10 Most Advanced Medical Imaging Solution Providers, March 2023

Advancing Trends
and Technologies
The Future of
Diagnos c Imaging
From X-rays to AI
The Evolu on of
Medical Imaging
Solu ons
March
Issue 13
2023
John Bravo
CEO
Bravo Imaging Inc.
Bravo
Imaging Inc.
10 Most
Advanced
Solution Providers
2023

Be er Health and
a better way of life.

edical imaging has always been a cornerstone of
Mdiagnostic and treatment processes, but the
rapid pace of technological innovation has
ushered in a new era of possibilities. This edition sheds
light on the companies at the forefront of this
transformation, showcasing their commitment to pushing
the boundaries of medical imaging to improve patient
outcomes.
From harnessing the potential of artificial intelligence to
unlock hidden insights within images to seamlessly
integrating multiple imaging modalities for a
comprehensive diagnostic approach, these Medical Imaging
Solution Providers are redefining the standards of accuracy,
efficiency, and accessibility in the field.
Each featured company in this edition has a unique story to
tell—a story of dedication, perseverance, and an
unwavering commitment to improving healthcare through
technology. By offering a glimpse into their pioneering
solutions, we aim to provide our readers with a
comprehensive understanding of the diverse innovations
that are driving the industry forward.
In an age where precision and early detection are
paramount, Medical Imaging Solution Providers are pivotal
in ensuring that patients receive the best possible care.
Insights Care's latest edition, 10 Most Advanced Medical
Imaging Solution Providers 2023, invites you to immerse
yourselves in these trailblazing companies' stories, gain
insights into their breakthroughs, and join us in celebrating
their strides. This edition is a tribute to their dedication,
relentless pursuit of excellence, and steadfast commitment
to advancing healthcare through innovation.
Hope you have a fantastic read!
-Pooja Shah
Pja Sh
Pioneering
Medical Imaging's
Tomorrow

The Future of Diagnos c Imaging
Advancing Trends
and Technologies
18
The Evolu on of Medical
Imaging Solu ons
From X-rays to AI
26
Marigold Hospital
Ensuring Aﬀordable
Pa ent-Care Through Radiology
14
22
Defusing the Demographic
Timebomb by Investing
in Palliative Care
30
From Sci-Fi to Reality:
Potential and Drawbacks
of AI in Healthcare
32
Vital Radiology Services
Improving the Eﬃciency of Imaging
Solu ons Through Innova ve
Digital Healthcare

08
Bravo Imaging Inc.
Redeﬁning Innova ons through
Imaging Solu ons

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March, 2023
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Editor-in-Chief
Chidiebere Moses Ogbodo
Managing Editor
Pooja Shah
Executive Editor
Saloni Agrawal
Visualiser
David King
Art & Design Head
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Co-designer
Paul Belin
Art & Picture Editor
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Business Development
Manager
Emily Jones
Marketing Manager
Bill Thompson
Business Development
Executives
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Sales Executives
Mike, Carl, John
Technical Head
Jacob Smile
Assistant Technical Head
Prashanth Hiremath
Technical Consultants
David, Robert
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Manager
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Marketing Manager
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SME-SMO Executives
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Research Analyst
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Circulation Manager
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Description
Featuring
Person
Company
Bravo Imaging Inc.
bravoimaging.com
John Bravo
CEO
Bravo Imaging Inc. is an imaging equipment
service dedicated to provide the technology
that makes a difference.
Marigold Hospital
marigoldhospital.ng
Sandra Chisom
Ohuabunwa
Radiographer
(Intern)
Marigold Hospital provides evidence-based,
patient-centered healthcare solutions, by
ensuring easy access to good quality
healthcare care
Hermes
Medical Solutions
hermesmedical.com
Tom Francke
CEO
Hermes Medical Solutions continuously innovates
to enable faster and more personalized diagnosis
and therapies in molecular imaging and nuclear
medicine.
Nanox Imaging LTD.
nanox.vision
Erez Meltzer
CEO
Nanox Imaging focuses on making diagnostic
medicine more accessible and affordable across
the globe.
National Diagnostic
Imaging
ndximaging.com
David H. Berns
President, CEO
NDI provides 24/7 teleradiology coverage on a
national basis and delivers a final report from
board certified, fellowship trained radiologists.
RadNet, Inc.
radnet.com
Howard G. Berger
President, CEO
RadNet, Inc delivers high-quality, conveniently
accessible care in the most cost-effective
manner possible.
PENTAX Medical
pentaxmedical.com
OJAS A. BUCH
President
PENTAX Medical has a worldwide focus and
presence with R&D, regional sales, service, and
in-country facilities around the globe.
SentiAR
sentiar.com
Berk Tas
CEO
SentiAR is digital health, software company
adding a new dimension to clinical practice in
interventional procedures.
SNMMI
snmmi.org
Virginia Pappas
CEO
SNMMI is a nonprofit scientific and professional
organization that promotes the science,
technology and practical application of nuclear
medicine and molecular imaging.
Vital Radiology
vitalrad.com
Dr. Arun Chauhan
Founder
Vital Radiology is a global firm endowed and
empowered with eminent medical professionals
to offer gtechnology-driven services.
10 Most Advanced Medical Imaging Solu on Providers 2023

Bravo
Imaging Inc.
Redefining Innovations through Imaging Solutions
The attribute that sets
Bravo Imaging Inc. apart
from other companies is
its management and
technical staff’s long
presence in the South
Florida area.

John Bravo
CEO
Bravo Imaging Inc.

