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The Premier monthly magazine on the enterprise of healthcare in asia & the middle East
volume 13 / issue 10 / OCTOBER 2018 / ` 100 / US $10 / ISSN 0973-8959
the Man on a
exclusive Interview
Naveen Jain
Mission Director, National Health Mission,
& Secretary, Medical, Health and Family Welfare,
Government of Rajasthan
Meet the architect of
‘Daughters are Precious’
campaign, initiated for
community engagement against
female foeticide which is
leading to an improved sex ratio
at birth in Rajasthan
Cover Story
Radiology and Imaging
Augmenting Patient Care A Special Report
ab i l i t y ge t Va l u t io n ev a n t Le v Li f e
ut r ida el lf
Ta ol
es
m
e
in i ca l l y R
el
s
Sh
A c cu r a t e
C om
Con
s
Cl
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editor-in-chief
Dr Ravi Gupta
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october 2018 | Volume 13 | Issue 10
COVER STORY
08
Radiology
and Imaging
Augmenting
Patient Care
exclusive interview technology Perspective
12
22 Dhruv Kapur
Senior General Sales Manager,
Ethicon, Johnson & Johnson Pvt Ltd
24 Ashok Arora
CEO, NUTAS
28 Chander Shekhar Sibal
Naveen Jain Executive Vice President
Mission Director, National Health Fujifilm India Pvt Ltd
Mission & Secretary, Medical,
Health and Family Welfare,
Government of Rajasthan
ppp initiative in rajasthan
30 Empowering Healthcare Through Technology
and Innovations
industry perspective
a special report
16 Dr Rajeev Boudhankar
CEO
4thAnnual
Bhatia Hospital, Mumbai
2nd Annual
20 Sushant Kinra
Precious
Managing Director Daughters 28 September 2018,
of inDia
&
Carestream Health India Private Limited
AWARDS
Technological Trends
40
34 Dr Akther Syed
Consultant and Incharge
Radiology and Imaging, Nayati Medicity, Mathura
Editorial
Daughters of India Vital for Nation’s Growth Narrative
India’s transformation wouldn’t have been possible without women participation. Today, there is hardly any
field left out where girls have not proved their mettle. Thus, it’s all the more important to remember that these
daughters are actually precious.
Considering they are truly an embodiment of love, care, and sacrifice in every family, the eHEALTH magazine
decided to highlight ‘Daughters are Precious’ campaign in Rajasthan and its prime mover Naveen Jain, Mission
Director, National Health Mission, and Secretary, Medical Health and Family Welfare, Government of Rajasthan,
in its latest issue.
In an exclusive interview, the officer shares how he not only ideated the concept in 2016 but continues to
leave no stone unturned to bring a real transformation in the public perception in Rajasthan despite age-old
social and cultural prejudices. Thanks to his resolute efforts against female foeticide , the State has made
significant progress in sex-ratio at birth.
Through its cover story, our magazine has highlighted role of latest advancements in Radiology and Imaging
in enhancing patient care. Titled ‘Radiology and Imaging Augmenting Patient Care’, offering an insight about
how latest innovations like Tele-radiology, Digital Radiography and Mammography have played a crucial role in
diagnosis of the disease and their possible treatment.
We also have interviews of Sushant Kinra, Managing Director, Carestream Health India Private Limited,
Dhruv Kapur, Senior General Sales Manager, Ethicon, Johnson & Johnson Pvt Ltd, and Chander Shekhar Sibal,
Executive Vice President, Fujifilm India Pvt Ltd who talk about the latest in radiology and imaging field and
what innovative solutions are coming up.
The magazine also carries insightful articles titled ‘Radiology and Changing Facets of Technology’ by Dr Syed
Akhter, Consultant & Incharge, Radiology and Imaging, Nayati Medicity, Mathura and ‘Rise and Impact of
Advanced Imaging Technology’ by Dr Rajeev Boudhankar, CEO, Bhatia Hospital, Mumbai.
The latest issue also carries a Special Report of 4th Healthcare Summit Rajasthan, highlighting viewpoint of
healthcare luminaries on creating an ideal healthcare delivery model to provide best medical facilities in a cost-
efficient manner.
With such a bouquet of articles, interviews and stories, we hope this edition will evoke an invaluable response
from our esteemed readers.
Dr Ravi Gupta
Editor-in-Chief, eHEALTH magazine
& CEO, Elets Technomedia Pvt Ltd
ravi.gupta@elets.in
Radiology and Imaging
Cover Story
Augmenting Patient Care
Technology has acted as a great enabler and improved the overall results in every
field. In healthcare, it is proving to be a boon for people who used to be left out or
utterly disappointed for want of being properly diagnosed. It used to happen due to
absence of timely factual medical reports. The improved facilities of Radiology and
Imaging have come as a great relief for such people to some extent, writes Mukul
Kumar Mishra of Elets News Network (ENN).
T
oday, one can easily avail Indian healthcare is presently at an of challenges jeopardising healthcare
medical help what he or she inflection point with focus shifting from delivery in totality.
could only dream of about prescriptive to preventive healthcare. Disruptive technology and
10-12 years ago. As case of chronic Also, with the rise in the income of innovative solutions can’t be helpful
diseases like cancer, diabetes, heart neo-middle class and quest for quality until we have required experts to
related issues and strokes are on the patient care, healthcare ecosystem is analyse huge amount of imaging
rise, radiology and imaging are making growing by leaps and bounds. volume (Number of scans, images, and
a critical difference to determine the Today, consumers are more aware of amount of data) the latest high-tech
medical diagnosis. their healthcare and diagnostic needs. equipments generate on the daily basis.
