modalities, e.g. ultrasound, microscopy and etc., are suffering from a lack of standards for creating, processing and archiving image material. To fill this gap, many research and commercial organisations have been proposing various local solutions. This paper describes an approach in the application development that supports physicians in selecting appropriate decisions and provides image archiving in a flexible way. The application is positioned first to be used in echocardiography

How to solve difficult side branch access?

Safe guidewire placement in the main vessel (MV) and in the side branch (SB) does represent the key point for successful percutaneous coronary interventions (PCI) in bifurcated lesions. During bifurcation PCI, SB wiring is systematically performed as a first step and is often repeated ("rewiring") during the procedure in order to treat the SB after MV stenting. Wiring and rewiring are crucial phases of bifurcation PCI which require, in the most complex cases, specific operator experience. In the present paper, the classic SB wiring techniques necessary for routine bifurcation interventions (antegrade and pullback wiring technique) as well as "advanced" wiring techniques ("reverse wire" technique, Venture-facilitate wiring, MV balloon predilation or debulking) are described. Moreover, the rewiring technique is discussed in detail, with particular attention on the tips and tricks which may facilitate the achievement of optimal result with provisional stenting (pullback rewiring) and help manage bail out situations like acute SB flow impairment after MV stenting