Sponsored Content | Case Study | Cardiovascular Information Systems (CVIS) | December 15, 2017

Improving Patient Care By Combining Humanitarianism With Technology

WVU Medicine Deploys Cloud-Based CVIS to Expand Access throughout West Virginia using PICOM365’s Remote Imaging and Consultation Capabilities

WVU Medicine has deployed ScImage’s PICOM365 Enterprise PACS cardiovascular information system.

WVU Medicine has deployed ScImage’s PICOM365 Enterprise PACS at the Heart and Vascular Institute for integration throughout the entire WVU Medicine infrastructure which is anchored by a 645-bed academic medical center and includes four community hospitals, three critical-access hospitals and a children’s hospital. 

“Our goal is to use advanced cardiac visualization and imaging management technologies to detect the early stages of the disease and improve patient care,” said Partho Sengupta, M.D., professor and chief of cardiology and chair of cardiac innovation at West Virginia University (WVU).

Partho Sengupta, M.D., professor and chief of cardiology and chair of cardiac innovation at West Virginia University (WVU), said the goal is to use advanced cardiac visualization and imaging management technologies to detect the early stages of the disease and improve patient care.

ScImage’s PICOM365 Enterprise PACS cardiovascular information system echo reading screen.

An example of ScImage’s PICOM365 Enterprise echo reporting screen.

ScImage’s PICOM365 Enterprise PACS cardiovascular information system allows access anywhere.

ScImage’s PICOM365 Enterprise PACS allows access anywhere with secure web connections.

ScImage’s PICOM365 Enterprise PACS cardiovascular information system allows access anywhere even with tablets

Access to echo reporting on a tablet device using ScImage’s PICOM365 Enterprise PACS cardiovascular information system.

ScImage’s PICOM365 Enterprise PACS cardiovascular information system allows access anywhere.

ScImage’s PICOM365 Enterprise PACS offers cardiovascular department wide reporting capability.

West Virginia residents experience disproportionately high instances of cardiovascular disease in comparison to other states, with greater than 40 percent of adults suffering from hypertension and only two out of 10 adults receiving screening for cardiovascular risks. These statistics, coupled with a shortage of healthcare professionals, provide West Virginia with a unique opportunity for innovation and improvement in the detection of latent cardiovascular disease.

“Our goal is to use advanced cardiac visualization and imaging management technologies to detect the early stages of the disease and improve patient care,” said Partho Sengupta, M.D., professor and chief of cardiology and chair of cardiac innovation at West Virginia University (WVU). “ScImage’s Cloud-based enterprise imaging solution for cardiology is helping us expand access to high-quality cardiovascular care throughout West Virginia. PICOM365’s availability allows remote imaging and consultation so patients can receive services wherever they live.”

WVU Medicine has deployed ScImage’s PICOM365 Enterprise PACS at the Heart and Vascular Institute for integration throughout the entire WVU Medicine infrastructure which is anchored by a 645-bed academic medical center and includes four community hospitals, three critical-access hospitals and a children’s hospital. 

ScImage’s PICOM365 is a fully-realized cloud PACS solution offering a resilient computing infrastructure securely accessible from anywhere utilizing high availability technologies with end-to-end redundancy. Far beyond one instance serving one institution, geo-redundant storage systems with multi-petabyte scalability have the power and flexibility to leverage massive bandwidth for maximum data throughput to simultaneously serve thousands of institutions. PICOM365’s secure end-to-end imaging and reporting workflow feature real-time advanced threat analytics along with data encryption at rest and in transit. Additionally, full IT and medical device regulatory compliance capability eliminates all barriers to entry, allowing full functionality with ease.

“ScImage has an excellent solution to support our non-invasive cardiology needs for a project of this scale (advanced reporting capabilities, remote work and full integration with Epic, etc.). With PICOM365, we can make a remarkably positive impact on patient care in West Virginia,” said Jim Venturella, CIO WVU Medicine.

 

The Cloud: Disruptive Innovation that Supports a New Age of Caring

PICOM365 delivers secure cardiovascular image management, viewing and reporting capabilities to all cardiology modalities (cath, echo, vascular, nuclear, stress, Holter and ECG management) on a seamless viewing platform, providing WVU Medicine the full benefit of an on-premise solution in a “pure cloud” offering.

“This comprehensive cloud solution allows seamless integration of imaging and full workflow customization to meet our specific exam interpretation requirements while empowering physicians to review and report from anywhere. This is a disruptive innovation that supports a new age of caring for patients using automation and speed to provide better and more cost-effective care,” Sengupta added. 