To detect life-threatening diseases Digital technology has helped people With a population of over one
at an initial stage so that radiologists to avail more customised solutions to billion people, India has radiologist
can guide patients about accurate monitor their health in a better way. strength of only 10,000, meaning the
treatment, Diagnostic Imaging plays a Though latest advancements in doctor and patient ratio being just
crucial role. Radiology and Imaging have enhanced 1:100,000. This can make anyone
One needs to understand that the patient care, the sector is not devoid understand how difficult it is for the
8 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle East
radiologists to diagnose diseases with enhanced experience of treatment for and Mammography, the radiologists
cover story
precision, which is first step in the millions of people across the globe,” diagnose the cause of underlying
direction of providing right treatment says Dr Syed Akhter, Consultant & disease and direct patients what sort of
to a patient. Incharge, Radiology and Imaging, treatment is needed.
Tele-radiology has proved to be a Nayati Medicity, Mathura.
big boon to fill the gap existing due Diagnostic Imaging plays an Interventional Radiology
to mismatch between the availability important role in giving insight about Interventional radiologists are those
of the radiologists and the number of what is happening within human body. experts who use imaging to insert
images being generated. If a patient has an iota of doubt of catheters, wires, and other small
Another obstacle is inept manpower cancer or malignancy, he or she goes instruments and tools into your body
to handle these high-tech equipments for an imaging test to make the initial to treat diseases like cancers or tumors,
it increases the risk of error during the diagnosis and then subsequent imaging blockages in the arteries and veins,
course of the diagnosis. test for follow up treatment. fibroids in the uterus, back pain, liver
Reduction of radiation doses is The utilisation of radiology across problems, and kidney problems.
another impediment which needs to be the world is increasing to diagnose Doctors can use this technology
tackled. It not only poses huge risk for such life-threatening diseases at a right to diagnose or treat conditions in
patients but also for radiologists. Both point of time so that quick treatment almost any part of the body instead of
need to be protected against harmful could be provided. requiring to directly look inside one’s
radiation which otherwise makes them With emerging trends and body through a scope (camera) or with
prone to several deadly diseases. technology, it is interesting to see the open surgery. The doctors make no
Radiology gains relevance in the tremendous scope that this sector has incision or only a very small one in this
context of diagnosis, which decides to offer. The world of imaging and procedure.
the road ahead for treatment. With technology is constantly evolving, thus Talking about interventional
the rise in chronic diseases like opening up to a vast new world of radiology, Dr M L Rokade, Consultant
cancer, diabetes, heart related issues innovations. Radiologist, Jupiter Hospital, says: “The
and strokes, the sector holds huge Radiology has two parts one is role of interventional radiology has
significance. These are all conditions diagnostic and other is interventional expanded. Radiologists do angioplasty,
that require imaging or scanning at radiology. tumor embolisation and various
some point of time. Diagnostic radiology helps diagnostic and therapeutic procedure.
“The modern-day advancement has healthcare experts to see structures An embolectomy done in the Golden
influenced radiology. About 20 years inside your body. With diagnostic Hour can salvage the brain function in
ago, radiology was limited to X-rays. tools like Computed Tomography a stroke patient.”
But over the years, conventional (CT), Positron Emission Tomography “With the 128 and higher slice
procedures have witnessed tremendous (PET imaging), Magnetic Resonance Mulislice CT scanners, diagnostic
change for the better, leading to Imaging (MRI), Nuclear Imaging, invasive angiograms are soon
becoming past. Coronary CT scans
now reveal coronary anatomy in
exquisite details. Small segmental
areas of narrowing and other vascular
variants can be assessed. These
scanners also overall increase the
output due to faster scan acquisition
times and recent advances help in
reducing the patients radiation doses,”
Rokade further stated.
Imaging Market
India has come a long way since the
first X-ray machine was imported in
India in 1902, only seven years after it
was discovered by a German Professor
W.C. Roentgen. Today, we are at par
with other developed countries as far
Connect with us on ehealthmagazine @ehealthonline eHEALTH Magazine october 2018 9
Cover Story
as latest technology and innovations in Bhatia Hospital, Mumbai, says there of 3D Meta material to augment
radiology are concerned. are cutting-edge imaging techniques ultrasound images by a factor of 50X.
The global medical imaging devices that may become popular in the If this technology becomes successful
market is expected to grow at a CAGR near future. He lists out some of the commercially, it would help current
of 5.47% during the forecast period innovations happening across world on ultrasound investigations to capture
2018-23. According to Zion Market the front of diagnostics imaging. high-resolution images for medical
Research, the global market will reach Pocket-sized hand-held ultrasound imaging in both diagnosis and
around $ 33.50 billion by 2021. devices are predicted to replace the interventional procedures.
The emergence of innovative 200-year-old stethoscopes in near
technology such as 7T MRI equipment, future. They can diagnose heart, lung Trends in Radiology and
high-slice CT scanners, 4D and 5D and other problems more accurately Imaging
ultrasound imaging, and innovations than traditional stethoscopes.
in digital X-ray technologies is likely “Similarly, Hyperspectral imaging Tele-radiology
to boost the demand for medical may provide a non-invasive diagnostic It is one of the most useful discoveries
imagining devices in the global market. method that allows determination of in the field healthcare IT where
pathological tissue with high reliability. radiologists, without being physically
Innovations rule the roost This technology is in use in the defence available on site, provide quality
The Indian radiology market is also sector and is now finding applications patient care.
witnessing tectonic shifts with the in the healthcare imaging Industry,” It fills the gap of mismatch of
major players trying to explore and Boudhankar adds. radiologists and the number of images
penetrate the market in tier-II and A modality called Electromagnetic that are being generated on the daily
tier-III cities. Tapping to this vast scope Acoustic Imaging has been making basis at various healthcare centres
of advanced-diagnostics-at-affordable- use of electro-magnetic and acoustic across country. Using this IT-enabled
prices, radiology industry is witnessing waves for diagnosis. It helps to identify solution, the images can be transmitted
an overhaul with respect to launching various types of solid Cancers at early to another location and reported
of cost-effective imaging equipments in stages of development. immediately on real-time basis so that
the secondary and tertiary healthcare Another technology Wafer Scale the emergency medical care can be
segments. Mega Microchip enhances medical delivered on that very moment when it
The leading players like GE, imaging techniques. It enables doctors is actually required to patients.
