By John Wallace
The annual RSNA Scientific Assembly and Annual Meeting is a grand event each and every year. The 105th meeting held December 1-6, 2019 at the McCormick Place in Chicago was no different.
It is impossible to see and do everything that is offered. However, thanks to exhibit tours and exclusive interviews the Imaging Community Exchange (ICE) magazine is able to share some of the exciting news from RSNA.
Fujifilm’s Synapse 7x, a next-generation, secure server-side viewer platform that extends across enterprise imaging areas, bringing diagnostic radiology, mammography and cardiology together through a single, zero footprint platform, and allowing for immediate content interaction regardless of dataset size, was on display at RSNA.
Synapse 3D operates natively within the viewer, extending the same advanced visualization across radiology, cardiology and mammography, eliminating the need for third-party workstations. Synapse 7x is designed to take full advantage of Fujifilm’s open AI-enabled platform and use AI results natively within user workflows.
Sara Osberger, senior director of marketing, enterprise imaging, is excited about the platform.
“It is mind blowing to cardiologists because they are getting all of these radiology tools,” Osberger said in her interview with ICE. “Cardiologists are really going to benefit.”
She said workflow efficiencies are another feature.
“We are able to use AI algorithms to prioritize scans for radiologists to read,” Osberger said. “At RSNA this year, we are demonstrating 7 partner algorithms and 10 Fujifilms algorithms. It is an open platform for facilities to decide which to use.”
“Fujifilm’s Synapse 7x promises to be a game changer for our U.S. health care providers. It’s a convergence of Fujifilm’s server-side technology and was designed to cover all the different areas of diagnostic visualization as well as meet the long-term goal of providing the richest possible visualization layer for an enterprise imaging solution,” said Bill Lacy, vice president of medical informatics at FUJIFILM Medical Systems U.S.A. Inc. “The robust technology is uniquely AI-enabled and integrated, and is presently unrivalled in the marketplace.”
Paul Bojarski, market development director: acute care at FUJIFILM SonoSite Inc., was excited to share point-of-care solutions, including SonoSite Synchronicity.
The SonoSite Synchronicity workflow manager helps health care organizations optimize workflows, maximize financial return, improve quality assurance efficiency and streamline credentialing processes. Built specifically for POCUS, SonoSite Synchronicity workflow manager securely centralizes exam data and standardizes clinical workflow while delivering administrative efficiencies.
Additional features include built-in, customizable worksheets, intuitive dashboards, and the ability to access the tool from a computer, tablet or mobile device. Easily installed and scalable, SonoSite Synchronicity workflow manager was engineered to meet every organization’s unique requirements for standardization, consistency,
and compliance across entire medical networks.
“Fujifilm SonoSite’s POCUS innovations are more in demand than ever before because clinicians know they can count on us for our technological expertise, but also for the kind of training and support that continues to advance the field – whether at bedside, in the OR, ED or in the field.” said Diku Mandavia, M.D., senior vice president and chief medical officer of FUJIFILM SonoSite Inc. and FUJIFILM Medical Systems U.S.A. Inc.
Robert Fabrizio, director of strategic marketing digital X-ray and women’s health, provided insights regarding Fujifilm’s new DR detector.
“This is one of the newest things we are showing this year,” he said.
Recently 510k cleared by the FDA, the FDR D-EVO III is Fujifilm’s third generation digital X-ray detector featuring a sleek, thin design and status as the world’s first glass-free DR detector with patented Irradiated Side Sampling (ISS) – also making it the world’s lightest 14×17 detector at approximately 4 pounds. This design removes the traditional glass substrate from the capture layer, eliminating the most fragile layer inside, allowing for a much lighter weight compared to previous models. The FDR D-EVO III will initially be available in the U.S. in 14×17″ and 17×17″ sizes to fit a wide range of diagnostic needs.
“As imaging departments navigate their future, the need to advance technology while containing costs will continue to be a focus,” said Fabrizio. “Fujifilm is focused on the future – with the new FDR D-EVO III detector, imaging departments will be able to invest in a smart solution, providing cutting edge technology to their patients that is built to last well into the future.”
Rick Banner, senior director of marketing, digital radiography, CT and women’s health, explains the cost effectiveness of the new detector.
“The break-fix on a detector like this is a lot less,” Banner said.
He added that from a performance standpoint it boasts a long battery life, can hold 100 studies and has an anti-bacterial coating.
Also, Fujifilm demonstrated how its AI platform can be used in the emergency room, operating room and during general X-ray exams. Through these demonstrations, RSNA attendees had the opportunity to witness how AI will influence the future of radiography.
AI in the ER was demonstrated on the FDR AQRO mini mobile DR system (which is not yet commercially available). AI-powered recognition algorithms could provide indications to physicians of suspicious findings. AI recognition will search and map images to help identify pathologies such as pneumothorax and more.
AI in the OR was demonstrated on the FDX Console system (which is not yet commercially available), which has the ability to be paired with Fujifilm mobile systems. The intelligent feature and density recognition are designed to highlight foreign objects such as surgical gauze for images acquired during or post-surgery.
“In my mind, you can see how this in the OR will be huge,” Banner said. “The power of AI is to see something a radiologist can’t see. That assist will make all the difference in the world.”
AI for positioning navigation was demonstrated with a camera built into the collimator of a Fujifilm X-ray room. The system will match the exam menu selected for proper patient positioning and check for expected anatomy and/or anatomy orientation prior to exposure.
“The technologists learn how to more perfectly align patients,” Fabrizio said. “With every exam, the technologist gets better.”
In addition, RSNA attendees could preview the all new FDR Clinica X Suite which offers a scalable, affordable DR solution with maximum functionality. New features include a smart display on the X-ray tube head, generator controls integrated into the new FDX One Console acquisition workstation and built-in detector connections to the rotating DR trays. The versatile solution offers multiple workflow conveniences and provides upgrade options for automated long-length exams at the chest stand.
Fujifilm also introduced the FDR Clinica U, a compact, single digital radiography (DR) detector U-arm system, with versatile positioning, ideal for outpatient, private practices and small imaging facilities. The new imaging solution is a space-saving alternative to a full room system. FDR Clinica U offers flexible patient positioning in a compact affordable design with simplified installation requirements. The system automatically maintains alignment between the X-ray tube and image receptor at all times, to simplify positioning and workflow. The system also features a new FDX One Console incorporating full generator system controls integrated into the one technologist acquisition workstation.
In addition, Fujifilm introduced the D-EVO Suite FSx, an update to its predecessor the FDR D-EVO Suite FS. The revision offers new flexibility and functions that are not typically available on floor-mounted systems. New features include large color touchscreen display controls at the tube head, automated tube height tracking to table and chest detector elevations (option), auto-collimation (option) and more. This scalable system is built with high end components, designed to last and hold up to the most rigorous caseloads.
The FDR Clinica X Suite, FDR Clinica U, FDX One Console will be made available in the U.S. upon completion of regulatory requirements.