ICE Magazine April 2019

ADVANCING THE IMAGING PROFESSIONAL

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contents

ICE FEATURES

April 2019

“ I would hope we can come to some kind of consensus nationally as a cohort of physicians to inform our patients so that more of them have appropriate care.“

The Masking Effect: Dense 42 Breasts and Women's Health

rofessional P 26 Spotlight

For years, women’s health care advocates have pushed for breast density

Donna Parker manages a radiology

inform laws. To understand why this information makes a significant difference service department at a clinic in Hatin women’s health, how it supports the early detection of breast cancers that

tiesburg, Mississippi. She decided on an

could otherwise be hidden, and whether it could ultimately lead to greater sur- imaging career after seeing the skill it vival rates among women at risk for developing cancer requires understanding took for a radiology tech to perform the how breast density is determined and why it matters.

job firsthand.

Corporate Profile: Ray-Pac builds X-ray Tube Replacements for major OEMs. The company specializes in developing high-quality, low-cost replacement tubes for most portable imaging systems used in medical settings in the United States. Page 39

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contents

ICE DEPARTMENTS

April 2019

14

26

31

news

people

products

insight

11 Imaging News

24 Department Spotlight

47 Careers Center

18 ICE Recap

26 Professional Spotlight

29 X-ray Tubes Spotlight

20 Webinar Wednesday

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30 X-ray Tubes Gallery 34 Solutions Guide

22 People on the Move

37 Tools of the Trade 35 Photo Contest

48 Expert Article: Summit Imaging 50 Imaging Matters 52 Daniel Bobinski 54 ICE Scrapbook 56 AMSP Scrapbook 58 Index

MD Publishing 18 Eastbrook Bend Peachtree City, GA 30269 Phone: 800-906-3373 Fax: 770-632-9090

Vice President

Account Executives

Circulation

Editor

Contributors

Digital Department

Kristin Leavoy kristin@mdpublishing.com

John Wallace jwallace@mdpublishing.com

Publisher

John M. Krieg john@mdpublishing.com

Art Department Jonathan Riley Karlee Gower Kathryn Keur

Jayme McKelvey Megan Cabot

K. Richard Douglas Matthew N. Skoufalos Cindy Stephens John Garrett Daniel Bobinski Jenifer Brown

Lisa Cover Melissa Brand

Cindy Galindo Kennedy Krieg

Webinar

Linda Hasluem

ICE Magazine (Vol. 3, Issue #4) April 2019 is published by MD Publishing, 18 Eastbrook Bend, Peachtree City, GA 30269-1530. POSTMASTER: Send address changes to ICE Magazine at 18 Eastbrook Bend, Peachtree City, GA 30269-1530.

For subscription information visit www.theicecommunity.com. The information and opinions expressed in the articles and advertisements herein are those of the writer and/or advertiser, and not necessarily those of the publisher. Reproduction in whole or in part without written permission is prohibited. © 2019

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ADVANCING THE IMAGING PROFESSIONAL

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IMAGING NEWS A LOOK AT WHAT’S CHANGING IN THE IMAGING INDUSTRY

Agfa Receives FDA 510(k) Clearance for DR 800 with Tomosynthesis Agfa has announced FDA 510(k) clearance for its DR 800 multipurpose imaging system with tomosynthesis. Offering one solution for radiography, fluoroscopy, multi-slice and advanced clinical applications, the DR 800 supports the role of radiology in the value-based care organization with increased versatility, functionality and efficiency.

With the DR 800, Agfa moves from 2D single plane imaging to multi-slice image reconstruction. Tomosynthesis is used to synthesize tomographic slices from a single tomographic sweep.

The DR 800 includes Agfa’s brand-new, tomosynthesis algorithms for iterative reconstruction, which deliver images with less noise and fewer artifacts. These algorithms also enable very fast image reconstruction, in less than one minute, overcoming the usual slow iterative reconstruction process.

The DR 800 comes standard with Dynamic MUSICA, for both static and dynamic (moving) images. This image processing software enhances noise suppression, offers superb brightness control, reduces veiling glare and plays a significant role in enabling potential dose reduction.

Dynamic MUSICA includes MUSICA Digital TomoSynthesis software, which powers the tomosynthesis reconstruction, automatically presenting images with optimal contrast, and providing consistent image quality across the individual slices and images.

The highly versatile, fully integrated DR 800 offers a multi-purpose digital imaging solution. This robust and reliable solution can handle a full range of radiography (including static exams and tilting exams), fluoroscopy exams (including barium meals, swallows and enemas, arthrograms and cysto-urethrograms, myelography and catheter placement, etc.), as well as tomosynthesis exams. •

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Probo Medical LLC Acquires Trisonics Inc. Probo Medical, one of the fastest-growing companies in medical equipment sales and repair and a portfolio company of Varsity Healthcare Partners, has announced the acquisition of Trisonics Inc., which will expand its presence in the ultrasound industry.

With the acquisition of Trisonics, Probo Medical will have an extensive ultrasound service division to complement its current ultrasound equipment sales and refurbishment departments. Trisonics is located in Harrisburg, Pennsylvania.

Established in 2014 and headquartered in Fishers, Indiana, Probo Medical has quickly become one of the U.S.’s largest resellers of new and refurbished ultrasound equipment. Probo’s family of companies includes ultrasound probe operations in Fishers and Tulsa, Oklahoma, ultrasound system sales through its MedCorp office in Tampa, Florida, and expands service and sales by Trisonics throughout the eastern United States.

Trisonics will continue to operate under its current name, with the same tenured service team providing for its customers.

Now with more than 120 employees, four locations and strong capital backing, Probo is looking to continue to expand through acquisition within the industry. •

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AHRA, Canon Medical Announce Grant Winners AHRA: The Association for Medical Imaging Management and Canon Medical Systems USA Inc. awarded one grant of up to $10,000 to an Integrated Delivery Network (IDN) and six grants of up to $7,500 – two focused on pediatric imaging, two on overall patient care and safety in imaging and two on oncology imaging. Thanks to the 11th Putting Patients First program, seven leading health care providers have the ability to fund education and training programs to enhance the patient experience and safety in diagnostic imaging.

“High-quality diagnostic imaging plays a significant role in improving patient care, but unfortunately many health care facilities don’t have the resources to attain the proper equipment or implement the training and education needed to increase patient comfort and diagnose diseases more quickly and accurately,” said Angelic Bush, CRA, FAHRA, president, AHRA: The Association for Medical Imaging Management. “This year’s selected recipients presented remarkable programs that with the help of this funding, will not only advance safety and patient care, but will take the lead in providing new best practices and research for hospitals and health care facilities across the nation.”

The IDN grant has been awarded to Einstein Healthcare Network (Philadelphia, Pa.) will create an advanced software solution with automatic detection of intracranial hemorrhage on non-contrast CT brain images to reduce the time it takes to generate preliminary or final reports by the radiologist, allowing them to prioritize their workflow and analyze the most acute examinations first to improve patient care.

Pediatric grants have been awarded to: • Lexington Medical Center (Lexington, Neb.), a Critical Access Hospital, will be able to offer more sustainable forms of pediatric patient immobilization through the purchase of immobilization systems, allowing technologists to better position patients in a fashion that is safer for the patient, technologist and additional bystanders by preventing unnecessary exposure to radiation.

• N emours Children’s Hospital (Orlando, Fla.) will be able to reduce sedation and costs while minimizing time in pediatric MRI scanning through the use of two new MRI

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mini models and play based therapy.

Overall patient care and safety grants have been awarded to: • University of Maryland Medical Center (Baltimore, Md.) will be able to provide an Electronic Patient Tracking Board and Waiting Room Care Card to patients and their loved ones to improve comfort and reduce anxiety by educating them on the phases of care they can expect to receive while they are in the hospital for an outpatient interventional procedure.

• Inova Alexandria Hospital (Alexandria, Va.) will advance patient comfort and safety in mammography by investing in a Hausted Mammography/Biopsy chair which includes a hydraulic base to raise a wider range of patients to the necessary height to perform the exam and accommodate patients that become distressed during the invasive procedure.

Oncology grants have been awarded to: • CARTI Cancer Center (Conway, Ark.) will be able to help improve patient clinical pathway with point-of-care lab testing, thanks to the purchase of their own I-Stat unit, a lightweight device that checks patients’ lab work and allows CARTI’s imaging technologists to deliver more accurate results prior to CT and MRI scans.

• University of South Florida Morsani College of Medicine/Tampa General Hospital (Tampa, Fla.) will initiate a study to test the effectiveness of 3D printing on patient understanding of their diagnosis of pancreatic cancer and help improve management of the condition.

“Patient care is the cornerstone of everything we strive for at Canon Medical, and we are committed to developing imaging technology that allows health care providers deliver safe, comfortable and accurate exams to their patients,” said Catherine Wolfe, senior director, Strategic Communications and Market Intelligence, Canon Medical Systems USA Inc. “That is why we continue to build upon and prioritize the Putting Patients First grant program and make it possible for facilities to advance their level of patient care with new research, equipment, education courses and training.”•

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news

Avante Health Solutions Opens N.C. Location Avante Health Solutions announced the completion of its new offices in Concord, North Carolina. Located just outside of Charlotte, the new building was completed earlier this year and will house Avante Diagnostic Imaging, Avante Ultrasound and Avante Oncology Services.

The new Avante Health Solutions location measures approximately 158,000 square feet, providing expanded space for each Avante division and fostering a collaborative work environment.

“Our new Concord location will further unify the Avante Health Solutions family of companies and bring together the efficiencies and expertise of our various imaging specialties,” said Steve Inacker, Avante’s president and chief operating officer.

In addition to increased space, the new Concord location will also feature upgraded, state-of-the-art staging and service bays for cath/angio, CT, ultrasound and LINAC systems, as well as expanded offices to house each division’s growing administrative

and sales staff.