Siemens, Philips and Fujifilm are to detect accurately the effects of “Kenya with a population of 43
launching next-generation medical radiation on cancerous tumours, thus million has only 200 radiologists. In
imaging devices that help in helping early detection. rural Nepal, there are places where
prevention, diagnosis and treatment The University of California, people travel almost two days for
planning, and disease management. Berkeley and the Universidad getting X-Ray. In that part of the
“Ultrasound has maximum usage Autonoma de Madrid of Spain world, machines are often outdated
in any hospital setting. Ultrasounds have claimed to have made the use models and are the ones that have been
have become smaller to the size of
palm top so that it is always available
to the critical care consultant. Today
ultrasound has changed the way we
see the fetus with its 3D/4D capability,”
Rokade said.
“Liver cirrhosis can be diagnosed
early with shear wave elastography
both on ultrasound and MRI. Contrast
enhanced ultrasound is now being
widely used for assessment of tumors
and various lesions. Digital image
radiography and PACS (Picture
archival and communication system) is
the standard of a modern day radiology
department.”
Dr Rajeev Boudhankar, CEO,
10 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle Eastdonated. Web-based systems allow hours, requires sedatives and can
cover story
physicians to send and access images even cause damage to vessels. But
and reports from all over the world,” CT- Angiography takes 10-15 minutes
Akhter said. without such risks. It can be used to
Pocket-sized hand- image any artery in the body including
Hybrid Imaging Technology held ultrasound brain, coronary, lung, kidney etc. with
It is referred to as the fusion of two or devices are recent advances in CT angiography.
more imaging modalities to form a predicted to replace It gives a picture which is three-
new technique. This not only improves dimensional and is like actual arterial
the accuracy of a diagnostic test but the 200-year-old system in our body and is very friendly
also reduces the radiation exposure for stethoscopes in near for clinicians to see the pathology.
patients. future. They can
The most significant development Artificial Intelligence Can Be a
in this regard has been the innovation
diagnose heart, lung Game Changer
of hybrid imaging systems like the and other problems AI can play a pivotal role in intelligent
PET/CT. This hybrid modality has more accurately workflow and capacity management.
been so successful that major imaging It can help make radiologists more
than traditional
system manufacturers do not provide efficient, properly prioritize care, and
standalone PET systems any longer. stethoscopes help distribute workloads for more
Based on the success of hybrid effective use of resources.
PET/CT systems, hybrid PET/ The modern technology can
MRI and SPECT/CT systems have assimilate large amount of pattern
also gained attention. These hybrid recognition data into their systems
systems can provide precise images and allow a computer algorithm to
with better resolution compared to differentiate the normal from an
standalone systems. They can provide Digital radiography has tremendously abnormal image; detect certain lesions
morphological as well as physiological improved the x-ray quality, speed and for example lung nodules, early-stage
information in just one examination. replaced all the boring Dark Room breast cancers or for instance the
procedures, as these can be shared blockages in vessels such as embolism
PET – CT immediately for speedy diagnostic in the pulmonary arteries.
Positron Emission Tomography results. If AI picks up the way it is
continued with CT scan images The conventional X- Ray used destined, it will enhance Radiology
provides easy detection of even small to take about half-an-hour for and will lead to better patient care,”
tumors and metastatic information whole procedure while the digital Sushant Kinra, Managing Director,
and also provide metabolic status radiograph can be acquired with just Carestream Health India Private
of tumor as physicians get a better a click of a button while delivering a Limited said.
idea of what is going on and how far better quality. “For Radiology and especially
to properly treat it and also help in “Our Full Field Digital medical device companies like us, the
monitoring chemotherapy. Mammography – Amulet Innovality biggest advantage is that we are the
is the future of Mammography and ones who are generating the data for
Automated CT Scanners certainly has much scope considering AI. For example, our Digital X-ray or
These devices offer high image quality the rapid increase in the number of Computed Radiography equipment
with improved spatial resolution and breast cancer cases going undetected converts the analog information into
low radiation exposure to the patient as in India. In order to provide timely digital data, which is what AI uses to
well as surgeons. diagnosis, Fujifilm has installed Amulet process information. This demand for
These advanced CT devices have Innovality in several healthcare centers digital information will only increase,”
a simplified console, offer ease of across the country,” says Chander he further stated.
operability, and provide affordable Shekhar Sibal, Senior Vice President, In essence, we can say Radiology
installation with minimal space Head of Medical Division, Fujifilm and Imaging field is replete with
requirements. India Private Limited. innovations but that need to be
leveraged with caution. Much needs to
Digital Radiography and CT Angiography be done to harness this potent tool to
Digital Mammography Traditional angiography takes several provide holistic patient care.
