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Imaging Systems
Interventional Imaging
Regulated development and commercialization journeys where clinical, quality, and market access align.
Example organizations in this space:
Siemens Healthineers
Philips
GE HealthCare
Canon Medical
This interactive experience is the shipped product itself — the same application code customers run in production, mounted read-only in your browser over a real sample journey. Not a video, not a mockup: because the demo and the product are one codebase, it can never drift from the real thing.
Inside this journey
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Pre-Sales
Qualify and diagnose before investing in a full evaluation cycle.
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Qualification
Confirm budget range, decision authority, timeline, and procurement constraints before investing in full discovery.
Qualification Questions
Clinical & Facility Fit
- Roughly how many interventional cases does this lab perform per year?
- Do you have room or footprint constraints we should know about?
- Please describe any site-specific measurements or constraints important for installation (ceiling height, door widths, shielding availability, preferred equipment placement).
Clinical Priorities & Imaging Requirements
- Which clinical and technical priorities should guide evaluation?
Integrations & Data Considerations
- Which systems must the imaging system integrate with?
- Will the system or any integrations process, transmit, or store patient-identifiable data (PHI) at your site?
Commercial Fit: Budget, Authority & Timeline
- Is there an allocated budget or budget range for this project?
- Who signs off on capital imaging purchases, and who else is typically involved in the decision?
- What is your target timeline for a purchase decision or system go-live?
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Facility & Clinical Discovery
Map clinical workflow, procedure volume, radiation-safety constraints, room footprint limits, stakeholder roles, and success metrics.
Discovery Questions
A quick snapshot of your lab
- Tell me which procedure types make up the majority of cases in your lab
- How many cases of each of those types do you perform per month on average
- When was the imaging system in this room last replaced or substantially upgraded
- Which category best describes the primary imaging system currently in the room
- What does a typical high-volume day look like for your staff and equipment turnover
- Who on your team usually decides to delay or call a case because of equipment or imaging limitations
- Are there routine block times reserved for complex cases that require advanced imaging capabilities
Where your workflow actually tightens
- What's the single workflow failure that most often forces you to delay or cancel cases
- Describe how staff move between procedural steps and where you see the most frequent bottlenecks in a complex case
- How long does turnover take between cases on your busiest days
- Who notices workflow delays first, and what immediate workaround does that person request
- When imaging angles or detector coverage limit a procedure, how does the team typically respond
- If these limitations recur, which downstream metric usually shows the impact first
Staff safety, radiation, and dose reality check
- Which radiation safety gap would cause your safety officer to halt procedures until resolved
- Describe how your team currently measures staff dose and patient dose metrics during high-volume days
- Name the roles that must sign off when dose thresholds or exposures are exceeded
- Recall the most recent case where dose concerns changed your technique or scheduling and tell us what you changed
- Are there institutional dose reduction targets that factor into vendor selection or capital approval
- If an independent audit showed your current system exceeded your target dose by 30 percent, would leadership commit to upgrade this year
Room shape, doors, and the tight corners that matter
- Identify the single room constraint that would prevent installing a new system in this space
- Provide your room dimensions, ceiling height, door widths, and any immovable fixtures that would affect gantry movement
- List which walls currently have lead shielding and where you would expect new shielding to be required
- Estimate clearance between fixed equipment such as booms, OR lights, and the proposed detector path
- Do structural or HVAC limits constrain your choice between floor-mounted and ceiling-mounted systems
- Would you proceed with the project if the feasible layout reduced detector coverage by about 20 percent
Decision owners, champions, and the people who can stall progress
- List the stakeholders who could veto a system that does not integrate with your hemodynamic monitor or EP recording system
- Name the departments that must sign off before procurement can issue a purchase order
- Explain who on your team handles trade-offs between downtime and procedure volume when procurement raises scheduling concerns
- Count the number of clinician champions actively supporting an upgrade this year
