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Reporting Rules at SIIM, DBT Reduces Recalls, and Molecular MRI
May 29, 2025
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“AI should be free: The industry will need to adopt a mindset change to accept that AI should be factored into the cost of doing business.”

Imaging IT expert Herman Oosterwijk, in his review of SIIM 2025.

Molecular-specific imaging agents like the MagSense technology from Imagion Biosystems create the opportunity for molecular MRI to fundamentally change how radiologists detect and monitor cancers. Learn more in this article.

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Imaging IT

Reporting Rules at SIIM 2025

Rohini Kosoglu delivers the opening address at SIIM 2025.

The annual meeting of the Society for Imaging Informatics in Medicine offered a great opportunity to take stock of the imaging IT segment. At SIIM 2025, radiology reporting solutions – many powered by AI – were among the most exciting technologies under discussion at Portland’s Oregon Convention Center. 

As we mentioned in our video highlights roundup, attendance seemed a bit lighter at SIIM 2025, perhaps due to the Portland location and timing before a holiday weekend. 

  • But the number of vendors exhibiting at SIIM 2025 cracked 100 for the first time in years, underscoring the meeting’s importance as well as the overall growth of the imaging IT segment as the rise of AI spurs startup creation.

Every SIIM conference provides a fascinating early look at the trends and technologies that will shape radiology’s future, and this year’s meeting was no exception … 

  • Radiology Reporting Rules. The report is the radiologist’s final product, and SIIM 2025 presentations highlighted how important it is to improve this process, especially with AI. An entire track on May 21 was devoted to AI-enhanced reporting solutions, and on the exhibit floor companies showed AI-enhanced solutions that interpret radiologist findings and create structured reports from them. 
  • Questions about AI Adoption. As with past SIIM conferences, questions persist about the pace of AI adoption as well as the FDA’s regulatory direction since the Trump Administration took over. In SIIM 2025’s keynote address, health policy expert Rohini Kosoglu urged SIIM and the radiology community to take a more active role in self-regulation of AI in the absence of stronger direction from the federal government. 
  • Cloud Adoption Gains Steam. There are no such doubts about cloud-based image management, as providers are getting over past concerns about the technology. One enterprise image management vendor told The Imaging Wire that 100% of their new system orders included some form of cloud component. On the other hand, imaging IT expert Herman Oosterwijk sees some imaging sites having “second thoughts” about cloud hosting. 

The Takeaway

The growing prominence of radiology reporting software at SIIM 2025 illustrates the heightened interest in imaging IT solutions that enhance radiologist productivity rather than assist them with interpreting images – a job many feel they can do well enough on their own. 

