Merge Healthcare

Product Name:

3D/4D Review™

Advanced Visualization 3D/4D Review™ provides comprehensive visualization for rapid and efficient everyday clinical workflow along with a real-time editing tool in combination with standard visualization tools such as MIP, MinIP and 3D VRT. Users now visualize the removal of overlying structures on-the-fly.

Key Features and Benefits
*Full color visualization
*Ease of use - Powerful custom presets easily accessible from an on-screen list or programmable toolbar for instant access via single mouse click
*Support up to six different materials, each with independent range, color and transparency
*Interactive zoom and rotation of 3D image
*Advanced image smoothing and sharpening algorithms
*Multiple interactive cut planes and 3D ROI editing tools
*Export 3D image to DICOM and BMP format for reporting
*Export sequence of frames for continuous review in DICOM and standard video formats
*Provides the physician with all requisite tools for rapid, yet comprehensive analysis and post-processing of volume studies from CT, MR and other DICOM 3.0 modalities

3D/4D Workstation Application Plug-in Components
Projector Pro, an interactive post-processing software for medical images running on a PC under Microsoft Windows 2000 and Windows XP. Projector Pro provides powerful real-time editing tool to erase away obstructing regions and reveal the structures beneath as well as standard visualization tools such as MIP, MinIP, curved reformatting, radiography, and 3D views. It can export images to DICOM format as well as to standard BMP format which can be used with other PC-based applications such as word-processors, database software, slide presentation software, etc.

*The Projector Pro Software module allows the user to easily create, interact with and edit in real-time.
*Projector Pro creates 3D volume images utilizing image files from either CT or MRI modalities
*Clinical Implications
>Curve MPR to "Straighten" out coronary vessels
>Post surgical coronary graph patency with MIP
>Create flight paths for virtual endoscopy or vessels
>Create .AVI movies and / or DICOM files of stepping MPR through a single volume
*Post Processing tools
>Switch between sliding slab, MIP, MPR & simple 3D with one button
>Curved, linear, orthogonal, & oblique MPR's with the total volume
>Real-Time manipulation
*Functions
>Maximum Intensity Projection
>Minimum Intensity Projection
>Radiographic Projection
>Curved Multiplanar Reformat
>Measure distance/area

AccuEdit
*Allows you to edit, smooth and/or resample datasets.
*With AccuEdit, you can edit away unwanted tissue structure before manipulating the medical data with other applications.
*Single image editing, slab editing and barrel volume editing are all included.

AccuAnalyzer
*Allows you to calculate a 2D histogram of datasets.
*AccuAnalyzer User Guide

VRX Can be used to create and interact with 3D volume images utilizing medical imaging files from CT and MRI modalities. These images must first be sent to the workstation from the imaging modality in a DICOM 3.0 format.

*Designed as a 3D Volume Rendering Module for 3D applications Provides comprehensive visualization and reporting tools for rapid, efficient everyday clinical workflow Clinical Implications
>Full Color Visualization Supports up to six different materials, each with independent color and transparency
>Easy to use with custom pre-sets from on-screen tool bar
*Post Processing Tools
>Interactive Zoom and Rotation of 3D images Advanced Image processing algorithms
>Generates movie sequences for storage to DICOM or standard AVI/MPEG format
*Functions
>Volume Rendering Shaded Surface Rendering
>Change Color
*VRX brings state-of-the-art, stunning high-speed 3D visualization tools to the workstation. Increased functionality includes cut-plane capabilities, multiple tissue presets, and advanced image processing tools. It was developed for efficient clinical workflow and in close collaboration with physicians. The ease of use and simplicity are emphasized throughout the Module.

Product Name:

Advanced Imaging Technology

Full value of diagnostic imaging lies in ability to accurately evaluate and document the diagnosis. Automation is often seen as a key enabler to produce accurate diagnostic analysis efficiently. Additionally, automated image processing enables improvement in image quality, so leading to consistently high level of accuracy in diagnostic process.

To accelerate development of advanced clinical applications, Cedara has created a comprehensive set of image analysis tools that improve workflow through automation of advanced imaging capabilities such as measurement, positioning, segmentation and registration functions. Tools such as automated shutter, automatic window width, and level or image registration help diagnostic users focus better on exam data and images, thus providing a more efficient diagnostic workflow.

Cedara image processing libraries provide capability to improve the image quality of the raw acquired image. The Cedara Image Enhancement libraries are able to suppress the noise introduced by the acquisition device while keeping and enhancing anatomical details in the image. Cedara Image Enhancement can be fine-tuned for optimal performance and quality. As a result, this software is widely used for number x-ray based modalities.

Cedara Image enhancement and automation tools are available
as a part of Cedara Image Analysis SDK offering, with accompanying palette of run-time distributable components that are easy to integrate and deploy in the end-use product.

Please select from the following list of Advanced Imaging Technology solutions:

*Cedara Image Segmentation™
*NavAssist Technology
*3D Volume Rendering
*Registration Technology

Product Name:

Cedara AccuStitch™

Advanced Visualization Cedara AccuStitch™ is an advanced image stitching and angle measurement application for today’s digital radiography. It allows the user to stitch thoracic and lumbar films and compute the Cobb angle measurements. Images are acquired with any DICOM 3.0 compliant digital radiography system and sent to a standard PC where they are loaded into the Cedara AccuStitch program. The user may choose any of three registration methods to identify specific fiducial points on each image. Once the images have been stitched, validation tools allow the user to see misregistration in the overlapped images.

Key Features and Benefits
*Considerable time savings over conventional hand drawn methods by allowing the user to stitch the thoracic and lumbar films, and compute the Cobb angle measurement.
*User selectable option from any of three registration methods to identify specific fiducial points on each image.
*Validation tools allow the user to see misregistration in the overlapped images.
*Correction tools with real-time feedback enable the user to adjust and align the images to eliminate misregistration.

Product Name:

Cedara B-CAD™

A New Direction for Breast Imaging With an increasing incidence of breast cancer throughout the western world, medical imaging specialists are constantly looking for new ways to improve screening techniques. In the last several years, breast ultrasound imaging has become increasingly popular to help determine if a biopsy is needed. This widely available, relatively simple and stress free imaging technique for patients is also very operator dependent. As a result, new techniques are required to help analyze and classify physical and morphological characteristics of breast lesions.

To expedite some of the workflow bottlenecks surrounding ultrasound breast imaging, Cedara Software is excited to announce the development of one of the world's first CAD solutions, designed to assist radiologists to analyze breast ultrasound - Cedara B-CAD™. This software application is designed to help in the identification of sonographic characteristics associated with breast lesions and assist the radiologist in assessing the need to biopsy a selected nodule.

Detection Designed to Assist Radiologists to Analyze Breast Ultrasound
*Workflow is designed to seamlessly fit in the image review, interpretation and decision process.
*Designed to work as a standalone product or can be integrated into an existing OEM application.
*Cedara B-CAD is compatible with PACS environments.
*May be applied to any DICOM compatible 2D monochrome ultrasound image

Product Name:

Cedara CalScore®

Screening Coronary Artery Disease Coronary disease represents a growing concern for people around the world. For many patients, the first sign of Coronary Artery Disease can be a heart attack. According to the US Department of Health and Human Services, approximately 13 million people in the United States have coronary artery disease (CAD). It is the leading cause of death in both men and women in this country. Today, in an effort to detect CAD as early as possible, many healthcare professionals are turning to tests such as Calcium Scoring. Performed using a CT Scanner, calcium scoring provides an excellent means for physicians to visualize plaque build-up in coronary arteries, and calculate a Calcium Score to predict risk of clinical coronary artery disease.

Cedara’s CalScore software is a leading edge solution for radiologists, cardiologists and other specialists working in the field of cardiac screening. Including a wide selection of easy-to-use, yet powerful diagnostic tools, CalScore is a solution designed by Cardiovascular Specialists for Cardiovascular Specialists. Depending on your needs, CalScore can be fully integrated into PACS reporting workstations.

Calcium Scoring for Cardiovascular Specialists To directly address the needs of Cardiovascular Specialists, CalScore was developed in cooperation with Dr. John Rumberger, a Clinical Professor of Medicine [Cardiology] at the Ohio State University and a former Chairman of the American Heart Association Committee on Cardiovascular Radiology. Using advanced technology, it supports lesion-by- lesion and side-by-side comparison for follow-up or repeat scanning.