Connect with us on ehealthmagazine @ehealthonline eHEALTH Magazine october 2018 11‘It’s Time to Realise
exclusive interview
How Precious are
Daughters’
One should try to change the mindset first which actually takes years to be changed. But
then somebody has to take the initiative. ‘Daughters are Precious’ (DAP) campaign was
a very honest effort on our part to launch, says Naveen Jain, Mission Director, National
Health Mission & Secretary, Medical, Health and Family Welfare, Government of Rajasthan,
in an Exclusive Interview with Kartik Sharma of Elets News Network (ENN).
Q While taking reins as Mission
Director of National Health
assignment of saving daughters from
female foeticide. While working as
in terms of area. It is spread over
from Thar Desert to Chambal area
Mission in Rajasthan, did you Mission Director, I was always looking in eastern side. There are different
imagine saving daughters in female for some workable solutions that can customs and different historical
foeticide incidents will be the biggest work to bring positive results. backgrounds.
mission for you some day? In this wake, someone’s claim that
When I joined as Mission Director
and Special Secretary, Medical Health Q Spread over thousands of
kilometers and having a huge
he or she can ensure girls won’t be
killed in one’s womb is unthinkable.
and Family Welfare Department, population, Rajasthan is indeed We are finding solution for the same.
Government of Rajasthan, in 2014, a vast State. Isn’t saving girls from PC-PNDT Act alone, which was
I never had such an idea. I had no female foeticide a daunting task here? introduced in 1994, was not sufficient
inkling that I would work on the Rajasthan is the largest State of India to do this job.
12 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle Eastexclusive interview
Many decoy
operations were
conducted. With
the help of power
accorded to PC-
PNDT bureau of
‘Daughters are Precious’ (DAP)-1 features in India Book of Records investigation by the
State Government,
So, we thought of some out of 2016, we started ‘Daughters are
we would also visit
the box ideas. It provided us many Precious’ campaign.
inputs. We started implementing the The campaign was flagged off by neighbouring States
Act through PC-PNDT Bureau of then Minister of State for Health in
Investigation. Then, we revamped Central Government at 2nd Healthcare
the Mukhbir Yojna, that is sharing Summit Rajasthan organised by
information with the administrative Elets Technomedia. Since then, the
system by commoners about programme has gained popularity,
occurrence of any such incident i.e. reaching youths, schools, colleges,
gender selection and sex selective university and medical colleges. The
abortions. After revamping the scheme, philosophy behind entire campaign
information has started pouring in. was that only youth could bring the PC-PNDT Cell used to visit different
In addition, a prize was also change and they evoked the biggest ray institutions on Saturdays so that
declared even for decoys. It was of hope. It is like when these youths other works won’t get affected. We
because the pregnant women were would achieve parenthood, they approached educational institutions
feeling insecure or they were not would not discriminate between son and requested them to conduct our
feeling motivated to give their best. and daughter. This would make the programmes. We apprised them
When Mukhbir and Decoy Yojna were real difference. In a civilised society, about laws and historical data and
advertised very well by using good social problems should be solved informed them about various reasons
means of ICE, information poured in. within the society. why daughters were considered
Many decoy operations were One should try to change the unwanted in families. Then, we
conducted. With the help of power mindset first which actually takes sought youths’ feedback. Some
accorded to PC-PNDT bureau of years to be changed. But then video films and educational content
investigation by the State Government, somebody has to take the initiative. were created for maximum public
we would also visit neighbouring ‘Daughters are Precious’ campaign awareness.
States. In this way, the entire process was a very honest effort on our part to Youth attended various programmes
was started. We were able to save launch the drive. conducted by us. They used to be
girls not only in Rajasthan but in involved in the process. Then we came
neighbouring States as well.
Q Kindly shed some light on
Daughters are Precious
out with the idea of Daughters are
Precious (DAP) Rakshak in 2017.
Q Did you undertake any other
initiatives other than PC-PNDT
programme. How did it click
in Rajasthan?
Slowly, we found that many youths,
NGOs, even retired persons were
Act or enforcement? When awareness programme interested to be part of this mission.
In 2016, we realised that enforcement -- Daughters are Precious (DAP) The age ranged between 17 to 70 years.
of PC-PNDT Act or enforcing the campaign was launched by us, we Right from a student to a retired
Mukhbir Yojna or decoy operation never thought that it would be a big person, all were ready to become
were not enough to make a dent. We success within two years. Initially, a DAP Rakshak. That was biggest
needed to go further. In September, some health department officials and turning point. On 24 January, 2018,
Connect with us on ehealthmagazine @ehealthonline eHEALTH Magazine october 2018 13exclusive interview
the biggest event took place when programme. Many more were made
we approached 6,400 institutions volunteers.
across the State. Over 11,72,000 If we keep on doing the programme
students attended our DAP Rakshak in such a way so that the youths and
programme which was a world record! villagers are engaged, which is done
We were able to convey the message on State-level, I think we can witness a
that public awareness was the right lot of improvement. In the next phase,
way to bring the ultimate change in we should talk to urban population.
public perception. In urban areas, the child-sex ratio is
worse than rural areas. We are planning
Q How do you perceive success
and foresee the future of DAP
to talk to urban resident welfare
associations, urban rotary clubs, and
Rakshak? phase of DAP. First phase was held other NGOs. We should spread the
The biggest success of DAP on 17 November, 2017. The second message that daughters are precious
programme is that it is not a on 24 January, 2018 and third was and everybody has to work for their
pure Government programme. in September-October, 2018. The betterment. They are the God’s biggest
It is a programme where there response has been overwhelming. gift and we need to work to protect
is mobilisation of power of the Our DAP Rakshaks were initially them to exist.
