The department has upgraded the PACS system at the St. Luke's, Roosevelt, and Beth Israel sites. The first phase started in April 2010 with the installation of McKesson PACS workstations and servers at St. Luke's-Roosevelt. Beth Israel has also replaced their existing system with McKesson PACS. These systems are now integrated so that radiologists can read/compare images from all three sites. In addition, image post-processing is readily available with thin-client Vital Images Vitrea workstation technology from any PACS workstation (VitreaCore). In 2011, we installed Horizon Study Share, a teaching file add on to the PACS system. This is the same software that the ACR uses for the ACR Learning File. This makes it very simple to create teaching files in a variety of formats, including powerpoint and MIRC. We use Nuance (Powerscribe 360) voice-recognition dictation throughout St. Luke's-Roosevelt and Beth Israel. These systems were integrated to a common server in July 2010 so that reports from St. Luke's, Roosevelt, and Beth Israel are on one system.
There are 1.5 T MRI and 64-slice CT scanners at each site. We have been performing PET/CT since 2005. We have Siemens single plane and biplane angio equipment. The angio suite at the Roosevelt site is modeled like an operating room, with its own holding area and procedure rooms in a sterile area.
Areas of growth reflect the institutional commitment to support the following clinical programs:
1. Center for Endovascular Surgery headed by Dr. Alejandro Berenstein 2. Obesity center including surgery and laporsocopic surgery. 3. Robotics in thoracic and cardiac surgery. 4. Noninvasive treatment of vascular disease including aneurysms and stenosis. 5. Women's specialty centers at both sites. 6. CV Starr Hand Surgery Center. 7. Both the St. Luke's and Roosevelt Sites are Designated Stroke Centers (SLR administered more TPA last year than any other Manhattan Hospital)
Volume: 222,000 radiology reports were generated in 2006. This includes: 81,000 from the Emergency Department. 2 day old patient with a Vein of Galen malformation. The Center for Endovascular Surgery based at the Roosevelt site is a referral center for these types of cases. 3D time-of flight MR angiography demonstrates the malformation vessels. (These images are a stereo pair. To achieve the 3-D effect, cross your eyes until you see three images. Focus on the middle image until you get the 3-D effect!)
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