Bravo Imaging Inc. is a multi-vendor multi-
modality independent sales and service
organization specializing in MRI, CT, X-Ray/R+F,
Portable X-Ray, Mobile C-Arms, (DEXA) Bone
Densitometers, Ultrasound, Digital 3D-Mammography +
Stereotactic, PACS, CR, DR, and PET/CT.
In the realm of imaging solutions, Bravo Imaging Inc. is an
imaging equipment service, dedicated to providing
technology that makes a difference in the healthcare
industry. The company sells, buys, repairs, and replaces
MRI and X-ray equipment in several capacities, to ensure
that clinics are outfitted in the best way possible.
Spearheading the long-term vision of Bravo Imaging is its
CEO, John Bravo. Leading an entire team of technical
support specialists, service engineers, and project
specialists, every facility’s imaging service needs are taken
care of. Whether the clients need to buy MRI/CT machines,
replace X-ray machines, or get repairs on current imaging
equipment, the company has succeeded in earning their
trust.
We at Insights Care interviewed John while seeking out the
10 Most Advanced Medical Imaging Solution Providers
2023 and spotted valuable facts highlighting the
significance of Bravo Imaging, his contributions to guiding
the company, and scaling its progress to greater heights.
The Inception Story
Bravo Imaging Inc. was founded and is directed by
Engineers with service backgrounds who saw the
community’s need for quality service at affordable prices.
The company has expanded its service capabilities to
provide selected services and equipment nationally and
internationally throughout Florida.
Exemplary Leadership
John has a master’s degree in biomedical engineering. He
started working as a trainee at a Medical Imaging Sales and
Service Company. Eventually, John worked out his way
into the field and became a very proficient MRI/CT Field
Service engineer and then MRI Manager. He decided to
start his own company with another service engineer.
Together, they founded Engineering and Network Systems
(ENS) in 2005, which lasted ten years, and then they
decided to part ways. Later, John founded Bravo Imaging
Inc. in 2015 and has successfully positioned Bravo Imaging
Inc. as a significant competitor among companies providing
multi-vendor and multi-modality imaging equipment and
service to the medical community.
Values that Count
By assembling a team of proven professionals, the result is
a company that has grown substantially by word of mouth,
based on positive customer references. John asserts, “We
are most proud of our repeat business. Our best salespeople
are our customers. We obtain the majority of our new
business from references from our customers. Every
decision made by the staff at Bravo Imaging Inc. is driven
by the quest for long-term relationships to be developed,
nurtured, and expanded.”
Standout Services
The company services Florida’s hospitals, outpatient
centers, clinics, doctors’ offices, and veterinary facilities.
Elaborating on the services, John shares, “We are able to
sell and service many different manufacturer’s equipment
and multiple modalities. We also have an installation and
de-installation team, so we are able to provide turnkey
projects for our customers.”
The company services,
hospitals, outpatient
centers, clinics, doctors’
offices, and veterinary
facilities in Florida.

The attribute that sets Bravo Imaging Inc. apart from other
companies is its management and technical staff’s long
presence in Georgia and South Florida area. Many
companies are transient in South Florida, but its
management and technical staff’s stability and reputation
set the company apart from its competitors.
A Client-Centered Approach
Bravo Imaging Inc. supplies cost-effective quality service
tailored to its client’s needs 24/7, including Time and
Material, Preventative Maintenance contracts, Labor only
contracts, Parts, and Labor contracts, or total Asset
Management.
Healthcare providers that pay close attention to scientific
research initiatives that generate evidence-based
improvements in the quality of care of their patients while
improving efficiency and cost-effectiveness will be the
providers that thrive.
Healthcare providers
that pay close attention to
scientific research initiatives
that generate evidence-based
improvements in the quality
of care of their patients while
improving efficiency and
cost-effectiveness will be
the providers that thrive.

A Keynote to Remember
John, while giving his valuable advice to the budding
entrepreneurs who wish to venture into the healthcare
space, shares, “Every health care provider has the
increasing pressure to balance quality of care with the
sustainability of providing such care at costs that are
affordable to the populous. Entrepreneurs that can help
healthcare providers with this balance will be a valuable
commodity in the years to come.”
Future Roadmap
Economists are projecting a continued downturn in the
economy with inflation on the increase. To this, John further
states, “We will continue to operate as we always have by
concentrating on helping our clients provide excellent
patient care while remaining profitable by providing them
quality, cost-effective service, and products.”
Endorsements that Matter
Definitely the best service, proactive and dedicated Team.
Always looking forward to the benefit of their clients.
Thank you, BRAVO Imaging Inc, for your wonderful
customer service.
- Maria Rojas, NATIONAL P.E.T SCAN DADE. LLC
Bravo Imaging was a huge blessing to my husband’s new
orthopedic practice. Frank made several trips to meet with
us, draw out our space, answer all of our questions, and
provide the guidance that we needed. Customer Service was
amazing, too, always responsive to my calls and questions.
You won’t find another equipment company in Florida as
professional or honest. Bravo was also priced
THOUSANDS less than their competition. My husband and
I highly recommend them!!
- Audrey Brooks, Ameglio Orthopedics
This company was a breath of fresh air. They completed the
work in a timely clean, and caring fashion. They could have
up charged, but rather they acted with integrity and in my
best interest.
- Zachary, Schenker City College
John founded Bravo
Imaging Inc. in 2015 and has
successfully positioned Bravo
Imaging Inc. as a major competitor
among companies providing
multi-vendor and multi-modality
imaging equipment and
service to the medical
community.