Government. The entire programme is apprehensive, thinking villagers
owned by DAP Rakshaks. Nobody is
forced or given any kind of incentive.
might not be interested to listen to
them or they may have different take Q What factors actually worked
in terms of challenges of
Here, people join the programme about female foeticide. We, however, Rajasthan?
willingly. found the urban concerns and rural As per 2011 Census, the child sex
Now, people are visiting the field, worries were similar. All of us were data has reduced to 888. It means
they are targeting institutions. We on the same page, that daughters were in the age group of 0 to 6, on every
have conducted one more phase in missing not only from urban areas but 1,000 boys there were only 888 girls.
September, 2018. We have decided also from rural areas and we needed While in 1981, 30 years ago, it was
to do the programme in all the to work on the issue. The response was 954. In 30 years, we have lost 66 girls
Gram Panchayats of Rajasthan as tremendous. Over 8,00,000 people per 1,000 in the age group of 0-6.
‘Beti Panchayat’. It was the third from 9,890 Panchayats joined the It means we killed so many
Naveen Jain delivering speech at a DAP awareness programme
14 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle Eastcan’t explore options after marriage
exclusive interview
and having children. One goes with
normal life and existing career after
marriage and all. But I thought to
appear for Civil Services Exam. At
that time there were very few seats
in Civil Services. Still I appeared and
cleared the exam to become an IAS
officer. Birth of my daughter was
biggest reason behind all this efforts.
My daughter inspired me.
So, I have a special place for
daughters in my mind. I think our
daughters inspire us to do many good
things whether we may acknowledge
or mayn’t acknowledge. When I got
this opportunity, as a collector, I tried
Launching of ‘Daughters are Precious’ (DAP) campaign on 23 September, 2016 at 2nd
to do my bit. Then, in 2014, when I
Annual Elets Healthcare Summit Rajasthan in Jaipur got the chance at State level, I knew
that this was time to make the biggest
daughters in the womb. There has PC-PNDT Act is national act and effort and things worked well too.
been a lot of female foeticide in daughters are to be saved in all
Rajasthan.
Now, when you see the child sex
States of India. Women and Child
Development (WCD) Department of Q The problem is prevalent not
only in villages or limited to
ratio or sex ratio at birth, we believe the Government of India has started rural areas only. Even among
that in last five years a lot of work has a programme, Beti Bachao and Beti the urban population and educated
been done. In 2021, we are confident Padho programme. I think if that class, the issue persists. What is
when next census will be done, child programme can be combined with your message to youth set to achieve
sex ratio in the State would be one of medical and health department, parenthood soon?
the best in India. We will be able to a very good model will emerge This problem is more common in
show that numbers have improved a out of it. It has started happening urban areas, among educated and
lot. We have a rough idea that child in Rajasthan. If WCD along with rich families. The issue is because
sex ratio will be somewhere 925 to NHM and PC-PNDT Cell, work of the preference to have a son. The
930, that is 37 percent increase of 2011 for an enforcement and awareness, perception is that a son will take care
census at that time. it will work wonder. It has worked of the aged parents till their last time.
This decade will see an increase for Rajasthan. If these departments Then there are some social customs
in the sex ratio in comparison to last work together with proper strategies, of being cremated by son only,
30 years. It is not due to enforcement keeping aside the ego, daughters will some religious taboos and a sense of
but also because of daughters are be definitely saved. insecurity about daughters, all these
precious campaigns. Rajasthan will factors are responsible for decreasing
tell the world that daughters can
be saved by changing the mindset Q You started the campaign
two years ago. Despite many
child sex ratio.
Urban areas are prone to female
and it can be changed with public responsibilities and lots of other foeticide. I wish to tell the youth
awareness programme. If we explain works, what inspired you to start the that the Government has lots of
the youth the logic behind anything campaign to make it a big success in expectations from you. You can bring
and with due examples, they will the State like Rajasthan? a great change in the society. I appeal
understand and follow the suit. I got married in 1998 and soon to them not to go for sex check-ups.
we had a daughter. When my Be it a daughter or son, both are your
Q Do you feel there is a need to
implement such a campaign in
daughter was born, I suddenly
decided to appear for the Civil
children. Groom them to become
best citizens of India. They should be
many other States in the country Services Exam, though that was a encouraged and empowered to excel
as child sex ratio is big issue in some weird idea at that time. A section in different walks of life.
other States as well? of people holds opinion that one
Connect with us on ehealthmagazine @ehealthonline eHEALTH Magazine october 2018 15Rise and Impact of
Industry Perspective
Advanced Imaging
Technology
M
edical technology is including imaging of open wounds
undoubtedly indispensable and during surgery, where sterile
to the health and for conditions are required.
improving quality of life of people. It Now, researchers in Japan have
has revolutionised healthcare from demonstrated non-contact ultrasound
almost past three decades, allowing imaging, where the transducers are
doctors to find disease earlier and separated from the skin by air. “The
improve patient outcomes. project is in its infancy, but the results
In a utopian world, it would have to date have been very encouraging,”
been possible to diagnose, treat and claims Gregory Clement, physicist
cure patients without causing any and lead author of a study conducted
harmful side-effects. Since this is at the University of Electro-
not possible today, the efficacy of Communications in Tokyo.
medical imaging cannot be overstated The non-contact technique
considering it has enabled doctors to exploits the greater focusing potential Dr Rajeev Boudhankar
see inside a patient without having to of ultrasound in air. A high beam CEO, Bhatia Hospital, Mumbai
cut them open. intensity in air compensates for the
It has ensured early detection low transmission of the beam across
and treatment for cases such as the air–skin boundary. After beam characterization
lung, breast cancers etc. The chances The group’s approach uses a and transmission measurements,
of medico-legal issues too have bowl-shaped transducer to focus an they acquired images using the
been reduced due to delayed or ultrasound beam on to a 5 mm spot at transducer and a broadband
incorrect diagnosis. the skin surface. The spot generates a microphone receiver.
