Dr. Nick van Terheyden[email protected]PACS/VNAThe Case for Deconstructed PACS: Proprietary PACS, basic VNAs will be extinctThe concept of "deconstructed PACS" has generated much interest and controversy, but does that model make the most sense for healthcare institutions? Dr. Nick van Terheyden of Dell Healthcare and Life Sciences makes the case that proprietary PACS and even simple vendor-neutral archives (VNAs) are headed for extinction.January 27, 2016Page 1 of 1Top StoriesMolecular ImagingWhole-body PET shows how naloxone blocks opioidsPET imaging has shown for the first time how the opioid overdose treatment naloxone blocks neuroreceptors throughout the body.Womens ImagingKomen rails against proposed federal cuts to women's health programCTCT muscle metrics could help screen for sarcopeniaWomens ImagingCancer incidence on rise in younger people, womenAssociationsFinancial shock waves strike close to radiology researchers
![Images depict axial MRI scans in a 50-year-old premenopausal female patient with biopsy-proven 12-mm invasive lobular cancer in the lower outer quadrant of the left breast. Upper images are subtracted dynamic contrast-enhanced (DCE) MRI scans from the first and second postcontrast acquisitions. Lower images are ultrafast MRI scans obtained within 24 hours after the DCE study (four consecutive subtracted dynamic frames from time points [T] 6–9). There is marked background parenchymal enhancement (BPE) on the DCE MRI scans. Thus, the known cancer (arrow) is barely visible; it exhibits only slightly stronger enhancement than the normal fibroglandular tissue, which results in low conspicuity. At ultrafast MRI there is less BPE, and still the cancer is barely visible because it starts to enhance simultaneously with the BPE. The conspicuity of the cancer is even reduced compared with the DCE series. Both of the readers missed this cancer on both the DCE and ultrafast MRI scans.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2025/05/2025-05-06-rsna-ultrafast-dce-mri-breast.Gzvq76udFr.jpg?auto=format%2Ccompress&dpr=2&fit=crop&h=167&q=70&w=250)