Key Functionality:

*Score arterial segments, as well as complete arteries
*Aortic Scoring
*Exclusive use of Dr. John Rumberger's Mass-based database
*Compare prior against current patient calcium scores
*Quickly generate reports in MS Word format
*Agatston, Volume, and Mass-based methods of calcium scoring.
*Allows Clinics to track current referral base
*DICOM Connectivity
*Leading Edge Calcium Scoring

Powerful Features Cedara CalScore includes a variety of features designed to provide a comprehensive portrait of coronary artery health including,

*Aortic Calcium Risk Factor
*Bone Mineral Density Risk Factor
*Framingham Risk Factor
*Exclusive use of Dr. Rumberger’s Mass-based database
*Calcium Scoring & Risk Stratification based on Agatston, Volume or Mass

Extensive Decision Tree Using customized report templates, CalScore includes a variety of recommendations for treatment based on total plaque burden. Recommendations can be reviewed and/or revised by reading cardiologists or radiologists prior to publishing. In total, there are 10 sets of recommendations based on the following criteria:

*Symptomatic or asymptomatic
*Total calcium score
*Presence or absence of aortic calcification

Some of CalScore’s sample recommendations include:

*“The CT examination has shown a high and rather extensive measurable coronary atherosclerotic plaque burden.”
*“Areas of mild non-obstructive coronary narrowing are very likely to be present, and based on observational studies there is at least a 50% chance that there is a low limiting stenosis.”
*“The patient’s body mass index (BMI) is 28.4. A BMI >25 and <30 is classified as overweight. This is a modifiable risk factor and modest weight loss is suggested and can be achieved via a combination of diet and regular exercise.”

Comprehensive Report Generation Following examination and diagnosis, Cedara CalScore automatically generates a report based on the following criteria:

*Calcium score percentile information based on age and gender
*Framingham risk factor adjusted for coronary calcium "age”
*ACE/AII intake (if presence and/or history of hypertension)
*Non-invasive index (classification of symptomatic patients)
*Presence or absence of hypertension (and/or history of)
*Bone mineral density risk factor, obtained from any OEM BMD package (purchased separately)
*Daily aspirin and antioxidant intake
*Cholesterol levels and medication
*Presence or absence of diabetes
*Evolution of total calcium volume
*Previous total calcium score
*Current or former smoker
*First or follow-up study
*Aortic calcification
*Body Mass Index
*Exercise level
*Family history

For OEM companies, Cedara CalScore is available as a standalone workstation or can be tightly integrated into existing PACS solutions using Cedara's unique C4 integration platform

Product Name:

Cedara Clinical Control Center

Cedara Clinical Control Center, or C4™, is an integration framework that delivers the desktop integration of clinical applications to an established RIS/PACS solution. Application plug-in integration and development model shortens the development cycle, shortening the time to market and delivers a streamlined best-of-breed clinical imaging solution.

Choosing from a wide variety of clinical packages developed by Cedara or other innovation leaders in imaging industry, a C4™-enabled RIS/PACS desktop can have integrated mammography, orthopaedics or oncology tools in the diagnostic environment within the months from the framework integration. Once integrated with C4™ framework, additional clinical plug-ins can be simply downloaded and deployed with minimal need for integration testing.

Supporting desktop workstation and web-application environments, C4™ connects the world of optimized RIS/PACS workflow with specialized imaging applications, thus enabling fully integrated specialized clinical solutions within a minimum development effort.

C4™ User Benefits:

*Shorter time to market with a more efficient integration cycle
*Streamlined development cycle, leveraging best-of-breed applications
*Integrated desktop workflow including clinical applications

Product Name:

Cedara I-Acquire™

Acquisition Console Applications The Cedara I-Acquire™ software is a family of innovative image acquisition console applications that optimize hospital workflow. By interfacing with multiple acquisition devices including digital flat panel detectors, CR scanners and film digitizers, this intuitive console application allows technologists to significantly reduce their learning curve.

Users are able to enter patient demographics and procedure information directly at the console which greatly improves technologist productivity. Alternatively, Modality Worklist support allows consistent information to be populated from the HIS/RIS automatically or on-demand, improving data flow throughout the enterprise.

Key Benefits

*Cost effective, digital image acquisition solution that speeds up OEMs' time-to-market
*Highly optimized for improved workflow automation
*Protocol-driven presentation and image processing gives operators freedom to focus on patient care rather than prolonged image manipulations
*Standard interface for data communication and workflow integration. The user interface reflects over 100 man-years of research and development

Cedara Acquisition Consoles help modality manufacturers reduce their development costs, expedite their time-to-market and create a competitive advantage in the medical imaging market. Cedara develops image acquisition console software to drive the capture of images from imaging devices, such as X-ray or CT scanners.

Cedara’s I-Acquire™ line of products for system integrators, X-ray OEMs and hardware manufacturers offer universal image capture software for X-ray-related modalities and tools for rapidly developing CT and MRI console applications.

The universal software application allows multiple digital detectors, computed radiography (CR) scanners and X-ray generators to be accessed by a common acquisition console that enables X-ray equipment manufacturers and system integrators to select and quickly package detectors, scanners and generators from a variety of different vendors.

Product Name:

Cedara I-Conference™

A Better Way to Review Multi-disciplinary Conferences Cedara I-Conference is a hospital image presentation application specifically adapted to multi-disciplinary conferences and the clinical presentation of images and image related information.

Multi-disciplinary conferences between cardiologists, radiologists, surgeons, and referring physicians require concise presentations of clinical data and images which is a tedious and time-consuming process that requires significant time. With Cedara I-Conference preparation time is drastically reduced because images and image related information from various media can be pre-selected and easily combined to produce an optimized clinical presentation. This allows the presenter to focus solely on the conference proceeding rather than on the equipment or the image selection.

Cedara I-Conference provides physicians with a tailored presentation that allows pre-selected images from all imaging modalities and non-DICOM standard documents, including QuickTime and Adobe to be easily tagged and edited. This gives physicians the same productivity in medicine that Microsoft® PowerPoint™ has brought to business. Support is provided for various formats including DICOM, AVI, DOC, XLS, PPT and PDF for presentation of images, loops, reports, and waveforms (EKGs).

Presentation Creation
*Easy authoring mode
*Authoring by multiple users
*Easy to use DICOM viewer that uses simple tools
*Configurable DICOM nodes

HTML Reporting generates a report that can be used for patient education and treatment planning.
*Customizable reports
*You can add text comments to studies as HTML files
*You can include the 2D cine of images as AVI files and 3D volume rendered images as JPEG images

Presentation Export
*You can export a presentation to CD or DVD
*You can take the exported presentation to another Cedara I-Conference workstation and view the presentation
*Allows you to archive the presentation for future reference

Product Name:

Cedara I-Contour™ RT (WIP

Increasing use of medical imaging in Oncology and pressure to increase productivity to support higher patient volumes are driving Oncology-specific clinical applications. Multi-disciplinary teams require efficient tools to help remotely edit and communicate contours for radiation therapy planning. Many current PACS systems are not geared up to allow entry of such data, and many radiation planning and therapy companies do not yet provide efficient web interfaces to this data. Cedara I-Contour™ RT is a works in progress thin client web-enabled application that allows the oncologist (or delegate) to remotely contour target and risk structures securely through a web browser, and dosimetrists to retrieve this valuable data for incorporation into the radiation therapy plan.

Key Features
*Web-enabled, smart client design for efficient remote contouring and plan review anywhere
*2D, MPR and 3D visualization of RT structures for efficient review
*2D and 3D contour creation, interpolation, extrusion and edition tools
*Multi-modality and DICOM RT support
*Compression/decompression support for faster transfer over the web
*Workflow follows the use case for a contouring application proposed by IHE-RO
*Cedara C4 Plug-in

Product Name:

Cedara IlumiView™

Preventing Colon Cancer Colon cancer is the third most frequently occurring cancer in the United States and the second most common cause of cancer-related death. Each year, 65,000 people in the United States die from this disease, while over 150,000 new cases are diagnosed.

Similar to other forms of cancer, early detection of colon cancer has been proven to dramatically improve survival rates. Despite recommendations by the American College of Radiology (ACR) and other organizations, the majority of the population avoids traditional, optical colorectal screening due to the invasive, unpleasant nature of the procedure. Because of this, authorities estimate only 20% of the group at risk are actually screened each year. CT Colonography or Virtual Colonoscopy presents an increasingly popular alternative for those unwilling or unable to undergo optical colonoscopy.

Recognizing the need for new solutions in this area, Cedara Software is pleased to introduce Cedara IlumiView, a robust application for the seamless review, analysis and reporting of CT colonography.

A Flexible Screening Tool for Different Healthcare Facilities Cedara IlumiView provides an intuitive workflow that allows specialists to easily transition to offering virtual colonoscopy in place of conventional optical techniques whenever necessary. For PACS companies, modality manufacturers and other healthcare vendors interested in expanding their product offerings, IlumiView provides an excellent means to support CT colon screening programs.

