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Emergency Radiology in the
Era of Imaging 3.0TM	

Rathachai Kaewlai, MD	

Emergency Radiology Minicourse 2015, Jul 2015
Society6.com
Deepakpanigraphy.com
Medical Imaging: 
Evolution in Patient Care	

A new kind
of ray	

Imaging 1.0	

Imaging 2.0	

Imaging
3.0	

1896 1920 1990 2013
A New Kind of Ray
1896 - 1920	

Discovery of X-rays by Wilhelm
Roentgen	

Slideshows for photography	

Medical applications	

Two-views.com
Imaging 1.0
1920 – 1990 	

Imaging in medical care	

	

Physicians began embracing imaging capability for
diagnosis and treatment of patients	

	

Contrast agents were developed	

	

New modalities were available
Imaging 2.0
1990 – present 	

Technology explosion	

	

Evolving modalities, more than ever before	

	

Advent of PACS 	

	

Knowledge base increased dramatically	

	

Radiologists become a consultant to referring
physicians	

	

Unprecedented demand for imaging
Imaging 3.0	

Differentiating “Value” from “Volume” and “Cost”	

High value care is the ultimate aim	

Radiologists must be relevant in clinical care
Imaging 3.0	

Blueprint for high value care 	

Radiologists must perform “Beyond image
interpretation”	

What else should we do “beyond” reading
images to provide high value care?
Imaging 3.0
2013 and beyond	

Blueprint for high value care 	

“Beyond image interpretation”	

	

Assuring appropriateness	

	

Documenting quality and safety	

	

Actionable reporting with evidence-based F/U	

	

Empowered patients
Imaging 3.0	

Maximize radiologists’ value	

Collaborate with other physicians to improve
imaging care	

Empower patients
Imaging 3.0 
Optimize Patient Care	

Imaging is
first
considered	

Referring physicians
and patients fully
understand imaging
results and
recommendations	

Imaging
interpreted
What’s Driving Imaging 3.0?	

Healthcare movement toward value-based care	

	

Cost cutting	

	

Fee for service will go away	

Specialists vs. primary care gap	

Current imaging culture
Why Do We Need To Go 
“Beyond Image Interpretation”?
What Can We Do?	

Based on value 	

Consultative 	

Patient centered	

Outcome focused	

Integral
Take Home Messages	

New era of imaging starts now, to stay relevant - our
function must go beyond image interpretation	

Imaging must be based on value, consultative, patient
centered, outcome focused and integral	

Radiologists are accountable for what we do

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Emergency Radiology in the Era of Imaging 3.0

  • 1. Emergency Radiology in the Era of Imaging 3.0TM Rathachai Kaewlai, MD Emergency Radiology Minicourse 2015, Jul 2015
  • 4.
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  • 6. Medical Imaging: Evolution in Patient Care A new kind of ray Imaging 1.0 Imaging 2.0 Imaging 3.0 1896 1920 1990 2013
  • 7. A New Kind of Ray 1896 - 1920 Discovery of X-rays by Wilhelm Roentgen Slideshows for photography Medical applications Two-views.com
  • 8. Imaging 1.0 1920 – 1990 Imaging in medical care Physicians began embracing imaging capability for diagnosis and treatment of patients Contrast agents were developed New modalities were available
  • 9. Imaging 2.0 1990 – present Technology explosion Evolving modalities, more than ever before Advent of PACS Knowledge base increased dramatically Radiologists become a consultant to referring physicians Unprecedented demand for imaging
  • 10. Imaging 3.0 Differentiating “Value” from “Volume” and “Cost” High value care is the ultimate aim Radiologists must be relevant in clinical care
  • 11. Imaging 3.0 Blueprint for high value care Radiologists must perform “Beyond image interpretation” What else should we do “beyond” reading images to provide high value care?
  • 12. Imaging 3.0 2013 and beyond Blueprint for high value care “Beyond image interpretation” Assuring appropriateness Documenting quality and safety Actionable reporting with evidence-based F/U Empowered patients
  • 13. Imaging 3.0 Maximize radiologists’ value Collaborate with other physicians to improve imaging care Empower patients
  • 14. Imaging 3.0 Optimize Patient Care Imaging is first considered Referring physicians and patients fully understand imaging results and recommendations Imaging interpreted
  • 15. What’s Driving Imaging 3.0? Healthcare movement toward value-based care Cost cutting Fee for service will go away Specialists vs. primary care gap Current imaging culture
  • 16. Why Do We Need To Go “Beyond Image Interpretation”?
  • 17. What Can We Do? Based on value Consultative Patient centered Outcome focused Integral
  • 18.
  • 19. Take Home Messages New era of imaging starts now, to stay relevant - our function must go beyond image interpretation Imaging must be based on value, consultative, patient centered, outcome focused and integral Radiologists are accountable for what we do