Avante Diagnostic Imaging will be the first Avante company to relocate to the new building. Formerly known as Transtate Equipment Company, Avante Diagnostic Imaging is currently based in Concord. The new building is located just minutes away from its previous campus.

Avante Oncology Services, formerly known as Oncology Services International, will begin the relocation process for its satellite service locations and centralizing them at the new Concord offices in early spring 2019.

In late spring, Avante Ultrasound will join Avante Diagnostic Imaging and Avante Oncology Services at the new Concord location. Formerly known as Global Medical Imaging (GMI), Avante Ultrasound is currently located in nearby Charlotte, N.C. The new Avante Health Solutions offices is located at 1040 Derita Road, Suite A, Concord, NC 28027. •

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Philips Receives FDA Clearance to Market DigitalDiagnost C90 Royal Philips has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) to market the DigitalDiagnost C90, its newest premium digital radiography system. Designed to increase patient throughput and decrease the time to diagnosis, the Philips DigitalDiagnost C90 offers health care organizations a flexible and customizable imaging solution that helps to improve workflow and clinical outcomes, while adding economic value.

X-ray is often the start of a patient’s care journey and plays a critical role in supporting clinical care decisions from that point forward – making high-quality imaging essential. As the industry’s first radiography unit with a live camera image directly displayed at the tube head, DigitalDiagnost provides a clear view of the anatomical area being scanned during the patient positioning process – improving workflow so that clinicians can be confident that the right

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area is captured with a low X-ray dose exposure. With Philips’ UNIQUE 2 image processing and Bone Suppression software1, radiologists can process clearer images for a more confident diagnosis with a lower chance of a costly and timely rescan.

DigitalDiagnost C90 also incorporates the Philips Eleva user interface, a common platform across a range of Philips digital radiography systems that enables a smooth and efficient patient-focused workflow. This common user interface is now extended to the Eleva Tube Head, speeding up workflow by over 17 percent per examination2. Its touch screen display transfers operation into the examination room to allow for more time with the patient. DigitalDiagnost also helps contribute to a lower cost of care, with flexible room configuration options and SkyPlate sharing available among all Philips premium digital radiography systems.

“In today’s world of value-based care, health care organizations are investing in imaging solutions that help them achieve the quadruple aim: improved outcomes, enhanced patient experience, increased staff satisfaction and lowered cost of care delivery,” said Daan van Manen, business leader for diagnostic X-ray at Philips. “With solutions like the DigitalDiagnost C90, Philips is helping radiology departments get one step closer to achieving that ambition through innovation that enables higher quality images, while keeping the patient and staff experience at the forefront.” • 1 Riverain Technologies’ ClearRead Bone Suppression.

2 Compared to a typical examination using the previous release of Philips’ DigitalDiagnost. Based on four images on average per examination. Validated by clinicians in a Philips development environment.

ADVANCING THE IMAGING PROFESSIONAL

news

Fujifilm Announces Sole Source Contract with Gastrologix FUJIFILM Medical Systems U.S.A. Inc., a provider of endoscopic imaging solutions, has announced a three-year, sole-source relationship with Gastrologix, the nation’s only group purchasing organization (GPO) working solely with independent gastroenterology (GI) physicians.

The joint agreement delivers quality endoscopy technologies to a national network of leading GI physicians at more affordable price points.

“We appreciate the confidence Gastrologix has instilled in Fujifilm by selecting us as their exclusive vendor of choice for endoscopic imaging solutions,” says Johann Fernando, Ph.D., chief operating officer of FUJIFILM Medical Systems U.S.A. Inc. “We are incredibly proud of our innovations, including ELUXEO and our 700 series endoscopes, and we’re grateful to work with a GI-specific GPO to help get these life changing technologies into the hands of even more healthcare providers.”

Gastrologix’ mission is to help independent gastroenterology practices increase efficiencies so that they can remain independent in an increasingly challenging health care environment. The physician focused GPO’s overarching goal is to assist in providing solutions that make an impact at the practice level, ultimately strengthening the doctor/patient bond.

“At Gastrologix, we strive to increase efficiencies by providing our members the best value proposition for equipment, supplies and services,” says Steve Somers, principal of Gastrologix. “After an exhaustive due diligence process, we determined Fujifilm’s endoscopic imaging solutions represent top value in both performance and price. We are proud to partner with the obvious choice for physician groups purchasing new equipment for their ASCs.” Fujifilm’s entire endoscopy portfolio is now on contract with Gastrologix. •

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FDA Clears MAGNETOM Lumina 3T MRI System The Food and Drug Administration (FDA) has cleared the MAGNETOM Lumina 3 Tesla (3T) magnetic resonance imaging (MRI) scanner from Siemens Healthineers.

The MAGNETOM Lumina features BioMatrix patient personalization technology, which significantly improves productivity while ensuring consistent quality. The system has a wide, 70-cm bore and GO technologies powered by artificial intelligence (AI), which accelerate the entire MRI workflow. For example, a whole spine exam can be performed up to 20 percent faster compared to a conventional system. Tim 4G and Dot (Day Optimizing Throughput) engines support standardized, highly reproducible scan procedures. To further facilitate workflow efficiency, the system features an optional dockable table. Additionally, new Turbo Suite acceleration packages can further reduce scan time on routine musculoskeletal (MSK) examinations of various parts of the body by up to 50 percent.

The MAGNETOM Lumina will also offer the optional Innovision1 in-bore infotainment system, which is designed to move with the scanner table to not only create the illusion of an enlarged bore, but also to provide a unique video experience with excellent sound quality.

“With the MAGNETOM Lumina, Siemens Healthineers is transforming care delivery by providing high performance with a strong return on investment,” said Jane Kilkenny, vice president of magnetic resonance at Siemens Healthineers North America.

“The patient experience is enhanced with a state-of-the-art infotainment system, lightweight and flexible coils, and new speed

applications that enable the provider to get the patient on and off the table faster.” • 1 The in-bore Infotainment system Innovision is still under development and not yet commercially available. Its future availability cannot be guaranteed.

Prestige Medical Imaging Expands Product Portfolio Prestige Medical Imaging (PMI), an independent provider of digital imaging technology and services for medical facilities, has announced the expansion of its product portfolio to include; analytics software solutions, ultrasound and MRI systems, through a new partnerships with Esaote and Glassbeam.

“Our customers have asked for ultrasound, MRI and analytic solutions, and we selected Esaote and Glassbeam after an extensive market analysis and product review process. These solutions were in high demand by our customers and we were actively working to add them to our product portfolio,” said Bill Haussmann, CEO for Prestige Medical Imaging.

Esaote is a world leader in the manufacture of diagnostic ultrasound systems and probes. These products along with dedicated MRI and software for managing the diagnostic process have been on the market for more than 30 years. “Esaote has shown itself as a real trailblazer with its ultrasound and

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MRI systems. Partnering with them to expand our portfolio is a significant step for PMI, which results in even better products for our customers,” added Haussmann.

Glassbeam is a machine data analytics company, bringing structure and meaning to complex data generated from any connected machine in the Industrial IoT with a strong focus on medical and data center equipment. Glassbeam’s next generation cloud-based platform is designed to transform, analyze and build Artificial Intelligence applications from multi-structured logs and delivering powerful solutions.

“With the Glassbeam partnership, we’re able to expand our software offerings to our clients, Glassbeam machine data analytics solution is a game changer for the health care market.

This software provides enhanced analytics to view device uptime and utilization reports and improving the patient experience through increased uptime.” •

ADVANCING THE IMAGING PROFESSIONAL

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By John Wallace

ICE 2019 EXCEEDS EXPECTATIONS More than 500 Industry Professionals Attend Imaging Conference

T

he 2019 Imaging Conference and Expo proved to be as popular as the sunny beaches of Florida during a nationwide cold spell. About 500 professionals from throughout the imaging service community descended on Clearwater Beach, Florida for the annual conference and it’s top-notch education, exhibit hall and networking events.

The Imaging Conference and Expo (ICE) is the only conference dedicated to imaging service professionals including technicians and directors of imaging services. ICE offers valuable CE credits and world-class presentations. Whether it’s worthwhile continuing education, productive networking or the exclusive exhibit hall, attendees had opportunities to enhance their careers and spend time with colleagues.

ICE 2019 was powered by ICE magazine – the monthly magazine for imaging service professionals and directors produced

by MD Publishing.

“ICE 2019 exceeded everyone’s wildest expectations! From the sunny beaches of Clearwater Beach, Florida, our attendance hit 300, and was made up of imaging directors and engineers from 40 states, and combined with the exhibitors, gave us close to 500 in total attendance,” MD Publishing Founder and President John Krieg said. “From the ICE18 Leadership Summit & Reverse Expo, to the jammed packed exhibit hall, to the incredible continued education and super sessions, we heard from more than one attendee who said. ‘ICE has become THE imaging conference to attend. Where else can you combine imaging

About 500 attendees and exhibitors made ICE 2019 a successful conference.

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directors with service engineers and have networking, vendor interaction and powerful education?’ ” “The 2019 Imaging Conference & Expo was abuzz with activity. The ICE Leadership Summit which brought together over 25 imaging leaders from around the country kicked off the conference, followed by the Reverse Expo with its whirlwind speed-dating style atmosphere. Several ICE sessions had standing-room only, and the exhibit hall provided a festive atmosphere with food, cocktails and live music,” MD Publishing Vice President Kristin Leavoy said. “We even had vendors and attendees asking when registration would be open for the 2020 conference!”

One attendee echoed what many in attendance said during the conference.

“Another successful event! The sessions were informative and sparked some really good discussion. I both instructed and learned quite a deal from the incredible talent pool that attended,” said Christopher Bryant, a Biomedical Engineering Support Specialist who serves as an Imaging Specialist at the Lovell FHCC. “The whole venue was upscale and I think that is a prime factor in attracting the attendees and the exhibitors, knowing what a quality event you all put on.”