Highlights of the application include:
*PACS connectivity as a standalone workstation or as an integrated capability for existing systems, etc.
*Navigate in 2D or volume rendered view of the lumen
*Easy 3D investigation of suspect polyps
*Automatic report generation
I
lumiView is a complete workflow solution that provides powerful tools to review colon studies and report their findings. It enhances productivity by integrating software tools to visualize the lumen, record findings, and automatically generate a report. Depending on user preference, studies can be reviewed working primarily with 2D images (using the 3D view for problem solving), or conversely in 3D (using the 2D view to confirm findings). IlumiView's sophisticated yet easy-to-use 3D visualization technology provides physicians with the capability to make clinical assessments quickly and easily.

Simple Visualization Tools
Visual Guide for Easy Navigation
*Volume rendered view of the lumen
*Graphics show location of findings as well as flight path, and location of 3D view
*Color-coded flight path shows where the 3D view has not flown

Tools to work in 2D or 3D
*MPR images displayed in a flexible multi-pane format
*3D view provided through path inside the lumen
*MPR images updated in real-time as the 3D view moves along a path

Fast and Efficient Study Review
Flight Path
*Centerline automatically generated
*Powerful tools to define and edit the flight path

Investigation
*Analyze prone and supine studies simultaneously
*Display forward and reverse 3D views simultaneously
*Easily move all views to arbitrary locations for problem solving
*Record movies in AVI or DICOM format

Automatic Report Generation
*Automatically generates a report on each study that includes patient information, review findings, images and recommendations
*Customizable report template can be easily configured for different clinical users

For OEM companies, Cedara IlumiView is available as a standalone workstation or can be tightly integrated into existing PACS solutions using Cedara's unique C4 integration platform.

Product Name:

Cedara Image Segmentation

Advanced Image Analysis Through Automated Anatomical Segmentation Healthcare professionals oftentimes need to uniquely identify certain anatomical structures in order to view and measure underlying anatomy. When working with digital images, selection and segmentation is normally performed using drawing tools to manually trace the contours of a specific region of interest, which can then be hidden or displayed depending on a user's preference. Manual segmentation presents a number of workflow roadblocks: *tracing the individual contours of an anatomical region can be a time consuming process and are largely dependent on subjective judgment
*manual segmentation can produce different results from different physicians (consequently leading to different diagnoses).

Revolutionizing the way that clinical specialists manipulate medical images, Cedara Software's image segmentation technologies provide fast, efficient and consistent means for separating anatomical structures.

Consistent & Efficient Results for Segmentation Working with images from all modalities, in both 2D and 3D formats, Cedara’s Segmentation technologies include:

Automatic Segmentation
Using ImageSnap Technology™, which automatically detects and measures a variety of anatomy, automatic segmentation provides immediate separation of key structures. Users have the opportunity to refine, accept or reject computer-generated findings.

Semi Automatic Segmentation
Incorporating the latest in Point and Click Classification Technology™ (PCC), Semi Automatic Segmentation requires users to select a region of interest, and scale the selection for specificity.

A Single Solution for All Modalities Automated Segmentation Technologies can be applied to a variety of different clinical specialties. When incorporated into an imaging application, it can be used to segment images (and generate data) from all major modalities in both 2D and 3D formats.

At the root of Cedara's approach to automatic segmentation are a variety of image analysis algorithms known as ImageSnap Technology. When applied in different contexts, ImageSnap can be used to automate image analysis in different contexts including:

*Automatic Bone Removal
*Liver Analysis
*Prostate Analysis
*Orthopaedics
*Biometric Analysis
*Baggage Screening

Customers are responsible for regulatory approvals for clinical uses of Cedara’s Automatic and Semi-Automatic Segmentation Technologies.

Product Name:

Cedara I-Reach™

Web-Based Image Viewing Cedara I-Reach™ facilitates the viewing of diagnostic images over the Internet. High performance and a feature-rich seamless user interface facilitate image distribution throughout the enterprise or remotely.

Key Benefits

*Internet-based, remote access enabling image access via easy to use, configurable user preferences
*Security authenticates users and logs activities
*Adaptive wavelet image compression facilitates high performance display
*Report and image access delivers the appropriate information to the relevant location
*Centralized deployment and user profile management makes simple administration possible

Universal Image Access Softcopy reporting should mean that images are available where, when and how you need them. Beyond the needs of radiological reporting, a Picture Archiving and Communications System (PACS) should provide image access to referring physicians, clinicians and other healthcare specialists. Dedicated workstations, while robust in functionality, present some limitations in terms of image access.

Beyond image needs within your institution, PACS solutions also need to accommodate the needs of teleradiology; they should provide a solution for oncall Radiologists, who would like to review images from offsite locations; they should allow physicians at multi-site facilities to view patient images during rounds.

For environments where immediate image access can make the difference between life and death, your PACS solution needs to extend the reach of Medical Imaging throughout your institution and beyond.

A Solution for Your Complete Enterprise Cedara I-Reach™ is a web-based DICOM server that provides access to relevant information at the appropriate time, presented in the proper context, with the clinically relevant tools to ensure patient outcomes are accurate and timely. This internet-deployable technology provides the ultimate information access
utilizing web-enabled technologies in a thin-client environment.

The Cedara I-Reach software provides:

*Web-based report and image viewing
*Easy-to-use administration tools
*Security and privacy features to facilitate hospital HIPAA compliance
*Automated workflow tools for increased productivity
*Scalable design for small-, medium- or enterprise-sized hospitals
*Integration with OEM archives and HIS/RIS for ease of implementation

Optimized Workflow
Image Manipulation and Viewing Tools

*Basic image manipulation and measurement tools
*Current and prior comparisons
*Configurable toolbars and right-click pop-up menus improve workflow
*New clinically reliable interface is the same as Cedara I-SoftView™

Simple Administration: Cedara I-Reach is easier than ever to administer using tools such as:

*Centralized user profile management for configuring user preferences
*Centralized version management for quick and easy software upgrades
*Role-based access defines user privileges
*Roaming profile gives users access to their preferences from any computer

Image Compression Facilitates quick display and loading of large datasets across low bandwidths using DICOM JPEG 2000 progressive decompression techniques

Efficient Workgroup Reading Ability to share worklists and mark studies as read allows users to collaborate more effectively

Facilitates HIPAA Compliance:

*Security login restricts access to authenticated users
*User access tracking and activity login
*No local image cache so images cannot be accessed after logging off
*Auto time-out ensures there is no unauthorized access
*128-bit encryption support for Internet access

Advanced Functionality

Advanced tools are available as options to add functionality to the application and are easily deployed over the web.

3D Tools

*Multiplanar Reformatting (MPR) including Thick Slab support
*Maximum Intensity Projection (MIP)
*3D Volume Rendering of Point and Click Classification
*Batch Reformatting and Curve Reformatting

Orthopaedic Tools and Templates Orthopaedic tools and templates are available to assist Orthopaedic Surgeons with planning using digital images. Image relation and Cobb angle measurements are just some of the specialized tools provided. Digital prosthetic templates can be overlaid on images to ensure sizing of prosthetic devices is accurate.

Scalable Solution

Web-Enabled Deployment The remote user can perform image viewing and manipulation via the Internet. The client software is automatically downloaded the first time the user accesses the Cedara I-Reach server from their computer. Advanced tools are also downloaded depending on user privileges.

Upgradability Because Cedara I-Reach is web-enabled, deploying software upgrades is easy. Upon upgrading the server software, the client software is deployed automatically over the web.

Progressive Downloading The Cedara I-Reach software uses progressive downloading to give users instant access to images with immediate interactivity while the entire study loads to the client.

Scalable to Include Multiple Healthcare Facilities Cedara I-Reach readily scales healthcare enterprises incorporating multiple facilities for easy access to studies from many different locations.

HIS/RIS Integration Cedara I-Reach seamlessly integrates with any information and repository system through its available interfaces.

Product Name:

Cedara I-ReadMammo™

One-Stop Solution for Breast Imaging in a Digital Environment
Cedara I-ReadMammo is a soft-copy reading workstation designed specifically for the complex breast imaging workflow. With its outstanding image quality, performance and tailored breast imaging workflow, Cedara I-ReadMammo enables radiologists to optimize their reading speed to provide high quality patient care.

As a multi-modality, vendor-neutral softcopy review workstation, Cedara I-ReadMammo was designed to minimize frustration in your move to digital by eliminating workstation duplication, providing specialized tools similar to those used with film and enabling customization to optimize reading workflow.

Key Benefits
*Eliminates the need for multiple workstations by supporting mammography systems from multiple vendors and multiple modalities on a single workstation
*Maximize reading speed by providing tools for complete review of digital breast images with a few clicks
*Improves productivity by allowing you to prescribe the image layout, presentation, and view order

Product Name:

Cedara I-Response™

A New Concept in Therapy Response Assessment Medical Imaging plays an important role in oncology therapy assessment. As clinicians shift cancer treatment to more personalized, adaptive programs, increased needs have developed for the visualization of tumour response to specific therapies.

