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When his installation was complete, McNamara had both OsiriX and his original eFilm Workstation connected to the Meta Fusion RIS/PACS and integrated with his Dragon speech recognition software to send the dictated reports directly into the RIS-all on the Mac OS X platform. Meta Fusion is viewer neutral and will integrate virtually any DICOM viewer the customer chooses, McNamara notes. Throughout the process, McNamara said he would ask questions and raise issues and the Meta Fusion developers worked out solutions for them, allowing him to have meaningful input on the product Meta Fusion is introducing. As an early user of Meta Fusion’s RIS/PACS, McNamara’s facility became a luminary site for the company. For that, McNamara turned to Meta Fusion, which recently began offering its integrated RIS/PACS for the Mac platform.
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In his practice, McNamara still uses both his eFilm Workstation and the open-source OsiriX viewer, which has 3D and 4D capabilities.īut a DICOM viewer alone does not an imaging archive system make. Two companies-aycan and Kanteron Systems-offer and support FDA-approved versions of the OsiriX viewer software, according to the OsiriX Web site. In and Europe, you can only use OsiriX as a reviewing, research, or teaching software, not for primary diagnostic, used in clinical workflow and/or for patient care.” “Hence, there are no FDA/CE-1 certifications. Curious, McNamara downloaded the OsiriX viewer to his personal Mac and “in an hour was pretty literate with the software.”Īs free, open-source software, OsiriX “is not certified as a commercial medical device for primary diagnosis,” according to the product’s Web site.
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He found OsiriX, the open-source DICOM viewer developed by Antoine Rosset, MD, and Osman Ratib, MD, PhD, for Mac OS X. “I didn’t like PCs and wondered if there was a way to view images on a Mac,” McNamara says.
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When McNamara began looking to upgrade his digital imaging and archiving, he sought a way to do it on the Mac Operating System X (OS X) platform. Image North’s patient scheduling was done via a paper appointment book.
The workstation worked well enough, but he was frustrated with the frequency of crashes on the PC-based platform and the fact that his computer system was not well integrated with his radiology workflow.įor example, McNamara used the medical version of Dragon’s Naturally Speaking speech recognition software to dictate his findings into Microsoft Word and build his radiology reports, but he was not working with any RIS. McNamara originally converted to PACS by using an eFilm Workstation, archiving images to a server hard drive and backing them up manually. He is currently pursuing the certificate required to add CT to his practice. The diagnostic radiology portion of his practice is divided fairly equally between general x-ray and fluoroscopy, ultrasound, MRI, and mammography.
He estimates that he spends 60% to 70% of his practice time on interventional radiology. McNamara is one of the fewer than 10% of radiologists working in solo practice. It has approximately 4,000 residents and is the county seat of 24,000-person Otsego County. It’s located approximately 60 miles south of Mackinaw City, the northernmost town on Michigan’s lower peninsula. In addition to his personal preference for Apple computers, McNamara founded and operates Image North, a freestanding general and interventional radiology practice in Gaylord, Mich. “I like working in an environment where everything is easily integrated and it all feels Mac-like.” “I’m a Mac guy,” confesses radiologist Patrick J.
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