- Does an independent physicist or committee need to approve acceptance testing and commissioning
- Would the project be blocked if one executive refuses to fund beyond baseline service, or is alternate approval available
What outcomes will make this investment feel justified
- Identify the measurable clinical improvement that would convince your committee to select a new imaging system now
- Provide the KPI targets for dose, procedure time, and contrast volume you expect in year one
- Explain how your finance team will weigh uptime improvement against purchase price
- Should a pilot demonstrate 25 percent faster turnover with no change in clinical outcomes, who could authorize purchase within 30 days
- Do training completion rates form part of your acceptance criteria for go-live
- Point to the one demo result that would cause you to proceed to purchase immediately
What could stop this before it starts
- Point out the site risk that would make you stop the project immediately
- Estimate how often changes in budget cycles or capital planning delay projects like this at your institution
- Confirm whether existing service contracts or vendor exclusivity clauses could block installation
- State who on your team owns the contingency budget for unexpected room work
- Specify the maximum acceptable gap between equipment delivery and regulatory approval before you would reconsider the project
- Could your schedule accommodate a required six week room closure, or would that end the project
Who else are you talking to, and why
- Consider staying with your incumbent, what operational gap would you still be paying for
- Inventory the alternatives you are actively evaluating today, including incumbent and internal options
- Summarize the conditions under which you would keep your current system rather than replace it
- Has anyone on your team proposed an internal retrofit or do-it-yourself integration instead of buying a new system
- Rate your satisfaction with current maintenance and service arrangements for this room
- State the conditions that would need to be met for you to keep your current approach instead of change
- Indicate whether you prefer a short pilot, phased replacement, or full swap as the path forward
Integration and operational readiness
- Flag whether gaps in IT or biomedical resources would push integration timelines past your acceptable window
- Tell me which team or role is responsible for APIs and integration endpoints for your hemodynamic monitors and EHR
- Confirm whether APIs for hemodynamic monitors and EHR are available and documented
- Approximately how many full time staff will be dedicated from your side to integration and testing
- Is there a preferred access window for installation within the next quarter
- Enumerate the compliance approvals required for go-live and provide expected lead times for each
- Can a six month network security review still allow you to meet your target go-live
Decision criteria, acceptance, and clear next steps
- Please state the person or role who can sign the final purchase order if clinical acceptance metrics are met
- Outline the timeline your finance team would need to close after final acceptance
- Assuming a pilot proves the numbers, what, if anything, would stop you from signing that week
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Solution Experience
Walk through how proposed configurations deliver clinical outcomes, dose targets, and workflow integration in the buyer's context.
Solution Experience
- Solution Experience Session
- Confirm the current state and its cost to your program
- You confirm the demonstrated configuration meets your procedure image-quality and dose targets in your typical cases.
- Deliver a site-specific simulation report showing expected detector coverage maps, estimated dose per procedure, and projected impact on procedure time within 5 business days.
- Run a representative procedure with your workflow and dose targets
- You confirm the proposed room layout removes the footprint constraints that currently cause setup delays or rework.
- Prepare a physics comparison of your current clinical protocol versus the proposed configuration with expected dose metrics.
- Validate room layout and equipment footprint
- Provide one representative procedure case record including typical C-arm angles, patient sizes, and procedure duration for scenario playback.
- You agree on the remaining technical evidence and acceptance criteria required by your procurement and clinical engineering teams.
- Confirm the decision criteria and timeline for capital approval so remaining evidence can be prioritized accordingly.
- Demonstrate integration with hemodynamic and documentation systems
- Present service and uptime scenarios that prevent cancelled cases
- Forced validation, confirm this maps to what you described needing
- Solution Experience Session
- Solution Experience Deck
- Solution Brief
- meeting
- slides
- document
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Solution Scope
Define system configuration, room planning, interfaces, training, service levels, and responsibilities for installation and acceptance.