Sandra Chisom Ohuabunwa
Radiographer (Intern)
Marigold Hospital
March 2023
14|www.insightscare.com

Marigold
Hosp al Ensuring Affordable
Patient-Care
Through Radiology
Amongst the major concern around the talks of
patients, a major stake is in affordable care
treatment.
This can be observed through a recent research study.
According to a study, by the year 2026, experts estimate
that out-of-pocket healthcare spending will increase by
9.9% per patient's financial information. However, when
patients in a 2018 survey were asked, “What do you value
most when getting services from a healthcare provider?”
they responded, “affordable out-of-pocket costs” and “my
provider cares about me.”
But, it is worth noting that affordable care doesn't just
comprise consultation and drug treatment. One major
segment in this context is diagnosis through Radiological
services. In a well-functioning healthcare system, radiology
has become a core contributor that guarantees clinical
information, health gains, and reduced costs in treatment.
Achieving such objectives of serving affordable care and
supporting the human cause is Marigold Hospital—a
Nigerian-based care center promoting the utilization of
effective treatments and improved patient outcomes through
its radiology services.
Sandra Chisom Ohuabunwa, a Radiographer (Intern) at
Marigold Hospital, witnesses the hospital's holistic
approach to patient care. Through the hospital's modern
laboratory, incorporated with diverse modality brands and
software, patients are ensured to seek an accurate
justification of the treatment that they receive.
Let's walk through the insides of radiology procedure that is
enabling marigold Hospital achieve effective care.
What was your inspiration behind venturing into
Radiography?
At a young age, I realized that one's life could only be made
worthwhile through service to humanity.
The question of how I would be remembered by humanity
became important. Thus, I believed I could serve humanity
using my unique natural qualities and empathy alongside
my knowledge and dexterity.
Venturing into the health sector, I picked radiography,
particularly because not many people venture into this field.
Currently, there are over 217 million Nigerians and less
than or about 2500 radiographers. I became passionate
about seeing the good we can do with technology.
Please tell us about your journey, highlighting your
contribution to Marigold Hospital's success.
My journey has not been easy, knowing that I had to work
twice as hard. But looking back, there is not a single thing
that I would change.
Marigold Hospital has become a center that provides
quality care and training to mission-minded health
professionals.
Being Marigold's pioneer radiographer intern, an enormous
responsibility falls on my shoulders to set the pace for the
succeeding Radiography interns. There is also the prospect
March 2023

of introducing first-class and innovative ideas, new
perspectives, and a unique dexterity to Marigold Hospital.
As a student radiographer, please shed light on your
experience at Nnamdi Azikiwe University and Foremost
Radiology Consultants Limited. At present, how does
that serve your interests and the role that you play at
Marigold Hospital?
At Nnamdi Azikiwe University Teaching Hospital
(NAUTH), I was exposed to a range of modalities such as
Computed Tomography, Fluoroscopy. Although NAUTH
was not my first clinical experience with such modalities, it
was an eye-opener.
There are quite a number of rare radiology procedures, and
sometimes we only have theoretical knowledge. But at
NAUTH, I witnessed and gained first-hand experience.
In addition, my journey at Foremost Radiology Consultants
Ltd began in May 2020. Training with different senior
radiographers coming from diverse knowledge backgrounds
was exciting. There, my experience ranged from Magnetic
Resonance Imaging to X-rays. My journey at FRCL ended
in June 2021, and I became a better radiographer while also
creating a professional network.
Looking back, my experiences at FRCL and NAUTH have
equipped me for my role at Marigold. I was trained in
Magnetic Resonance Imaging, Computed Tomography,
Ultrasound, Fluoroscopy, Mammography, Special
Investigations, and X-ray at both places. Although my
experience is not limited to the mentioned modalities, these
experiences have proven to be relevant at Marigold as the
Radiology department is similar in most establishments.
Can you elaborate upon the core values on which
Marigold Hospital is built and the company's mission?
The core values of Marigold are to provide patient-centered
care and quality and innovative healthcare delivery. In
addition, their mission is simply to provide the most
appropriate care in a setting that supports and responds to
each patient's unique needs.
Please elaborate on the technological innovation that
Industrial Radiography should incorporate.
When it comes to the field of Industrial Radiography, the
area of focus should be on creating awareness and making
training accessible.
Several studies carried out within Industrial Radiography
have demonstrated a poor level of awareness. What I
propose could be a solution to this challenge is digitalizing
the training for Industrial Radiography. This solves the
problem of awareness amongst radiography students and
would gradually extinguish the notion that Industrial
Radiography is an entirely different field.
While serving for Diagnostic Professional Imaging
Center, what challenges did you face? How did you turn
them into opportunities for growth?
Diagnostic Professionals Imaging Center was a wonderful
center, but no establishment is without its shortcomings.
My only challenge while working there was prolonged
downtime of the Computed radiography system. This
brought about a temporary revert to Manual (dark room)
processing. The exposed radiographic film is processed by
hand through a series of timed steps in manual processing.
For these reasons, many radiographers do not like the
manual processing method. On the other hand, I decided to
use this as an opportunity to experience working with the
manual processing system.
An encounter with both extremes of the profession (manual
and digital) made me appreciate the technological
advancements in radiography and how far we've come.
Marigold Hospital has
become a center that
provides quality care and
training to mission-minded
health professionals.
March 2023

Please shed light on the state of Radiography in the
African market and what can be done better.
I am proud of Radiography in the African market and our
achievements. However, specialization in radiography is
important. With specialization, there is room for
advancement and further training. This would increase the
quality of radiographers in the African market, enable them
to follow the career path they believe is best suited to their
capabilities and goals, create career opportunities,
encourage research in areas needing development, and
allow growth in the profession.
How do you envision further strengthening Marigold
Hospital's stronghold in 2023 and beyond?
I envision strengthening Marigold Hospital's stronghold by
increasing the value of my input in delivering quality health
service and employing extreme creativity when working.
I see growth as a necessity. Thus, I would continue
passionately in professional development by acquiring new
skills and global knowledge through attending conferences,
updating courses, and webinars, and learning globally.
These skills and knowledge gained will be applied when
working to ensure Marigold remains one of the top
hospitals.
Identifying challenges and working together with the
radiology team and administration to tackle them to ensure
the values and mission of Marigold Hospital are sustained.
March 2023