ScImage and WVU Medicine, leaders in forging predictive solutions to improve patient care and increase physician efficiency, have worked to optimize structured reporting, with advanced American Society of Echo (ASE)-evaluated measurements and sectional reporting among other productivity enhancements. ScImage’s inclusion of full Epic integration providing discrete data, image links, encapsulated PDFs and diagnostic view-and-report capability creates a fluid EHR interaction. Added flexibility to control the presentation of the final report, the by-product of the diagnostic procedure, improves the referring clinician experience.

Grace Verzosa, assistant director of cardiovascular imaging at the Heart and Vascular Institute, stated the ability to customize the workflow was critical. “To enable our physicians to read current and prior studies and report with maximum efficiency, we needed the freedom to develop our workflow recipe, including customizable hanging protocols, tight integration with quantification and visualization software tools in a consistent SR platform across all cardiology disciplines.”  

ScImage’s open SQL database maintains the quality of images and patient data in its native format to access, run reports, pull priors and customize pre-fetching rules. Full reporting capabilities via VR, transcription and Macros enables automated report generation; and, as technologists enter measurements from echo exams, PICOM365 auto-populates preliminary reports using the most current ASE guidelines.  

“Not only is the reporting process more efficient, but it also reduces the need for fellows to conduct preliminary reads and has reduced our report turnaround times,” said Verzosa. “PICOM365 has also provided many quality enhancements.  For example, I can review studies offline at any time and correct inaccurate measurements for the final report.  Additionally, the configurable “To-Do List” includes a reporting checklist, which ensures that reports are completely finalized, assuring a more accurate diagnosis and complete billing.”

 

Making a Difference in Population Health

The WVU Heart Center Innovation Lab is known for pursuing new technology and methods to increase population health. “Advanced imaging and visualization tools have made tremendous strides in improving the diagnostic process,” Sengupta noted. “However, inequality in access to these tools remains, and that is where the automation and speed of Cloud-based imaging technology are so important; improved access leads to better patient care and, ultimately, better outcomes.”

Sai Raya, Ph.D., founder and CEO of ScImage explained, “As Cloud PACS have become more popular, their true definition has become more dubious. With so many companies offering so many Cloud PACS, differentiating between competitors can be difficult, leading to the misconception that simply moving servers from an on-premise cabinet to a commercial data center is a sufficient solution to storing vital data. This is not a solution; this is a single point of failure.” WVU, upon careful consideration of all options, determined a pure Cloud solution to be the most effective pathway to improved health access and outcomes for West Virginians. 

“By leveraging Microsoft Azure technologies, ScImage utilizes the industry’s most advanced cloud security and encryption technologies allowing us to focus on providing the best care through remote imaging and consultation without worrying about security. ScImage brings industry-leading technology to the table as well as the positive outlook necessary to move innovation from ideas to real solutions,” concluded Sengupta.

 

About ScImage

Founded in 1993, ScImage remains a customer-first, private company with a mission to provide innovative enterprise imaging solutions to the healthcare industry. ScImage’s unique single-database PICOM365 enterprise platform delivers end-to-end imaging workflow for Cardiology, Radiology, Women’s Health, Orthopedics, Ophthalmology and more. Scalable from a single physician practice to multi-hospital enterprises, PICOM365 is delivered on premises, in the cloud, or as hybrid - based on user choice. The perfect synchrony created between on-site and cloud resources allows PICOM365 to provide secure VPN-less image exchange solutions among legacy silo systems, cloud users, and various EHR systems. Learn more at www.scimage.com.

About WVU Medicine

WVU Medicine unites the physicians and scientists of the West Virginia University Health Sciences Center with the hospitals, clinics, and health professionals of the West Virginia University Health System. Together, they are a national leader in patient safety and quality, and are unified and driven by an unbridled passion to provide the most advanced healthcare possible to the people of West Virginia and beyond.

Related Content

Women’s Heart Attack Research Program (HARP) shows combining OCT and cardiac MRI can detect the underlying cause of heart attack in women who did not have blocked arteries

The Women’s Heart Attack Research Program (HARP) study shows combining OCT and cardiac MRI can help detect the underlying cause of heart attacks in women who did not have blocked arteries.

