Summary of RSNA and My Takeaways
by Mike Silverstein
I just returned from the 100th Radiological Society of North America (RSNA) conference at McCormick Place in Chicago. It was my fifth time attending this show. It is always well attended given the core importance of diagnostic medical imaging within the healthcare provider community.
I was particularly paying attention to the messaging of the vendors in the room and the value propositions they put forward given the budget constraints within healthcare IT.
- RSNA is international. As opposed to HIMSS, AHIMA, MGMA, etc., RSNA is populated by vendors from all over the world. As such, the attendees include large contingents of representatives specifically from hospitals in Europe and Asia in addition to North America.
- If you have never attended the show, more than half of the exhibits (if not more) are focused on large pieces of capital diagnostic equipment: MRI, CT scan, monitoring etc. As a result, some of the booths (Siemens, GE, Agfa, Fujifilm etc.) are huge. I’m talking multiple city blocks.
- Unlike HIMSS, where there is an annual influx of new companies with net new technologies, RSNA is similar from an exhibitor perspective year over year. There is still a tremendous number of companies talking about PACs, RIS, and CVIS, although when I spoke with a number of the executives at those booths, the market for standalone imaging systems is stagnant.
- The buzz in the room was primarily centered around image sharing technologies like vendor-neutral archiving, enterprise imaging, cloud-based image storage, multi-site reading interoperability, and other technologies focused on breaking down silos and disparate systems. The focus of these firms is helping hospitals, imaging centers and the like to leverage and get more usability and flexibility out of their existing PACs, RIS, and CVIS systems. Vendors such as Mach7 Technologies, SCImage, Merge, Agfa, Acuo Technologies (now a part of Perceptive Software), Accelerad (aka seemyradiology.com, now a part of Nuance), and others highlighted the groups focused on flexible image interoperability systems.
- There was a good deal of activity as well at the TeraRecon and Vital Images (now part of Toshiba) booths. Both of these vendors have historically been known for their capabilities in 3D and 4D imaging, but both are trying to educate the market on some of their new enterprise imaging capabilities.
- There were other workflow vendors focused on speech recognition and other complimentary diagnostic tools such as MModal with its Fluency product, Nuance with its Powerscribe 360 product set, and Dolbey with its Fusion product, which was Best in KLAS the last couple of years. These booths had good activity too.
- Another well-represented area that should continue to grow is the teleradiology segment. Reading of remote images has been going on for years, but as we focus on providing better quality of care to remote areas and the fact the telemedicine as a whole is on the rise, these companies in my opinion are still a good bet.
- Lastly, there was a new vendor that I thought was very interesting called MedCPU, which recently deployed at the Cleveland Clinic. They have solution that operates behind the scenes of an EMR, RIS, or any other clinical documentation system that can read and comprehend unstructured notes, text, test results, speech (from a Nuance or MModal), and any other clinical information. The solution analyzes this information and cross checks it against compliances guidelines and clinical best practices and identifies variances in real time to alert the clinician of medical errors. They incorporate a combination of natural language processing and other homegrown technologies. After viewing their demo, I think they are a company to watch out for.
All in all, RSNA was well attended this year, but I think that the general consensus is that the large vendors need to figure out how to move the needle while helping CIOs keep costs down and get more out of their existing imaging systems. This will be a challenge for some of the big, publicly traded players, but the future looks bright for the nimble enterprise imaging interoperability companies who are gearing up for Meaningful Use Stages 3 and 4 that require the incorporation of medical images into the EMR.
Mike Silverstein is a managing partner of Direct Consulting Associates of Solon, OH.