MPR and 3D the most efficient way to read MDCT - Barco

The problem
Too many images
The development of 8 and 16-detector CT scanners has
enhanced the quality of CT imaging by improving resolution
spatially and temporally. However, this improvement
comes at a price; the radiologist is now faced with the
daunting task of reviewing thousands of images rather
than hundreds.
Film reading now impossible
Interpretation of MDCT studies presents new challenges for
the radiologist. Reading film has become cost prohibitive.
Even printing 36 images on one piece of film can generate
50 sheets of film. Some radiology departments have considered
printing every 4th image or ‘summing’ multiple
images together to reduce the film burden. In addition to
the cost of printing film, the time required to interpret a
large number of films has become a major burden for the
radiologist.
X
The solution
Voxar 3D enabled PACS
MPR and 3D
the most efficient way to read MDCT
The development of combined 2D and 3D wo r kst ations
permits the ra d i o l o g i st to inte r ro g ate the data in st a c k
mode with real time cine. The addition of MPR allows the
radiologist to view the anatomy in any plane in real-time.
T h ese images can be created live on the wo r kst at i o n
without any need for te c h n o l o g i st pre- p ro cessing on the
CT console. Failing to view the dat a s ets created by MDCT
Conventional 2D PACS reading is only a partial solution
Although PACS viewing is a substantial improvement ove r
film, it is an inco m p l ete solution. Cine rev i ew of the original
axial slices presents only a fraction of the available info r m ation.
Most pathology does not lie within the tra n sve r s e
p l a n e. The increased spatial resolution of MDCT aids the production
of high quality multiplanar re co n structions (MPR) in
a ny plane. For the first time, CT has surpassed MRI as a truly
multiplanar imaging technique; howeve r, only if the PAC S
sy stem is capable of producing on-t h e-fly MPR.
Difficult to communicate findings
Radiologists typically employ two methods to communicate
findings: a typed text-based report, or a summary
series of images attempting to represent key pathology.
Text-based reports do not adequately convey the complex
anatomical relationships of pathology. On MDCT scans,
summary series may require duplication of dozens, if not
hundreds, of images.
in MPR mode eliminates the major a d vantage of MDCT
over single-s l i ce scanners: increased z-axis resolution and
i m p roved re co n st r u c t i o n s. Important findings which need
to be communicated to the referring physician can now
be re p res e n ted with a few 3D or MPR i m a g es. Unlike
routine 2D images, MPR and 3D images are ea s i l y
i n te r p reted by the referring physician and radiologist alike.

The problem
• MDCT pro d u ces too many images
- Film reading now imposs i b l e
- Increased spatial resolution re q u i res MPR rev i ew
• Sagittal and coronal MPR produced on a scanner
console
- Te c h n o l o g i sts time re d u ces scanner thro u g h p u t
- MPRs further increase image number
- MPRs in the wrong plane re q u i re re p eat s
• Co nve ntional 2D PACS is only a partial solution
- Only presents axial images or console pro d u ced MPR
- Radiologist is unable to generate views in real-time
- D i f f i cult to cro ss- refe re n ce spatial location bet ween
MPR series
• D i ff i cult to co m m u n i c ate findings
- Demonst rating pathology may re q u i re production
of large summary series or a montage view
- Axial images not easily understood by surgeons and
other referring phy s i c i a n s
- Text report and a few axial images cannot co nvey
co m p l ex anatomical re l ationships
VOXAR is a registered trademark, and VOXAR 3D is a trademark of Barco in Europe and other countries.
K5906132 rev.00.02 © 2006 Barco 1106
www.barcomedical.com
Outside radiology
Emergency room:
PACS clinical
review workstation
Cancer board
meeting room
Operating room:
PACS clinical review
workstation
Referring
physicians room
Remote locations
Referring
physicians home
Radiologists home
Local hospital
network
DSL
cable
The solution
• VOX A R 3 D enabled PACS
- Combined 2D and 3D functionality
- Technologists pre-processing available off the
scanner co n s o l e
- Radiologist retains the ability to change
te c h n o l o g i sts pre- p ro cessing using LI V E IM AG E S
- Rea l -time cine in any plane
( axial, sagittal, co ronal, oblique, cu r ve d )
- On-t h e-fly MPR and 3D image generat i o n
- MPR and 3D re d u ce the number of images
n e cessary to co nvey findings to referring phy s i c i a n s
Technologists post-processing
workstation
Radiologists
office
Radiology
PACS archive
M D C T, MRI
and PET
Reading room:
PACS diagnostic
workstation
Ba rco (Belgium)
P res. Kennedypark 35
B-8500 Ko r t r i j k, Belgium
Phone: +32 56 233 557
Fax: +32 56 233 374
E-mail: sa l es. m e d i c a l . e u @ b a rco. co m
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3059 Pre m i e re Pa r k way - Duluth
G e o rgia, 30097- 4 9 0 5, U SA
Phone: +1 678 475 8000
Fax: +1 678 475 8237
E-mail: sa l es. m e d i c a l . u s @ b a rco. co m
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8 6 8-6, Chungcheng Ro a d ,
C h u n g h o C i t y, Taipei Co u nt y, 235, Ta i wa n
Phone: +886 2 8221 6868
Fax: +886 2 8221 6969
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