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The Wire

  • Molecular MRI for Cancer Diagnosis: MRI has become an important cancer imaging tool, but up until now a lack of specificity has held back its full potential. However, a new generation of molecular-specific imaging agents like the MagSense technology from Imagion Biosystems creates the opportunity for molecular MRI to fundamentally change how radiologists detect and monitor cancers. MagSense superparamagnetic iron oxide nanoparticles are coated with a cancer-specific targeting moiety that binds to target-specific cancer cells. 
  • DBT Screening Reduces Recall Rates: Chalk up another win for DBT screening, this time for women with a history of breast cancer. In a paper in JAMA Oncology, researchers found that for 209k women screened, DBT had a lower recall rate than 2D digital mammography (8.6% vs. 10.1%) and a slightly higher cancer detection rate per 1k women (5.7 vs. 5.4 cancers). Sensitivity was comparable (85% for both) while DBT’s specificity was slightly higher (92% vs. 90%). 
  • Hologic Spurns PE Takeover Bid: Women’s imaging vendor Hologic reportedly rejected a $16.7B acquisition bid by private equity firms TPG and Blackstone that would have taken the company private. As reported by the Financial Times, the deal would have been one of the biggest leveraged buyouts of the year and comes as Hologic has been hit by a 24% year-to-date drop in its stock price due to the impact of tariffs and a 6.9% drop in Breast Health division revenues due to lower mammography system sales.
  • Same-Day Lung/Breast Cancer Screening: Offering CT lung cancer screening to women when they get screening mammography could boost uptake of both tests. Writing in a new study in JACR, researchers mapped facilities that offer both exams, finding that almost 40% of mammography centers are within one mile of a lung screening facility and 24% are either less than a mile or are in the same building. Some 27M U.S. women who have undergone mammography and 5.2M lung screening-eligible women could get same-day exams.
  • Ezra Pulls Whole-Body Screening Claims: Wellness screening firm Ezra pulled text from its website claiming its full-body MRI service was superior to competitor Prenuvo’s after Prenuvo filed a complaint with the Better Business Bureau. The complaint charged that Ezra’s claims were misleading and unsupported, a stance echoed on a page on Prenuvo’s website directly challenging Ezra’s claims and its business model. Ezra was acquired earlier this month by diagnostic lab screening company Function Health.
  • 3T MRI Exposes Steroid Shortcomings: Corticosteroid injections may not be the best option for treating knee osteoarthritis, especially compared to other options like hyaluronic acid. In a new study in Radiology, researchers scanned 210 patients with 3T MRI, finding that those who got corticosteroids actually had worse osteoarthritis progression two years later compared to both controls and those treated with hyaluronic acid. But both corticosteroid and hyaluronic acid injections were associated with reduced knee pain.
  • Siemens Delivers Mobile Stroke Unit: Siemens Healthineers has deployed its first CT-equipped mobile stroke unit in the U.S., at UCLA Health of Southern California. The unit consists of an ambulance outfitted with a Somatom On.site CT scanner, a compact dedicated head system designed for siting in small spaces. Siemens launched the mobile stroke CT package earlier this year, with the first installations in Germany. Mobile stroke units can diagnose patients while en route to the hospital, helping care teams start treatment faster. 
  • Samsung Medison Ties Up with Exo: Samsung Medison signed an alliance with handheld ultrasound developer Exo in a partnership that includes an equity investment by Samsung. Exo develops silicon-based architecture with embedded ultrasound, and the alliance will focus on creating compact high-performance scanners. Exo did not disclose the size of the investment, but Bloomberg reported it to be close to $100M. Healthcare veteran Omar Ishrak is joining Exo’s board as chief of strategy as part of the partnership. 
  • 4DMedical Reports CT:VQ Progress: 4DMedical reported progress in commercializing its CT:VQ software for CT-based lung ventilation exams, filing a 510(k) application with the FDA. The company sees CT:VQ as an alternative to SPECT ventilation-perfusion studies for pulmonary embolism that’s less invasive with lower radiation exposure. Separately, Philips has begun selling 4DMedical’s LDAf and LDAi lung analysis software and CAC coronary calcification application as third-party add-ons to its CT installed base under an MOU the companies signed in late 2023. 
  • Lunit Updates Chest X-Ray AI: Lunit launched a new version of its AI software for detecting thoracic abnormalities on chest X-rays. Insight CXR4 assists radiologists in detecting 12 types of thoracic abnormalities, including lung nodules, pneumonia, and pneumothorax, as well as a new addition: acute bone fractures. Other new features include the ability to flag and confirm normal cases proactively and compare current images to prior cases. Insight CXR4 has CE MDR certification and Lunit is pursuing regulatory authorization in other countries.
  • Viz.ai Expands into Oncology: Viz.ai entered a new market niche for its AI software this week with the launch of Viz Oncology Suite, a new package of AI-based tools for helping oncology teams coordinate patient care. Viz already markets solutions for stroke care, cardiology, trauma, and radiology, and the company noted that oncology is one of the largest healthcare sectors, with revenues projected to double over the next decade. 
  • RapidAI Touts Study: RapidAI is highlighting results of a clinical study the company said shows its AI stroke algorithm performed better than Viz.ai for detecting stroke, specifically medium vessel occlusions. In an abstract presented at the European Stroke Organisation Conference, researchers found that among 1.1k stroke cases RapidAI detected a higher percentage of occlusions than Viz.ai (93% vs. 70%). 
  • FDA Clears Spine AI Software: MSKai received FDA clearance for its AI-based platform (also called MSKai) for analysis of lumbar spine MR images. MSKai helps clinicians analyze previously acquired T2-weighted lumbar spine images, helping perform anatomy segmentation, labeling, and measurement, and exports quantitative and qualitative results into customizable reports that can be used as decision-support tools.

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Celebrating Happy Customers

There’s nothing better than happy customers. Find out what radiology personnel at Western New York MRI in Buffalo had to say about their new uMR 680 scanner from United Imaging.