Several representatives from companies with booths in the packed exhibit hall shared positive comments about the conference.

“Very good traffic flow yesterday,” 626 Holdings CEO Kevin Gill said before the exhibit hall opened for day two. “It was betADVANCING THE IMAGING PROFESSIONAL

news

Signature networking events, top-flight educational sessions, a packed exhibit hall and great giveaways made ICE 2019 the best ever.

ter than the first day at MD Expo in Seattle – which was surprising.”

He said it was also high quality traffic that delivered the people he needs to speak with regarding his company.

“I like that it is limited to imaging because we are imaging specific,” Gill said. “To my knowledge, there is no other conference that is imaging specific to the core of our business. It is an industry gap filler. There is nothing else like it. You get more bang for your buck and more return on investment.”

Ken O’Day from BC Group echoed that sentiment.

“I saw a lot of people we know and met some new people,” O’Day said.

“I think ICE is a good opportunity to see what is in the marketplace,” he added. “This is the group of people we need to meet.

The people who put their hands on the equipment. Those who service and mainWWW.THEICECOMMUNITY.COM

tain imaging equipment.”

Andrew Geidel from MW Imaging was blown away by ICE 2019.

“This is the best ICE show ever,” Geidel said. “The attendees have been very engaging and willing to give their time to learn about our business. I’ve had engaging conversations and been able to build some new leads.”

“It just seems like the whole aura of the show is better than the other ICE shows,” he added. “It has the right people. It’s been very good.”

The education and exhibit hall lived up to the high expectations of attendees and exhibitors. The last night poolside party sponsored by RSTI also surpassed expectations with delicious food, drinks and live music by the Spencer Road Band.

Sponsorships also provided other perks to attendees. MedWrench sponsored the

Exhibit Hall Grand Opening. Carolina Medical sponsored the show bags. BC Technical and Summit Imaging each sponsored break stations packed with energizing snacks between educational sessions.

USOC sponsored ICE18 for those participating in the popular Reverse Expo and Leadership Summit.

Krieg is excited about ICE 2020 after such a successful 2019 event. The dates and location for next year were announced. Everyone is encouraged to save the date for ICE 2020 being held February 9-11 in Scottsdale, Arizona.

“We can’t wait to build on this for ICE 2020 in Scottsdale! Look out!” he said. ICE For the latest ICE news and updates, visit AttendICE.com and join the ICE Facebook group (www.facebook.com/ groups/1713041448938354).

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WEBINAR WEDNESDAY Experts Share Vendor Management, Cybersecutirty Tips

W

ebinar Wednesday continues to bring great educational material to HTM professionals in 2019. The recent Nuvolo-sponsored webinar “The Future of Healthcare Vendor Management” provided the opportunity for attendees to earn 1 credit from the ACI. The webinar featured Nuvolo Director of Solution Consulting Peter Goltz. He discussed and demonstrated ways that HTM organizations can manage their vendors in a modern CMMS system. He covered areas around vendor on-boarding and access to the CMMS system, vendor contract management, vendor scorecards and reporting and vendor service level management.

Almost 300 biomeds from throughout the United States tuned in for the live presentation and more have viewed a recording of the session online.

Goltz garnered positive feedback via a post-webinar survey in which the presentation was described as “informative” and “super relevant” by attendees.

“Another informative webinar that helps show the effective use of CMMS technology to manage assets,” said J. Ruiz, biomedical engineering manager.

“Well done and super relevant,” shared M. Pritchett, biomedical technician.

“I enjoy the way that Peter presented the use of Nuvolo to log the vendor paperwork,” explained D. Palumbo, technician.

“As always, with these types of webinars there is a value to the HTM field. Great information,” said L. Clifford, area manager.

“Very thorough information delivered in a convenient manner,” F. Rosen, BMET, shared.

Cyber Threats Another recent Webinar Wednesday presenta20

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tion “The Simple Guide to MedTech Security” was sponsored by CyberMDX and attendees were eligible to receive 1 credit from the ACI. Safi Oranski, vice president of business development at CyberMDX, explored the nature of health care cyber threats and how they have impacted the current landscape of medical technologies and connectivity vulnerabilities.

He talked about the convergence of cybersecurity and MedTech, then expounded on the need, the complicating factors, and the routes to better protected medical devices. Attendees where shown a five-step methodology to comprehensively secure medical technology.

More than 200 people attended the live presentation and even more have viewed a recording online. Those present for the live presentation gave positive feedback in a post-webinar survey.

“It was nice to have an honest approach toward securing your network. He was straight forward in identifying all the risks at hand, but he also gave us a road map for regaining control of our network through small steps in a coordinated effort toward security,” explained P. Garon, biomedical technical specialist.

“A fantastic presentation on cybersecurity, one of the most important subjects of the future of health care,” said B. Baxter-Brown, BMET. “This was the best presentation by far in all of the webinars I have attended so far in explaining how complex cybersecurity can be. It was well presented and gave me a much clearer understanding of this matter,” said B. Hayes, CBET site lead.

“Very informative webinar. Brought up some interesting points I hadn’t thought of before,” said P. Dorsey, BMET. The Webinar Wednesday series also continues to receive rave reviews.

“The Wednesday Webinar series is a great way to learn of new developments in test equipment, software and medical devices,” D. Minke, BMET, said.

“It’s nice to have access to such relevant biomedical-specific educational sources for free,” said J. Thielen, biomedical account manager.

“We enjoy having a scheduled time to help our technicians learn more about the industry than what experience that they get in the hospital,” said J. Walker, supervisor, clinical engineering.

“I truly enjoy the Webinar Wednesday series! I am able to listen to the webinar and work on equipment at my bench. No lost work time and I’m learning something new at the same time. Look forward to the next one,” S. McClinton, CBET, said.

“The Webinar Wednesday series is a useful educational tool for our technologists.

Although the topics are broad enough that many are not applicable to our specific educational needs, many are very useful and we monitor and recommend them accordingly,” said D. Burrill, technology manager clinical engineering. ICE For more information about the Webinar Wednesday series, including a schedule and recordings of previous sessions, visit WebinarWednesday.live.

A special thank you to the companies that sponsored these recent webinars.

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ICEMAGAZINE

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news

PEOPLE ON THE MOVE

By Matt Skoufalos

1

PartsSource of Cleveland, Ohio has added Joseph Zaluzney as senior vice president and chief revenue officer.

Zaluzney previously spent 20 years at Owens & Minor. Before joining Owens & Minor, Zaluzney was the chief supply chain officer for Mary Washington Healthcare in Fredericksburg, Virginia.

2

Healthmark Industries of Fraser, Mississippi has added Seth Hendee as clinical education coordinator. Prior to joining Healthmark, Hendee spent more than 20 years as a central services professional. He participates in a number of AAMI Sterilization Standards Work Groups, including those responsible for ST79, ST91 and ST90.

3

Technical Prospects of Appleton, Wisconsin has named Steve Green vice president of sales. Green operated his own medical device distributorship prior to joining the company.

4

Kewaunee Scientific Corporation of Statesville, North Carolina has named David S. Rhind chairman of its board of directors, succeeding outgoing chair William A. Shumaker, who held the role for six years.

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principal and co-founder of Genesys Solutions, and director of client services for the eLearning company Quisic.

8

Raymond F. Kerins Jr., senior vice president of corporate affairs at Bayer of Whippany, New Jersey, is the new chairman of the U.S. Chamber of Commerce’s Global Innovation Policy Center (GIPC). Kerins was formerly vice-chairman of GIPC, and has been with Bayer since 2013. Kerins also held senior public affairs posts at Pfizer and Merck.

9

Children’s Hospital Los Angeles (CHLA) has named Paul F. Kantor chief of the division of cardiology, co-director of CHLA Heart Institute, and professor in the department of pediatrics at the Keck School of Medicine of USC. Kantor has been the head of pediatric cardiology at McMaster University in Ontario, Canada; founder and lead physician of the cardiomyopathy and heart function program at the Hospital for Sick Children in Toronto; and director of pediatric cardiology at the Stollery Children’s Hospital in Edmonton, Alberta.

10

Traditions Health of College Station, Texas has named Ronda Van Meter its COO. Van Meter joined the company in 2018 as president of its California division. She previously held leadership positions with Gentiva, Harden Healthcare and Texas Home Health.

The InterMed Group of Alachua, Florida has named Dan Harrison its chief growth and development officer. Harrison is a seasoned sales executive with more than 40 years of experience in the healthcare technology management industry. He began his career as a biomedical equipment technician (BMET) in the U.S. Air Force, and followed that with a civilian career repairing clinical, imaging and laboratory equipment. Most recently, Harrison was a zone director for Siemens Healthineers.

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The Pasadena, California-based Huntington Hospital has added three members to its board of directors: Akila Gibbs, Simon Li and John Mothershead.

7

The Association for the Advancement of Medical Instrumentation (AAMI) of Arlington, Virginia has named Robert Burroughs its senior vice president of education. Burroughs is the founder of learning services company Trainingwerx, a former vice president at Xerox subsidiary Learnsomething, a 22

ICEMAGAZINE | APRIL 2019

Nihon Kohden of Irvine, California named Yasuhiro Yoshitake its new president and CEO, succeeding Wilson P. Constantine, who led the organization from April 2015 to February 2019. The company also promoted Scott Iserman to chief commercial officer, promoted Shinya Hama to chief operations officer, and added Kenji Sakai as CFO.

12

HCA Healthcare of Nashville, Tennessee has named Greg Lowe president of the newly created AsheADVANCING THE IMAGING PROFESSIONAL

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ville-based North Carolina Division, covering the recently purchased Mission Health system in western North Carolina. Lowe has been the CEO of the HCA Healthcare Chippenham and Johnston-Willis (CJW) hospitals in Richmond, Virginia for the past three years. HCA also named Terence van Arkel CFO of the North Carolina Division, as Mission Health president-CEO. Ronald A. Paulus will become a strategic advisor. Van Arkel has been CFO of HCA’s South Atlantic Division since 2016.