Diagnostic
Imaging
The Future of
n modern medicine, diagnostic imaging is a
Icornerstone of accurate and timely disease detection.
Over the years, this field has undergone remarkable
advancements, revolutionizing how healthcare
professionals visualize and comprehend the human body's
intricate inner workings. As we venture into the 21st
century, the landscape of diagnostic imaging is poised for
even more transformative changes, driven by
groundbreaking trends and technologies that promise to
enhance precision, accessibility, and patient outcomes.
Let's dig deeper into unveiling a new era in medical
diagnosis!
The Evolution of Diagnostic Imaging
Before delving into the exciting prospects on the horizon,
it's crucial to appreciate the evolutionary journey that
diagnostic imaging has taken. From the humble beginnings
of X-rays in the late 19th century to the emergence of
magnetic resonance (MRI), computed tomography (CT)
scans, and ultrasound, each milestone has propelled medical
imaging towards greater accuracy and diagnostic power.
These innovations have played a pivotal role in enabling
early disease detection, guiding treatment decisions, and
reducing the need for invasive procedures.
Artificial Intelligence (AI) and Machine Learning
The convergence of diagnostic imaging and artificial
intelligence (AI) is perhaps the most compelling trend
shaping the future of medical diagnosis. AI algorithms are
poised to amplify the capabilities of radiologists and
March 2023

Advancing Trends and Technologies
March 2023

clinicians by streamlining image analysis, enhancing
pattern recognition, and expediting the interpretation of
complex data. By training on vast datasets, AI-driven
systems can spot minute abnormalities that might escape
even the most keen-eyed human observer. As a result, AI
accelerates the diagnostic process and contributes to more
accurate and consistent diagnoses.
Precision Medicine and Personalized Imaging
One-size-fits-all approaches to medicine are becoming a
thing of the past, thanks to the rise of precision medicine.
Diagnostic imaging is at the forefront of this revolution, as
it allows for the tailored assessment of an individual's
unique anatomy and pathology. With genomics and
molecular imaging advancements, doctors can identify
genetic markers, predict disease susceptibility, and tailor
treatment plans accordingly. This personalized approach
increases treatment efficacy and minimizes adverse effects,
underscoring the transformative potential of diagnostic
imaging in the era of precision medicine.
Multi-Modal Imaging
The future of diagnostic imaging is not limited to a single
modality. Rather, it lies in integrating multiple imaging
techniques to provide a holistic view of a patient's
condition. Combining data from various sources, such as
MRI, CT scans, positron emission tomography (PET), and
functional MRI, yields a comprehensive understanding of
the body's structural and functional aspects. This synergistic
approach empowers clinicians to unearth insights that might
remain hidden when using individual imaging methods
alone, enhancing diagnostic accuracy and improving patient
care.
Advancements in Imaging Equipment
Cutting-edge technology is breathing new life into
diagnostic imaging equipment. The evolution of equipment,
driven by innovations in hardware and software, is boosting
the quality of images, reducing radiation exposure, and
shortening scan times. For instance, the development of
ultra-high-field MRI systems offers unprecedented clarity
and resolution, enabling the visualization of smaller
anatomical structures and subtle abnormalities. Similarly,
advancements in portable ultrasound devices are expanding
access to quality diagnostic imaging in remote or
underserved regions, transcending traditional boundaries
and democratizing healthcare.
The Promise of Hybrid Imaging
Hybrid imaging, the fusion of two or more imaging
modalities into a single system, opens doors to unparalleled
diagnostic capabilities. One notable example is positron
emission tomography-computed tomography (PET-CT),
which marries the functional information provided by PET
with the detailed anatomical images from CT scans. This
integration not only aids in pinpointing disease locations
but also offers insights into disease metabolism and
progression. As hybrid imaging technologies evolve, they
hold immense potential for revolutionizing cancer
diagnosis, neuroimaging, and cardiovascular assessment.
Virtual and Augmented Reality
The advent of VR and AR is poised to redefine how medical
professionals interact with diagnostic images. By
immersing themselves in a 3D virtual environment,
clinicians can explore intricate anatomical structures and
study pathology from different angles, enhancing their
understanding and decision-making. AR overlays real-time
images onto a surgeon's field of view, enabling real-time
guidance during procedures. This fusion of imaging and
immersive technology enhances medical students'
educational experience and elevates surgical precision and
patient outcomes.
Ethical and Legal Considerations
With the rapid pace of technological progress in diagnostic
imaging, it's imperative to address the ethical and legal
implications that arise. AI, for instance, prompts discussions
about data privacy, algorithm transparency, and the
potential for bias in machine learning models. Striking a
balance between innovation and responsible
implementation is paramount to ensuring patient safety,
maintaining trust, and upholding medical standards in this
evolving landscape.
Conclusion
As we stand on the threshold of a new era in diagnostic
imaging, the possibilities are exhilarating. The convergence
of AI, personalized medicine, multi-modal imaging, and
immersive technologies promises to propel healthcare into
uncharted territory. With responsible stewardship of these
advancements, the future of diagnostic imaging can reshape
the healthcare landscape.
-Pooja Shah
March 2023

