1. 3Dnet A cloud based diagnostic imaging solution

2. Inside Hospital Outside Hospital Software licenses Dedicated workstations Multiple logins Large IT team Transport via CD or IEP Costly, slow transport More software High Spec PC High speed line Home Reporting Large cost to purchase and maintain Comes with large IT overhead Complex setup increases potential bottlenecks and IT overhead Clinicians tied down to specific workstations and have to be on-site Alternatively, remote work needs more software (VPN, PACSMail, etc.), a high speed internet connection, high spec/specialised PC and specific software No way to guarantee IG policies are being followed - e.g. Removing identifiable patient information that has been downloaded The Problem: Typical Imaging Dept.

3. Biotronics3D Vision Provide access to diagnostic images and clinical information anytime, anywhere Create a secure environment to review this information wherever the internet is available Deliver the very best clinical outcomes through leading edge, innovative clinical applications Provide stakeholders with superior tools and performance without increasing complexity on site Create new applications and services by collaborating with our customers

4. Setup takes 5 – 30 minutes (to install 3Dnet Gateway software on any Windows machine) at no cost Automate distribution of exams based on DICOM and HL7 data; exams available for review in less than 3 minutes Give physicians access to diagnostic images and clinical information anytime, securely, from any location where there’s an internet connection No patient information downloaded by user All stakeholders gain access to pertinent patient information to deliver the very best clinical outcomes – no software necessary Reports can be securely downloaded by referrers – no need to send CDs Any Hospital Referential Portal Referential web-based and mobile access to referred cases, key images and reports Patient List PDF Report Diagnostic Portal Single access point to multiple sites, full reporting workstation and advanced clinical tools Consolidated WorklistAdvanced 2D/3D viewer Clinical Applications Zero-footprint client Gateway Report returned Images copied for 30 days The Solution: 3Dnet Secure HTTPS Independently managed

5. Diagnostic Portal Powered by 3Dnet

6. How it works Patient attends Patient scanned Diagnostic images & associated documents Alert sent to reporting physician Patient request form scanned into RIS Patient scanned Exam and associated information sent to 3Dnet Single login Create report Key images and report archived The reporting physician notified by email and visits a website to log in. Report automatically sent back and archived Any clinic Via your web-browser Information is communicated securely and quickly in both directions and is typically available in under 5 minutes. View attached case information - Order forms, EKG’s, GP notes Full diagnostic quality reporting workstation (MPR, 2D/3D, multi-study comparison) To cloud To Clinic Advanced clinical applications like virtual colonoscopy, calcium scoring, Data centre Nothing to install No patient information downloaded Exam reviewed

7. Benefits to Radiologists Access cases securely anytime, anywhere Everything you need to report from a single portal – consolidated worklist, reporting tools (MPR, 2D/3D, multi-series comparison) and associated case information (order forms, Dr notes, etc.) Advanced clinical applications including virtual colonoscopy, calcium scoring, perfusion and PET/CT. Voice recognition compatibility Only a home internet connection is required Superior performance on any MAC or PC; no processing is done on that machine and no patient information needs to be downloaded Automatic email alerting system to notify clinicians of new studies or urgent studies The ability to collaborate with peers over the web using advanced medical imaging

8. Referral Portal Powered by 3Dnet

9. How it works Email notification Log into referential portal (web & mobile devices) Referrers notified by email and log on, either through the web or on any mobile device, to view and download the patient’s report (with key images) Patient attends Patient scanned Diagnostic images & associated documents Alert sent to reporting physician Single login Create report Key images and report archived Any clinic Via your web-browser Data centre Exam reviewed

10. Benefits to Referrers Single web portal to securely view and download key images and reports Can be accessed on the web or on mobile devices (Apple and Android) Removes the need for CD/DVD’s and compatibility issues with encrypted media Automatic email alerting system to notify referrers of completed scans and reports

11. Case Studies A few examples of how 3Dnet can be configured to solve your problems

12. Case Studies Out of hours stroke rota Remote Reporting On-call Neurology Remote Reporting Stroke rota of 15 consultants from 8 NHS Trusts in different counties (Avon, Gloucester, Worcester, Salisbury) Stroke patient scanned – physician automatically notified Logs and to provide clinical decision within 5 minutes Allows 4WHC to connect to new client systems with much faster turnaround Make best use of available on-site and remote resources Offer new specialty reading based on the clinical applications available in 3Dnet Archived exams and cases for QA Royal Worcester, Kidderminster, Princess Alexandra Hospitals Royal Worcester, Bristol Royal Infirmary, Gloucestershire Royal, Great Western, Musgrove Park, Yeovil District, Salisbury Hospitals Support remote reporting for Bart’s and the Royal London and Whipps Cross Support on-call neuro-radiology consultants to report remotely Image exchange between St. Bartholomew’s and Whipps Cross to reduce cost of IEP Provide a less cumbersome, less expensive remote reporting tool than PACSMail New exams automatically distributed to relevant physician working remotely Ensuing report automatically archived in AGFA RIS system The Hospital of St. John’s and Elizabeth St. Bartholomew’s, The Royal London, Whipps Cross University Hospitals 4 Ways Healthcare 3Dnet Gateway deployed at hospitals to allow diagnostic images to be transferred between them. Routed via the cloud, physicians are able to log in remotely to review cases if and when needed. Remote Review Collaborative MDT’s Whole body MRI studies sent to cloud Distributed physicians review each case and report Report & exam archived for one year After one year, analysis of reports conducted to review accuracy and outcomes UCH, Bart’s Health, Hammersmith, St. Mary’s, Royal Marsden, Mount Vernon, St. Thomas Hospitals

13. Contact Details Opening a studySharing a studyReportingUploading remotely