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G. Wayne Moore, CEO of Acertara Acoustic Laboratories of Longmont, Colorado has been re-elected as the Ultrasound Section Chair for the Medical Imaging and Technology Alliance (MITA), a division of the National Electrical Manufacturers Association (NEMA). Moore, an ex-officio member of the MITA board of directors, also co-chairs the output standards committee for the American Institute of Ultrasound in Medicine (AIUM).

14

Oncology Analytics of Atlanta, Georgia added Michael Weintraub to its board of directors. Weintraub was most recently managing partner of Optum Ventures, co-founded and was CEO of Humedica until it was acquired by UnitedHealth Group in 2013. Before launching Humedica, Weintraub had been senior managing director at Leerink Partners and president and CEO of PHARMetrics.

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ICEMAGAZINE

23

people Staff Report

DEPARTMENT SPOTLIGHT AdventHealth West Division Florida Imaging Service Team

T

he west coast of Florida is a popular destination. It offers a mild climate, beautiful beaches and quick access to deep sea fishing in the Gulf of Mexico. Western Florida is also served by quality health care providers.

The West Florida Division of AdventHealth is an 1,810-bed health care system currently comprised of 10 acute-care hospitals. The health care system includes a post-acute care facility and more than 45 multi-specialty AdventHealth Physician Group practices, 15 AdventHealth Express Care locations and six AdventHealth Centra Care Urgent Care Centers.

The imaging service needs for the West Florida Division of AdventHealth are handled by five imaging service engineers, including three who serve in a hybrid role supporting biomed and imaging.

“Crothall is the clinical engineering provider for AdventHealth in the West Florida and Central/North Divisions. I am the resident regional manager for the West Florida Division,” says Eric Massey, a key member of the Crothall Healthcare Technology Solutions (HTS) team in Florida.

“Our imaging team in West Florida reports directly to me. These techs have received RSTI 1 training and will move into an ISE position after a year of on-the-job experience and taking RSTI 2. We also work together with the Central/North Division and our Florida field service teams. Those divisions provide an additional five ISE 24

ICEMAGAZINE | APRIL 2019

“Capturing network information in our TeamTrace database allows us the ability to troubleshoot PACS issues. It also will allow us to support our client with information to reduce risk in the event of a cyberattack.

We want to be a resource to help our client reduce its risk in this area.” -ERIC MASSEY techs for support in Florida,” Massey says.

A recent visit with Massey and his team provided first-hand exposure to his enthusiasm and high energy level. He praised his team and everything they are doing to provide the best quality service to customers and, ultimately, patients.

The group is responsible for all of the imaging modalities used at the various facilities. Massey has built a strong team that continues to get stronger with additional training.

Out of the gate, Massey and the department are focused on service delivery planning as well as quality processes and alignment with Crothall’s preparation for ISO 13485 certification. Another key area of focus is cybersecurity readiness. All of this goes hand-in-hand with the department’s objective to provide day-to-day support of the client.

Service Delivery Jumping in feet first, Massey built a Service Delivery Plan to meet clients’ needs. One of the first things he did was complete an extensive review of equipment. He then developed a Service Delivery Plan. This plan outlined where additional investment in training needed to be made and how to best maintain equipment.

“Crothall has invested in industry-leading coursework at RSTI in the ‘Principles of Radiographic Systems’ and ‘Advanced Radiographic Systems Maintenance,’ establishing a strong baseline for the team,” Massey says.

Next, investments will be made in CT fundamentals and GE Optima training in the spring. These investments benefit the client as well as the team’s skilled technicians.

ADVANCING THE IMAGING PROFESSIONAL

people

AdventHealth West Division Florida Imaging Service Team includes (left to right) Steve Sanchez, BMET 1; Quinton Campbell, BMET 2; Adam Sumner, ISE 1; Ralph Anderson, ISE 3 Team lead; Joe Grande, ISE 3; Eric Massey, RRM; Victor Willis, BMET 3; Steve Murphy, ISE 3; and Ben Brown, ISE1.

On the ultrasound side, Crothall “leveraged its partnership with Avante Ultrasound to recently bring a week-long training program on the GE S8 and Logic e9.”

Massey notes that the Service Delivery Plan includes the management of OEM service contracts.

“Naturally, we like to maintain as much of the equipment as possible with our own hands, but we work closely with the OEMs where existing contracts are in place,” he explains.

Massey didn’t forget about the support his team gets from Crothall’s Technical Resource group in Mooresville, North Carolina. The Mooresville group supports the field team in many ways, including parts agreements on high-end devices that include forward stocking locations.

“We appreciate the experience this team has in expediting parts and to seamlessly get us parts via the next flight out when needed,” Massey says.

ISO 13485 An ongoing challenge and opportunity for Massey is to train his new sites on ISO 13485 standards and Crothall’s QMS System. Tools being used include 5S (Sort, Set in Order, Shine, Standardize and Sustain) to get the shops cleaned and organized in a manner that optimizes safe and efficient repair of equipment while reducing risk.

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“It forced us to look closely at all our processes to meet the new standard – while our quality management program in place was strong, ISO 13485 raises our game,” Massey says.

“The result is that beyond shops that look and feel clean, processes are standardized and team pride is up,” he adds.

Cybersecurity Technology advances and high standards are on the 2019 agenda along with the team’s current projects.

“We are currently working with AdventHealth IT on setting up a VPN to have remote access to all our high-end imaging devices that we service in this region.

We currently service 12 cath labs, four CT units and two MRIs. This remote access will allow our imaging specialists, around the country, to assist in the troubleshooting of these units along with our partner suppliers. This access will be monitoring helium, temperature and humidity on our MRI units,” Massey says.

Crothall’s cybersecurity readiness process involves a thorough inventory of its systems. This provides many benefits.

“Capturing network information in our TeamTrace database allows us the ability to troubleshoot PACS issues. It also will allow us to support our client with information to reduce risk in the

event of a cyberattack,” Massey says. “We want to be a resource to help our client reduce its risk in this area.”

Save the Day Day-to-day support is a huge aspect of the team’s responsibilities and something the entire crew takes on as a matter of pride.

And, Massey has seen some good wins.

“In August 2018, our North Pinellas facility experienced an air-conditioning failure in the control room. With the Florida summer heat, this allowed the humidity to build up in this room. That moisture build-up destroyed the PCB boards in the room,” Massey says. “Our techs worked through the weekend and replaced the parts in that room and brought the unit back up and running for Monday’s cases.

Having Crothall as a partner, our client avoided $80,000 in emergency service expense.”

Sunny Forecast In addition to living in one of the most enjoyable parts of the country, the residents of Florida’s Gulf Coast can rest assured that imaging equipment will be available and working when needed most, thanks to the skilled imaging service professionals of Crothall HTS maintaining equipment for AdventHealth. ICE ICEMAGAZINE

25

people

By K. Richard Douglas

PROFESSIONAL SPOTLIGHT Every One is Important: Donna Parker

T

he people of South Mississippi are provided health care services by the Hattiesburg Clinic, based in the city of Hattiesburg.

The clinic first opened its doors on May 1, 1963. Today, the clinic has grown to over 300 physicians and providers, caring for patients in more than 18 counties in South Mississippi.

The radiology service department at the clinic is managed by Donna Parker.

Parker took the patient route to an imaging career. She saw the skill it took for a radiology tech to perform their job firsthand when she was a patient.

“Honestly, I was a passenger in an automobile accident in college and my experience in the hospital X-ray department sparked my interest. I knew immediately that’s what I wanted to do. The technologist was professional and I was impressed by the skill it took to operate the equipment,” Parker remembers.

She began her professional training to achieve that goal.

“I graduated from the Jones County Junior College School of Radiologic Technology, in conjunction with South Central Medical Center in Laurel, Mississippi, in 1985. I began working as a registered Radiologic Technologist immediately after graduation at a rural county hospital where I worked for two years, then moved to Hattiesburg, Mississippi, which is my current location at Hattiesburg Clinic PA,” Parker says.

She eventually began to specialize before 26

ICEMAGAZINE | APRIL 2019

becoming an imaging manager.

“I continued to learn the different aspects of radiology and settled into nuclear medicine (NM). After relocating to the Mississippi Gulf Coast, and working under a nuclear medicine radiologist for five years, I sat for my nuclear medicine registry exam and became a registered nuclear medicine technologist,” Parker says.

“After several years I transferred back to Hattiesburg where I became the lead nuclear medicine technologist at Hattiesburg Clinic. In 2006; I was instrumental in the selection and purchase of the area’s first installed PET/CT system. I continued to help build a valuable PET/CT department which has now grown to a high producing and servicing modality. In January of 2008, I was asked to become the imaging manager which includes a Breast Center of Excellence,” she adds.

Parker says that the imaging department encompasses a variety of equipment including two MRI systems, one nuclear medicine system, one PET/CT system, two general ultrasound systems, two CAT scan systems, three digital X-ray systems and the Breast Center includes one MRI, one stereotactic biopsy system, two ultrasound systems, one densitometry system and five 3D mammographic units.

The move to management came out of insights and a drive to make things better.

“As a staff NM technologist, I experienced a few manager changes and an instability in morale amongst staff that I found unsettling.

Through much prayer and consideration, I found myself with the desire to help my coworkers who I had come to love and respect.

As part of the staff team; I knew what the staff needed and had ideas of how to help them resolve issues and provide the means through technology and schedules to make things better. I felt confident that I could help because I understood their frustrations,” Parker says.

“I am currently responsible for 86 amazingly talented employees who are dedicated to providing excellence in customer service.

We believe every person deserves the best possible health care service with professional, registered technologists and up-to-date technology,” Parker says.

She says that she always wanted to be of service to others through “taking pictures.”