Scope Configuration
- Install and commission imaging hardware (C‑arm and flat‑panel detector)
- Perform room electrical, shielding, and ceiling infrastructure upgrades
- Configure low‑dose fluoroscopy and dose‑management protocols
- Validate radiation shielding and staff dose monitoring setup
- Optimize image quality and run acceptance testing
- Integrate hemodynamic and electrophysiology monitoring systems
- Integrate DICOM/PACS and procedure documentation systems
- Migrate procedure workflows and templates to the new system
- Deploy roadmapping and image‑fusion capabilities
- Deliver clinical applications training for physicians and staff
- Provide service agreement with uptime SLA and emergency response
- Enable remote diagnostics, software updates, and preventive maintenance
- Supply onsite spare parts kit and consumable inventory
- Offer capital financing options and incentive qualification support
Scope Questions
Install and commission imaging hardware (C‑arm and flat‑panel detector)
- Confirm the C‑arm mounting type required for your room: ceiling pendulum, floor stand, or hybrid ceiling/floor
- Specify the flat‑panel detector active area you require (example: 30x40 cm, 40x40 cm) and any coverage preference for table‑to‑ceiling reach
- Provide the target first‑image‑on‑screen latency (milliseconds) and any DICOM send latency requirement for PACS first‑image display
- List the interventional procedures you expect to perform on this system (for example: coronary angiography, peripheral interventions, TAVR, neuro), and approximate annual volume per procedure
- Estimate the maximum table height, weight capacity, and required C‑arm clearance around the patient for the planned procedures
- Identify any room access limitations (door width, corridor turns, elevator capacity) that will affect delivery and crane rigging
Perform room electrical, shielding, and ceiling infrastructure upgrades
- Indicate your site's single‑line electrical diagram (SLD) availability and whether a site electrical survey report is already on file
- State the existing electrical service capacity at the room (voltage and dedicated circuit ampacity) and whether additional UPS or generator backup is required
- Describe ceiling structural details and finished ceiling clearance including slab type and any existing suspended ceiling grid that may affect ceiling mount reinforcement
- Are there current lead shielding plans or drawings (include thickness in mm or mm Pb equivalent) for walls, doors, and observation windows for fluoroscopy rooms?
- Identify any required building permits, AHJ notifications, or construction windows that constrain when upgrades can occur
- Estimate the allowable on‑site construction hours and any lockout/tagout (LOTO) restrictions during build work
Configure low‑dose fluoroscopy and dose‑management protocols
- Specify your target procedural dose metrics to meet (for example: reference air kerma, dose area product [DAP], or fluoroscopy time goals) for coronary and peripheral cases
- Which dose‑reduction modes do you require configured by default (for example: pulsed fluoroscopy rate presets, last‑image‑hold settings, grid on/off presets)?
- Do you require automatic dose notifications or hard thresholds per case type that trigger a pause or review when exceeded?
- Provide the number and roles of staff who must receive staff dose reports after procedures (for example: attending physician, lead tech, physicist)
- Indicate whether your medical physics group requires protocol documentation tied to each preset for regulatory inspection
- Identify any local or national radiation dose reporting standards to which your facility must comply (for example: state reporting, IAEA, or internal QA thresholds)
Validate radiation shielding and staff dose monitoring setup
- Provide the required radiation shielding acceptance thresholds (for example: ambient dose rate outside room in µSv/hr at 1 m) that your physicist will sign off on
- Which accredited medical physicist or internal physics team will perform shielding validation and provide the acceptance report?
- Do you require integration of staff electronic personal dosimeter (EPD) data into the system for per‑case staff dose tracking?
- State the method and acceptance criteria your physicist uses for scatter measurements during commissioning (for example: measurement points, distance, and maximum allowable µSv/hr)
- Will shielding remediation (additional lead, door replacements) be handled under this scope or by your facilities team?
- What documentation format do you require for shielding sign‑off (for example: PDF report with test tables, annotated room drawings)?
Optimize image quality and run acceptance testing
- Provide your image quality benchmarks for acceptance testing such as spatial resolution (lp/mm), low‑contrast detectability target, or line pair phantom results
- Which phantom and measurement standards does your clinical physics team require for acceptance (for example: AAPM TG series, vendor phantom model)?
