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Nadine Koff - RealTime Medical . Mississauga, ON, CA

Nadine Koff

President and Co-Founder | RealTime Medical

Mississauga, ON, CANADA

Dr. Koff has over 25 years of extensive experience in both the clinical and business aspects of radiology.









Nadine Koff, MD, is President and co-founder of RealTime Medical, a Canadian corporation created in 2006 to address the shortage of radiologists in Canada and organize a teleradiology service for Canadian patients by Canadian radiologists. Prior to that, she was co-founder and CEO of EasyPax Inc. a Canadian corporation specialized in electronic communication of medical images over the Internet.

Dr. Koff is passionate about Imaging Informatics and over more than 20 years has led research and development centered on the electronic communication and workflow integration of medical images. She holds 2 patents and has been a co-author on a number of publications in Imaging Informatics. She has contributed to the advancement of Canadian standards and terminology, being an active member of the pCSG terminology workgroup of Canada Health Infoway.

Her current priorities are centered on improving quality of care for patients by reducing errors and enhancing radiologists’ knowledge based on her extensive experience with audits and reviews. She is promoting the use of Artificial Intelligence to support education through peer learning.

Dr Koff graduated in medicine from Université de Strasbourg, and in radiology from Université Paris V René Descartes in Paris, France. She was a staff radiologist and assistant professor at Hopital Foch, Suresnes, a prestigious hospital outside Paris, where she was in charge with General Radiology, Breast Imaging and CT. Subsequently, she moved to private practice to be a partner radiologist at Clinique Vintimille, performing CT examinations. Nadine is fellowship-trained in Breast Imaging and Imaging Informatics.

Industry Expertise (1)

Health Care - Providers

Areas of Expertise (5)

Healthcare Information Technology

Healthcare Management

Medical Imaging



Media Appearances (1)

Real Time launches AI-powered quality assurance solution

Canadian Healthcare Technology  online


“We’ve conducted seven radiology quality audits across four provinces, for ministries of health, hospital networks and physician insurance organizations,” said Dr. Nadine Koff, a radiologist and President of Real Time Medical. “We know that performance varies not only by individual, but also by exam type and sub-speciality. It’s for this reason that our system, unlike so many others, provides for per user, per subspecialty, anonymized and individualized peer learning and review.”

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Education (2)

Université de Paris: Specialty Degree, Radiology

University of Strasbourg: M.D.

Languages (2)

  • English
  • French

Patents (1)

System and method for management and distribution of diagnostic imaging


2014 A method of distributing an image study to a chosen image reader is disclosed having steps of receiving an image study from an image producer at a third party communication module, sending a receive notification message to a messaging layer, sending a study available notification message from the messaging layer to a workload distribution engine wherein the available notification message includes extracted image study information pulled from study headers of the image study, identifying image study rules from the extracted image study information, applying an image study complexity to the image study based on the image study rules, calculating image reader complexities for a plurality of image readers subscribed to receive image studies from the image producer, each of the image reader complexities calculated using the image study complexity and an Image reader profile assigned to each of the plurality of accredited image readers, selecting the chosen image reader from the plurality of image readers based on the image reader complexities, assigning the image study to the chosen image reader, and displaying the image study on a user interface to the chosen image reader.

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Articles (2)

An Experience in Teleradiology: A Canadian Solution for Collaboration and Quality Assurance in Radiology

Health Management

2013 The government push for the deployment of countrywide electronic patient records has facilitated the adoption of teleradiology; A number of Canadian radiologists have joined forces to organise the provision of teleradiology services; Quality control is now a priority for radiologists and hospitals. In a country as vast as Canada, it is natural that telemedicine and teleradiology in particular are essential components of the healthcare system. Although the majority of the population lives on a border strip 200km wide in the south, residents of remote communities are often several hours away from a specialist.

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Peer Review in Radiology: The Canadian Approach

Health Management

2013 A number of high profile radiologists’ reviews in Canada have shaken the public’s trust in radiology. The need for peer review solutions is obvious in order to protect patients and radiologists alike Retrospective and more recently prospective peer review solutions are implemented. Incorrect interpretation of studies is the leading cause of malpractice lawsuits against radiologists. Regulators expect a definition of acceptable levels of performance amongst radiologists even if there is no enforceable consensus on any admissible error rate that could be used.

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