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PACS' Volumetric Reading Tools Improve Radiologist Efficiency

By MedImaging International staff writers
Posted on 03 Nov 2010

A new picture archiving and communication systems (PACS) platform provides features and functionality including advanced three-dimensional (3D) capabilities comparable to those offered by dedicated 3D systems. Building advanced volumetric capabilities into the PACS platform delivers higher radiologist productivity and streamlines workflow.

"The Carestream PACS workstation delivers an impressive suite of 3D tools that is on par with the best dedicated 3D systems available. It supports a broad range of volumetric functionality, but its automatic volume matching image registration of extremely large datasets inside the viewer is probably the biggest differentiator. This allows radiologists to perform an automated review that saves time and can enhance diagnostic quality. Another important feature is its ability to support productive remote reading from home or office computers using various bandwidths,” said David Hirschorn, M.D., director of radiology Informatics, Staten Island University Hospital (Staten Island, NY, USA).

The latest addition to the PACS platform's 3D toolset is automatic abdominal and cardiac vessel segmentation. This feature uses algorithms to locate automatically relevant vessels and present clinicians with the ability detect results such as the extent of blockage in a vessel or the aneurysm size. This information is presented in a format that allows clinicians to easily accept, correct, or extend vessels.

A new user interface provides thumbnail images for patient information and imaging studies, enabling fast, easy selection of desired information that helps reduce or eliminate manual searches for relevant data.

The Carestream (Rochester, NY, USA) PACS platform offers a range of efficiency enhancing features including: a global patient worklist; real-time volumetric registration with multimonitor and multi-dataset comparisons; embedded 3D tools; a highly productive user interface; and centralized storage and viewing of both non-Digital Imaging and Communications in Medicine (DICOM) and DICOM data.

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65 (52.928924560547): select jos_facebook.link from jos_facebook where cat=10

66 (405.78842163086): select jos_google_plus.link from jos_google_plus where cat=10

67 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10

68 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE id=294731874 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731874 AND published='1' LIMIT 1

69 (357.15103149414): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (417.94776916504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (350.9521484375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.007995605469): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (67.949295043945): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.829483032227): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 3458.9767456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

105 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

106 (86.069107055664): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731874 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (503.0632019043): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731874 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

109 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

110 (!!!!! 1497.9839324951): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294731874 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (610.1131439209): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294731874 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (756.02531433105): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 3283.9775085449): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (247.95532226562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

115 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

116 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

117 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

118 (698.08959960938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

119 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

120 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

121 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

122 (440.12069702148): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 40810.108184814): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (807.04689025879): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731874 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731874 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 18810.987472534): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (63.896179199219): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (397.92060852051): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (823.974609375): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (628.94821166992): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (33.855438232422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (832.08084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (747.9190826416): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=216

138 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=216

139 (610.8283996582): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 1269.8173522949): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (349.04479980469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

142 (236.98806762695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

143 (!!!!! 24619.102478027): TRUNCATE TABLE jos_trademed_module

144 (710.96420288086): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731874 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (330.92498779297): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731874 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (669.00253295898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1826.0478973389): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (375.03242492676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

150 (!!!!! 1213.0737304688): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (594.8543548584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

152 (!!!!! 4047.155380249): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

153 (595.0927734375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731874 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731874 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (66.995620727539): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

155 (114.91775512695): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

156 (94.175338745117): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (164.98565673828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

158 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731874 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731874 AND published='1' LIMIT 1

159 (78.916549682617): select jos_twitters.link from jos_twitters where cat=10

160 (40.769577026367): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 1488.9240264893): select jos_google_plus.link from jos_google_plus where cat=10

162 (276.08871459961): select jos_linkedin.link from jos_linkedin where cat=10

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