“I have been at this current outpatient physician’s office for 21 years now. For the first 10 years, I held the lead nuclear medicine and PET CT technologist position and truly loved it. For 11 years now, I have been the imaging manager and we have had tremendous growth in staff, technology and an expansion of the physical department. I credit our providers and the amazing imaging staff with where we are now and I look forward to more of the same,” Parker says.

Love What You Do Along the way, there have been a few challenges that have aided career growth and knowledge-through-doing.

ADVANCING THE IMAGING PROFESSIONAL

people Favorite part of being an imaging professional?

“I love being part of an imaging team and being able to help others. Whether in the type of health care services we provide or just being able to work in a study because the customer needs it sooner. These are both very important to the customer’s satisfaction and to me. I want for them to be able to call and ask for what they need and to feel comfortable doing that. I know we’ve all heard the saying; ‘It’s not what you say; it’s what you do.’ I take this to heart and ask the same of my team.”

“Planning and budgeting a 20,000-squarefoot department addition without disturbing workflow, negotiating and the purchasing of multiple modality equipment [and] learning the human resources aspect of management and chains of command for processes was interesting,” Parker says.

“Now at 10 years later for many projects; I am at the point of updating and replacing equipment. I’ve found that it is a never-ending process to maintain quality and satisfaction,” Parker says.

“I believe the secret is surrounding yourself with qualified professional people that understand the facility vision and don’t mind working hard toward it,” she adds.

Away from work, Parker enjoys travel; by plane, train and car.

“I enjoy exploring cities and different parts of the country and meeting new people. I am a hardy reader who enjoys science fiction interlaced with romance. My husband and I try to take a yearly road trip across the country or along the beautiful coasts,” she says.

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Her family includes two grown sons.

“I have been married to my high school sweetheart for 34 years. We have two boys, 29 and 23 years old. The older son is a bank vice president with two sons and an amazing wife. The 23-year-old graduated college with a degree in kinesiology and is now attending nursing school. We have been very blessed throughout our lives together so far,” Parker says.

There has been some recognition also, including the Medical Support Employee of the Year award and an Oscar award from her manager peers for mentoring and guidance.

Parker’s philosophy provides some insight into her success.

“I truly believe you should continuously learn and be involved in your field in order to stay excited and ‘in love’ with what you do. It’s not easy to negotiate, to satisfy or to accept failures but it makes you who you are. Every person you come in contact with is important in some way. If you believe this; you will succeed,” she says. ICE

GET TO KNOW THE PRO Favorite book I love science fiction with a touch of romance. I like to get to know the characters and that delve deep into each person and multipleseries books; especially a book dedicated to each character.

Favorite movie “The Quiet Man” with John Wayne and Maureen O’Hara.

Favorite food I love Italian food and of course good home cooking like grandma used to make.

Hidden talent “I love to sing and dance. I was brought up singing and dancing with my family at family gatherings; it was our way of celebrating being together.”

What’s on my bench?

“I’ve always said, ‘a Xanax a day will keep your troubles away.’ But seriously, I rely on email as my main form of communication.

If it’s not in writing, it didn’t happen, is my philosophy. For example; on my first day I began a journal. In that journal, I write everything down; every business conversation, every decision, to do lists, contacts, ideas, etcetera.

I have a book for every year, in chronological order for 10 years. It works exceptionally well for a quick reference back. The most important topics are page marked for urgency. This system has worked well for me and my supervisors have adopted the same habit.”

ICEMAGAZINE

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PRODUCT SPOTLIGHT Growth Expected in Replacement Tube Market

X

-ray tubes are electrical devices used for generating X-rays. Acceleration and de-acceleration of electrons help in the achievement of the process. X-rays were first discovered in the 19th century and the field of radiology was created because of the availability of X-ray sources. X-ray tubes act as a converter of a specific energy. It receives electrical energy and changes it into heat and X-radiations, heat being the unwanted product of the process. Conversion of electrons into photons lead to the production of X-radiation.

A February 2019 report from Pioneer Reports indicates continued growth in the replacement tube market.

The global medical X-ray tube market will reach higher into the millions of dollars through 2023, according to the report.

According to a study from Market Research Nest, over the next five years the medical X-ray tube market will register a 3.9 percent compound annual growth rate in terms of revenue, the global market size will reach $750 million by 2024, from $590 million in 2019.

The global X-ray tube market was valued WWW.THEICECOMMUNITY.COM

at $2.31 billion in 2016 and is expected to reach a value of $3.32 billion by the end of 2022, growing at a projected CAGR of 5.32 percent during the forecast period of 20172022, according to a news release from Business Wire.

The growth is fueled by factors such as rapid technological advancements in X-ray tube technology over the past few years, changes in lifestyle and an increase in cancer and other disease incidences. The presence of many manufacturers in the market has led to an evolution of technologies for better image quality. The fastest growing markets for X-ray tubes are North America, China and Europe.

Mordor Intelligence also predicts continued growth in the market.

“As of 2017, the global X-ray tube market was valued at $2.42 billion and is expected to reach a value of $3.3 billion by 2023, registering a CAGR of about 5.21 percent during 2018-2023 (the forecast period). An X-ray tube is a device that produces X-rays when subjected to an electric charge. Increasing technology advancement is one of the primary factors that is driving the growth in

demand for X-ray tubes. The application of X-rays has drastically expanded beyond the field of medicine, over the past few decades,” according to Mordor Intelligence.

“With innovations in electronics, the size of a system has decreased, immensely. With the availability of compact systems, X-ray machines are being used in various fields, such as airport security, baggage scanning, metallurgical applications, etc. In addition, the increase in medical cases and accidental injuries around the globe is influencing the market’s growth. With an increase in medical cases and diagnostic equipment, the demand for X-ray tubes in medical imaging is growing, which is, in turn, driving the market growth. However, the presence of stringent and strict regulations by FDA, across the globe, for manufacturing and designing X-ray tubes have created additional costs for manufacturers, while becoming a barrier for new entrants. These factors are restraining the market growth.”

Many companies showcased their latest X-ray tubes earlier this year at the 2019 European Congress of Radiology (ECR) in Vienna, Austria. ICE ICEMAGAZINE

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products

GE Healthcare Copyright 2019. Image may not be reproduced without the permission of GE Healthcare.

GE Healthcare PerformixTM 40 Plus The PerformixTM 40 Plus liquid bearing tube, used on the RevolutionTM EVO CT system, offers up to twice the tube life compared to ball bearing tubes, helping to reduce disruptions caused by tube replacements. It is compatible with Tube Watch, GE Healthcare’s predictive solution designed to remotely monitor and predict tube failures before any disruption occurs and repairs systems remotely or at a more convenient time. The Performix 40 Plus liquid bearing tube supports routine 0.35 second scanning and 64 slice, 40 mm coverage. It enables faster scans for an enhanced patient experience, with shorter breath holds, and produces less noise than a traditional scanner for enhanced patient satisfaction. •

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ICEMAGAZINE | APRIL 2019

ADVANCING THE IMAGING PROFESSIONAL

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Ray-Pac Shimadzu Replacement X-ray Tubes Ray-Pac has extended its product lines to include the Shimadzu single and dual focal spot portable X-ray tube units used throughout hospitals, emergency rooms, operating rooms and patient rooms. Ray-Pac uses RAD II inserts for Shimadzu portable dual and single model with focal spots of 0.7/1.3, 14.5-degree target and 0.7, 14.5-degree target. Ray-Pac also manufactures the RX-80 and RX-85 tube units using Varex inserts for radiographic and fluoroscopic rooms. •

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products

Richardson Healthcare ALTA750™ The ALTA750™ is a form, fit and function replacement for the Toshiba/Canon Medical Systems CXB-750D/4A CT tube. It is certified on OEM platforms from Toshiba Aquilion 4-Slice through the PRIME (Gen. 1). The ALTA750 has a prorated 12-month or 200,000 rotations limited warranty, whichever comes first. To optimize and increase the life of your ALTA750 tube, Richardson Healthcare includes a Heat Exchanger and new HV Cable Kit as a complete tube assembly. For a limited time, all first-time customers of the ALTA750 will receive a complete satisfaction, money-back guarantee for 90 days after installation. •

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ICEMAGAZINE | APRIL 2019

ADVANCING THE IMAGING PROFESSIONAL

products

Varex Imaging MCS-6074D Varex Imaging MCS-6074D is an X-ray tube designed as a cost-effective replacement for the GE Performix 40.

The MCS-6074D with conventional bearings, is optimized in form and function for use in the Optima CT660. It has a 12-month or 6,000 patient exam warranty. As the newest offering from the Varex Imaging Service Solutions Group, the MCS-6074D is available with technical and logistics support to provide increased system uptime and to enable customers’ success. •

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ICEMAGAZINE | APRIL 2019

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We offer certified, pre-owned CT tubes for Toshiba/Canon, Siemens, Philips.

Richardson Healthcare is a global provider of reliable, cost-saving solutions for your CT replacement tubes, parts and systems needs. We support service organizations by being an unmatched source of certified equipment, QA3-tested parts inventory, CT service training, and 24/7 technical support and customer service.

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ADVANCING THE IMAGING PROFESSIONAL

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WE BUILD

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ICEMAGAZINE | APRIL 2019

Ray-Pac continues to manufacture the GE AMX and the GE AMX4+ for portables

ADVANCING THE IMAGING PROFESSIONAL

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“ "

I would hope we can come to some kind of consensus nationally as a cohort of physicians to inform our patients so that more of them have appropriate care.

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ADVANCING THE IMAGING PROFESSIONAL

THE MASKING EFFECT

By Matt Skoufalos

D E N S E B R E A S T S A N D W O M E N ' S H E A LT H

Fatty breast tissue presents fairly clearly in a mammogram; denser breasts will be less sensitive to the same study because the tissue can obscure small masses that occur with more frequency.

Physicians call this “the masking effect.”