Laurel Gillespie
CEO
CHPCA
March 2023

hat does it mean to live well with
Wa serious illness? Just because
someone is or might be dying,
does not mean that they are done living. Our
healthcare systems must be equipped to not
only strive for health but also to strive for
quality of life at every stage of life and
illness. We can’t deny patients the
opportunity to experience joy, feel peace,
bring meaning to their last chapter, and
importantly live while they are dying.
Ultimately, this is what palliative care
provides to those who are experiencing
health-related suffering – whether they are
dying or not, whether they are still pursuing
curative treatment or not – though too few in
Canada receive that care.
Palliative care could benefit 89% of those
who die in Canada. However, less than 6 in
10 Canadians who died in 2021-2022
received care from the discipline that
specializes, in part, in caring for the dying.
The gap in access is significant and bridging
it will require a concerted effort across health
professions, all levels of government and
communities. We can’t afford to not invest
the effort.
The Case for Investing in Palliative Care
Access to palliative care in Canada has
increased by 6% over 5 years (52% in 2016-
17 to 58% in 2021-22). While this is moving
in the right direction, we can’t forget that
Canada has a rapidly aging population. By
2030, there will be 2.2 million more seniors
in Canada than there were in 2022. Since
seniors, as a population group, have higher
palliative care needs, a 6% growth in access
to palliative care over the last 5 years is a
drop in the proverbial bucket. This is a
demographic timebomb heading straight for
our healthcare systems. These systems will
inevitably implode under this exponential
growth in the need for health care for
Canadian seniors, including palliative care
unless significant changes are made.
Defusing the
Demographic
Timebomb
by Investing in
Palliative Care
Laurel Gillespie is the CEO of
the Canadian Hospice Palliative
Care Association (CHPCA). She
holds an MBA (Master of
Business Administration) and is
a Certified Health Executive
(CHE). Laurel currently sits on
the Board of the Worldwide
Hospice Palliative Care Alliance
and served seven years on the
Board of Autism Canada.
About the
Author
March 2023

The benefits of investing in increased access to palliative
care are huge. This includes cost efficiencies by preventing
patients from being hospitalized and occupying expensive
acute care beds that aren’t appropriate for their needs. There
are thousands of patients in acute care beds waiting for
availability in alternate level care (ALC) every day, causing
a significant burden on our health care systems. Many
provinces are struggling to address the issue, including
Ontario, where nearly 40% of those ALC patient days were
for patients at end-of-life. There are thousands of days
when high-cost acute care beds were occupied by a patient
who could have been better served in a palliative care
setting if only those beds were available.
Palliative care is more cost-efficient, requires fewer
resources overall, can be provided in any setting – including
at home where most Canadians want to die, reports higher
satisfaction with care from patients and caregivers, and
provides caregiver and grief support. Which begs the
question: Why aren’t we already doing it for everyone?
Public Awareness
Despite decades of awareness building, most Canadians
remain unaware of palliative care, or mistakenly believe
that palliative care is only relevant in the last few weeks or
days of life. This myth is perpetuated in part because
palliative care is often only accessible to people in Canada
in those last weeks of life. We don’t have the workforce or
resources to provide this care earlier in the illness
progression in a consistent way. The public can hardly be
blamed for believing this myth since they rarely see any
evidence to the contrary.
A recent survey of Quebecers on palliative care showed that
despite having the right to access palliative care enshrined
in Quebec law since 2015, less than half believed that
palliative care could improve quality of life (48%), and
79% believed that palliative care is “comfort care provided
to dying patients”. These numbers show the deep
disconnect between the heart of palliative care – providing
a better quality of life – and its public image, even in a
province where it is a legal right.
Regardless of where they live, whether they have a specific
legal right to palliative care or not, people in Canada
deserve to know what palliative care can provide for them,
if or when they need it, so they can make informed
decisions about their health care.
Training Health Care Professionals
While it’s important for caregivers and patients to
understand palliative care, we can’t expect them to know
when a palliative approach to care is clinically appropriate.
As we educate the public, it’s important to also have well-
trained healthcare workers across all disciplines who
understand the palliative approach to care. Healthcare
professionals can’t be expected to provide or educate their
patients on this approach if they don’t have the training to
do so.
Every healthcare worker will care for someone with a life-
limiting illness at some point in their career. Yet, training on
basic competencies in palliative care isn’t consistently
integrated into the core curriculum of all healthcare
professions. In fact, some medical schools dedicate less
than 10 hours of instruction to palliative care. It’s hardly
surprising then that only 40% of family physicians in
Canada feel prepared to care for patients with palliative
care needs. We can’t afford to continue to under-prepare our
healthcare workers on this issue. Medical professionals
must know how to integrate the palliative approach into
their practices so they can provide the best care for their
seriously ill patients.
Moving forward
This issue impacts all of us – none of us are getting out of
this life alive. We need to hold ourselves accountable to
have these challenging conversations and make changes so
we can better live and die across Canada. Governments
need to come to the table to increase awareness of palliative
care, educate healthcare workers, invest in capacity-
building, and incentivize healthcare institutions to provide
timely and comprehensive palliative care to every patient
with a life-limiting illness. Palliative care is not a luxury,
and our healthcare systems cannot hope to survive the
demographic timebomb of an aging population without it.
March 2023

March 2023

Solutions
Evolution
he journey of medical imaging solutions from their
Tinception to the present day is a remarkable
testament to human ingenuity and technological
progress. The evolution of these solutions, starting with the
discovery of X-rays, has not only transformed the field of
medicine but has also revolutionized how diseases are
diagnosed and treated. From the rudimentary beginnings of
X-rays to the era of artificial intelligence (AI), medical
imaging has come a long way, reshaping healthcare
practices and patient outcomes.
Let's dive in to understand the revolutionizing healthcare
diagnosis and treatment!
X-rays
The year 1895 marked a pivotal moment in medical history
with Wilhelm Conrad Roentgen's discovery of X-rays. This
breakthrough enabled the visualization of internal structures
within the human body without invasive procedures. The
ability to see bones, foreign objects, and even certain soft
tissues was a revolutionary leap forward. However, the
early X-ray technology had limitations regarding image
quality and potential radiation risks, which paved the way
for refinements and further innovations.
Radiography and Fluoroscopy
The early 20th century witnessed the refinement of X-ray
technology, leading to the development of radiography and
fluoroscopy. Radiography, or the capturing of static images,
became a cornerstone for diagnosing fractures, assessing
lung conditions, and identifying foreign bodies. Conversely,
fluoroscopy allowed real-time visualization of moving
structures, enabling procedures such as barium studies and
angiography. These innovations transformed medical
practice by offering non-invasive insights into the body's
internal dynamics.
March 2023

