Arjen Radder, Philips: Let’s talk a bit about total cost of ownership (TCO). You mentioned using our Ingenia Ambition, based on our fully sealed BlueSeal magnet, which enables more productive helium-free MR operations. BlueSeal technology is a leap in sustainability progress over most MRI scanners that feature magnets that are not fully sealed, allowing helium to escape. When helium escapes, it can result in lengthy and costly disruptions in MR services and makes hospitals somewhat dependent on a commodity with an unpredictable supply and price. How much of a factor is TCO and productivity in MR while driving sustainability for healthcare in general or Switzerland in particular?
Dr. Christoph Juli, radiologist: In healthcare today, everyone is concerned with return on investment, we have to be. Healthcare is a business and we have to look at it in that way just like every other business. We must justify the cost, return and value of capital equipment, partnerships and on-going services. In the radiology department, we focus on stable platforms and reliability to ensure we have almost no downtime apart from servicing. We also need a partner that will work with us and support us long-term so the focus is on outcomes and integration.
In terms of sustainability, the BlueSeal magnet in Ingenia Ambition that offers low helium consumption is quite impressive. In Switzerland, quench pipe freezing is a potential issue so the fact that Ambition offers a solution with no quench pipe, is very helpful. The compact system is also beneficial because it doesn’t require a high ceiling and allows the cooling unit to be placed in a small area. This gives us much more flexibility and increases productivity and ROI value long term. If you can only choose one magnet, Ambition is a great one to have in your hospital.
Arjen Radder, Philips: When we think about the future of radiology and try to predict the evolution of healthcare, accessibility is top of mind. You’ve mentioned that you would like to someday see MR scanners in large shopping malls! That view aligns with the idea that the “retailization” of healthcare is driving a whole new patient experience paradigm in which patients have more choices and want to be treated as individuals with divergent needs. Can you share more details on why you think this is important?
Dr. Christoph Juli, radiologist: My goal would be to have MR available to everybody and so we have to start thinking creatively about how to do that and meet patients where they are to make MR more accessible. This is especially important if we increasingly use MRI scanners for screening of common diseases such as heart disease. It’s all about convenience. If we can bring MRIs to shopping malls safely, efficiently and cost-effectively, and it doesn’t take much effort or time for patients to get a screening, then I think we increase our chances of getting more patients screened. And, if we can get more patients screened, we can be more successful in detecting disease earlier and people have a better chance at prevention which, will ultimately have a very positive effect on population health.
 SuAzio Consulting, MRI efficiency study, December 2017.
 The Advisory Board Company, Retaining and Growing Radiology Talent, 2018©
 Compared to the Ingenia 1.5T ZBO magnet.