F

or years, women’s health care advocates have pushed legislators at every level of government to pass breast density inform laws: regulations requiring providers to notify their patients about whether they have dense breast tissue as a component of their mammogram reports. Their efforts led to such laws being adopted in nearly 40 U.S. states, and finally, in February 2019, to a breast density inform bill being signed into federal law with the latest Congressional appropriations bill. The new federal law mandates that the U.S. Food and Drug Administration (FDA) develop standardized language for mammography reports that includes a qualitative assessment of patients’ breast densities, information about the difficulty in detecting cancer in dense breast tissue via traditional mammography, and a reminder that patients should consult their doctors if they have questions on the subject.

To understand why such information makes a significant difference in women’s health, how it supports the early detection of breast cancers that could otherwise be hidden, and whether it could ultimately lead to greater survival rates among women at risk for developing cancer requires understanding how breast density is determined and why it matters.

WWW.THEICECOMMUNITY.COM

For a start, breast density is a subjective measurement, said radiologist Jennifer Johnston of the Betty Ford Breast Cancer Center at Lemmen-Holton Hospital in Grand Rapids, Michigan. A given sample is classified as falling within one of four quartiles: mostly fatty, scattered, heterogeneously dense, or extremely dense.

Fatty breast tissue presents fairly clearly in a mammogram; denser breasts will be less sensitive to the same study because the tissue can obscure small masses that occur with more frequency.

Physicians call this “the masking effect,” Johnston said.

But even excluding the masking effect, women with dense breasts have a slightly increased baseline risk for developing breast cancer.

“If you look at studies that compare average-density patients to those in the scattered or heterogeneously dense range, about 10 percent is fatty, 40 percent is scattered, 40 percent is heterogenous, 10 percent is extremely dense,” she said. “So women with dense breasts would fall in those two upper categories, and that’s about 50 percent.”

Within that subset of dense-breasted women are those who have additionally increased risks of developing breast

cancers from genetic mutations, a personal history of breast cancer, or a significant family history of the same; i.e., a first-degree relative with a history of pre-menopausal breast cancer, Johnston said.

Lori Fontaine, vice president of clinical affairs for medical device manufacturer Hologic, describes the significance of breast density as a unique marker in that it “simultaneously influences both a woman’s risk for breast cancer while also impacting the efficacy of the screening test itself.”

“Breast density is somewhat determined by genetics, but can also change in a woman across her life, depending on factors like her age, and even if she is taking certain medications,” Fontaine said. “Every woman’s profile is unique, but in general, it’s important for women to know what their breast density is because women with very dense breasts are four to five times more likely to develop breast cancer than women with the least dense breasts.”

“It’s our hope and belief that when women know about their breast density and how it relates to their risk for developing breast cancer, they will be more inclined to stay on top of their breast screening, which is crucial for detecting

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Jean K. Warner, director of the Tyanna O’Brien Center for Women’s Imaging at Mercy in Baltimore cancer early on,” she said. “It can also help a physician determine what screening modality is best to use for each individual patient.”

Jean K. Warner, director of the Tyanna O’Brien Center for Women’s Imaging at Mercy in Baltimore, said she helps patients model the entirety of their breast cancer risk through a holistic series of assessments that determines whether a patient is at high, normal or average risk for breast cancer.

The high-risk protocol involves annual mammography with supplemental screening modalities; Warner believes in breast MRI as the most sensitive imaging tool for finding breast cancers. Women who are at average risk of breast cancer based on their initial mammograms are trickier to sort out, she said. For average-risk patients with dense breast tissue, breast tomosynthesis or supplemental ultrasound can detect additional cancers that might be masked by a mammogram.

“If you take 1,000 women who are having a screening mammogram, we’re typically going to find between two and seven cancers,” Warner said; “in our practice, it’s around five or six cancers.”

“If you take 1,000 women with dense tissue who’ve already had a normal mammogram, and we do ultrasound, we’re going to find three additional cancers in that group,” she said.

The downside of ultrasound is that it can lead to false positives, which Warner said can drive additional follow-ups and biopsies that ultimately may or may not be necessary.

“Most patients are amenable to doing that additional screening,” she said. “There are other patients for whom doing all that makes them so worried and anxious that they would rather not. If they’re motivated to do that, we’re happy to work with them through the process.”

The innate value of the supplemental modalities is built around taking a 3D model of the breast (a three-dimensional organ)

Lori Fontaine, vice president of clinical affairs for medical device manufacturer Hologic

versus the 2D study that mammography offers. Johnston points out that some patients have issues with their insurance companies “giving some grief over having those [supplemental] studies performed ubiquitously,” which can lead to at-risk patients declining to proceed with a study that might be beneficial for their health. Some companies will authorize annual

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studies; some will only authorize semi-annual studies, and others will deny coverage for them outright, she said.

“There’s no uniformity, and that’s really unfortunate, because it really reduces the need for patients having to come back,” Johnston said.

On the other hand, secondary screening can often uncover imaging artifacts that aren’t necessarily malignant. The increased sensitivity of an ultrasound or digital tomography study can be useful for patients with dense breasts, but it may also increase the risk of false positives, which is why Johnston won’t recommend its general use in patients who aren’t at an increased risk for developing breast cancer.

“In daily practice, it’s helpful to have,” she said. “In the long run, is it making that much of an impact? I don’t know if I can say that. I like to think of the breast as Pandora’s box. You’re going to find something, you don’t know what it is, and it’s going to result in unnecessary biopsies and benign results.”

Having said that, Johnston also points out that “very few patients are disappointed with a benign result on their biopsy,” and that the “false positive biopsy phenomenon” can be a fear tactic that keeps people from receiving necessary screenings.

“You don’t hear that type of thing from any other cancer other than breast cancer,” she said. “If you have an index of suspicion that something could be a breast cancer, I want to know. We don’t have the tools currently to be able to determine which breast cancers are going to become aggressive and result in a patient’s death, and which are not. Until we do have those tools, I don’t think we can be cavalier in dealing with them. Screening is very important, but over-screening can be detrimental.”

For radiologists like Johnston, density inform laws are useful to alerting patients that they might need additional follow-up, but without context, they fear there’s a risk that the message might not be communicated clearly. If the law requires providers to have conversations about the density of their breasts, Johnston worries that providers aren’t clear on where to next take the conversation.

“The difficult thing is that, as the radiologist, you are not in direct communication with your patient,” she said. “You’re in communication with the primary providers who are in the front line dealing with patients and getting them recommendations for their screenings.

“By the time patients see me, their head is filled with whatever their [doctors’] recommendations are,” Johnston said.

“They’re confused about how old they should start, how frequently they should be coming, if they should be doing any supplemental screening on top of mammography,” she said. “I would hope we can come to some kind of consensus nationally as a cohort of physicians to inform our patients so that more of them have appropriate care.”

Johnston would like the information that patients receive about the density of their breast tissue to be contextualized with whatever implications it carries for their personal risk factors, and whether supplemental screening methods would be beneficial for them. In order to drive those details home, ADVANCING THE IMAGING PROFESSIONAL

Johnston argued for greater collaboration between the different specialists involved in a patient’s care, from gynecologists to primary care providers to radiologists, “so we can have a cohesive narrative to give to patients.”

To Warner, the change of having a federal law versus stateby-state laws is a positive development for patients, but she also noted that the work will have to be done by providers to educate patients about the significance of the notification and its implications for their future treatment.

“I think there will be issues about the whole process, but it’s really going to be an educational tool,” Warner said. “I’m a huge advocate for risk assessment, and we would love to see more of that in other practices.”

Warner said she’d like to see advancement of other complementary risk assessment tools for women’s health, including genetic counseling, which can provide valuable insight into risk factors for women who are younger than the typical screening age for a mammogram.

“We think there are a lot of women with genetic abnormalities, and they don’t know it,” Warner said. “It’s a bigtime failure of medicine to have women out there whose family history indicates that they should get genetic testing, and they’re not getting it. It’s a whole part of education that needs to happen.”

Warner is also an advocate for breast MRI, which she described as the most sensitive imaging modality for breast cancer screening. Breast MRI can detect three times as many cancers as can mammography alone, but because it’s more expensive

“You have the same screening issues, the same bad outcomes, the same false positives, and even higher risks in other cancer screening modalities, but they don’t quite get the same media attention that breast imaging does,” she said.

“I am thankful for that in that it makes people aware that [screening is] something they need to have done, but at the same time, it can get in the way of doing what’s best for my patients.”

Dr. Constance Chen, board-certified plastic surgeon and clinical assistant professor of plastic surgery at Weill Cornell Medical College

Dr. Constance Chen, board-certified plastic surgeon and clinical assistant professor of plastic surgery at Weill Cornell Medical College said that some women with dense breast tissue may opt for prophylactic mastectomies so as to obviate the risk of breast cancer altogether. Such patients usually opt for the procedure “when they have either a family history, or a genetic mutation, or they’re tired of dealing with endless biopsies,” Chen said.

“When you have a patient who has dense breasts, and they’re undergoing surveillance every three or six months, and it’s difficult to read, and they’re undergoing biopsy after biopsy, it’s death by 1,000 cuts, and they just want to move on,” she said. “A lot of patients who’ve seen their family members die, they discover they have a genetic mutation, they get Jennifer Johnston, a mastectomy, and they feel they’ve been given a lifeboat.” radiologist at the Betty Ford Breast Chen’s solution is a microsurgical reconstruction of the Cancer Center at breast. Using fat and skin grafts from other parts of the paLemmen-Holton Hospital in tient’s body to recreate her breasts with her own tissue, she’s Grand Rapids, Michigan able to restore sensation by reconnecting the nerves and the blood vessels. If the patient’s mastectomies are nipple-sparand technologically complex ing, Chen said that often no one would be able to tell the surto administer, it’s not a common geries were ever done. enough option.

“When you use someone’s own tissue, it’s really hard to “We think that finding another way of imaging the breast to tell that they’ve had mastectomies,” she said. “You don’t have more accurately image cancers earlier would prevent more,” breast tissue, so it’s almost impossible to have breast cancer Warner said. when you’ve had a mastectomy.”