- Do you require preconfigured clinical protocols tuned per specialty (cardiology, vascular, neuro) and documented dose‑vs‑image quality tradeoffs?
- Indicate whether you want baseline image quality metrics recorded in a QA database for future regression testing
- How will you verify acceptance testing results: sign‑off by clinical lead, medical physicist signature, or both?
- Provide any interoperability tests to include during acceptance (for example: DICOM C‑STORE to PACS, HL7 ADT linkage, or first image auto‑archive)
Integrate hemodynamic and electrophysiology monitoring systems
- List the hemodynamic monitors and EP recording systems you must integrate with (model and vendor category) and whether real‑time vitals overlay is required
- Which integration method do you prefer: direct serial/ethernet API, HL7 feed, or middleware gateway?
- Do you require synchronized timestamping between imaging frames and hemodynamic/EKG traces for post‑procedure review?
- Provide required network VLAN, IP addressing scheme, or firewall exceptions needed to connect the monitoring devices to the integration endpoint
- Are there credentialing or HL7 interface documentation items your IT team requires before integration work begins?
- Indicate the clinician workflow for live overlays: which clinician role controls overlay on the primary display during a procedure?
Integrate DICOM/PACS and procedure documentation systems
- Provide your PACS details: AE Title, IP, port, and required transfer syntax preferences for DICOM C‑STORE
- Which procedure documentation system or EMR will receive structured reports, and do you require HL7 ORU or FHIR reporting?
- Do you require modality worklist (DICOM MWL) integration and scheduling lookup from your RIS/EMR?
- Indicate whether anonymization or patient ID mapping rules are needed during archive to PACS for research or downstream viewers
- Provide the expected daily image volume and typical case size (GB) to size network and storage transfer testing during cutover
- Which acceptance tests do you require for archive verification (for example: verify C‑STORE success rate, first‑image display on PACS within X seconds)?
Migrate procedure workflows and templates to the new system
- List the procedure templates and macros you currently use that must be migrated (for example: coronary angiogram template, cath lab consent checklist)
- Do you require mapping of legacy procedure codes or custom fields into the new system's workflow templates?
- Provide the clinical roles that should appear in templates (for example: primary operator, scrub tech, monitoring nurse) and associated checklist items
- Are there regulatory or billing fields that must be retained exactly during template migration for compliance or reimbursement?
- Indicate whether you want a parallel validation period where both old and new templates run in shadow mode before cutover
- Estimate the number of unique templates and average template complexity to scope migration effort
Deploy roadmapping and image‑fusion capabilities
- Which roadmapping features do you need: live roadmap overlay, pre‑procedure roadmap import, or multi‑viewer synchronized roadmap?
- Provide the external imaging modalities to fuse with (for example: CT angiography DICOM series, MR, ultrasound) and expected DICOM transfer method
- Do you require automatic registration between pre‑op CT/MR and live fluoroscopy or manual registration tools?
- Indicate required accuracy thresholds for fusion registration (for example: <5 mm misregistration) for the target procedures
- Which clinician roles should have direct control of fusion overlays during the case (for example: attending physician, imaging tech)?
- Do you want roadmapping and fusion presets saved per procedure type for faster setup?
Deliver clinical applications training for physicians and staff
- Specify which staff groups require training: interventional cardiologists, interventional radiologists, technologists, nurses, medical physicists
- Provide preferred training formats: on‑site hands‑on, remote instructor‑led, and/or asynchronous e‑learning modules
- Estimate the number of clinician proctoring days required after installation for clinical adoption and credentialing
- Do you require procedure‑specific competency checklists and sign‑off forms for privileges or credentialing purposes?
- Indicate whether training materials need to include radiation safety briefings tied to your site's dose policies
- Which language(s) should training materials and quick reference guides be provided in?
