Research connection and clinical validation: the role of PACS at the CRLCC in Rouen.

The Centre Henri Becquerel in Rouen and the QuantIF laboratory at the University of Rouen share a special link, which was developed by pooling key resources such as Professor Pierre Vera and his team. However, connections between the developments made in a research laboratory and large-scale clinical validation has always proven relatively complex to set up: how to validate an algorithm rapidly in a clinical environment on a substantial number of patients, while restricting the required physician time? PACS "plug-ins" As a standard feature, Telemis includes a plug-in module, which enables research groups to add certain functionalities to the image viewer via three APIs (Application Program Interfaces). The QuantIF laboratory has already developed half a dozen plug-ins. "Our latest achievement consists of measuring body mass and body fat using a scanner, enabling haematologists to better estimate the therapeutic response to chemotherapy" explains Romain Modzelewski, IT specialist at the Rouen regional cancer centre, who is assigned to the QuantIF laboratory. "We can progress from a few validated trial cases to a potential use for all patients". Just a click away... Thus, for a physician, the validation of a new algorithm for an imaging study is as simple as clicking on the plug-in icon in the Telemis interface. Instead of physicians having to travel to the research centres, research centres become integrated in the everyday work of physicians. 02/08/2013

Regional expansion and intensive R&D see record PACS revenues for Telemis.

Eleventh consecutive year of profitability follows introduction of new technologies and expansion of business in France, Italy and Switzerland Telemis, the medical imaging company specialising in PACS (Picture Archiving and Communication System) solutions, is celebrating a record 12 months of trading and its 11th consecutive year of profitability. The latest results saw revenues grow by a further 4% and net profitability rise to almost 15% following a year of significant R&D investment, the creation of a new subsidiary, major PACS business wins in France, and the successful migration of 10 Italian hospitals to the latest Telemis technology. Audited accounts for the year to 31st March 2013 show that Telemis annual revenues rose from €7,515,194 to €7,839,853 and net profit increased to €1,098,674. This growth, combined with a healthy €8,338,699 balance sheet, will allow the company to continue to fund its intensive 5-year research and development budget that currently runs at 11% of total sales (€862,070). The R&D-led strategy is designed to ensure Telemis is well positioned to take advantage of significant global growth opportunities for both new PACS installations and the migration of older systems to the latest PACS technologies. Growth during the 2012 - 2013 financial year was fuelled by a combination of new product introductions, local office expansion and major European projects. In October the company launched the latest version of its PACS software and in January opened a new subsidiary in Switzerland to address the country's growing demand for PACS technologies in public and private sector medical facilities. Major business wins included CHU teaching hospitals in Limoges and Rennes France, while the successful migration of hospitals in Piedmont, Lombardy and Lazio from systems provided by PACS vendor Micromedica (which was bought by Telemis in 2011) contributed to a 28% increase in Italian revenues. Telemis Group CEO Stephane Ketelaer, who announced the results at the annual shareholder meeting, says: "The last year of trading was the most successful in the company's history and the results illustrate the success of our R&D and regional expansion strategies. Telemis is in an excellent position to take advantage of strong growth opportunities for both primary and replacement equipment in all of the markets where we currently operate. What's more, as healthcare budgets continue to be squeezed we see additional opportunities for Telemis, as a lean and cost-competitive supplier of leading-edge solutions, to take market share from the less competitive and slower moving multinationals that have traditionally dominated the market. 22/07/2013

Telemis completes PACS update across 10 Italian sites.

New picture archiving and communication system enhances collaborative working and interaction between specialists Telemis, the medical imaging company specialising in PACS (Picture Archiving and Communication System) solutions, has successfully migrated 10 Italian hospitals to the latest version of its Telemis-Medical PACS technology. Specialists at these locations - which include some of northern Italy's largest public hospitals - can now take full advantage of the latest generation of the Telemis-Medical software, including built-in tools that enhance collaboration and communication. All 10 locations, which were spread across the regions of Piedmont, Lombardy and Lazio, were migrated successfully with no service interruption whatsoever. The sites were migrated from a system provided by PACS vendor Micromedica, which was bought by Telemis in 2011. Migration at one of the sites proved particularly challenging, as the Molinette hospital in Turin had over 10 years of archived data. In order to migrate the data to Telemis-Medical Version 4.4 PACS, a new software tool, the TM-Link PACS Migration, had to be specifically developed. Changing to the latest PACS using the tool ensures the latest technological advances are made available quickly and safely, without compromising the complete recovery of history. First, the migration tool performed a complete analysis of the data contained in the old system, before automating the data recovery process at pre-determined times that would avoid disturbing patient service. Any part of the data that could not be recovered was then clearly flagged so that medical specialists could identify the original data from backups and load it into the new system. After the recovery was complete, a full, automated audit was performed to ensure that all tests had been successfully migrated to the new PACS. Each hospital will run the two PACS in parallel for a few weeks, allowing users to familiarize themselves with the new tools, features and processes. During that period, Telemis will train users to take full advantage of the PACS tool, which includes collaboration functions - such as shared cursors, notes and "chat" on the image - that facilitate interaction between specialists. The company is also training clinicians to upload non-DICOM images obtained with digital cameras to enhance the value of the data store. 28/06/2013

Teleradiology and 24/7 care: a reality in Deauville and Lisieux.

In order to ensure complete 24/7 healthcare coverage, in the Pays d'Auge, Côte Fleurie Hospital and Lisieux Hospital have implemented teleradiology technology, whereby each location is equipped with its own administrative system and its own RIS. What does this mean? Radiological emergency services and, in recent months, some teleradiology services are provided jointly by Deauville and Lisieux. The scan is conducted in Deauville, based on the instructions issued by the teleradiologist under the supervision of an anaesthetist, and the images can be accessed from the hospital in Lisieux for reporting purposes. In a matter of seconds, the imaging study is made accessible to the radiologist on duty in Lisieux. The teleradiologist deals with the incoming imaging request and the patient in his/her RIS and is able to use his/her usual tools such as voice recognition, PACS console, and so on. As the investigation request is essential for diagnosis, it is also available and archived. Once the report is drawn up in the RIS of Lisieux Hospital, it is sent again via secure email to the requesting location. The verdict ? As Dr. J. Albisetti confirms: "The driving force behind this achievement has been primarily medical. Likewise, the use of Telemis has met a practical need at a lower cost to institutions, and offers easy access to images in our usual working interface. Our whole medical group has endorsed the system unanimously." 30/05/2013


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