Warner would like to have dedicated breast MR machines Although access to screening can always be an issue for and dedicated breast ultrasound units in her practice, and reasons of cost, availability of technology or insurance coversaid she’s following along with research that’s underway on age, Chen said she believes “any number of insurance compahow to perform breast MRI without requiring a contrast agent. nies will approve prophylactic mastectomies for people just “I think that some of us had hoped that tomosynthesis because they have dense breasts and they’re harder to read.” would be the panacea, but it’s not, for dense breasts especial“Access is always an issue, and again, it’s the emphasis on ly,” Warner said. “But there’s so many things that women need trying to keep costs low that makes access worse,” she said. to understand about breast density and breast health.”

“The dollars are shrinking. I think people should get the best Johnston also cautioned that the media attention around mammogram they can every year.” ICE breast imaging contributes to work that must be done by practitioners to keep the public focus on the most salient points of the issues.

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Setting the Gold Standard in Ultrasound Solutions

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ICEMAGAZINE | APRIL 2019

ADVANCING THE IMAGING PROFESSIONAL

CAREER CENTER Written by Kathleen Furore

How to Resign Without Burning Bridges

N

o matter how good a job is, sometimes you just need a change. If you find yourself in that spot, how can you announce your resignation in a way that won’t end up burning those proverbial bridges and ultimately hurt your future career path?

First, realize you’re not alone. According to LinkedIn Career Expert Blair Decembrele, data from a recent LinkedIn survey shows that not trying harder to get their dream job is one of the biggest regrets people have when it comes to their careers. “And more than two in three employees – 68 percent – admit that when making a decision about their career, they often experience FOBO or ‘Fear of Better Options,’ ” Decembrele adds. “So, clearly, there is an appetite for switching roles ... and it’s a natural part of your professional journey.”

That doesn’t mean it’s a good idea to make a hasty decision about leaving your current job. “Pause and make sure you’re ready to resign,” Decembrele advises. “It’s important not to make a rash decision to quit.”

Once you’re made that decision, it’s best to make the announcement as professional as possible – no matter the circumstances that have brought you to pursuing your next career step, Decembrele adds.

Todd Davis, executive vice president and chief people officer for FranklinCovey, and author of “Get Better: 15 Proven Practices to Build Effective Relationships at Work,” agrees.

“Your reputation and brand are everything, especially in a world where, through online tools, we can learn a ton about those WWW.THEICECOMMUNITY.COM

we haven’t even met,” Davis says. “The professional and respectable way you exit an organization is critical to your brand.”

Davis and Decembrele offer the following tips to help optimize your exit: • Be transparent. “Be completely up front with your employer about why you are exploring other opportunities,” Davis stresses. “You should ensure they know just how much you value the experience you’ve gained and things you’ve learned while working for them.”

• Be an advocate. “Think through how you can help the company succeed, if you can serve as a reference for upcoming candidates who might be taking your new role, and how you can help continue to be a brand ambassador for the company even after you’ve left,” Decembrele says. “It’s always good to let your manager know that you are always a resource they can tap.”

Davis concurs. “You should let them know you are going to continue to be a huge proponent of the company you are leaving, and that you will do everything you can to help with a successful transition,” he says.

• Be responsible. “The most effective way to ensure you not only don’t burn bridges, but in fact you strengthen them, is to take full responsibility making sure nothing falls through the cracks with your departure,” says Davis, who notes that the more advance

notice you can give, the better position you are in to help.

“If applicable, abide by any contract that states how much notice you should give.

If this is not disclosed in your contract, it’s courtesy to offer two weeks’ notice,” Decembrele adds.

And it is imperative to tie up loose ends before you exit, both experts agree.

“You do not want to be remembered for leaving unfinished projects,” Decembrele says. “If possible, hand over outstanding assignments to your manager or successor before leaving to help them smoothly adjust to this new chapter.”

Doing all of those things should ensure a smooth departure that leaves your stellar reputation intact.

“We had a wonderful individual leave our organization, gave plenty of notice, and even agreed to work some extra hours in the evening to help train their replacement once that person was hired,” Davis says.

“That’s a way to build a great reputation!”

“Never burn a bridge!” Decembrele concludes. “It’s a small world – you never know when you may be working with your boss or colleague in the future as a customer or client.”

– Kathleen Furore is a Chicago-based writer and editor who has covered personal finance and other business-related topics for a variety of trade and consumer publications.

You can email her your career questions at kfurore@yahoo.com. ICE ICEMAGAZINE

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insight

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Counterfeit Ultrasound Device Traceability Risks for Health Care Facilities

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Unfortunately, health care facilities and Healthcare Technology Managers (HTMs) have been misled and sold ultrasound transducers that contain counterfeit parts.

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Written by Larry Nguyen CEO and CTO of Summit Imaging

dergone proper testing and certification.

Proper validation would include a 510(k) issued by the FDA, or other external certifications, to prove that the performance and safety matches current regulations of components for each application of the re-manufactured part in every model of transducer in which it may be installed.

This burden of proof lies with the re-manufacturer, the supplier transplanting the low-quality counterfeit parts inside OEM marked casings and any organization that takes ownership of the asset and resells it to health care facilities. We urge health care facilities to ask these critical questions of ultrasound suppliers as these significantly and unnecessarily increase operating and patient safety risks.

This situation occurs when ultrasound suppliers purchase low-quality, counterfeit ultrasound transducers, or certain counterfeit parts of the transducers, from offshore re-manufacturers. The ultrasound suppliers utilize the low-quality internal parts and transplant the critical internal components into a defective OEM transducer (or other medical device) that displays the original OEM serial numbers and labeling. This masks the low-quality and non-validated re-manufactured parts on the inside of the “finished� transducer, resulting in a compromised medical device. The health care facility now unknowingly owns an asset that carries seemingly valid OEM serial numbers and labeling, yet has the internal structure of a counterfeit transducer that does not meet federal regulations.

The worst part of the situation is that the equipment is used on unsuspecting patients who are assuming that they are receiving the best care possible.

Traceability and recalls have now become an extraordinarily difficult exercise for transducers with compromised components, something a health care facility would never be aware of as they are inside sealed casings. Making a valid investigaADVANCING THE IMAGING PROFESSIONAL

insight

tion almost impossible.

Adding another layer to the problem are the ultrasound suppliers who transplant counterfeit parts into OEM-labeled casings and sell these products to other ultrasound suppliers, without any disclosure of the improperly re-manufactured parts used inside the ultrasound probe. Then, these ultrasound suppliers unknowingly sell the equipment to others in the market or directly to a health care facility, and nobody along the transaction chain has any insight into the compromised medical device that is now owned by the health care facility. These are being reported by end users as low-quality products that have a significant higher frequency of failure and this significantly increases total costs of ownership and risks for health care facilities and patients.

Sonography Professor Carolyn Coffin, who has performed research on image quality and ergonomics of ultrasound equipment, says, “When it comes to imaging, quality, longev-

ity, safety, and overall functionality, the original parts of a transducer are far superior to those of an improperly re-manufactured product. But cheap, imitation components are easy to pass along to you when they’re housed in original casing and you cannot see them. This is why it’s so important to ask questions, and vet your ultrasound suppliers to make sure [that] you’re getting the quality you’re paying for.”

Health care facilities can best protect themselves from this practice by searching for suppliers with an ISO 13485 certified Quality Management System that has been designed to reveal these counterfeit components during transducer evaluations and repairs. Only then can the supplier notify the health care facility of the findings, allowing them to make an informed decision of what to do with the compromised transducer. In our experience, health care providers universally reject the counterfeit equipment for all of the reasons previously described and more. After learning about these practices, health care facilities consider it a gross disregard of current FDA regulations to repair and sell improperly remanufactured equipment that lack a 510(k) or external safety and performance certifications. This situation is directly opposed to how you and your health care facility intend to use the equipment and creates unnecessary risk to your organization and the patient.

A more comprehensive discussion can be found on our YouTube channel along with many more informative topics. ICE – Larry Nguyen is the CEO and CTO of Summit Imaging.

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IMAGING MATTERS

Written by John Garrett Director of a Clinical Engineering Department in CHI

A Better World

W

e all have some vision of a better world. A place where the challenges and problems that face mankind on both a macro and micro level are all overcome. We understand that a world without problems or challenges is probably beyond our reach, yet we have some vision of what that ideal world would look like. Within our profession, that would include those individuals who must have a medical procedure to have the best possible outcomes.

There is often the misconception that all outcomes are based solely on the doctor. The truth is that in modern medicine, while the doctor is important, there are so many other moving parts that must work properly. In the treatment of the patient that the entire health care system has to function at its best to ensure best outcomes. That includes the function of equipment used to diagnose and treat the patient.

While performing a preventive maintenance (PM) or fixing equipment, this is the opportunity to impact patient outcomes. Ensuring that equipment is properly calibrated and functioning as designed, an individual performing that work is part of the care of the patient. It is important to remember this during the stress and difficulty of the moment. When department directors are trying to convince the field service engineer (FSE) that they need to “shave an hour” off of the PM or “just get it to run for this patient” that they stand their ground. Do the work right each and every time no matter the desires of the managers or directors. Do not sell your integrity.

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Everyone wants an FSE who is able to do the job right every time. But, how are these individuals created? They are not born with an innate ability to be the ideal FSE. The hard truth is that most people that end up in this small world of medical imaging repair had no idea that it even existed as a career until they were hired. Of course, it requires someone who has the ability and interest to master electronics, have mechanical ability and knowledge. They need system specific training and time on the equipment that they service. Yet, often there are other skill sets that are overlooked, and result in less efficient and/or productive personnel. By providing non-technical training your entire company or hospital can improve. Customer service training is a big item. It doesn’t cost much and there is a great deal of literature available. Public speaking training can aid in training others and developing the next generation that will follow. Even providing books on self-esteem and coping skills can show a big result in the quality of your staff. There are any number of “soft skills” to consider. The bottom line is that assisting your staff with self-improvement helps the team. Improving the team will lead to the best possible patient outcomes. Having the best patient outcomes will lead to a better world. ICE John Garrett has 20 years experience in imaging service including general radiation, mammography, CT and nuclear medicine. He has worked for third-party service companies, manufacturers, sales companies and in-house imaging teams.

