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
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