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Mutual Commit
Finalize commercial terms, service agreements, installation milestones, acceptance criteria, and mutual responsibilities.
Agreement Modules
- Purchase Agreement
- Statement of Work (SOW) — Installation & Training
- Master Services Agreement (MSA)
- Service Level Agreement (SLA)
- Acceptance Test Plan & Criteria
- Warranty & Extended Service Plan
- Software License & Maintenance Agreement
- Payment Schedule & Commercial Terms
- Equipment Delivery, Title, and Risk of Loss Addendum
- Change Order Agreement
- Installation & Site Readiness Checklist (Attachment)
- Termination & Exit Plan
- Insurance & Indemnity Addendum
- Data Protection & HIPAA Business Associate Addendum (conditional)
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Deployment
Lock readiness facts and configuration values before execution begins.
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Pre-Deployment Readiness
Capture owners, site readiness items, access windows, regulatory approvals, and scheduling constraints before installation.
Pre-Deployment Questions
Environment and site access
- Primary site name and exact installation room identifier(s) (enter each room on one line) — so we can schedule the site survey, permits, and parking/truck access.
- Is this a single-room single-system installation or a phased/multi-site rollout? (this determines crew size and lead times)
- Which of the following site build items are already completed in the installation room(s)? (select all that apply — informs required trades and schedule)
Integrations and approvals
- Which third-party systems must the imaging system integrate with? (select all that apply — categories only; exact endpoints collected in DeploymentConfig)
- Hospital network / IT readiness: which best describes current state (so we can plan firewall, VLAN, and cabling work)?
- Have radiation-safety and medical physics owners been identified and committed to commissioning and sign-off? (we need named owners before scheduling commissioning)
People and timing
- Named buyer project manager (name, role, contact) responsible for scheduling approvals, site access, and decisions during deployment.
- Target installation window — earliest acceptable start date and latest acceptable completion date (enter dates) so we can align crews and shipping.
- List clinical blackout windows, recurring access constraints, or procedural days to avoid (enter 'None' if schedule is flexible) — this will be avoided when planning installation and training.
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Configuration Details
Lock exact room layout, detector size/coverage, integration endpoints, network settings, and equipment delivery schedule.
Configuration Details
Deployment Room — lock the target installation space
- Enter the canonical room identifier to lock into the build (format example: 'CathLab-A' or 'OR-3')
- Select the room type this configuration will be installed into (this determines the base room-template used by the installation)
Physical layout & detector footprint — exact hardware choices
- Select the planned gantry mounting configuration (Default: Ceiling-mounted C-arm)
- Select the primary flat-panel detector active area to lock into the BOM and room planning (Default: 43 x 43 cm)
- If you selected 'Other' above, enter the exact detector active area in centimeters (format: 'WxH', e.g., '45x45'); otherwise enter 'N/A'
Integration endpoints & identifiers — the exact connection points we will register
- Which integration endpoints will the system need to connect to? Select all that apply
- Provide the DICOM AE Title to be used by the receiving PACS/VNA (if PACS/VNA selected). If not applicable, enter 'N/A'
- Provide the FQDN or IP address of the primary image endpoint to receive/route images (format: 'hostname.example.local' or '10.0.0.5'). If not applicable enter 'N/A'
Network settings — addressing, ports, and secure exchange
- IP addressing mode for the imaging system (Default: DHCP)
- If you selected Static, provide the primary static IPv4 address to assign (format: '192.0.2.10'); otherwise enter 'N/A'
- Which outbound network ports must be allowed from the imaging system? Select all that apply
- If you selected 'Other' for outbound ports, list the port numbers/protocols (format example: 'TCP 12345'); otherwise enter 'N/A'
Delivery schedule & commissioning ownership
- Target equipment delivery date (format: YYYY-MM-DD). Default planning assumption is 30 days from mutual commit if you are unsure — enter planned date
- Preferred delivery window on the delivery day (Default: Full day)
- Named owner for final commissioning and safety sign-off (enter 'Name, email')
- Do you require vendor-supervised clinician training during commissioning? (Default: Yes)
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Deployment
Execute installation, room build, equipment integration, testing, and clinician training with named owners and timelines.