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HOW TO BE A PRO ON YOUR JOB M

ost people with a chosen career path tend to think of themselves as working in a profession. The word “profession” includes the root word, “pro,” which has many uses. Think about it. An excellent workplace usually employs people who are professional, proactive, productive, proficient and profitable. I happen to believe that if people want to be considered pros in their workplace, they should strive to be all these things.

With that in mind, allow me to examine some ways to improve your “pro” file (pun intended) at work.

Be Professional Professionals need to be trained for their position. This means more than just sitting through a series of classes.

I’m talking about true education, which means choosing to embrace the learning. A professional chooses to absorb knowledge and actively looks for relationships between and among those pieces of knowledge. This kind of learning provides insights that others may miss, and when you can apply those insights to your work, you stand apart from people who merely possess a series of facts.

One person I know completed her master’s degree in a particular field and then sat for the certification testing mandated for people entering her line of work. Afterward, she talked about how difficult the test was and how she wasn’t sure she passed. However, when her re52

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sults came back, it turned out she’d achieved one of the highest scores in the history of people taking that exam. Why did she think she did poorly? Because the computerized test was designed to measure the full extent of one’s knowledge. If a person was answering questions correctly, the program switched to more difficult questions. If the test-taker continued to answer correctly, the questions became even more difficult.

Because my friend was answering so many questions correctly, the questions became increasingly difficult – hence her perception that the test was tough.

It was! But, because she had studied hard in school, she had acquired knowledge far beyond the basics. She truly understood the concepts and how to apply them. She aspired to be a professional, and it showed.

Be Proactive Another facet of being a professional is being proactive. If “pro” means “in favor of,” we’re talking about someone who is in favor of activity. Said another way, someone who is proactive does not sit around and wait for someone else to issue work assignments. On the contrary, a professional person is upbeat and takes initiative.

Proactive people look ahead on the calendar, thinking through what needs to be accomplished and then scheduling their work so things get done that need to get done, and nothing falls through

Written by Daniel Bobinski Workplace Consultant

the cracks. As an employer, I place a high value on employees who demonstrate this skill. Trustworthy and professional are those who don’t need to be told what to do at every turn. Such people anticipate what is needed and they move to make things happen.

Be Productive Another aspect of being professional that often goes hand-in-hand with being proactive is being productive. It means being focused on the expected end-result, and managing whatever resources are available in order to get there.

Productive people set goals and deadlines. They coordinate and cooperate with others to meet those deadlines.

Progress is assessed in both quantitative and qualitative ways, and they learn to say, “no” to activities that distract them from their goals, no matter how fun those activities might be.

Productive people do not have to be work-a-holics, but they do need to stay focused and industrious when at work.

Be Proficient Professionals also strive to be proficient. Frankly, proficiency often results when one is striving to be proactive and productive, but I think it also requires an amount of adeptness that comes from experience. It means recognizing the best action to take in a situation based on lessons learned from successes and failures in the past.

ADVANCING THE IMAGING PROFESSIONAL

insight

The emphasis here is on gaining wisdom from past events. Quite literally, the word experience does mean having lived through something; it includes the concept of learning along the way. A little background may help.

In ancient Persia, there were stories about malevolent spirits. If someone were to encounter one of these spirits, something very bad could happen – even death. An evil spirit was known as a “peri.” That word jumped over to the Greek language, and then to Latin. Today, the root “peri” forms such English words as peril, perish, expert and experience.

When we dissect the word “experience” into its specific parts, we get the following: Ex = out of, or from Peri = test, or danger Ence = action, or condition, or quality Thus, etymologically, the word expe-

rience means to get through a dangerous situation. With that, an “expert” is not someone who has merely accumulated a body of knowledge (which is a common mis-use today), but rather someone who has accumulated wisdom from having faced, and more importantly, worked through, difficult situations in a field of study.

With true experience, a person can make a wide range of difficult decisions quickly and thus be efficient, even when the going gets tough. To put some shoe leather on this, when people are seeking to be professional, they do not shy away from difficult situations.

Be Profitable All organizations, even nonprofits, must operate in the black to stay viable.

Therefore, a true professional considers how he or she can provide high value to the organization. If a person’s position is pure overhead, it means minimizing

one’s financial footprint. If the position earns money for the organization, it means seeking ways to maintain an attractive margin. No matter what one’s role in the organization, a true professional takes into consideration the costs of doing business in his or her daily routine.

The bottom line in all this? A professional, proactive, productive, proficient and profitable employee is someone I want to keep around, plus one I will often promote. As for your situation, perhaps the above can serve as a reference for gauging your workplace profile. ICE – Daniel Bobinski, M.Ed. is a certified behavioral analyst, a best-selling author and a popular speaker at conferences and retreats. He loves working with teams and individuals to help them achieve workplace excellence. Reach him through his website, www.MyWorkplaceExcellence. com, or 208-375-7606.

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2019 ICE SCRAPBOOK T

he 2019 Imaging Conference and Expo (ICE) attracted more than 500 professionals from throughout the imaging service community to Clearwater Beach, Florida. The annual conference once again featured top-notch education, a packed exhibit hall and signature networking events. The ICE Leadership Summit and Reverse Expo were also popular aspects of the conference. For information about the 2020 Imaging Conference and Expo set for Scottsdale, Arizona visit AttendICE.com.

1. Among the many popular edu-

3. The Reverse Expo once again

6. Attendees filled classrooms and

booth in the exhibit hall.

cational sessions at ICE 2019 was “Securing Healthcare Networks: Mitigating Risk for Medical Imaging Devices” presented by Andrea Arbelaez, Cybersecurity Project Manager, and Sue Wang, Cybersecurity Engineer, National Institute of Standards and Technology (NIST).

delivered “speed dating” where company representatives and health care facility decision makers could hold quick meetings and set the foundation for future conversations.

focused on a variety of great presentations at the conference.

10. RSTI President and COO Dale

4. HealthMed360 was among the

ter Beach served as a backdrop to meaningful conversations with industry leaders.

more than 50 companies exhibiting at ICE 2019.

8. USOC Medical’s Amy Hobbs and

5. Chill, the official mascot of ICE,

MD Publishing President John Krieg welcome the ICE18.

2. ICE 2019 was the largest ever in the conference’s history with imaging directors and engineers from 40 states.

1 54

7. The beautiful views of Clearwa-

made the ICE magazine booth a popular location to take a selfie for social media posts.

Cover (far right) talks with attendees in the exhibit hall. Cover also presented a two-day CRES Prep course and a class on digital mammography.

11. “Staffing to Your Need: Meeting

9. International X-Ray Brokers was

your patient volumes” presented by Danielle Jaramillo, Imaging Manager, Presence Saint Joseph Medical Center, was another popular class at ICE 2019.

one of about 50 companies with a

2 ICEMAGAZINE | APRIL 2019

ADVANCING THE IMAGING PROFESSIONAL

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7

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4

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8

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Get back to life.

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AMSP SCRAPBOOK T

he Association of Medical Service Providers (AMSP) held its annual winter meeting February 5-7 in San Juan, Puerto Rico. AMSP is a national association of independent medical service providers whose common goal is a dedication to the support and improvement of the member organizations by providing process improvement, revenue growth initiatives, expertise sharing and regulatory compliance. It is an association of medical service and products providers that includes a large group of independent service organizations (ISO) covering all the diagnostic imaging modalities in hospitals, clinics and doctor's offices throughout the U.S. AMSP’s service and support professionals are highly trained and experienced in their respective modalities. The association's cooperative focus provides a wide ranging expertise pool.

1. The AMSP Winter Meeting was held in Puerto

2. AMSP Winter Meeting attendees included (from

4. The AMSP Member Dinner is also a highlight of

Rico not far from Castillo San Felipe del Morro also known as Fuerte San Felipe del Morro or Castillo del Morro. It is a 16th-century citadel located in San Juan, Puerto Rico.

left to right) Radon Medical's Adam Larck, Rayence's Tom Stern and Radon's Chuck Lambert.

the annual winter meeting.

5. AMSP held a business meeting while everyone 3. The Welcome Reception was a hit as members

was gathered in one place.

were able to reconnect and add to their list of valuable contacts.

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www.brandywineimaging.com ICEMAGAZINE

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index

ADVERTISER INDEX AceVision Ultrasound p. 13

AHRA p. 38

Holland p. 51

Injector Support & Service p. 21

DIAGNOSTIC IMAGING & SURGICAL SOLUTIONS

Multi Diagnostic Imaging & Surgical Solutions Back Cover

MW Imaging Corp. p. 5

Stephens International Recruiting p. 57

Summit Imaging, Inc p. 6

Ampronix p. 4

Innovatus Imaging p. 17

SOLUTIONS

Oxford Instruments Healthcare p. 2

Tri-Imaging Solutions p. 36

Brandywine Imaging p. 57 International X-Ray Brokers p. 51 Trisonics, Inc. p. 46 Carolina Medical Parts p. 21 KEI MED Parts p. 15

Diagnostic Solutions p. 51

MarShield p. 15

PM Imaging Management p. 23

Ray-Pac®

Varex Imaging p. 9

Ray-Pac p. 28, 39-41

W7 Global p. 35 Entech p. Cover

Health Tech Technology Management p. 49

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Medical Imaging Technologies p. 53

MedWrench p. IBC

Richardson Healthcare p. 3

RSTI/ Radiological Service Training Institute p. 10

Webinar Wednesday p. 46

ADVANCING THE IMAGING PROFESSIONAL

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