Karen Holzberger’s stories

Easy access to detailed analytics is something most of us take for granted. That’s true in nearly every aspect of our business and personal lives, from sales and P&L reports, to web and social media analytics, to home banking apps, and even our workout routines and favorite sports. That’s why it’s so ironic that physicians, […]

In my last blog entry, I shared how care facilities of all sizes have made the Nuance PowerShare Network the largest image-sharing network in America. The network has even grown since then and now serves more than 6,400 facilities spanning nearly 25,000 physicians and more than 26,000 patients exchanging almost 1.5 million studies each month. […]

We all recognize the value and importance of networking in our personal and professional lives because of the connections we can make to gain access to useful information and resources. While networking seems to come more easily or naturally to some, it actually takes purposeful, continuous effort to build and maintain a robust network. Those […]

Imagine that you are a busy professional whose very long days are packed with a mix of routine and critical time-sensitive tasks, each of which requires close attention and thorough and accurate paperwork. One day you learn that powerful new tools can help you get more work done in less time with improved quality and […]

This content was also published in Health Data Management on November 28, 2018 and is co-authored with Dr. William Boonn, CMIO, Nuance Healthcare. As healthcare’s technology pioneers, radiologists are following the ongoing development and design of artificial intelligence (AI) models to detect abnormalities in diagnostic images with a mix of anticipation and uncertainty. It’s increasingly […]

There are two things that have long been true about incidental findings and follow-up recommendations in radiology reports. First, they are exceedingly common. Second, they are often not completed: 30% to 70% of follow-up recommendations are “lost” or never completed for reasons unrelated to physician skill, but from a mix of systemic and technology limitations. […]

I have a prediction for the adoption of AI in radiology in 2019: radiologists not only will adopt workflow-integrated AI solutions in increasing numbers, they will accelerate development and application of these solutions throughout the healthcare value chain. I base that on three observations from last month’s RSNA conference in Chicago: There’s been a sea […]

The annual meeting of the Radiological Society of North America (RSNA) reliably produces a lot of important radiology news, and it would be fair to say that this year’s conference was no exception. In fact, it’s more accurate to call the news from this year’s conference – game-changing. RSNA 2018 was exceptional for the marked […]

The workplace dynamics of radiology reading “rooms” have changed dramatically in the last few decades. It’s less common for radiologists to sit in a single reading room and have the option to talk directly with each other about how to manage the daily workload. In addition to the physical separation, today’s radiology workloads have become […]

According to the Lung Cancer Foundation of America, 433 Americans die every day from lung cancer—that’s one person about every three minutes. Despite its position as the leading cancer to cause death, routine screening programs have only just been established in recent years. I had the chance to talk recently with Dr. Juan Batlle, whose […]

Nuance Healthcare Diagnostics Vice President and General Manager Karen Holzberger sat down with Dr. William Boonn to get a clinician’s view of why the new mPower Clinical Analytics offering – part of the mPower suite of clinical excellence solutions – represents such a significant step forward for radiologists and for healthcare professionals everywhere. In nearly […]

Interoperability for healthcare IT and radiology is a tough, yet important challenge that healthcare systems, providers and patients face. The goals for interoperability as defined by the U.S. Office of the National Coordinator for Health IT (ONC) include: 1. the vision of a learning health system where individuals are at the center of their care and […]

Triathletes running to bicycles on beach

If you want to understand where radiology and radiology workflows are heading, just listen to your colleagues, friends or family members talk about fitness routines. Gone are the days when getting fit was mainly about pumping iron, working the weight machine circuit or getting on a cardio machine. People still do those things, of course, […]

Here’s a bit of news followed by a little history. First, the news:  The Nuance AI Marketplace for Diagnostic Imaging is officially open for business! After finalizing logistics and implementing the details, the AI Marketplace officially welcomed its first 34 AI software developers, since its ‘doors opened’ at the HIMSS18 conference earlier this month. These […]

What if radiology were a sport at the Winter Olympics? Would it be the giant slalom, moving at high speed through a series of gates in constantly changing conditions? Or would it be the biathlon, requiring a rapid cross-country pace with stops for precision shooting? Or maybe it would be figure skating, blending technical and […]


Many experts believe radiology is having a moment – that the integration of machine learning technology in radiology is a disruption that could be as profound as the advent of digital imaging. At the annual Radiological Society of North America (RSNA) conference in Chicago this week, we had the honor of unveiling the Nuance AI […]


This is a week where we are given a special opportunity to appreciate the community that sustains us. Whether that is a large circle, or a more intimate one, it is a reminder we are all better together. We are grateful for the rich community of partners and the clients we have the privilege to […]