There is some downside linked point source of ultrasound that when In vivo, non-contact imaging
with the imaging technology. In scanned over the surface of an object, of a hand was demonstrated with
the present era, the deterioration of can be used to perform diffraction a conventional C-mode approach,
skills during physical examination tomography.“The method treats the which produces images for a fixed
of patients has become much skin surface as a ‘virtual’ transducer, depth below the skin. The low-
more evident. allowing for a large effective number range scan showed varying contrast
Conventional ultrasound imaging of sources and receivers, thus opening between the anatomy containing
relies on good contact between the potential for large regions to be mainly bone and that containing only
the transducer and the skin, using imaged,” claims Clement. soft tissue.
acoustic coupling gel. Without this, “Current medical probes can’t Clement says that the group will
the ultrasound beam encounters a conform to the body, thereby limiting continue the development and clinical
large acoustic impedance mismatch where they can be placed.” The testing of the non-contact imaging
between the transducer and the air team simulated and constructed technique over the next few years.
in front of it, which prevents beam a 40 kHz transducer prototype, Ongoing work in the lab includes
transmission. This limits the use of comprising 400 elements arranged in optimising the receiver to increase
ultrasound in some clinical scenarios, a hemispherical array. technique sensitivity and investigating
16 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle Eastfaster acquisition techniques to There are some other latest of Medicine, Berlin and Max-
Industry Perspective
reduce scan times. cutting-edge imaging techniques Delbruck Centre for Molecular
The ability to visualise processes that may become popular in the Medicine, Berlin, who claims that
that take place in the brain during near future. Pocket-sized hand-held they have produced a technology for
the development and progression ultrasound devices are predicted to capturing images of the beating heart
of Alzheimer’s disease also provides replace the 200-year-old stethoscopes in its MRI systems. They claim the
a powerful aid for diagnosing in near future. They can diagnose magnetic field of resolution would be
condition, monitoring treatments heart, lung and other problems 1, 50,000 times the earth’s magnetic
and testing preventive and more accurately than traditional field. It would thus aid in clearly
therapeutic agents. stethoscopes. demarcating between blood and heart
With this aim, a research team at Similarly, Hyperspectral imaging muscle, enabling early diagnosis of
the National Institute of Radiological may provide a non-invasive cardiac malfunction.
Sciences in Japan has developed diagnostic method that allows Scientists at Japan’s Railway
a new type of imaging agent that determination of pathological Technical Research Institute, Tokyo,
enables visualisation of “tau-protein” tissue with high reliability. There too have managed to develop a
within the brain of living patients. are chances that this would also palm-size superconducting magnetic
In patients with Alzheimer’s lessen doctor’s liability and reduce system. This would make current
disease, tau proteins aggregate indemnity insurance premiums. This MRI System into mobile imaging
together and become tangled, while technology is in use in the defence applications.
fragments of another protein, amyloid sector and is now finding applications Iron oxide nano crystal technology
beta, accumulate into plaques. Tau in the healthcare imaging Industry. is being considered for use in medical
tangles are not only an important A modality called Electromagnetic imaging. Super paramagnetic iron
marker of neuro-degeneration Acoustic Imaging developed by oxide particles have a variety of
in Alzheimer’s disease, but also a the University of Oxford has been applications in molecular and cellular
hallmark of other neuro-degenerative making use of electro-magnetic imaging. Evaluation of some of
disorders that do not involve and acoustic waves for diagnosis. the recent research has concerned
amyloid-beta plaques. While imaging It helps to identify various types of cellular imaging with imaging of in
technologies have been developed solid Cancers in the early stages of vivo macrophage activity. As per the
to observe spread of amyloid-beta development. Another technology iron oxide nano particle composition
plaques within patients’ brain, tau that goes by the name Wafer Scale and size which influence their
tangles have previously not been Mega Microchip developed by the bio-distribution, several clinical
easily monitored in living patients. University of Lincolnis also used to applications are possible. The use
The researchers have now enhance medical imaging techniques. can be checked for detection of liver
developed fluorescent compounds The University says that images that metastases in cancers, metastatic
called PBBs that bind to tau are produced by the chip will enable lymph nodes, inflammatory and
inclusions and can be visualised using doctors to detect accurately the effects degenerative diseases.
positron emission tomography (PET) of radiation on cancerous tumours, Research is also on in the field of
and optical imaging. They showed thus helping early detection. stem cell migration and immune cell
that the PBBs could detect tau lesions Besides, there are two other trafficking, as well as in the areas of
in a mouse and a living patient. In universities – the University of targeted iron oxide nano particles for
the clinical PETstudy, PBB revealed California, Berkeley and the molecular imaging studies.
a strong signal in the hippocampus Universidad Autonoma de Madrid Another study that is under
of a patient with Alzheimer’s disease, of Spain who have claimed to have focus is that on the ultra small super
in contrast to PET images recorded made the use of 3D Meta material paramagnetic iron oxide particles that
usinga beta-plaque tracer. “PET to augment ultrasound images by are being researched as blood pooling
images of tau accumulation are a factor of 50X. If this technology agents for angiography, tumour
highly complementary to images becomes successful commercially, permeability and tumour blood
of senile amyloid-beta plaques,” it would help current ultrasound volume or steady-state cerebral blood
claims the Institute. This is of critical investigations to capture high- volume and blood vessel size index
significance because tau lesions resolution images for medical measurements.
are known to be more intimately imaging in both diagnosis and 3D bio-printing has undergone
associated with neuronal loss than interventional procedures. seminal advancements in recent
senile plaques. Another claim is by the University times. 3D bio printing is the process
Connect with us on ehealthmagazine @ehealthonline eHEALTH Magazine october 2018 17Industry Perspective
of creating cell patterns in a confined
space using 3D printing technologies,
where cell function and viability
are preserved within the printed
construct. This technique allows high
precision fabrication of biological
structures encapsulating cells and
bioactive molecules, with applications
in areas such as tissue engineering,
drug development and bio-sensing.
