Cedara Software introduces advanced clinical applications at the 2005 Breast Imaging Conference (BIC) in Orlando

Toronto 09 September 2005Cedara Software Corporations, a Merge Healthcare company has showcased Medipattern's B-CAD among a variety of advanced clinical software solutions at the Breast Imaging Conference (BIC) held in September in Orlando, Florida. The Medipattern Corporation is a developer of computer-aided detection (CAD) software applications for medical imaging. Medipattern's core technology is a software platform designed to analyse and automate the processing of medical digital images. The company's initial clinical application is CAD for breast ultrasound (B-CAD). B-CAD uses pattern recognition technology to assist radiologists in their efforts to classify and characterize lesions in ultrasound images of the breast.


"B-CAD's time-to-market is shortened with Cedara in the field marketing our product at these important conferences", stated Jeff Collins, CEO of Medipattern. "These conferences bring together the most influential decision makers in the breast-imaging community and provide the opportunity for them to review clinical applications that will impact their practices today and in the future."

"A number of challenges are faced by health care professionals working in breast imaging today", stated Sabrina Cannistraro, Product Manager for Women's Health at Cedara. "I think that specialists at BIC will be quite impressed by the comprehensive nature of our product offerings in this important clinical speciality. Cedara's suite of breast imaging solutions brings dedicated functionality, flexibility and ease-of-use to practitioners."

High demands for breast cancer screening and diagnosis mark one of the most significant challenges faced by practitioners. According to the American Cancer Society, a woman is diagnosed with breast cancer every three minutes in the United States. In 2004 alone, it is estimated that more than 200.000 new cases of non-invasive breast cancer were found. Today, levels of breast cancer incidents have risen from 1 in 20 in 1960 to the alarming level of 1 in 8.

Struggling to meet the demands of this burgeoning disease, a recent study published by the Institute of Medicine indicates that there are not enough breast imaging specialists to keep up with current demand for screening mammograms in the United States. "Technology can streamline work flow for health care professionals", stated Chris Barlow, Director of Business Development at Cedara Software. "From early detection to multi-modality review and efficient reporting, Cedara's solutions can have a real impact on increasing case loads in breast imaging."

Cedara has been showcasing Cedara I-ReadMammo, a multi-modality breast imaging workstation, to attendees at the 2005 Breast Imaging Conference. Cedara I-ReadMammo presents a number of advantages over other clinically available products; from exceptional image quality, to integrated CAD support (Computer Assisted Detection) and mammo-specific functionality, Cedara I-ReadMammo has received consistently strong feedback from many of the leading women's health practitioners.

"I-ReadMammo incorporates many time-saving features that may seem small to people outside of the industry, but have a large impact on specialists who are expected to read in excess of 100 cases per day", added Sabrina Cannistraro.

To eliminate time wasted switching between different proprietary workstations, Cedara I-ReadMammo allows users to view images from Full Field Digital Mammography (FFDM) machines manufactured by different vendors, as well as images from Ultrasound, MRI and other modalities; access to proprietary FFDM machines has historically marked a significant problem for institutions that have purchased mammography equipment from multiple vendors.

Cedara I-ReadMammo allows physicians to more efficiently compare studies from different imaging devices for a complete diagnosis on a single workstation. Cedara I-ReadMammo also provides automated image display, presenting images in preferred lay-outs for different users and image types. Through synchronized navigation, the application allows users to zoom in on a region of interest and quickly analyse bilateral structures; masking, bright light and binocular tools simplify the transition from film to softcopy review. All of these characteristics have been designed to have a strong impact on reporting breast-imaging cases.

Studies show that breast cancer diagnosis is the area for which radiologists are most litigated. As a result, physicians have seemingly increased biopsy dependency as added proof for potentially litigious situations. Another repercussion of breast imaging litigation has been a significant decrease in diagnostic confidence.

"A biopsy is a frightening and painful experience", emphasized Sabrina Cannistraro. "It is one thing for a woman to have a mammogram or an ultrasound examination. But when things are elevated to the level of biopsy, there's a tendency for a woman to believe that something malignant has been found. As statistics indicate, this is not always the case. Finding out that the biopsy could have been prevented, and that the procedure could make future imaging more difficult is very frustrating for the patient."

Today, statistics indicate that approximately 80 percent of breast biopsies have benign findings. Biopsies are invasive procedures that can be physically and emotionally traumatic for women. Furthermore, core biopsies can also lead to scar tissue, making future imaging difficult.

Representing many years of development by Medipattern, Cedara B-CAD, the world's first CAD solution, designed to assist radiologists in the analysis of breast lesions using ultrasound images, will also be showcased by Cedara. It is hoped that B-CAD will help improve diagnostic confidence as an additional analytical tool. B-CAD represents a strong shift for CAD applications, integrating a variety of unique features for breast ultrasound. B-CAD automatically analyses, segments, and classifies shape and orientation characteristics of user-selected regions of interest (ROI) in breast ultrasound exams. Cedara B-CAD automatically generates a report using the ACR BI-RADS Ultrasound Lexicon Classification Form, and helps physicians bring consistency, efficiency, and standardized reporting to breast ultrasound.

B-CAD was developed by the Medipattern Corporation and is being integrated by Cedara into its I-ReadMammo product. Medipattern is represented through Cedara's Technology Partnership Programme. B-CAD was issued US FDA 510(k) clearance in May 2005 and is currently in use at several luminary sites across the United States.

Products demonstrated at BIC will be available for easy integration into existing Picture Archiving and Communication Systems (PACS), as plug-ins and as standalone applications for health care professionals and Medical Imaging OEM organisations.

Cedara is a Merge Healthcare company focused on the development of custom engineered software applications and development tools for the medical imaging OEM and International markets. Cedara software is deployed in hospitals and clinics worldwide and is licensed by many medical device and health care information technology companies. Cedara technologies and expertise span all the major digital imaging modalities including computed tomography (CT), magnetic resonance imaging (MRI), digital X-ray, mammography, ultrasound, echo-cardiology, angiography, nuclear medicine, positron emission tomography (PET) and fluoroscopy.

Cedara medical imaging offerings are used in all aspects of clinical imaging work flow including the capture of a patient's digital image; the archiving, communication and manipulation of digital images; sophisticated clinical applications to analyse digital images; and the use of imaging in minimally-invasive surgery. More news on Cedara and Medipattern is available in the VMW July 2004 article Cedara Software announces partnership with Medipattern Corporation to fight breast cancer.

Leslie Versweyveld

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