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Commissioning & Safety Sign-Off
Complete radiation-safety commissioning, physicist acceptance tests, integration verification, and formal sign-off before clinical use.
Checklist items
- LOTO and electrical energization verification completed and documented
- Structural and shielding survey report accepted
- Radiation-safety commissioning measurements logged
- Physicist acceptance-test protocol executed and signed
- Clinical-system integrations verified with signed test records
- Network and cybersecurity settings locked and documented
- Functional safety and alarm systems tested and signed off
- Clinician workflow simulations completed and competency checklists signed
- As-built documentation and maintenance package delivered and acknowledged
- Formal written permission-to-operate and final sign-off obtained
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Success
Confirm clinical outcomes, uptime performance, training completion, and provide a shared channel for issues and enhancements.
Success Reviews
- Go-live Health Check (weeks 1-4)
- First Outcomes Measurement (weeks 4-10)
- Operational Quarterly Review
- Annual Success Review
Issues & Enhancements
- Confirm ongoing owner for the shared issues and enhancements channel and document the escalation contacts and SLAs.
- Publish a decommission report showing legacy system shutdown steps, data archive locations, and confirmation of no active clinical use.
- Schedule targeted training sessions for users who have not reached the required proficiency within two weeks.
- KPI trend review
- Confirm KPIs for system availability percentage and case throughput are stable or improving toward Solution Scope targets.
- Ensure service response time and repair metrics meet the agreed service levels or have a remediation plan.
- Agree the prioritized enhancement backlog items and the timeline for the next quarter.
- Create or update the enhancement backlog with clear scope and estimated delivery quarter.
- Open an SLA remediation ticket for any service metric below target with corrective steps and timeline.
- Publish the quarterly operational summary and KPI dashboard to the shared workspace.
- 12-month outcomes summary
- Confirm whether the measured clinical outcomes and uptime performance meet the Solution Scope targets over the 12-month period.
- Validate that training completion and competency maintenance processes are in place and effective.
- Agree a specific continuous improvement plan for the next 12 months and confirm the active shared channel and escalation practice.
- Publish the annual outcomes report to the shared workspace including all KPI trend charts and documented anomalies.
- Define a 12-month improvement roadmap with milestones for any metrics that did not meet targets.
- Re-confirm acceptance criteria and owners
- Confirm the system and integrations were installed and validated as recorded in Commissioning & Safety Sign-Off, with any deviations noted and owned.
- Establish the top 5 open issues with owners and committed remediation dates.
- Agree schedule and data sources for the first outcomes measurement meeting.
- Document each open issue in the shared support channel and create corresponding remediation tickets with target dates.
- Schedule a hands-on clinician refresher session within 7 days for any users reporting procedural workflow friction.
- Enable or confirm operational monitoring (uptime and error logging) to feed the first measurement dataset.
- Present first outcomes data
- Determine whether system availability percentage and average fluoroscopy dose per procedure are progressing toward Solution Scope targets and list required corrections.
- Confirm training completion rate and identify any additional training needed to reach the documented competency targets.
- Verify the incumbent system is decommissioned or formally retained-read-only and its data archive or migration is complete.
- Open calibration and clinical technique tickets to address dose gaps, with target dates for repeat baseline measurements.
- Service performance and SLA adherence
- Reliability and maintenance history
- Deployment and integration validation
- Diagnose gaps and root causes
- Persistent issues and blocker burn-down
- Early adoption signals and first-case observations
- Training and competency review
- Incumbent system wind-down confirmation
- Shared channel and escalation practice assessment
- Enhancement and improvement channel review
- Open issues, safety items, and blockers
- Agree corrective actions and timeline
- Confirm acceptance artifacts and documentation
- Short operational action planning
- Year-end actions and continuous improvement plan
- Immediate remediation and next steps