Recent advances have enabled 3D
printing of biocompatible materials,
cells and supporting components into
complex 3D functional living tissues.
3D bio printing is being applied to
regenerative medicine to address the
need for tissues and organs suitable
for transplantation. Compared
with non-biological printing, 3D
bio printing involves additional
complexities, such as the choice of burden and response to therapy method uses ultrasound pulse at one
materials, cell types, growth and from PET Scans. Although this location and the pulse is detected at
differentiation factors, and technical method is awaiting patent approval, a second location by an ultrasound
challenges related to the sensitivities it is known to provide reliable and receiver. The calculation is then
of living cells and the construction reproducible PET tumour boundary done for flow velocity of blood in a
of tissues. definition and metabolic tumour blood vessel between the first and
3D bio printing has already volumetric quantification over a second locations.
been used for the generation and wide range of tumour sizes and Barbados-based Synaptive Medical
transplantation of several tissues, shapes and for various levels of PET Company has developed a new
including multilayered skin, bone, radiotracer uptake. technique for correcting warping in
vascular grafts, tracheal splints, This method will help clinicians MR images caused by non-linearities
heart tissue and cartilaginous in diagnosis, staging and planning in gradient field profiles. The patent
structures. Other applications include of radiotherapy and surgery as for this new technique is pending.
developing 3D-bioprinted tissue well as determining treatment With so many advancements in
models for research, drug discovery response. It can also help in cancer technology, healthcare delivery has
and toxicology. therapy research. witnessed a tangible progress in terms
Researchers at Siemens Corporate At the Ohio State University, of patient care. Nonetheless, use of
Technology have developed learning- researchers have studied a new high-end technologies has escalated
based software that can identify method for performing CT-based the cost of quality healthcare
and section out any organ in any elastography. This method estimates facility. A section of people finds
digital medical image, irrespective local displacement of tissue in it tough to avail healthcare facility
of occlusions, angle of view, imaging response to a mechanical stimulus at increased price. High-out-of-
modality, or pathology. from high- resolution images. It can pocket expenditure has become a
The company says that this also be applied to hard structures in big concern.
method can be used to synthesise the body like bone, teeth and cartilage The need of the hour is to calibrate
a virtual high dose CT image from as well as soft tissues. It can also both these factors i.e affordability
a low dose CT image, enabling be used to scan patients with pace- and costly technologies, to ensure
reduction of the radiation dose to makers or metal implants that cannot best healthcare facilities to the
which the patient is exposed. Siemens undergo MR scans. people at large.
has reportedly applied for a patent. A new technique has been
The John Hopkins University developed by researchers at Philips
has developed a procedure for that determines blood flow velocity. The writer is Dr Rajeev Boudhankar,
precise characterisation of tumour Philips has applied a patent for it. The CEO, Bhatia Hospital, Mumbai
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w w w . h m d h e a l t h c a r e . com, info@h md h e alth c ar e . c om‘Artificial Intelligence
Industry Perspective
to be Game Changer
in Radiology’
Radiology is transforming as a discipline. Artificial Intelligence is gaining a lot
of attention and will be a key enabler for this sector. Digital technologies are
transforming the way healthcare can be delivered. At Carestream, imaging innovation
is an ongoing process, not a goal, says Sushant Kinra, Managing Director, Carestream
Health India Private Limited, in an interview with Elets News Network (ENN).
Q Give us an overview of your
company and its contribution in
enterprise workflow, cloud-based
services are installed at leading
the healthcare sector. healthcare facilities worldwide.
Carestream is a dynamic and
global company with more than
100 years of leadership. We are an Q How are these products
and solutions helping the
independent, worldwide provider healthcare providers to augment
of medical imaging systems and patient care?
healthcare IT solutions; X-ray Carestream has over 600 patents
imaging systems for non-destructive granted worldwide and we are
testing; and precision contract passionately committed to do
coating services for a wide range of whatever it takes to help our
industrial, medical, electronic and customers achieve success.
other applications -- all backed by a Our products are easy to use,
global service and support network. highly reliable, and enable our Sushant Kinra
When thinking of the world’s first customers to improve the quality Managing Director, Carestream Health
India Private Limited
proven wireless digital radiographic and value of their products and
detector, the first packaged X-ray services. In today’s rapidly changing
film, the first medical dry laser environment, where the mandate
imager, or a unique new platform to provide better outcomes has
for mobile digital X-ray imaging, never been greater, we add value by
healthcare professionals around the delivering personalised, affordable
world think of Carestream. and practical options to help our At Carestream,
We are one of the top global customers advance. Imaging Innovation
providers of digital radiography is not a goal –
(DR) and computed radiography
(CR) systems, with a track record Q Carestream has been at
the forefront of numerous
it’s an ongoing
for innovation, including the DRX technological advancements process
family of DR systems – featuring in radiology and imaging. What
the advanced, wireless DRX Plus have been its prominent innovative
Detector, compatible across all our products and solutions for the
DRX equipment. Our RIS+PACS, Indian market?
20 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle EastAt Carestream, imaging innovation
Industry Perspective
is not a goal – it’s an ongoing process.
The Indian Healthcare market is
extremely important to Carestream.