In particular, clinicians require solutions that allow fast and efficient evaluation of tumour activity; fast in the sense of time required to identify changes in tumour activity; efficient in the sense of physical steps required to generate meaningful quantitative information from medical images.

Cedara I-Response is a leading edge workstation specifically designed for fast and efficient analysis of tumour response. Supporting multiple modalities with a flexible workflow, Cedara I-Response sets a new standard for therapeutic assessment in cancer care. Automatically generate a variety of quantitative calculations, compare tumour activity at multiple time points and visualize therapy response in individual, configurable layouts with this powerful software application.

Cedara I-Response boosts productivity in patient diagnosis and follow-up assessments as well as research through intelligent workflow and sophisticated image processing for co registration with prior studies and tumour segmentation.
Functional Diffusion Mapping Cedara I-Response features the patented technology of functional Diffusion Mapping (DM). Based on landmark work at the University of Michigan, this method allows healthcare professionals to visualize changes in tumour tissue resulting from cellular and metabolic mechanisms. Functional Diffusion Mapping has the potential to precisely monitor the early impact of anti-cancer drugs and radiation therapy. By giving radiologists, oncologists, researchers and others a sophisticated tool to study tumour activity at both the cellular and anatomical level, Cedara I-Response provides a foundation on which fast, efficient and personalized cancer treatment planning can develop.

Product Name:

Cedara I-SoftView™

Cedara I-SoftView™ is a family of clinically reliable, workflow-oriented PACS workstations.

Cedara I-Report™ The Radiologist’s premier diagnostic workstation utilizes automated workflow, presentation protocols, and advanced post-processing toolsets.

Cedara I-Read™ Optimized for multi-modality viewing, the user preferences and intuitive user interfaces enable reporting physicians and specialists efficient, effective workflow.

Cedara I-View™ A simple, cost-effective review station that provides DICOM connectivity with high performance display and facilitates clinicians access to patient data.

Options Several clinical options round out the workstation’s advanced viewing capabilities. Cedara I-Reach, our web-based PACS solution, offers similar functionality.

Key Benefits

*Easy to use, productivity-oriented workstation
*Automated workflow with modality specific, user-based presentation protocols for both 2D and 3D applications
*Highly advanced, fully featured cross-sectional and projection radiology tools
*Point and click segmentation provides the ability to render 3D images quickly and easily
*Uniquely configurable user preferences throughout the application

For imaging departments that want to extend the capabilities of a single modality, a Cedara I-SoftView workstation networked to a modality introduces processing functionality, multiple modality support, and reporting capabilities not available in dedicated workstations, at a fraction of the cost. This provides superior workflow, reducing the number of systems required to report patient studies. Integration and connectivity capabilities ensure that the required information is available with the required functionality.

For specialized facilities that have limited storage and integration requirements and want to implement teleradiology, Cedara I-SoftView is an easily implemented, scalable solution that provides soft copy reporting in a low maintenance environment. The easy-to-configure user interface enables each physician to set the system the way they prefer. The intuitive nature reduces training time while the enhanced workflow features ensure that productivity and efficiency are maximized. The Cedara I-Route teleradiology solution is easily added to enable remote viewing while the Cedara I-Reach web solution facilitates image distribution.

For large facilities that require a complete image management solution with extensive image distribution, integration, and storage, Cedara I-SoftView provides an open architecture product based on medical imaging standards such as IHE and DICOM. This facilitates integration with a Cedara I-Store™ archive and a HIS/RIS system for an enterprise-wide PACS solution. Using the Cedara I-SoftView™ SDK, customers can replace the study list with the HIS/RIS enabling a more complete look and feel, reduced learning curves, and complete information access. Internationalization support ensures enterprise-wide usage worldwide. Scalability and DICOM connectivity ensures that Cedara I-SoftView™ will be able to sustain the facility today and for years to come.

Product Name:

Cedara I-Store™

The Cedara I-Store™ product family is a truly DICOM-compliant, scalable, archiving solution designed to meet the evolving performance and redundancy requirements of the healthcare enterprise. Its scalable architecture allows users to start small and grow the archive as their imaging requirements grow. Cedara I-Store™ archive solutions are available for both Windows and UNIX operating systems.

Key Benefits

*Cost effective storage of medical images
*Scaleable solution that grows with users’ storage requirements
*Redundant software architecture ensures high up-time and optimized performance
*Flexible rules engine caters to the distributed imaging and workflow needs of departments

For Windows:
The software-only solution allows a wider selection of hardware
Ability to route images based on virtually any DICOM parameters

Product Name:

Cedara OrthoWorks®

Orthopaedic Digital Imaging Technology Digitizing the Orthopaedic Clinic as hospitals move from film to digital imaging in the quest for improved efficiency, Orthopaedists are searching for digital imaging solutions to support their work. Cedara OrthoWorks® brings advanced digital imaging technology to orthopaedics, offering image acquisition, surgical planning (local or over the web), archiving, web distribution, and OR viewing.

A Complete Digital Solution Cedara OrthoWorks® provides a complete treatment and planning solution for orthopaedic specialists. Designed to integrate with an existing PACS solution, OrthoWorks® components can be used throughout the orthopaedic workflow. Its unique web server component enables orthopaedists to view and manipulate images from various locations, providing access to the same tools as the standalone workstation. It also provides libraries of digital orthopaedic templates.

Multiple Workflow Modules Cedara’s new OrthoWorks® family, designed to integrate into an existing PACS or independently, consists of five modules for a complete orthopaedic workflow solution. Implemented alone or as part of the complete solution, these components have been designed with a complete orthopaedic workflow in mind.

Product Name:

Cedara PET/CT Workstation™

Advanced Imaging through Dual Modalities PET and PET/CT are popular topics of discussion in both nuclear medicine and radiology forums. From imaging previously unknown neurological processes to its impact on oncology, these modalities are causing a stir amongst medical imaging professionals.

As a combined modality PET/CT provides powerful functionality beyond the scope of either PET or CT images alone, by allowing healthcare specialists to view physiological activity in conjunction with anatomical location. As a relatively new modality, many radiology systems and PACS solutions however, are struggling to adapt to this technology. Sadly, many remain totally incompatible, forcing reading physicians to practice on the PET/CT console itself.

Addressing many of the issues surrounding the synthesis of data from PET/CT, Cedara is pleased to provide a software solution which allows PACS integration, while improving workflow, connectivity and efficiencies surrounding this modality. Cedara’s PET/CT Workstation breaks away from historic methods of showing PET/CT images by providing layouts split across dual monitors in panoramic mode.

Integrated Workflow for PET/CT Reporting While some vendors try to make PET/CT seem complicated and overly technical, Cedara Software's PET/CT Workstation has been designed to easily accommodate the standard methods that Radiologists use to read CT datasets.

Following the norm found in PACS, Cedara’s PET/CT Workstation breaks away from historic methods of showing PET/CT images by providing layouts split across dual monitors in panoramic mode. For efficient study comparison, this method of review allows simultaneous comparison of CT images, PET Corrected, PET Uncorrected, PET/CT Fused Images and MIP among others. Rigid Registration between images allows simultaneous navigation through all datasets.

Fast and Efficient Workflow Cedara’s PET/CT Workstation employs a variety of features designed to streamline the reporting of PET/CT studies:

*Progressive Reformatting to significantly improve time-to-first-image, allowing physicians to begin reporting while studies continue to load
*Support for dual monitors with special panoramic layouts
*3D Maximum Intensity Projection (MIP), Minimum Intensity *Projection (mIP) and 3D as hot-spot scout
*Tools for reading from axial, sagittal and coronal slices
*Quickly compare current and prior images simultaneously

Image Registration Cedara’s PET/CT Workstation provides two methods for linking images together (rigid transformation):

*Manual Alignment (user interactively defines orientation, scaling and translation in each study for registration)
*Landmark Alignment (user selects matching anatomical references in each study for registration)

Through Image Registration, Cedara’s PET/CT Workstation provides cross-correlation (or triangulation) between all images. Whether in 2D, 3D or MPR views, clicking on a region automatically snaps all views to the same location.

Comprehensive Tools to Report PET/CT For practitioners familiar with PACS systems, Cedara PET/CT Workstation contains immediately recognizable controls. Tools include:

*Measurements -> line, angle, rectangle, ellipse, polyline, polygon (including SUV calculation)
*SUV modes -> Body weight, Body surface area & Lean body mass
*Standard tools for zoom, pan, magnify, 3D rotation, adjust fusion control, window/level presets, reset
*Configurable colourmaps for PET & MIP display

Integration PET/CT can be easily integrated into PACS environments through DICOM capabilities including:

*Output via DICOM Secondary Capture
*Launch via DICOM Part 10 files
*Hardcopy via DICOM Print
*Mark as Read

Cedara’s PET/CT Workstation has been designed to operate with all PET or PET/CT manufacturer’s equipment, and allows mulitmodality review from one workstation.