News | Cardiac Imaging | November 17, 2020
November 17, 2020 — Diagnostic imaging techniques were able to find the underlying cause of heart attack in many wome
An example of a CT coronary artery calcium scoring exam showing how each vessel segment is scored to assess a patient's risk for a future heart attack. Example is from Philips Healthcare.

An example of a CT coronary artery calcium scoring exam showing how each vessel segment is scored to assess a patient's risk for a future heart attack. Example is from Philips Healthcare.

News | Cardiac Imaging | September 25, 2020
September 25, 2020 — A study out of University Hospitals (UH) found that removing the cost barrier for coronary arter
Rafael Rivero, M.D., Global Head of Medical Affairs at MSI, said: "The importance of MyoStrain cannot be understated because of the test's immense clinical value and ability to quantify intramyocardial dysfunction across 48 segments of the heart. In a six-heartbeat MRI scan, MyoStrain arms physicians with novel clinical information about a patient's heart health."
News | Cardiac Imaging | August 11, 2020
August 11, 2020 — Myocardial Solutions, Inc. and United Imaging, Inc.
The Mindways Solid phantom with volume of interest in the quality assurance phantom (red circles, left side). A participant's noncontrast-enhanced axial CT (right side) with volume of interest (yellow circles) in the trabecular bone compartment of three vertebrae for bone mineral density measurements. Image courtesy of Radiological Society of North America

The Mindways Solid phantom with volume of interest in the quality assurance phantom (red circles, left side). A participant's noncontrast-enhanced axial CT (right side) with volume of interest (yellow circles) in the trabecular bone compartment of three vertebrae for bone mineral density measurements. Image courtesy of Radiological Society of North America

News | Cardiac Imaging | July 15, 2020
July 15, 2020 — ...
Cardiac MR can offer data above and beyond anatomical imaging, which is the main reason why this system was installed at Baylor Scott White Heart Hospital in Dallas. The system is a dedicated heart MRI scanner.

Cardiac MR can offer data above and beyond anatomical imaging, which is the main reason why this system was installed at Baylor Scott White Heart Hospital in Dallas. The system is a dedicated heart MRI scanner.

News | Cardiac Imaging | June 29, 2020
June 29, 2020 — A type of smart magnetic r...
New Multimodality Cardiac Imaging Guidelines for Competitive Athletes Created. ASE SCCT and SCMR recommendations for imaging, screening atheletes.
News | Cardiac Imaging | May 11, 2020
May 11, 2020 – Competitive athletes are a rapidly growing population worldwide.
Figure 4 for the study. Images of a 65-year-old man (patient 6). (a) Cardiac MRI perfusion shows perfusion deficit of anterior/anterolateral wall attributed to left anterior descending artery/left circumflex artery (*). (b) CT coronary angiography. (c) Coronary angiography, left anterior oblique projection with caudal angulation. (d) Three-dimensional image fusion helped refine diagnosis: perfusion deficits (*) were most likely caused by narrow first diagonal branch and its first, stented side branch (arrow

Figure 4 for the study. Images of a 65-year-old man (patient 6). (a) Cardiac MRI perfusion shows perfusion deficit of anterior/anterolateral wall attributed to left anterior descending artery/left circumflex artery (*). (b) CT coronary angiography. (c) Coronary angiography, left anterior oblique projection with caudal angulation. (d) Three-dimensional image fusion helped refine diagnosis: perfusion deficits (*) were most likely caused by narrow first diagonal branch and its first, stented side branch (arrowhead). Retrospectively, denoted lesion could also be found at CT coronary angiography and coronary angiography (arrowheads in b and c, respectively). CT FFR = CT-derived fractional flow reserve, LGE = late gadolinium enhancement. Image courtesy of RSNA, Radiology.

News | Cardiac Imaging | May 04, 2020
May 4, 2020 – A new technique that combines computed tomography (CT) and magnetic resonance imaging MRI can bolster c
An example of a coronary computed tomography angiography (CCTA) exam. The CIAO study looked at patients who have a problem of blood flow limitation and chest pain symptoms in the absence of a 50 percent or more artery narrowing, known as ischemia with no obstructive CAD, or INOCA.

An example of a coronary computed tomography angiography (CCTA) exam. The CIAO study looked at patients who have a problem of blood flow limitation and chest pain symptoms in the absence of a 50 percent or more artery narrowing, known as ischemia with no obstructive CAD, or INOCA.

News | Cardiac Imaging | April 03, 2020
April 3, 2020 — Patients who experience chest pain and have abnormal results on a cardiac stress test but who do not