We are extremely pleased to launch
our new innovative MyVue Centre
Kiosk for this market. The product
has been designed specifically for
India keeping our customer’s needs
in mind. This is the second product
which is specially designed for India.
Our first product was Vita Flex,
which has been a commercial success.
Our new Kiosk addresses a complex
issue of workflow and wastage. This
product dramatically improves
the turnaround time, reduces the
overall cost, improves the quality of
reporting and adds the convenience
to the patient. as key stakeholders, have a task
Another product we are proud ahead to make this vision possible.
to highlight is the OnSight 3D This opportunity comes with lots
Extremity System. Winner of the 2016 of challenges and as always, we, at
AuntMinnie Minnies Award for Best Carestream, are fully committed to
New Radiology Device this Extremity ensure that we make this possible. Artificial
system offers exceptional potential for We see an unparalleled opportunity Intelligence will
diagnostic value and image quality. to meet the growing needs of our
We are extremely proud to be the customers and are committed
be a key enabler
innovation leaders in the industry and to providing the best customer for the radiology
will continue to invest in the coming experience with all our products, sector. Although
future. systems and services.
there are many
Q Q
What are the emerging How do you see the role of debates surrounding
opportunities and trends in Artificial Intelligence in it, there is currently
the Indian Radiology and radiology and imaging? How some great work
Imaging sector? How is Carestream is Carestream harnessing this
contributing on this front? technology?
happening in this
Digital technologies are Artificial Intelligence (AI) will be a field.
transforming the way healthcare key enabler for the radiology sector.
can be delivered. Radiology as a Although there are many debates
discipline is also transforming. I see surrounding it, there is currently
that Artificial Intelligence (AI) is some great work happening in
gaining a lot of attention and will be this field. If AI picks up the way is
a key enabler for this sector. it destined, it will surely enhance information into digital data,
In India, we are also witnessing Radiology and will lead to better which is what AI uses to process
the transformation of healthcare patient care. information. This demand for digital
with the Indian Government For Radiology and especially information will only increase.
announcing various reforms. medical device companies like us, We have already launched AI in
Ayushman Bharat is a fine example the biggest advantage is that we are our Health Care Information System
of this. This reform will add more the ones who are generating the products. With Machine Learning,
than 40% of the population in the data for AI. For example, our Digital we will be able to solve complex
healthcare system towards the X-ray or Computed Radiography problems. That’s where we see a huge
path of Universal Healthcare. We, equipment converts the analog potential for our company.
Connect with us on ehealthmagazine @ehealthonline eHEALTH Magazine october 2018 21‘Ethicon Elevating Standard
Technology Perspective
of Care in Sub-Continent’
With tech-enabled solutions, Ethicon is committed to bring tangible benefits
to patient care in India. We look at medical procedures with a holistic view by
understanding the need from surgeons to develop better products, says Dhruv
Kapur, Senior General Sales Manager, Ethicon, Johnson & Johnson Pvt Ltd, in
conversation with Elets News Network (ENN).
Q With a tagline of ‘shaping the
future of surgery’, how does
and then finding solutions to bring
world class healthcare facilities in
Ethicon enables patients to live the market at an affordable range.
longer and cherish a more fulfilling life? The idea is to elevate the standard
We believe in pushing ourselves to of medical care in the subcontinent.
improve standard of care. Ethicon We are committed to build a patient
keeps on improvising so that we can centric environment.
make people’s lives better. Ethicon
philosophy, “One Patient at a Time”
helps us to focus our energy on single Q Shed some light over Johnson &
Johnson Institute on Wheels.
patient at a time. Ethicon keeps on One of our most recent
innovating and brings best in class investments has been in the Johnson
products to the patients. A recent & Johnson Institute on Wheels – This
example is our collaboration with is an innovative learning delivery
Google to form Verb Surgicals where model where our institute (in the
Dhruv Kapur
we are working together on robotic form of a Volvo Limo) travels to
Senior General Sales Manager, Ethicon,
platforms of surgery. It will change the various parts of the country so that Johnson & Johnson Pvt Ltd
way surgery will be done in future. students and surgeons in the remotest
These innovations will not only areas have access to learning on the The biggest challenge lies in
raise the standard of care for patients state of the art instruments. This will reaching the vast demography of
but also make lives of surgeons a bit in turn help in overall improvement population especially people living in
easier. We at Ethicon believe that of standard of care in the country. remote parts of the country.
healthcare is founded not only on In addition, it will make quality Each year we aim at penetration
expertise but also on the credibility. healthcare facility available to people to the grassroots level so that we
at large. can partner in bringing world class
Q Research and evidence, best-
in-class education and training,
Q Tell us about the market
healthcare facilities to the entire
Indian diaspora.
innovative products, are some of opportunity and challenges in We try to come up with solutions
the hallmarks of the company. How the surgery field. which better suits people of Indian
do these help to elevate the standard There are still a whole lot of people subcontinent. We conduct various
of patients care? in India who do not have access to studies to design unique and
Ethicon is committed not for just quality healthcare. We are confident innovative tech-based solution to
making innovations but also to bring that the Government’s initiatives enhance level of patient care. Our
tangible benefits to patient care in like Ayushman Bharat are going to professional education team works
India. We look at medical procedures make healthcare easily accessible in tandem with the surgeons to
with a holistic view by understanding and affordable to cater people overcome shortcomings and become
the need from surgeons to develop with best medical facilities in their an equal stakeholder in providing
better products, training the surgeons budget. world class patient care.
22 october 2018 [ ehealth.eletsonline.com ] The Largest Portal on Healthcare Innovations in Asia and the Middle EastYou can also read
