Dr. Randall A. Stenoien

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  www.imagingeconomics.com/issues/articles/2008-09_06.asp - [Cached Version]
  Published on: 9/1/2008    Last Visited: 10/6/2008  

  More than 3 years ago, an imperfect mini PACS was doing the best it could to keep up with the growing workload felt by Randall Stenoien, MD, and his colleagues at the Houston Medical Imaging (HMI) clinic and Innovative Radiology practice.
  
  "It was small, worked fairly well, and it could handle a lot of images from an MR or CT," said Stenoien, CEO of HMI and director of a staff of 12 radiologists who make up Innovative Radiology."But it had issues handling the DICOM file.There were server issues, downtime issues.It just didn't have the capacity that we needed."
  
  That's when Stenoien decided to make the switch to a RIS/PACS, opting for the integrated solution from a trusted vendor: Carestream Health.
  
  "By having a robust RIS/PACS solution, we were able to add business to the group," Stenoien said."Since we purchased the machine, it has never gone down.We also receive upgrades, which Carestream begins after the day is done and finishes by 6 the next morning."
  
  Houston Medical Imaging is a radiologist-owned and operated diagnostic imaging clinic that offers a full range of services to the greater Houston community, including general radiology and fluoroscopy, open and closed MRI, multislice CT, CT/PET, nuclear medicine, DEXA bone densitometry, ultrasound, echocardiography, and digital mammography.
  
  That adds up to more than 25,000 exams per year, Stenoien said.When one adds in the numerous hospitals, outside imaging centers, and several physicians they read for—not to mention the charity reads in Panama—the total goes up to more than 100,000.
  
  From neuroradiology to breast oncology, HMI's various subspecialties require a streamlined workflow, with good-quality images and fast information transmission.This is something Stenoien enjoys from the Carestream solution, which allows images to be sent securely to specialists who may not be physically at the clinic.
  
  Specifically, the KODAK CARESTREAM RIS/PACS solution allows Stenoien and his fellow radiologists to perform tasks, access information, and provide consults through licensed workstations in different centers, hospitals, and even homes.Display preferences and tools are customized to fit each individual user's need.Built-in dynamic streaming translates into advanced functionality readily available to authorized users inside and outside the facility.
  
  Additionally, 3D functionality is embedded in the diagnostic workstation software, allowing for volume rendering, maximum intensity projection, multiplanar reformatting, and vessel tracking, among others.The features are particularly helpful to Stenoien, who is starting to perform vessel analysis with CT angiography.

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  www.imagingeconomics.com/issues/articles/2007-08_10.asp - [Cached Version]
  Published on: 8/1/2007    Last Visited: 8/3/2007  

  Her country imaging center competes most directly with the local hospital system; meanwhile, Randall Stenoien, MD, CEO of Houston Medical Imaging and president of Innovative Radiology, Houston, has leveraged his business' population-dense location into a powerful and geographically diverse partnership.
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  Stenoien's business came from similar humble roots.When he bought the Houston Medical Imaging center just 3 years ago, it was running on a mini PACS."We really needed to upgrade the robustness of the PACS and the RIS," he said.
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  Stenoien said the challenges associated with bringing on a powerful PACS platform were quite frequently human as opposed to technical.
  
  "There's a little bit of resistance to acceptance among radiologists," he noted.
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  Stenoien's business now employs multiple subspecialty radiologists spread across multiple locations-four full-time equivalents in one hospital, one in another, three or four at Houston Medical Imaging.Plugging that many staff members into a single PACS has obvious advantages, but a disadvantage is a crippling dependence on weak commercial Internet providers.
  
  "We had to clean up our network, which is important to do, but until you have a PACS running, you don't realize you have those problems," he said.
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  Thanks to the same kind of simultaneous growth, Stenoien has seen new revenue streams opening for Houston Medical Imaging and the Innovative Radiology group."We have seven kindred hospitals feeding into our PACS, two imaging centers, and we do stand-up MRI for facilities in San Antonio," he said."By the end of the day, you've got quite a bit of information flowing into the PACS, being processed, and flowing out.I built my group and practice around the PACS.The two have expanded together.I couldn't have these subspecialists without it-I can keep my neurologist in the hospital happy by sending her additional neuro cases."
  
  Now Stenoien just needs a network that can keep up with him."The next step is to collocate all of my servers at a facility where I can have access of 100 MBs or greater to the Internet and then set up VPNs over that, so I can work just as quickly at home or from Panama.That's the choke point for us."He laughed, "Maybe I created too much of a monster, but the radiologists are very happy, and they can all hopefully lead some sort of balanced life.

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  www.merge.com/CORP/mergenews/2007.htm - [Cached Version]
  Published on: 1/1/2007    Last Visited: 10/9/2008  

  Her country imaging center competes most directly with the local hospital system; meanwhile, Randall Stenoien, MD, CEO of Houston Medical Imaging and president of Innovative Radiology, Houston, has leveraged his business' population-dense location into a powerful and geographically diverse partnership.
  
  Read more >>

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  www.ia-houston.com/news.php?newsid=1 - [Cached Version]
  Last Visited: 1/13/2009  

  "Dr. Cain's years of experience in radiology make him greatly suited for aesthetics," said Radiologist Randy Stenoien, MD. "His global and extensive knowledge of anatomy, along with his stellar record in delicate pain management and interventional procedures, serve as a testimony to his skill and expertise with his hands."

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  About Innovative Radiology, PA - [Cached Version]
  Published on: 6/17/2004    Last Visited: 1/29/2006  

  Innovative Radiology, PA (IRPA) was established in May of 2002 by Randall Stenoien, who started his practice at Bellaire Medical Center.
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  Randall Stenoien is an annual participant in the Santiago de Veraguas International Medical Conference in Panama.
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  Randall A. Stenoien, M.D.

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  Houston Medicine Magazine - [Cached Version]
  Published on: 8/26/2006    Last Visited: 3/30/2009  

  Randall Stenoien, M.D. CEO, Houston Medical Imaging

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  Houston Medicine Magazine - World Publishing, LLP - [Cached Version]
  Published on: 11/19/2004    Last Visited: 1/6/2006  

  Randall Stenoien, M.D.CEO, Houston Medical Imaging

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  KHOU.com | News for Houston, Texas | Top Stories - [Cached Version]
  Published on: 9/1/2004    Last Visited: 9/1/2004  

  "We get a lot of international patients who frequently want to come in and make sure there's nothing wrong and they have the financial resources, so we do scan those patients," said Dr. Randall Stenoien, a radiologist with Houston Medical Imaging.
  
  Dr. Stenoien tells us Houston Medical Imaging does not recommend it as preventive medicine.
  
  "It's going to be a patient that's a little older who's at risk for having some type of systemic disease," Dr. Stenoien said.

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  Provider Directory Database Browser - [Cached Version]
  Published on: 3/10/2004    Last Visited: 9/14/2005  

  Randall Stenoien, M.D.Houston Medical Imaging3310 Richmond Ave Houston, TX 77098
  
  Phone: 713-524-9555Fax: 713-528-1694

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  Seppi Technology Associates - sepStream™ PACS... - [Cached Version]
  Published on: 6/23/2004    Last Visited: 2/17/2006  

  Randall A. Stenoien, MDPresidentInnovative Radiology, PA

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