Nuance is excited to be continuing a tradition of tailored radiology solutions leveraging client-thinking and rapid prototyping. These solutions deliver disruptive technologies that solve challenges, optimize workflow and increase efficiencies to improve patient care. It is this core culture and a continued enthusiasm to always think bigger and delight clients that will be the “secret […]

Lung cancer is the leading cause of cancer deaths for both men and women in the United States, killing more than 150,000 people annually. Lung cancer accounts for even more deaths than breast, prostate and colon cancer combined, according to the American Cancer Society.  An even more sobering statistic comes from the Lung Cancer Alliance:  […]

An estimated 1 in 8 women will develop invasive breast cancer over the course of her lifetime. This year alone, more than 300,000 new cases of both invasive and non-invasive breast cancer will be diagnosed, according to the American Cancer Society. There is a bright spot: mortality rates from breast cancer have been declining since […]

A battle cry for the healthcare industry to improve diagnostic radiology solutions

As someone who’s been in the healthcare industry for more than 15 years, I’ve witnessed major changes in the world’s largest and fastest-growing industry – from new technologies transforming the way physicians engage with patients and make decisions, to the transition from fee-for-service to value based care including MACRA incentives. While there’s certainly no shortage […]

Surgeon and radiologist viewing digital brain scan in hospital

This week, an estimated 50,000 healthcare professionals gathered at RSNA16 to collaborate and explore the latest in radiology. The theme for this year’s annual meeting was “Beyond Imaging,” which was aptly chosen given the innovative trends and technology that were discussed at the show. The buzz at this year’s conference focused on the future of […]

radiologists have negative outlook with growing workloads

According to the fourth-quarter survey from the Medical Imaging Confidence Index (MICI), radiologists do not think they will receive adequate radiology reimbursement levels from Medicare for diagnostic and interventional radiology services. They are most skeptical about this when compared to five other topics and trends that touch radiologist every day and are viewed with more […]

Hospitals are using health IT investments to grow physician referrals in communities.

Healthcare reform has led to countless opportunities to reduce costs and improve patient outcomes, and while marketing for the purpose of attracting patients and growing new business may not be as headline-grabbing as other healthcare priorities, it is – or should be – a critical part of a health organization’s growth strategy.  The question becomes […]

Cloud-based enterprise imaging improves access and adds value

The evolution of technology is fascinating. Just think about music. Fifteen years ago CDs were how you accessed music and now, you can listen to music anywhere, instantaneously from tiny devices. The population has embraced the change, so why has accepting change in healthcare been so slow and difficult? I’m not saying we all need […]

How to improve collaboration between doctors.

Thousands of leaders in radiology gathered in Chicago last week to discuss innovations in the industry at the 101st Radiological Society of North America’s (RSNA) annual meeting. Conversations focused on reducing silos and the importance of entire healthcare teams joining together to deliver better patient care. Here are three “must haves” to advance the cause. […]

Medical teams are improving collaboration and improving patient care with radiology reporting technology

If you’re a fan of Law and Order like me, you love a good mystery, but not when it comes to your health. While solving crimes alongside a favorite TV detective can be fun, piecing together shoddy clues is not a skill we want practiced by healthcare professionals — especially doctors treating us or our […]

New report by Institute of Medicine recommends collaboration to reduce the pervasiveness of medical imaging errors.

The Institute of Medicine (IoM) recently released a landmark report, “Improving Diagnosis in Health Care,” which calls diagnostic errors a major “blind spot” in U.S. healthcare. The 450-page report comes nearly 16 years after IoM’s groundbreaking study “To Err Is Human: Building a Safer Health System” that estimated 98,000 people in the United States die […]

The Joint Commission standards for diagnostic imaging, which recently went into effect, are designed to help prevent duplicate and unnecessary medical imaging of patients, and reduce potentially harmful exposure to radiation when patients need CT scans, MRI or a combination of these and other diagnostic tests. Beginning July 1, 2015, these standards require protocols, documentation […]

A few years ago, there was a witty car commercial advertising an alert feature that took the guesswork out of filling your tires by gently beeping to signal the appropriate pressure had been reached.  It featured a series of vignettes where the car horn would beep, cautioning the owner to reconsider just as he was […]

Financial benefits of cloud-based medical image exchanges

The significant financial challenges facing the healthcare industry are nothing short of intimidating. In addition to the millions of Baby Boomers now eligible for Medicaid, the Affordable Care Act, Meaningful Use regulations, and ICD-10 transition, just to name a few, have created a running expense tab for healthcare organizations, and no one with the resources […]