For OEM companies, Cedara PET/CT Workstation is available as a standalone workstation or can be tightly integrated into existing PACS solutions using Cedara's unique C4 integration platform.

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Cedara PrimeLung®

Early Detection of Lung Cancer Lung cancer is the leading cause of death from cancer in both men and women in the United States, killing more people than cancers of the breast, colon, cervix and prostate combined. While survival rates have been climbing for other forms of cancer, the survival rates for lung cancer have remained dismal with one of the worst prognoses of all cancers.

Lung cancer does not cause any symptoms until it has reached an advanced stage, when treatment is least likely to work. Studies have indicated however that early Stage 1 Lung Cancer discovered through new screening techniques has a cure rate of 70% and sometimes even higher. A recent International Early Lung Cancer Action Program (I- ELCAP) study published in October 2006 stated that lung cancer can be detected at its very earliest stage in 85 percent of patients using annual low-dose CT screening, and when followed by prompt surgical removal the 10-year survival rate is 92 percent.

Beyond these statistics, lung nodule analysis and follow up is one of the most challenging tasks confronting today's radiologists. The problems of dealing with hundreds of slices and the small differentiation between healthy anatomy and diseased structures contribute to make this an attention-intensive task.

Cedara recognizes that productivity can be enhanced by judicious software tools that aid physicians while still providing complete authority over the output.

A Flexible Screening Tool for Different Healthcare Facilities Cedara PrimeLung provides a flexible workflow that allows specialists familiar with traditional x-ray lung screening to easily make the transition to a CT lung review program. For PACS companies, modality manufacturers and other healthcare vendors interested in expanding their product offerings, PrimeLung provides an excellent means to support diagnostic analysis of the lungs and CT lung screening programs. Highlights of the application include:

*PACS connectivity as a standalone workstation or as an integrated capability for existing systems
*Advanced segmentation algorithms support easy visualization of lung nodules
*Comparison mode facilitates review of follow up studies
*Automatic report generation

PrimeLung is a complete workflow solution that provides a powerful tool for reviewing lung studies and reporting their findings. It enhances productivity by integrating software tools to visualize the lung, record findings, compare previous studies and automatically generate a report.

PrimeLung's sophisticated yet easy-to-use visualization technology provides physicians the capability to make clinical assessments quickly and easily.

Powerful Visualization Tools
*Advanced viewing tools support a configurable 4-pane viewing layout with real-time MPR and sliding slab MIP functionality to examine the lung and the candidate regions identified by the user.

Fast and Efficient Study Review
*Automated nodule segmentation generates a 3D representation of the nodule and provides its signal and dimensional measurements.
*Sophisticated navigation tools allow quick and thorough review of large studies

Compare Studies
*Nodules are automatically matched to findings of prior studies and progression is categorized

Automatic Report Generation
*Report generated automatically including patient information, findings of review, comparison results, images and recommendations
*Customizable report document template easily configured for clinical end user
*Incorporates a decision tree based on I-ELCAP recommendations. Consistent recommendations are generated from case to case.

For OEM companies, Cedara PrimeLung is available as a standalone workstation or can be tightly integrated into existing PACS solutions using Cedara's unique C4 integration platform.

Product Name:

Cedara Volume Explorer™

3D Volume Rendering The Cedara Volume Explorer™ is a real-time, 3D rendering and visualization software engine specifically designed for ultrasound. It can be embedded in any Microsoft® Windows® environment at the ultrasound console, review station, or acquisition device.

Key Benefits
*Reconstructs DICOM cine from any ultrasound machine
*Ultrasound 3D reconstruction anywhere on a DICOM 3.0 network
*Retrieves 3D volumes from any DICOM machine

Hardware/OS Support
*Will execute at interactive speeds on any Pentium-class PC running MS-Windows (95/98/NT/2000/Me).
*RAM size requirements are minimal beyond what is needed to hold the input data.
*Multi-threaded rendering engine provides a near-linear performance improvement on dual or 4-way multi-processor computers.

Data Input and Output
*Rectilinear volumes of arbitrary dimensions
>Raw voxels
>Mitsubishi vox format
>Non-cubic voxels dimensions with trilinear interpolation during rendering (for minimal memory usage and maximum performance)

*Sequences of irregularly positioned slices
(tracked or un tracked)
>Reconstructed into a volume (tri-linear interpolation) during load, or prereconstructed and loaded as a rectilinear volume
>Unique reconstruction algorithm produces exceptionally good quality (no holes or duplicates) at an exceptional speed (near real-time)
>Can optionally clip out undesirable information on the input images, to eliminate overlay pixels in video-grabbed images, remove hidden structures and speed up processing
*DICOM single frame and multi-frame files
*An integration sdk, that includes activation and data loading, allows to easily and efficiently incorporating VE into existing products. Data can be loaded in VE through a flexible shared memory interface
*Real-time 4D: highly optimized volume reconstruction and rendering of data acquired by 2-D ultrasound transducers in fan-stack or vector-pyramid formats.
*Packaged data format for Internet download, containing preset views, volumes of interest, colors, and persistent settings. Export of AVI animation files and JPEG picture files.
*Integrated HTML report with embedded AVI and JPEG files and text comments. Optionally the reduced volume data set is embedded in HTML report allowing user to launch VE and interrogate volume directly from HTML report.
*Optionally wavelet compressed to a user-controlled degree (using a custom-developed 3-D wavelet codec). Incremental background decompression during load maximizes interactivity.
*4-D data: a sequence of volumes of any format to be optionally cycled during rendering and manipulation
*4-D cardiac visualization: variable speed looped playback of gated acquisition with full 3-D manipulation capability
*Work list support:
>Navigate back and forth between datasets as in Internet browser
>Load an arbitrary number of data sets at once, then sequence through

Visual Data Browser
*Auto-detected or user-selected studies folder
*Fast visual scroll through studies list
*Visual study overview and data selection showing 2D and 3D thumbnail icons for each series
*Fast visual scroll through series in a study
*Fast manual or automatic (cine) scroll through images in a series
*Real-time zoom/pan (bi-linear) and window width/level adjustment
*Image filters: rank (median), smoothing, sharpening or combination
*Can select multiple series to be explored in sequence (history list) or concurrently (4-D exploration)

3-D Rendering
*Four cross-correlated viewports updated simultaneously or a single large 3D image.
*Multi-planar reformats (MPR) at arbitrary location and orientation
*Volume rendering in multiple modes:
*Shaded 3D, voxel accumulation along the viewing ray based on opacity weighting and lighting simulation ( available with and without Depth Fading)
>Brightest, classical Maximum Intensity Projection where the brightest voxel along the viewing ray is visualized)
>Attenuated MIP, a variation of MIP where Depth Fading is also
considered
>X-ray, average of the voxels along the viewing ray
>3D planes (with variable color-coding and transparency effects), a 3D visualization of the 3 reformat planes
*Toggle Ortho/Perspective view in all modes with arbitrary camera position and viewing angle
*Real-time control over opacity assignment (ramp start/stop, ramp shape), with color feedback on reformat viewports
*Zoom volume in 3D (super/under sample)
*Real-time control over contrast brightness
and color
*A unique inside-outside mode allows independent clipping and coloring of an arbitrarily shaped internal volumetric region (VOI)
*“Identify Location” mode allows user to correlate any visible point in a shaded 3-D viewport with its corresponding location on the MPR viewports

Segmentation and clipping
*Front cut plane at an arbitrary depth
*Organically-shaped “Bubble” clipper at an arbitrary orientation and size, with interactive size and position control, cross-correlated across viewports
*Volume of interest (VOI) rendering mask of arbitrary shape
*VOI created from bubble, or from a contour drawn on a any reformat image and inflated in the 3rd dimension using an original “ballooning” algorithm
*Add/subtract from VOI by drawing an arbitrary contour correction at any orientation
in space
*Intersection between VOI and reformats
overlaid on the reformat views
*Arbitrary length of “undo” and “redo” operations
*Rendering engine highly optimized to improve performance with clipping

3-D Fusion
*Two volumes can be fused for combined rendering
*Minimal impact on performance compared to a single volume rendering
*Separate adjustment of color and opacity for each volume with real-time feedback
*Separate clipping controls for each volume

4-D Rendering
*Sequences an arbitrary set of volumes at an adjustable rate
*Full control over 3D rendering while sequencing (as if it was a single volume)
*Control over phase sequencing speed and pattern (bounce/loop)
Real Time 3D
*Capable of real time volume rendering display of >20 volumes per second
*Supports rapid feed of new image data to reconstruct and render volumes in real-time (over 20 fan-stacks/sec at 128 cubed on 1 GHz Pentium)
*Memory efficient (bare minimum consumed)

