Pivotal Teleradiology provides remote radiology reporting services using specialized radiologists. They have well-defined quality processes and metrics. Specialists have expertise in many areas including neuro, cardiac, and musculoskeletal radiology. Turnaround times for reports are variable but on average 10-15 minutes for x-rays and 20-30 minutes for MRIs. All cases are reviewed by two radiologists before submission. They utilize secure VPN connections and DICOM gateways to transmit images from hospitals to their central server for reporting. Pivotal partners with hospitals and clinics needing additional radiologist support to reduce backlogs and wait times.

1. PIVOTAL TELERADIOLOGY
RADIOLOGY SIMPLIFIED
XRAY , CT , MRI , MAMMO
‘WELL DEFINED QUANTIFIABLE METRICS FOR
QUALITY & PROCESSES’

2. SPECIALITIES /SUBSPECIALITIES –
NEURO , CARDIO , CHEST ,ABDOMINAL, GASTRO ,HEAD & NECK ,
MUSCULOSKELETAL ,PEDIATRIC RADIOLOGY etc
TURN AROUND TIME [TAT] –
variable as per requirement
TIME TAKEN PER READ –
10-15 MTS FOR XRAY / 15 -20 MTS FOR CT / 20 -30 MTS PER MRI
[ THIS IS MORE THAN THE INDUSTRY AVERAGE TIME SPENT PER CASE
RESULTING IN VERY DETAILED & ERROR PROOF REPORTING]
NUMBER OF SPECIALISTS EVALUATING EACH SCAN BEFORE SUBMISSION TO
CLIENT –
TWO DOCTORS REVIEW EACH CASE BEFORE A REPORT IS PREPARED .
QUALITY IS OUR HALLMARK

3. SPECIALIST RADIOLOGISTS QUALIFICATIONS AT A GLANCE -
ACHEIVEMENTS & AWARDS
1st prize in Quiz organized by MRI
Update, Dec 2011.
2nd prize in Quiz organized by 9th
MRI Teaching course, Dr. Balabhai
Nanavati Hospital, Mumbai
1st Rank in postgraduate common
entrance test in Pravara Institute of
Medical Sciences.
1st Prize in Scientific Society, Clinical
Meetings Committee Presentations
M.D. (Radiodiagnosis & Imaging)
20 plus years experience
Wide Exposure with following modalities:
1.5 T MRI, 64 Slice Cardiac CT scan,
2D-3D-4D Ultrasound and
Colour Doppler,
Computed Radiography,
500 mAs Fluroscopy,
X-Ray Mammography & PACS,
USG and CT Guided Interventions.

4. Radiology Data transmission process :
PIVOTAL TELERADIOLOGY has a data transmission solution for the reading centers and sending centers/hospitals. It is a challenge to build a
secure and reliable IT infrastructure to meet the demands of TeleReporting. The complete hosted solution has been designed keeping the
TeleReporting needs with high uptime and security.
Deployment Architecture:
Central Server is deployed in the data centre & remote hospitals are connected over VPN. A simple DICOM Gateway application is deployed at
hospital end which receive simages from PACS/Modalities and upload s t to the central server. DICOM Gateway application takes care of data-
integrity, encryption, network failures (re-transmission) & enhances trouble-shooting.
Workflow
We provide access details for hospitals /remote centres. DICOM Gateway is installed at the hospitals/centers Remote centres are
connected either through VPN or Web.
Cases are pushed from Modality/PACS to DICOM Gateway and start uploading images to central server. Server keeps the track of
expected number of images and the total images received. After the complete dataset is uploaded, the case is viewed by
Radiologists & reports are entered. After the report is create the remote centre can login and print the report .

5. OUR REQUIREMENTS AT MEDICAL CENTERS / HOSPITAL ETC -
WE NEED THE FOLLOWING AT THE REMOTE MEDICAL CENTER/HOSPITAL -
BASIC COMPUTER – INTERNET – RADIOLOGY TECHNICIAN TO UPLOAD RADIOLOGY IMAGES
FROM THE RADIOLOGY MACHINES ONTO OUR SERVER – A PERSON WITH BASIC TECHNICAL
KNOWLEDGE WHO CAN HANDLE THE COMPUTER AND I.T.
RADIOLOGY PARTNERS-
WE WISH TO WORK WITH RADIOLOGY DEPARTMENTS IN HOSPITALS (private & govt )WHERE
THERES A SHORTAGE OF MD SPECIALIST DOCTORS,BACKLOG OF CASES,LONG WAITING
PERIODS FOR REPORTS OR A SECOND OPINION REQUIREMENT
MEDICAL DIAGNOSTIC CENTERS FACING SIMILAR ISSUES AS THE ABOVE
INDEPENDENT DOCTORS WHO WOULD LIKE A SECOND OPINION OR A FIRST OPINION ON
HIS/HER PATIENTS RADIOLOGY SCANS DUE TO HIGH PATIENT VOLUME WHICH HE/SHE IS
UNABLE TO HANDLE ETC DUE TO STAFF ATTRITION ISSUES MAJORLY FACED BY THE MEDICAL
INDUSTRY NOWADAYS.
NEXT STEPS FORWARD –
-ACCESS TO ABOVE MENTIONED RADIOLOGY DEPTS TO PULL IMAGES & EXECUTE
TELEREPORTING
-FREE TRAINING WILL BE PROVIDED TO THE TECHNICIAN AT THE ABOVE TO HANDLE DATA
TRANSMISSION ETC.
-A PILOT PROJECT CAN BE INITIATED FOR THE BENEFIT OF THE HOSPITAL/MEDICAL CENTER ETC
TO UNDERSTAND HOW THIS SOLUTION CAN RESULT IN A HUGE TIME SAVING ,COST SAVING &
REVENUE GENERATION FOR THEM AS THEIR PATIENT VOLUME WILL INCREASE DUE TO QUICK
AVAILABILITY OF HIGH QUALITY MD SPECIALIST REPORTS.
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