Computed Tomography (CT)
The 1970s saw the advent of computed tomography (CT), a
groundbreaking development that introduced cross-
sectional imaging. CT scans revolutionized medical
imaging by generating detailed three-dimensional images
that unveiled previously hidden anatomical structures. This
capability was precious for diagnosing complex conditions
like tumors, internal bleeding, and neurological disorders.
CT scans provided unprecedented clarity and were pivotal
in guiding surgical interventions.
Magnetic Resonance Imaging (MRI)
In the 1980s, magnetic resonance imaging (MRI) emerged
as a transformative addition to the medical imaging toolkit.
Unlike X-rays or CT scans, MRI harnesses strong magnetic
fields and radio waves to create detailed images of soft
tissues, such as the brain, muscles, and organs. MRI's
ability to differentiate between various soft tissues with
remarkable clarity opened up new avenues for diagnosing
previously challenging conditions. This technology proved
indispensable in neurology, oncology, and musculoskeletal
imaging.
Ultrasound
Ultrasound imaging, or sonography, introduced a non-
invasive and radiation-free method for visualizing internal
structures. By radiating high-frequency sound waves that
bounce off tissues and organs, ultrasound devices create
real-time images that aid in assessing pregnancies,
diagnosing abdominal issues, and guiding procedures like
biopsies. The portability and real-time imaging capabilities
of ultrasound have made it an essential tool in various
medical settings, from clinics to emergency rooms.
Nuclear Medicine and Positron Emission Tomography
(PET)
Advancements in medical imaging were not limited to
anatomical visualization; functional insights also became
crucial. Nuclear medicine techniques, such as single-photon
emission computed tomography (SPECT) and positron
emission tomography (PET), utilized radioactive tracers to
monitor metabolic and physiological processes. PET scans,
in particular, enabled the visualization of disease activity at
a molecular level, providing critical information for cancer
staging, brain studies, and cardiovascular assessments.
Artificial Intelligence (AI) in Medical Imaging
AI algorithms powered by machine learning have
demonstrated remarkable capabilities in analyzing medical
images, identifying patterns, and assisting radiologists in
making accurate diagnoses. These algorithms can sift
through vast datasets to identify subtle anomalies that might
elude human eyes. AI's role extends beyond diagnostics; it
aids in treatment planning, predicting disease progression,
and enhancing image quality.
Telemedicine and Remote Imaging
In recent years, the evolution of medical imaging solutions
has extended beyond the confines of hospital walls, thanks
to the rise of telemedicine and remote imaging. Emergence
of high-speed internet and advanced communication
technologies, healthcare providers can now collaborate and
consult on medical images from remote locations. This is
particularly vital for reaching patients in underserved or
rural areas, enabling them to receive expert diagnosis and
guidance without extensive travel. Telemedicine has not
only improved patient access to care but has also enhanced
healthcare efficiency on a global scale.
A Continuous Journey of Innovation
The evolution of medical imaging solutions has been a
story of constant innovation, where each milestone has
propelled healthcare forward. From the early discovery of
X-rays to the complex capabilities of AI, medical imaging
has transformed from a static representation of anatomy to a
dynamic tool for understanding structure and function.
These advancements have improved diagnostic accuracy
and contributed to minimally invasive interventions and
personalized treatment plans. As technology evolves, the
future promises even more exciting possibilities, as medical
imaging remains at the forefront of healthcare's ongoing
transformation.
-Pooja Shah
March 2023

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From Sci-Fi
to Reality: Potential and
Drawbacks
of in Healthcare
AI
Back in 2020, Google DeepMind AI unit published
a study that claimed that artificial intelligence can
detect breast cancer with greater accuracy, fewer
false positives, and fewer false negatives than experts.
Three years later, in 2023, the innovations in imaging AI
technologies that promise endless possibilities in supporting
physicians look less like something out of sci-fi, and more
like everyday reality.
In this article, we will explore AI's advancements in the
diagnostics field, take a glimpse at the ongoing projects
across Europe, and peer into the future of AI governance as
developers, regulators, and policymakers chart the way for
responsible and ethical utilisation of this technology.
Diagnostic Renaissance: Exploring the Full Potential of
AI
Across Europe, several noteworthy AI healthcare projects
are currently underway. In 2020, The Danish Centre for
Clinical Artificial Intelligence (CAI-X) and the
Department of Radiology at Odense University Hospital
started their AI project called MAGIC - AI for breast cancer
diagnostics. Today, the project is steadily reaching its end
date of December 2023. MAGIC aims to improve patient
outcomes by assessing 2 major points: the potential of AI in
detecting clinically significant cancers, and the impact of
deep learning-based workflow for cancer screening on
Danish clinical practice.
Within CAI-X, it's not the only project based on artificial
intelligence. Other AI projects by CAI-X include PEACE
(improved prediction of dysplasia in the cervix with AI),
HjerteRo (identifying individuals with ischaemic heart
disease), AICE (AI supported picture analysis in large
bowel camera capsule endoscopy), and more.
Last year, Humanitas' Cancer Centre and AI Centre
announced the SYNTHEMA project that won a €7 million
grant from the European Commission to develop new data
analysis systems within the field of haematological
diseases, fighting the critical issues of data scarcity and
fragmentation. The project focuses on rare haematological
diseases such as sickle cell anaemia and acute myeloid
leukaemia and began in early 2023.
With the ever-increasing amount of AI projects currently in
work, the safety, efficacy, and regulatory approval of AI
diagnostics stand under close scrutiny. As we progress
through research and development in AI technologies, it is
essential to strike a balance between leveraging its benefits
and addressing the associated challenges.
Balancing Benefits and Challenges in Healthcare
Diagnostics
As we delve deeper into the integration of AI in healthcare,
it becomes apparent that certain challenges must be
carefully addressed.
One such challenge lies in the lack of transparency
surrounding AI algorithms, making it difficult to fully
comprehend how these systems arrive at their conclusions.
Given the potential consequences at stake, accountability
becomes a crucial factor, especially in the medical field
where errors can have significant implications.
AI-based systems also raise concerns regarding data
security and privacy. Patient data, comprising medical
records, personal identification, and payment information,
is subject to strict regulations such as GDPR and HIPAA.
AI systems use a lot of data, which raises the risk of data
leaks.
March 2023