Measurement (tracked only)
*VOI Volume in ml or voxels automatically shown
*True 3-D line distance and angle measurements

Saved Views
*A view (combined state of all viewports) can be persistently saved at any time and returned to later for continued interaction
*Visual views browser allows quick and easy selection of view to restore
*VOI is saved with views in which it was applied using highly compressed data structures (100-200KB typical)
*Add, replace and delete saved views

Color
*Full control over color, including highlights, mid-range, shadows and background
*Real-time feedback during color modification
*12 preset color schemes, with capacity for the user to edit and save each.
*Auto-brightness algorithm adjusts viewing parameters to fit data and rendering algorithm selected

Perspective
*Define a viewing path by automatic interpolation of all rendering controls between key frames to produce smooth transitions and camera movements
*Produce an arbitrary length video clip from the viewing path
*Control over number of in-between frames and replay update rate
*Compress the video into an AVI file that can easily be distributed
*Integrated AVI clip review
*Camera icon allows user to manipulate view and move along viewing path

Print
*Leverages the full Windows print functionality to print to any printer connected to the PC
*Support for many layouts and image sizes
*Immediate preview of layout before printing

Save and Copy
*3D images compresses into small JPEG files during saving using high-quality compression
*Copy to other applications (e.g., photo editors) through the

Windows clipboard
*Compress any sequence of volume movements to an AVI file for export

HTML Integration for Reporting
*Create HTML report with text comments, drag and drop any image (as JPEG image), any volume (as wavelet compressed) or sequence of movements (as AVI file) into the HTML report.
*Report can be viewed in an web browser
*Reduced volume data set can be embedded in HTML report allowing user to launch VE and interrogate volume directly from HTML report

User Interface - General
*UI that is both easy to learn for beginners and highly-efficient for advanced users
*Interactive guided tour helps users learn the basic features on their own
*Carefully designed pictorial icons pop-up inside or next to the viewport in reaction to the position of the cursor, eliminating distraction and excessive mouse travel during exploration
*Direct manipulation of objects seen in viewports. Cursor shape changes as objects are approached to indicate anticipated effect.
*Cross-correlated viewports help avoid “being lost” in 3D
*Maintains interactive update rates on a wide range of platforms, data sets and rendering modes. Optimization is applied across the whole screen using multiple rendering parameters and knowledge of UI state (e.g., cursor position).
*Viewports automatically resize and image grids automatically retile to match application window size.
*User can toggle between screen layouts (one 3-D viewport or 2x2 cross-correlated views)
*Adjusts to any screen resolution from 600x800 and up, at color depths of 16, 24 and 32 bits.
*Can associate special data file extensions (.sweep, .psweep) with the viewer, allowing the user to view data files by simply double-clicking on their icons in the Windows environment.
*Framework-based internal software architecture separates functionality from UI implementation, allowing UI to be easily modified to fit custom requirements.

Product Name:

Clinical Solutions

Clinical software can have a major impact on the delivery of patient care. In the past several decades, a rapid expansion of clinical software systems has been noted within institutions that deliver healthcare. Today, more physicians rely on clinical applications to help them make even routine diagnostic and therapeutic decisions.

Cedara’s broad range of clinical applications is used in general radiology, oncology, orthopaedics, and other specialty areas. Many of Cedara’s clinical applications and workflow solutions can be added as plug-ins to existing workstations or used as dedicated, standalone workstations. Many represent high-value advanced starting point for custom applications.

Please select Clinical Solutions products you wish to learn more about:

General Radiology
*Cedara PET/CT Workstation™
*Cedara I-Reach™
*Cedara I-SoftView™
*eFilm Workstation™
*Cedara CalScore®
*Cedara I-Acquire™
*Cedara Volume Explorer™
*3D/4D Review™
*Cedara I-Store™
*Cedara I-Conference™

Oncology
*Cedara I-Response™
*Cedara B-CAD™
*Cedara I-ReadMammo™
*Cedara I-Contour™ RT (WIP)
*Cedara IlumiView™
*Cedara PrimeLung®
*Cedara PET/CT Workstation™

Orthopaedics
*Cedara AccuStitch™
*Cedara OrthoWorks®

Women's Healthcare
*Cedara I-ReadMammo™
*Cedara B-CAD™

Veterinary
*eFilm Vet™ (WIP)

Clinical Trials

Product Name:

Connectivity Solutions

Modern healthcare practices often face the challenge of optimizing the investment made in various systems for tracking and management of patient care process. With this, the challenge of integration between various systems is a key to providing the best-of-breed technology solutions to support high quality of healthcare services.

Leveraging the long track record of leadership and innovation in digital connectivity in radiology, Cedara offers a wide palette of solutions for integration of multitude of patient information and image sources into the end-to-end healthcare enterprise information flow. Ranging from high-quality analog video acquisition to EHR/HIS integration of Radiology systems, a solution is available from Cedara’s technology offering:

*MergeBox™Video
*MergeBox™Bridge

Product Name:

Development Tools

In today’s software market, the key to successfully competing is often related to focus on key differentiators and partnering with long-term technology companies to deliver a robust, competitive and relevant solution to end-users.

Over 20 years of expertise in delivery of diagnostic imaging applications and systems is captured in Cedara platform technologies foundation for rapid development of robust high-performing medical applications. Evolving from the long legacy of connectivity and imaging platform technologies, Cedara offers development tools for multitude of development environments and operating systems.

Whether building a brand new software product, integrating new technology within an established solution or combining solutions from multiple vendors, Cedara platform offering provides a solid starting point in one of related products:

Rapid Solutions Development
*C4™ - Cedara Clinical Control Center
*Cedara OpenEyes™
*MergeCOM-3 Toolkits
*Advanced Imaging Technology
*Cedara Image Segmentation™
*NavAssist Technology
*3D Volume Rendering
*Registration Technology

Product Name:

eFilm Vet™ (WIP)

eFilm Vet™ is a current development project at Cedara Software, combining the power of eFilm Workstation with dedicated functionality for animal imaging. Included in this unique version of eFilm, will be support for the tenets of DICOM group 25, allowing veterinarian radiologists to view DICOM tags such as species, breed and other relevant animal information.

The Most Widely Used Diagnostic Workstation in the World eFilm Workstation 2.1 is the newest release of the widely-used desktop diagnostic imaging software. eFilm Workstation incorporates many features required for day-to-day work, window/level presets, synchronized stacking, MPR, reference lines, cine function and integrated CD burning, as well as advanced capabilities like volume rendering. eFilm Workstation continues to utilize customer feedback and the leading imaging trends to bring you high level workflow, visualization, processing and CD burning capabilities in an intuitive, economical manner.

Enhanced Workflow for Clinical Reading eFilm Workstation 2.1 contains many tools which help you quickly load, review and save images as efficiently as possible, providing you valuable time savings in your radiology workflow. Designed to accelerate productivity, it allows you to examine multiple studies simultaneously, cross-reference, measure, rotate, pan, zoom, and annotate in an all-in-one application. Additional features include:

Split a Series For a Series with images that overlap (e.g. a multi-phase CT abdomen) eFilm can split the series into the appropriate number of sub-series (based on where they overlap in the patient), and the new sub-series that are created can be viewed independently. The new subseries can also be synchronized using the manual or auto synchronization features.
Automatic Timed User Interface Locking hides and locks the eFilm user interface after a settable period of inactivity on the part of the user. This allows you to leave a session safely and return with a simple login.

Toolbar and mouse functionality can be fully customized on a per modality basis to ensure you have quick access to only the tools you use.

Product Name:

eFilm Workstation™

The Most Widely Used Diagnostic Workstation in the World, eFilm Workstation incorporates many features required for day-to-day work, window/level presets, synchronized stacking, MPR, reference lines, cine function and integrated CD burning, as well as advanced capabilities like volume rendering. eFilm Workstation continues to utilize customer feedback and the leading imaging trends to bring you high level workflow, visualization, processing and CD burning capabilities in an intuitive, economical manner.

Enhanced Workflow for Clinical Reading eFilm Workstation contains many tools which help you quickly load, review and save images as efficiently as possible, providing you valuable time savings in your radiology workflow. Designed to accelerate productivity, it allows you to examine multiple studies simultaneously, cross-reference, measure, rotate, pan, zoom, and annotate in an all-in-one application. Additional features include:

*Split a Series - For a Series with images that overlap (e.g. a multi-phase CT abdomen) eFilm can split the series into the appropriate number of sub-series (based on where they overlap in the patient), and the new sub-series that are created can be viewed independently. The new subseries can also be synchronized using the manual or auto synchronization features.
*Automatic Timed User Interface Locking hides and locks the eFilm user interface after a settable period of inactivity on the part of the user. This allows you to leave a session safely and return with a simple login.
*Toolbar and mouse functionality can be fully customized on a per modality basis to ensure you have quick access to only the tools you use.