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The Resource Wire

  • The Future of SmartTechnology: SmartTechnology is DeepHealth’s solution for bringing informatics and imaging systems closer together by embedding informatics into hardware, creating completely new workflows. Learn how it works in this interview with CTO Sham Sokka. 
  • The Benefits of Operational AI: Explore the transformative potential of operational AI in healthcare in this on-demand webinar hosted by Blackford. Learn from the company’s partners how AI can help your practice operate more efficiently. 
  • The Advantages of Cloud-Based PACS: CloudPACS offers significant advantages to healthcare providers for enterprise imaging, including no on-premise requirements and enhanced reliability. Learn more about the advantages of CloudPACS in this talk from HIMSS 2025 by Visage Imaging’s Steve Deaton.
  • AI-Enabled DICOM Data Migration: What are the key elements of DICOM data migration? Visit this page for part 2 of Enlitic’s comprehensive guide, focusing on the critical steps of data extraction, normalization, and cleaning.
  • How URMC Saves $200K – and Keeps Patients Engaged. See how University of Rochester Medical Center is reducing costs and improving patient engagement with PocketHealth in this short video.
  • The Benefits of the Cloud for Enterprise Imaging: How are you preparing for the future of cloud-based enterprise imaging? In this downloadable e-book from Optum, learn about the benefits of cloud-based enterprise imaging and how to develop a strategy that works for you. 
  • How to Standardize CT Images: The quality and appearance of CT scans can vary considerably. In this white paper from Riverain Technologies, find out how image normalization can standardize CT images, making them easier to analyze and interpret. 
  • Ahead in the Cloud: What do healthcare providers need to consider as they adopt cloud-based solutions for medical imaging? Read this article written for Mach7 Technologies by Eliot Siegel, MD, to learn the important role cloud-based technologies are having in shaping the future of healthcare.
  • Can Whole-Body MRI Revolutionize Medical Imaging? In this episode of The Radiology Report, Medality CEO Daniel Arnold sits down with Daniel Durand, MD, of Prenuvo to explore how whole-body MRI is reshaping the future of preventive care.
  • MRI Access and the Cost of Inpatient Stays: Longer inpatient stays due to delayed MRI access are a long-standing and costly issue for hospital systems. Find out how STAGE from SpinTech MRI can reduce your MRI backlog and inpatient stays by shortening brain scan times by 30%.
  • MRI That’s Lighter, Faster, and Sharper: Rise above and experience MRI excellence with Philips BlueSeal, the industry’s lightest, vent pipe-free, high-performance, helium-free 1.5T scanner. Watch this video to see how it can benefit your practice. 
  • The Power of Enterprise Imaging: Enterprise imaging is connecting care across large health systems. In this article from Intelerad, learn how it creates a connected ecosystem providing a comprehensive view of a patient’s history for informed clinical decision-making.
  • A New Resource for AI of MRI: Gleamer is expanding into AI of MRI with its acquisition of innovative AI developers Pixyl and Caerus Medical. Learn how the company is creating the most comprehensive AI portfolio for medical imaging. 
  • Presenting Unboxing AI: Check out CARPL’s video series, Unboxing AI, featuring experts discussing AI and its future in radiology. The next episode on May 29 features Vijay Ramanathan of RamSoft – reserve your seat today. 
  • Give Patients a Clear Path to Accessing Medical Data: Clearpath is a simple integration that empowers digital delivery of medical records and images. Request a demo today to find out how you can ditch the disc and give your patients and third parties instant access to digital data. 
  • AI Echo’s Workflow Impact: AI echo is having a major impact on workflows, enabling healthcare personnel to scan more efficiently. In this Imaging Wire Show, we talk to Wojciech Mazur, MD, of The Christ Hospital and Dave Ladd of Us2.ai about AI echo’s clinical value.
  • Intelligent Imaging Ensures Efficient Workflow: Learn how intelligent imaging can help address challenges in radiography workflow – such as higher workloads and fewer staff – in this downloadable white paper from Siemens Healthineers. 
  • AI for Lung Cancer Diagnosis and Screening: Check out this comprehensive new eBook from Calantic by Bayer on the role of AI in lung cancer diagnosis and screening. It explores AI’s potential role in improving lung cancer screening strategies, identifying high-risk individuals, and enhancing diagnostic accuracy. Download it today.

The Industry Wire

  1. Scientists develop gene delivery ‘trucks’ that could treat brain diseases.
  2. Just how many Americans are taking GLP-1s now?
  3. Marijuana linked to early heart disease.
  4. Abridge’s new customized well visit note for pediatrics.
  5. Trump admin investigates states for providing Medicaid to illegal immigrants.
  6. MD Anderson Texas Children’s has a $150M plan to end childhood cancer.
  7. Devoted Health cuts 5% of workforce.
  8. Blue Cross Blue Shield reverses course on GLP-1 coverage.
  9. FDA sets COVID vax formula, narrows guidance.
  10. Rite Aid pharmacies to be sold to CVS, Walgreens, and others.

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