These challenges, along with others, necessitate a
meticulous and thoughtful approach when implementing
AI. The absence of standardised guidelines for the use of AI
and ML in healthcare has become a growing concern.
Since April 2021, the European Commission has been
working on the first EU regulatory framework for AI.
Bringing this initiative one step closer to reality, Members
of the European Parliament approved their negotiating
stance on the AI Act — the first law on AI by a major
regulator anywhere — on June 14, 2023. With this
milestone achieved, discussions will now commence with
EU countries in the Council, and the results remain to be
seen.
The ultimate goal is to secure an agreement by the end of
this year, as stakeholders seek to strike a balance between
fostering innovation and ensuring ethical and responsible
use of AI. As the talks progress, the final shape and scope of
the EU's AI regulatory framework will become clearer,
potentially shaping the future of AI governance not only
within the European Union but also serving as a global
reference point.
In this era of unprecedented technological advancements,
the responsible integration of AI in healthcare has the
power to transform lives. The trajectory we choose today
will shape the path to a better future for healthcare
tomorrow.
The collective efforts of healthcare professionals, AI
developers, regulatory bodies, and policymakers will be
instrumental in building trust and harnessing the full
potential of AI. The AUTOMA+ Healthcare Congress,
taking place on September 25-26, 2023, in Zurich,
Switzerland, serves as a platform for healthcare leaders to
explore these frontiers of healthcare innovation. Join the
specialists from Humanitas Research Hospital, Mater
Hospital, Kantonsspital Aarau, Odense University
Hospital, Idorsia Pharmaceuticals, GSK, Marengo Asia
Hospitals, CERN and Bingli as they dive into the latest
advancements in AI-driven drug discovery, generative AI in
healthcare, and intelligent diagnostics during AUTOMA+
2023 Session: The Full potential of AI and Robotics:
https://sh.bgs.group/vt
March 2023

Vital Radiology
Services Improving the Efficiency of Imaging
Solutions Through Innovative
Digital Healthcare
Patients today have become active agents of their
health. Their attitudes and behavior towards how
they perceive and address their well-being or
illnesses have changed since the year 2020. Taking an
active role, they prefer to track their health and use the data
gathered to make informed decisions, before visiting a
doctor. With these changing trends, early detection and
diagnosis within the healthcare sector have sought greater
attention today. It has managed to alter healthcare by
lowering costs, improving the quality of care, and
delivering timely treatment.
But there are still existing pitfalls within the way that the
medical imaging services are delivered, which fail to align
with the patient's needs satisfactorily. For instance, even if
an individual scan is performed successfully, the reports
take longer to arrive, leading to a delay in treatment. In
addition, the results from these reports can only be read and
interpreted by a few people which increases the chances of
unavoidable medical errors and poor clinical decision-
making.
Addressing the matter, Vital Radiology has evolved as one
of the medical imaging solution providers, known for its
quality assurance and innovative digital healthcare. Its
state-of-art technology uses industry standard, enterprise-
level, PACS and Voice recognition systems to produce high-
quality reports. Through its quality assurance feature, the
company has reported over 500,000 scans worldwide
annually, thus demonstrating a promising future for the
company to fulfil its mission of developing a world-class
innovative digital healthcare service and positively
impacting the patient care pathway.
In an interview with Insights Care, Dr. Arun Chauhan, the
Founder talks about the journey of Vital Radiology, in
providing quality reporting services and improving
treatment measures for patients.
Following are the excerpts from the interview.
What was your inspiration behind venturing into
Radiography?
My source of inspiration recognised the problems that exist
within medical imaging and how they impact health
outcomes globally. There is a huge backlog and bottleneck
as pictures are continuously taken, but there are very few
people who can read and report. Even when the scan is
done, the report doesn't come for a long time, which causes
a delay in treatment. By background, I am a clinician, and
so I am keenly aware of the importance and value of
diagnostics and early diagnosis especially. This is a global
problem, not just a UK problem, and if we want to improve
the quality of care across the globe, it is hugely important
that we diagnose diseases as early as possible. It was my
recognition of this problem and my desire to provide a
solution that could accelerate the diagnostics and diagnosis
process and therefore provide better care to the public
which acted as my inspiration to venture into the medical
imaging niche.
Please tell us about your journey, highlighting your
contribution to Vital Radiology Service's success.
Although I am qualified as a GP, I have also moved to
technology. Hence my profile is a combination of
healthcare and IT. I've now been working in teleradiology
and diagnostics for over 20 years. When I began working in
teleradiology, I saw that there was a lot of inefficiency in
the system, and I could see that this was due to technology
not being used optimally. I started on a small scale and have
increasingly worked towards a global view of the market
and its problems, and then began to think about a solution
that could influence global issues. I started Vital Radiology
and got together a very good team in the UK and India, and
10 Most Advanced Medical Imaging Solution Providers 2023
March 2023