Product Name:

General Radiology

General Radiology

Radiology marks one of the most important areas for medical imaging. As a key area of the healthcare enterprise for diagnostic services, radiology’s dependency and utilization of medical images is unrivaled. Increasing demands for patient throughput, larger datasets of diagnostic information and increasingly complex clinical applications pose just some of the challenges for this specialty. Today, radiology requires access to a single, comprehensive software solution that can provide integrated image and information management throughout the healthcare enterprise and beyond.

To support the evolving needs of radiology, Cedara has a full spectrum of solutions, toolkits and plug-ins to support advanced diagnostic services and integrated image and information management. In the OEM marketplace, Cedara’s technology provides a fast, cost effective means for businesses to deliver leading edge technology and participate in new business opportunities

Please select from the following list of radiology products:

*Cedara PET/CT Workstation™
*Cedara I-Reach™
*Cedara I-SoftView™
*eFilm Workstation™
*Cedara CalScore®
*Cedara I-Acquire™
*Cedara Volume Explorer™
*3D/4D Review™
*Cedara I-Store™
*Cedara I-Conference™

Product Name:

MergeBox™ Bridge - HL7 Integration

Ensuring consistency between Radiology Solutions (RIS/PACS) and enterprise clinical systems is a key challenge to providing an integrated healthcare environment. Ability to effectively schedule radiology exams in the context of patient’s medical record and then be able to track progress and retrieve radiology exam findings is critical to ensuring a consistent quality of care within a practice.

Leveraging the strengths in connectivity and integration experience, Cedara MergeBox Bridge offers a powerful integration tool that connects various healthcare systems to radiology information. Using the flexibility of configuration and ability to quickly customize the workflow behavior, an integrator can quickly provide a vital link between hospital’s administration system and radiology department.

Using widely adopted HL7 interface, MergeBox Bridge automates Modality Worklist and provides radiology report information back to enterprise systems such as HIS or EHR solutions. Leveraging decades of leadership in DICOM standard implementation, MergeBox Bridge ensures universal connectivity to any RIS/PACS system or any Diagnostic Modality Device.

Built for optimal cross-platform capability, MergeBox Bridge leverages the advantages of Java platform to provide highly portable and configurable solution. Complementing the existing functionality of the product, additional data services and customized interfaces can be developed quickly and without impact on the core functions of the software.

Product Name:

MergeBox™Video

Accurate and speedy diagnosis requires availability of relevant historical information and images, as well as quick access to any specialized procedures that have been conducted in the past. Ability to leverage the existing high-performance PACS workstations, even for prior patient studies, is critical for quick and accurate radiology reading.

MergeBox™ Video delivers high-performance streaming video, static image and file acquisition capability. Using a proven Foresight AccuStream technology and robust hardware/software platform, MergeBox™ Video enables capture of high definition angiography, fluoroscopy or endoscopy studies, as well as quick DICOM capture of scanned documents, prior film studies or reconstructions.

With full DICOM Modality Worklist integration, MergeBox™ Video can ensure that all study capture, including importing for externally supplied patient studies on DICOM CDs, is conducted consistent with patient identity, as managed through the centralized RIS/PACS solution. Where a modality worklist capability is not fully available or implemented, MergeBox™ Video software allows the operator to create or update patient information, to ensure consistent handling throughout the care process.

MergeBox™ Video is a fully certified and approved device, and as such can be deployed to a wide variety of diagnostic environments, including mobile scanning systems and operating rooms. RoHS compliance and CE marking allow the device to be implemented world-wide.

Product Name:

MergeCOM-3 DICOM Toolkits

A Cross-Platform, Scalable DICOM® v3.0 Implementation Toolkit for Medical Imaging Application Developers DICOM implementation simplified: A cross-platform, scalable DICOM v3.0 solution for medical application developers which has been ported to over 30 operating system/platform combinations.

MergeCOM-3 is supported on a wide range of platforms, including Windows, MacOS X, and most standard UNIX platforms. The following platforms are currently actively supported:

Microsoft 32-bit Windows platforms on using Visual C++
Microsoft 64-bit Windows platforms on Intel EM64T or AMD64
Microsoft 32-bit Windows platforms using Borland C++ Builder 2006
Red Hat Linux on Intel x86
Fedora Core Linux on Intel EM64T processor
Sun’s Solaris 8 on SPARC using Sun Studio compiler
Sun’s Solaris 8 on SPARC using gcc compiler
Solaris 10 on Intel x86 using GCC Compiler
Hewlett Packard's HP-UX v10.x
Hewlett Packard's HP-UX v11.x
Silicon Graphics IRIX 6.5
MacOS X on PowerPC
MacOS X on PowerPC and Intel x86 (Universal Binaries)

MergeCOM-3 is also available on a number of embedded systems including VxWorks. Please contact us if your platform is not included in the list above, we are open to porting MergeCOM-3 to new platforms.

Go to our website for a downloadable trial www.cedara.com

Product Name:

OpenEyes™

For anyone developing a medical console, clinical package PACS workstation, or other Medical Imaging Application, the Cedara OpenEyes™ development platform embodies the very latest in software development technology. OpenEyes™ packages connectivity, visualization and printing services in a flexible and transparent architecture that can be deployed across a wide spectrum of application environments-- from small “one-off” projects to complex web solution services.

Using Cedara OpenEyes engineers can develop more rapidly and reduce costs. This platform includes all of the essential imaging functionality for easy integration of third-party applications and high-level viewing solutions, such as volume rendering in 3D. OpenEyes’ programming model represents a paradigm shift from previous technologies, completely insulating clients from the complexities of deep code development by providing a single uniform set of controls and development interfaces.

The underlying architecture together with 'on-the-fly' application configurators allows desired imaging functionality to be rapidly developed on a Windows® based operating system, using common interfaces and operating principles. Cedara OpenEyes™ includes a complete set of functional libraries for data access, viewing, direct interaction, annotation, image processing, analysis, rendering and display.

Engineers can easily incorporate a range of imaging capabilities into your internal or commercial applications. Using Cedara OpenEyes™, developers have access to technologies and open standard environments needed to meet the rigorous demands of the medical imaging market.

Service Name:

Capacity Engineering Services

A more effective alternative to project-based engineering is to hire a dedicated team over a longer term. This delivers great efficiencies in infrastructure setup and in leveraging the know-how and experience built up in the development group assets that appreciate over the long-term.

Projects can be delivered faster or with greater functionality and feature sets.

Cedara can offer the lowest onshore and offshore rates with fixed and predictable monthly billings, and will handle all the intricacies of running an offshore operation.

Larger scale development, multiple products and multiple product cycles can be handled effectively with Capacity Engineering. The dedicated teams can be adjusted for engineering maintenance and re-engineering.

Cedara provides an organization to the customer giving managerial and executive access so an OEM has control of the project or program. Similarly, an OEM should dedicate staff to the project and identify complementary management and executive structures.

The teams are structured with higher-level peer communication to the executive level. Since multiple projects may be on-going under Capacity Engineering, director-level relationships manage oversea combined activities with multiple project managers liaising at the project level.

Service Name:

Custom Engineering Services

Cedara Software has a rich history in developing custom solutions for companies in the medical imaging markets. Many OEMs have worked with Cedara to complement their internal development groups; sometimes, to take advantage of an innovative technology offered by Cedara. Most have a common end goal: to bring their product to market as fast as possible.

Service Name:

Oncology

With increased need for diagnostic and therapeutic capabilities, the oncology field is increasingly looking new imaging and information management techniques. For healthcare professionals, pharmaceutical and biotechnology companies, the lack of integrated digital solutions for these techniques represents a significant barrier to advancing patient care and reducing health care cost. Furthermore, radiation therapy planning and treatment is facing a dramatic increase of imaging to help deliver radiation doses more precisely to target volumes while sparing healthy tissue. To address these needs, Cedara has a powerful range of software tools within the Cedara OncologyWorks™ suite of solutions.
Cedara OncologyWorks is composed of different building blocks that can be combined in numerous ways to enhance diagnostic and therapeutic image and data management for different clinical settings. It is well suited to help vendors differentiate themselves by offering leading-edge, innovative solutions for information management and web-enabled screening and therapy guidance applications. Some of the world’s most advanced image analysis techniques are being developed by Cedara to tackle new frontiers in oncology, moving towards faster discovery of new drugs, improved diagnosis and personalized treatment.
Cedara’s leading edge development efforts for oncology include standalone and web-enabled solutions, operating as thick, thin and smart client workstations.
Please select from the following list of Oncology products:
*Cedara I-Response™
*Cedara B-CAD™
*Cedara I-ReadMammo™
*Cedara I-Contour™ RT (WIP)
*Cedara IlumiView™
*Cedara PrimeLung®
*Cedara PET/CT Workstation™

Service Name:

Orthopaedics

Increasing life expectancy and an aging population has created numerous new demands for the orthopaedic community. In the United States alone, there are approximately 18,000 orthopaedic surgeons. Performing a variety of complex procedures including joint replacement, spine correction and prosthetic implant surgeries, imaging tools represent key resources for this clinical specialty. While many orthopaedic surgeons still plan their procedures using grease pencils, film and acetate overlays, digital solutions for image and information management are providing new capabilities for this burgeoning clinical area.

