"I've reviewed this teleradiology solution and I am very impressed with it's sophisticated, and powerful set of features and functions. The user interface design is exceptional! What's most impressive are the system's tools for interactive dial-up and network communications featuring shared cursors, white boards, multimedia exchange, etc. There doesn't appear to be anything even remotely similar to it on the market today. It is very possible this new, DICOM ready, system will establish highly intuitive, real-time, interactive communications as a minimum requirement for teleradiology.”

Don Alvarez,

Alvarez consulting San Antonio, TX

DonaldAlvarez@msn. com

Donald A. Alvarez is a consultant with over 13 years experience designing, developing and marketing medical imaging and communications software.

"We have fully tested the VAMS, ISSA imaging and Pharos communication products, and found them to be one of the best PAC and communication packages offered in the US market. The VAMS products make a superior image product and the product ease of use, while being very sophisticated is one of the best PAC offerings I have seen in the market. I have just returned from the four biggest Radiology shows in the US, and there are no products as complete, for the pricing offered by VAMS and its distributors for the VAMS products. The VAMS products were tested with our current 3 Xray scanners and our new to be released 24 bit scanner and we found the VAMS software exceeded our expectations in all areas".

Quoted by Mr. Manning Phillips, VP of Vidar on 04-21-99

We have tested the VAMSTEC products with our ultrasound and CT scanners for the last two years. The software exceeded our expectations and increased the level of our performance considerably. It enabled us to communicate with other departments and to exchange data an easy and efficient manner. Image analysis and data-storage increased our diagnostic efficiency and we are now able to provide our services in faster and more accurate way. The number of examinations increased and costs were lowered. VAMSTEC products became important and integral part of our daily routine.

Boris Brkljacic, M.D., Ph.D., Assistant professor of Radiology

Department of Radiology, University Hospital “Merkur”, Zagreb, Croatia

The Institute of Pathology, Medical faculty University of Zagreb is developing telepathology since 1993. During the years we established cooperation with different well known centers and experts for teleconsultation or research. In our work we are using VAMSTEC software for image storage, manipulation and for telemedical communication (ISSA and Pharos).

Teleconsultation often manifolds speeds up diagnostic procedure saving a lot of finances. In the following example using the fastest way of transport (carrier) the consultation time would be 48 hours with an average cost of 150 DEM. The consultation in our case took 30 minutes (effective transmission time 3 minutes) as it was operated in the "store and forward" mode with the consultant having other obligations.

Case : Consultation Professor Kayser, Thoraxklinik, Heidelberg, Germany.

(Submitted images. View here)

Male, 63 years old. Clinical suspicion of Malignant mesothelioma. Pleural biopsy.

Our opinion: Reactive changes, with no obvious sing of malignancy.

Reply: There is no signs of malignant cells. Morphology is consistent with severe reactive chronic pleuritis. Rheumatoid changes or tuberculosis should be considered in the first place. The consultants opinion was immediately transmitted to the clinician. In our experience teleconsultation can be a powerful tool for improving medical service and also a time and money saving procedure.

Sven Seiwerth MD

Institute of Pathlogy Medical Faculty University of Zagreb

Salata 10 Zagreb Croatia