I strongly believe that
diagnosis is paramount for
delivering quality medical treatment,
as without developing a thorough
insight into what is wrong you cannot
begin to provide high-quality care.
By utilising current diagnostic technology,
healthcare services can ensure accurate
results are readily available, and that
patients receive the high-quality
radiology reports essential for
supporting their continued care. Dr. Arun Chauhan
Founder
Vital Radiology
March 2023

in the last year, we partnered with I-MED Radiology, which
is one of the largest radiology companies in the world.
Since then, we have been in heavy expansion mode.
Being the founder of Vital Radiology, I've gained a lot of
insight into the market, and it's been a very interesting
journey. It gives me a lot of satisfaction, especially knowing
that the work we do helps people.
Please elaborate on the core values, mission, and vision
that the company operates on.
We have four core values on which our organisation is built;
these are as follows:
Ÿ Transparency: We aim to be transparent in everything
we do, providing clear information and feedback to
stakeholders and customers.
Ÿ Efficiency: Delivering efficient solutions to the medical
sector through improved workflows and dashboard
analytics.
Ÿ Quality: Improving and sustaining a quality reporting
platform through regulated checks and balances is
paramount.
Ÿ Reliability: Creating and sustaining reliable integrations
provides reporting inside time parameters and visibility
and presence when we are needed.
Our mission is to bring together the best people dedicated to
providing and developing a world-class innovative digital
healthcare service that positively impacts patient care and
pathways.
What are the key products and services that make Vital
Radiology stand out in the market?
Vital Radiology stands out in three main ways:
Firstly, our platform integrates into NHS systems, which
means they provide the full context of patients' history and
prior images; therefore, we give the full picture of the
patient.
Secondly, our technology is unique: we have a unique
dashboard that is designed specifically for the needs of
NHS trusts and provides full visibility on cases. We also
have an automated workflow management technology that
reduces manual input and administrative tasks.
Finally, we recruit only the best radiologists, and because
we have teams in Australia and India, we can provide
reports around the clock.
March 2023

Please elaborate on the technological innovation that the
company incorporates when catering to the dynamic
needs of Radiology.
I strongly believe that healthcare and technology work hand
in hand, and that organisations that are at the forefront of
using technology in their service provisions are going to be
leading the healthcare space going forward. This is the key
focus that we have at Vital Radiology.
Through our innovative RadiCube technology, we provide
a fully optimised solution to ensure every step of the
reporting process happens seamlessly. RadiCube displays
the status of all studies sent i.e., the number sent, the
number reported, urgent findings, etc. Ultimately, this helps
to reduce the time administration staff need to spend on
chasing up this type of information. By utilising a fully
automated system we reduce the need for human
intervention across the reporting pathway, an approach
which helps to reduce the clinical risks involved in
radiology reports – providing more accurate and timely
results for patients.
In addition to this, our innovative RadiCube technology
integrates directly with NHS systems, providing the
reporting radiologist with secure access to the patient's prior
images. With the full content of the patient's history
available, Vital supports more informed clinical decisions
and the creation of higher-quality reports.
What challenges does the company face when delivering
services? How does it turn them into opportunities for
growth?
We are experiencing a unique situation where the
challenges radiology services are currently facing are also
those which are providing a significant opportunity for
growth. According to the most recent census released by
the Royal College of Radiologists, the UK is currently short
of 1,669 clinical radiologists, with 200 vacancies being
unfilled for over a year. Though this problem is not unique
to the UK. Across the globe, we are experiencing a growing
shortage of radiologists and unless urgent action is taken it
is problem which is projected to worsen. Ultimately, this
means slower results for patients and further delays in
starting treatment.
The technological innovation Vital incorporates across its
platform means we can help to address some of these
problems. For example, we have extended our services to
provide full out-of-hours emergency reporting offered
through the Moonlight service (runs from 20:00 to 08:00 7
days a week). In under a 30-minute time frame, we can
have a consultant radiologist available and ready to be a
part of the service offering providing reports within 30
minutes for stroke and trauma and 60 minutes for all other
examination types. When a scan is received, Vital's
advanced technology auto-filter directs scans to the most
appropriate radiologist with training and expertise in that
area. This step ensures that high-quality and efficient
reports are provided to patients, equipping them with the
answers they need to move along the care pathway.
Apart from your journey, how do you envision further
strengthening Vital Radiology's stronghold in 2023 and
beyond?
We have the intention of expanding geographically beyond
the 7 countries that we currently cater to. We plan to expand
to new continents such as Africa, Europe, and Asia. We also
have the intention of developing different types of services,
for example, specialist services, such as lung and heart
screening programs, specialist cancer reporting services,
and nuclear medicine. This will involve bringing in lots of
new specialist radiologists, and we are building a team to
meet these needs.
Please highlight some of the awards/recognitions that
may depict your company's position in the market.
We are proud that Vital's high-quality service offering has
led to us being accredited and recognised by multiple
agencies. Currently, we are CQC regulated, approved by the
Information Commissioner's Office and ISO certified. As a
further reflection of Vital's high standards, our software
systems are certified by Cyber Essentials and recognised as
being compliant with the Health and Social Care
Network.
March 2023

Helping Technology
Technology
Technology
Work With You &
For You
For You
For You

10 Most Advanced Medical Imaging Solution Providers, March 2023

10 Most Advanced Medical Imaging Solution Providers, March 2023

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