Extending significantly beyond basic digital templating, Cedara’s development efforts for orthopaedics are focused on tools designed to support advanced diagnosis, automation and workflow enhancements. From stitching to image relation, image cutting and automatic reporting, Cedara’s capabilities represent the vanguard of digital medical imaging. Cedara’s emerging solutions for orthopaedics incorporate ImageSnap Technology™, a cutting-edge image processing technique that streamlines orthopaedic planning through automatic detection and measurement of anatomical structures. Furthermore, dynamic information management solutions provide support longitudinal studies, practice management and patient management.

Please select from the following list of orthopaedic products:
*Cedara AccuStitch™
*Cedara OrthoWorks®

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Pharmaceutical Clinical Trials

Cedara's Role in Pharmaceutical Clinical Trials

For more than 20 years, Cedara has been a leader in the development of innovative imaging and information software solutions for the healthcare sectors. As the largest development and technology partnership team in our industry segment, we are committed to working with clients and partners to provide customized, imaging and knowledge management solutions specific for the clinical trial workflow that will help make them more successful.

Emerging trends in clinical trials focus on the need to include imaging technology into study and clinical trial protocols. Since 2004 and the announcement of the FDA’s critical path initiative, imaging and automatic or semi-automatic segmentation is being recognized as essentials tool to improve efficiencies and reduce the time to market for drugs and devices.

Industry faces challenges with the overwhelming task of embracing image management and technology. Organizations involved in studies or clinical trials ranging from early discovery to post market studies struggle to identify ways to capture, send, access, view, and archive images that are compliant with federal and international regulations. Finding efficient management solutions is critical given the vast arrays of data sets, differing technologies, and information silos throughout an organization.

Business to business partnerships with Cedara provides a wide range of companies the ability to embrace imaging technology and accelerate their growth.

EDC and CTMS Vendors:

Become a market leader in the EDC/CTMS market by creating a complete solution that includes web enabled image management. Partner with Cedara to enable your solution to manage images from remote trial sites and/or remote readers by integrating a seamless image management system.

Cedara can work with you to provide additional services to help you rapidly adapt and capitalize to n this market trend. Contact Cedara representative today.

Imaging Core Laboratories and Contract Research Organizations:

Rapidly respond to new trials by utilizing Cedara’s ability to rapidly develop new applications by working from a well established, recognized and tested platform called OpenEyes™ and our highly trained in house engineering resources. Alternatively, empower your own in-house engineers by providing OpenEyes™ so they can use a single image platform for rapid internal application development.

Cedara has one of the largest independent clinical application portfolios on the market. Rapidly respond to the needs of a particular trial by selecting from our existing portfolio including regulatory cleared clinical applications. Using Cedara’s flexible architecture, we can rapidly integrate these applications into your existing infrastructure, workflow, and regulatory needs.

Create a virtual environment to embrace outsourcing trends with technology to enable remote readers to access images, annotate, and deliver reports all via the web. This can be a standalone solution or integrated with existing data management systems.

As a partner, Cedara could empower your company to grow faster by enabling you to focus on core competencies. Ask yourself, are you a software company or a service provider? With existing customers in the market space, Cedara understands the workflow requirements and business models for large and small imaging core laboratory (ICL) and contract research organizations (CRO). With Cedara’s flexible business model, we can establish a scenario that works for your specific needs. Increase your efficiency by focusing on what you do best.

21 CFR Part 11 compliance is a critical component to any system. In a joint effort Cedara will create the necessary technical controls required to address a company’s specific workflow to help the company’s initiative to ensure 21 CFR Part 11 compliance .

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Product Engineering Services

Cedara can build specific teams to meet a client’s needs, combining business analysis, subject matter expertise, seasoned developers, QA and management staff. The team will be highly focused on delivering a project, or product, for the client and for the duration of the work will be dedicated to that client.

The project team will spend some proportion of their activity in project infrastructure tasks: there will be efforts associated with project setup and staff orientation to get the project aligned to a client’s needs; depending on the extent of hardware interfacing or the need for lab setup there could be a variable infrastructure setup tasks. Overall, the efficiency of the group in rolling-out a deliverable will be lessened by the infrastructure tasks

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Professional Services

Cedara Software Corp. has a world-class professional services team that has domain knowledge, innovation and vision in patient care applications, technology, and workflow. Cedara's intensively trained professional agents help plan and execute roll-outs, integrate solutions, and support the post implementation. Our expert consultants ensure that your small to large deployment and integration needs are delivered on a timely and profitable basis.

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Rapid Solutions Development

In today’s software market, the key to successfully competing is often related to focus on key differentiators and partnering with long-term technology companies to deliver a robust, competitive and relevant solution to end-users.

Over 20 years of expertise in delivery of diagnostic imaging applications and systems is captured in Cedara platform technologies foundation for rapid development of robust high-performing medical applications. Evolving from the long legacy of connectivity and imaging platform technologies, Cedara offers development tools for multitude of development environments and operating systems.

Whether building a brand new software product, integrating new technology within an established solution or combining solutions from multiple vendors, Cedara platform offering provides a solid starting point in one of related products:

*C4™ - Cedara Clinical Control Center
*Cedara OpenEyes

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Veterinary

Recent figures indicate that American families spend almost $10 billion per annum on veterinarian care services for companion animals. Similar to the increasing role that radiology plays in human healthcare, veterinarian care presents a rising market opportunity for medical imaging. Cedara’s solutions for veterinary care have provided support for experts studying elephants on the plains of the Serengeti as well as local vets imaging the family cat.

Combined digital image and information management means that relevant diagnostic information for an animal can be found at one place and easily transmitted for consultation to other specialists around the world.

Cedara’s technology for animal care is uniquely designed to help veterinarians make accurate and early diagnoses while supporting the best possible treatment plans. Recognizing the varied circumstances in which vets must perform imaging, these solutions combine unrivaled flexibility and durability to support reporting from literally anywhere in the field’. Cedara also supports DICOM group 25 directives to display species, breed and other relevant animal information through solutions for visualization, distribution and archiving.

To support the evolving needs of veterinarian imaging, Cedara has a full spectrum of solutions, toolkits and plug-ins to support advanced diagnostic services and integrated image and information management. In the OEM marketplace, Cedara’s technology provides a fast, cost effective means for businesses to deliver leading edge technology and participate in new business opportunities

Please select from the following list of veterinary products:
*eFilm Vet™

FSC Code:

AZ00-Other Research and Development


Antonia Wells
	Title: VP Marketing & Operations
	Area of Responsibility: Management Executive
	Telephone: (905) 672-2100
	Fax: (905) 672-2307
	Email: info@cedara.com


Peter Bascom
	Title: VP Engineering
	Area of Responsibility: Management Executive
	Telephone: (905) 672-2100
	Fax: (905) 672-2307


Greg Leszczynski
	Title: VP Human Resources
	Area of Responsibility: Management Executive
	Telephone: (905) 672-2100
	Fax: (905) 672-2307
	Email: info@cedara.com


Vernon Colaco
	Title: VP Sales
	Area of Responsibility: Management Executive
	Telephone: (905) 672-2100
	Fax: (905) 672-2307
	Email: info@cedara.com


Tony Skokvic
	Title: Manager
	Telephone: (905) 672-2100
	Fax: (905) 672-2307
	Email: info@cedara.com


Loris Sartor
	Title: President
	Area of Responsibility: Management Executive
	Telephone: (905) 672-2100
	Fax: (905) 672-2307
	Email: info@cedara.com


Cedara Software Corp is a leading independent provider of medical imaging software for many of the world's leading medical device and healthcare information system companies. We sell to hospitals and medical clinics through our relationships with medical device manufacturers and healthcare information system companies. Whether you need PACS workstations, web image distribution, image acquisition consoles, DICOM print services, ready to use 3D or clinical applications, or hospital connectivity solutions, Cedara offers the preferred software solution. Our customers include many of the major multi-national Original Equipment Manufacturers (OEMs) and resellers, with whom we have long-term relationships.
Country of Ownership:	Foreign
Year Established:	1982
Exporting:	Yes
Quality Certification:	ISO 9001
Primary Industry (NAICS):	541510 - Computer Systems Design and Related Services
Primary Business Activity:	Services
Total Sales ($CDN):	$25,000,000 to $49,999,999
Export Sales ($CDN):	$25,000,000 to $49,999,999
Number of Employees:	257

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