I. Advanced Clinical PACS Applications II. Advanced Applications in Vue PACS III.Benefits of Native Applications IV. Uniquely Carestream Vue PACS V.Latest Additions VI. Clinical Differentiator VII.Other Features of Vue PACS VIII.Renaissance Imaging For more information on Vue PACS, visit http://www.carestream.com/pacs

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Clinical
Applications in
Vue PACS
January 16, 2013

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Advanced Clinical PACS Applications
The Industry
• Advancement in medical imaging protocols
presents large amount of data and perspective
• Volume CT
• Fusion of modalities such as PET/MR
• Full Field Digital Mammography and digital
breast tomosynthesis
• Radiologist productivity is reduced when using
multiple dedicated, stand-alone workstations
• Referring community is seeking faster report-
turn-around with comprehensive clinical data
The Need
• One PACS workstation with native advanced
clinical applications regardless of the modalities
• Capable of embedding critical quantitative data
into the final diagnostic report

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Advanced Applications in Vue PACS
Native
• Advanced functionalities accessible within the PACS workflow just like other basic
features such as zoom, pan, magnify, window/level.
• Consistent software development without third party vendor involvement
• Convenient single-sign-on
Comprehensive
• Platform that includes automatic registration and
volumetric matching of 3D studies at the pixel
level, comparison of studies created at different
times and by different modalities
• 3D post processing real-time as part of the
default display protocol
• Oncology lesion management*
• Mammography workflow plus digital breast
tomosynthesis
* Pending 510(k) clearance

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Economical
• No need for dedicated workstation and
integration costs
• Single service contract to maintain
Productivity
• Radiologist enjoy access to critical functionalities without logging onto a dedicated
workstation
• Automatic volumetric comparison saves the need to manually link datasets from different
modalities
Positioned for the future
• No need to worry about third party
application advancement matching your
PACS
• Automatic registration and volumetric
matching enables fusion and comparison of
other mix of modalities
Benefits of Native Applications
PowerViewer™

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Uniquely Carestream Vue PACS
PowerViewer
• Automatic volume registration of two or more CT and MRI studies allows matching of any
two volumetric datasets and saves the need for a manual link
• Relate tool provides a cross reference at a pixel level, which synchronizes all views of all
studies to match the click point
• 2D, oblique, mipPR or minPR display within the viewer, enabling comparison of different
studies in the same exact orientation
• Automatic link and reference lines support comparison of 2D and oblique views of current
and prior studies
3D Post Processing
• Can be built into display protocol so it automatically displays
– MIP, MPR
– Volume Rendering, Tissue Definition, Vessel Tracking and Analysis, Automatic Bone Removal
• PET/CT fusion, SUV calculations
• Cardiac review and analysis, Coronary Artery Analysis, Calcium Scoring

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Latest Additions
Bookmarking
• Bookmark used to collect findings and measurements, stored with in the context of the
clinical data. Easy to navigate for future comparison
Lesion Management*
• Oncology bookmarking tool for
evaluating and monitoring cancerous
and other lesions in CT and MR
• Volumetric or 2D measurement and
segmentation
• Compare between datasets from
different modalities and time
• Calculation for size assessment and
volume change over time
• Simple to review comparison chart that
can be embedded into final diagnostic
report Lesion Management*
* Pending 510(k) clearance

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Latest Additions
Mammography Workflow
• User configurable and intelligent mammography specific display protocols
• Computer-Aided Detection (CAD) available
• Comparison of multiple priors
Digital Breast Tomosynthesis (DBT)
• Store, route, and display DBT exams
using industry standards
• Automatic positioning of DBT images
and mammograms that eliminates
manual manipulations
• Optimized comparison of priors and
image placement
• User configurable Hanging Protocols
that display DBT procedures along with
any other procedure
Digital Breast Tomosynthesis Display

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Clinical Differentiator
“The CARESTREAM PACS PowerViewer feature has helped us win new
contracts based on our ability to provide better and faster radiology reports. We
just signed a contract with a new imaging facility that does a lot of PET/CT
oncology exams. Almost all the patients are bringing prior studies with them
from different facilities. We are able to upload the priors and use Carestream
Health’s innovative automatic registration for more accurate comparisons.”
The Result
“The referring oncologists
are pleased with the
speed and accurate
measurements we are
able to provide, and that’s
how we won their
business.”
Randall A. Stenoien, MD
President, Innovative
Radiology PA
CEO, Houston Medical
Imaging
Houston Medical Imaging is a multi-specialty outpatient imaging
services provider in Houston, TX area.
The Challenge
• Competitive market thus need to streamline operations, provide clinical
consultations quickly and quick report turn-around time.
The Solution
• PowerViewer in Vue PACS for all 3 locations, radiologists can report all exams
regardless of location
• Vue Motion for referring physicians

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Other Features of Vue PACS
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Dictation and Reporting
• Speech recognition or digital dictation options
• Automatic inclusion of structured report templates: patient information from HIS or other
clinical applications, measurements or analysis from PACS (such as Ultrasound
measurements, 3D analysis), key images and Bookmarking
• Single click or voice command to user-defined templates, structured reports
• Integration of structured data directly into EMR or HIS
• Saves radiologist reporting time
• Reduces manual error
Other workflow enhancements
• Critical Results Notification
• Teaching Files
• Voice Commands

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Renaissance Imaging
Renaissance Imaging Medical Associates (RIMA) is a single-source,
full-line provider of specialized diagnostic imaging services. Operating
24x7 in hospitals, free standing imaging centers, large medical group
clinics and private medical group practices at 11 different locations.
With 32 radiologists, RIMA offers comprehensive line of services
including specialties such as MSK, Neuro, Nuclear, PET/CT, Pediatric
and Women’s Imaging, totaling about 500K exams per year.
The Challenge
• Streamline distribution of reporting while balancing radiologist workload
The Solution
• Vue PACS+ Reporting with Vue Connect
• Vue PACS with native Vue Reporting streamlines the workflow boosting
productivity and patient services
The Result
“(Vue Reporting)
dramatically saves the
radiologist the time it
would take to otherwise
(manually) enter this
data. To my knowledge,
Carestream is the only
company with this feature
and it is a direct benefit of
reporting directly from the
PACS.”
Dr. Andrew Deutsch,
President of RIMA
Customer Videos posted:
http://www.youtube.com/user/carestreamhealth1

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Vue merges our lineage of imaging innovation with
leading-edge IT technology. Powered by proven expertise
and leadership, Vue delivers streamlined workflow, clinical
excellence and superior patient care.

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