Search for: "focused ultrasound" - 250 articles found

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Article • Point-of-care ultrasound in trauma

Returning e-FAST ‘to its roots’

Stagnation, under-use, unfulfilled potential: At the EUSEM congress in Barcelona, leading emergency physician Dr Joseph Osterwalder describes how e-FAST (Extended Focused Assessment with Sonography for Trauma) – a key point-of-care ultrasound technique for trauma – has changed over the last two decades, and not necessarily for the better.

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Article • Additional findings from the MIPA study

Benefits of preoperative breast MRI

Ordering preoperative breast MRI exams of diagnosed breast cancer patients used to be controversial: Did they aid surgical planning better than the combination of mammography and breast ultrasound? Or did their findings cause overtreatment, specifically mastectomy, when breast-conservation surgery would have sufficed? New research has now settled the issue.

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Article • Imaging in characterisation and classification of tumour types

Taking a closer look at breast cancer

Breast cancer has no “one size fits all” therapy approach: subtypes differ significantly in malignancy, progression, and treatment response. Therefore, the more is known about the type of carcinoma in a patient, the better the outcome. At the annual scientific EUSOBI meeting in Valencia, Dr Ramona Woitek pointed out the potential of novel imaging techniques and computational image analysis…

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Article • Imaging controversial

MRI breast cancer screening of high-risk women: benefits outweigh drawbacks

Breast MRI is increasingly being used as a primary breast cancer screening exam for young women. It brings benefits in women with dense breasts, who are at an elevated risk of developing breast cancer. The technique is also being ordered as a supplemental screening exam following mammography or breast ultrasound for women of all ages at high risk. But use of breast MRI as a screening tool is…

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Article • Portable imaging

Going mobile: advances in point-of-care ultrasound

Ultrasound technology now plays a vital role in clinical diagnosis and management. Significant advances in point-of-care ultrasound (POCUS) have made it a versatile tool for assessment, diagnosis, and follow-up across various fields. New developments continue to expand its applications, improving patient care and outcomes.

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News • Platform for new companies

MEDICA 2023: Start-ups are shaking things up

MEDICA trade fair (Nov 13-16, Düsseldorf) is a major event for start-ups entering the health sector. Hundreds of young developers seek business contacts for cooperation concerning funding, production, approval, marketing or sales of their products.

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Article • RFA, MWA, CRYO and IRE under scrutiny

Thoracic interventions: new tools in the arsenal

Experts presented state-of-the-art and emerging techniques to treat chest tumours and discussed common issues in the management of pneumothorax at RSNA 2022. Current ablation methods in the thorax include radiofrequency ablation (RFA), microwave ablation (MWA), cryoablation (CRYO), irreversible electroporation (IRE) and pulsed electric field.

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Article • High-intensity focused ultrasound

HIFU ablation treatment for benign thyroid nodules

High-intensity focused ultrasound (HIFU) ablation is a noninvasively treatment for benign thyroid nodules that are causing distress to patients. Brian H. H. Lang, MD, Clinical Professor in the Department of Surgery at the University of Hong Kong, and chief of the Division of Endocrine Surgery at Queen Mary Hospital, is a preeminent investigator, proponent, and pioneer of this technique. He…

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Article • Alternative to open surgical procedures gains traction

The future of minimally invasive interventions

In the future, many types of open surgeries will be replaced with minimally invasive interventions, predicts Kevin Cleary, PhD, engineering lead at the Sheikh Zayed Institute for Pediatric Surgical Innovation at Children’s National Hospital, and Professor of Pediatrics and Radiology at George Washington University, both in Washington, D.C. Surgeons and interventional radiologists will be able…

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Article • Infection prevention

Making endoscopy safe and sustainable

Hygienic, single-use components are widely used in endoscopy to ensure patient safety but are considered wasteful. Reprocessing is a more sustainable alternative but requires special equipment and training to avoid equipment contamination. This creates an area of conflict for physicians, hospital staff, but also for manufacturers. We spoke with two experts at Pentax Medical about challenges in…

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Article • Focused ultrasound

Histotripsy: fighting tumors with microbubbles

Focused ultrasound waves create microbubbles in a fluid – a phenomenon called cavitation. In a current study, this process is used to destroy liver tumors and metastases. In this Medica-tradefair.com interview, Prof. Maciej Pech talks about testing cavitation events generated during histotripsy, explains the process, and reveals its advantages.

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News • Trade fair presence

Start-ups at Medica: Anticipation for two 'world cups'

Medica trade fair (November 15-18) is once again a welcome field for many healthcare start-ups to present their products. The joint stand at the 'Medica Start-up Park' in Hall 12 has become the central cross-national meeting point for the healthcare start-up scene, the fair's organizers are pleased to report. "We bring innovators and investors together. This time, more than 40 start-ups are…

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Article • Healthcare among the stars

Taking French interventional radiology to space

French interventional radiologists are pushing the frontier by looking at opportunities to perform minimally invasive procedures in manned space flights. A new strategy explored by the French Society of Radiology (SFR) is to equip astronauts with an interventional kit when flying outside of the earth’s orbit, a leading interventional radiologist explained ahead of the JFR, the SFR’s annual…

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Article • Pregnancy imaging

Machine learning predicts placenta health from MRI scans

Machine learning methods are being used to predict the health of the placenta from a 30-second MRI scan. Researchers hope the approach will offer an insight into the health of expectant mothers and unborn babies by detecting the early signs of dangerous conditions such as pre-eclampsia. Researchers from the School of Biomedical Engineering & Imaging Sciences at King’s College London (KCL)…

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News • Sonothermogenetics

Tool activates deep brain neurons by combining ultrasound, genetics

Neurological disorders such as Parkinson’s disease and epilepsy have had some treatment success with deep brain stimulation, but those require surgical device implantation. A multidisciplinary team at Washington University in St. Louis has developed a new brain stimulation technique using focused ultrasound that is able to turn specific types of neurons in the brain on and off and precisely…

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Video • Perinatal imaging

Fetal MRI precisely defines and detects abnormalities in unborn babies

MRI scanning can more precisely define and detect head, neck, thoracic, abdominal and spinal malformations in unborn babies, finds a large multidisciplinary study led by King’s College London with Evelina London Children’s Hospital, Great Ormond Street Hospital and University College London (UCL). In the study, published in Lancet Child and Adolescent Health, the team of researchers and…

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Sponsored • Radiology collaboration

Improved workflow and a touch of Disney magic

Improving workflow is one of the major challenges that radiology departments face. The need to be more efficient, deliver timely and effective patient care, and keep an eye on costs are all factors that seem to be ever-present in the modern imaging department. With the added demands of the coronavirus pandemic as radiology departments continue to play a critical role in the fight against…

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News • Alternative to traditional surgery

Focused ultrasound shows promise for Parkinson’s treatment

A scalpel-free alternative to brain surgery has the potential to benefit people with Parkinson’s disease symptoms that are much more severe on one side of the body, new research suggests. More testing is needed, but the approach, which uses a technology called focused ultrasound, could offer a new option for patients whose symptoms are poorly controlled by medications and those who cannot or do…

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News • Philips and InSightec partnership

Expanding access to MR-guided focused ultrasound for incisionless neurosurgery

Royal Philips and InSightec, a global healthcare company focused on the therapeutic power of acoustic energy, announced a collaboration to expand access to MR-guided focused ultrasound for incisionless neurosurgery. By developing compatibility between Philips’ advanced MR systems and the Exablate Neuro platform from InSightec, the two companies will support expanded access to MR-guided focused…

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Article • Sonography challenges

Abdominal ultrasound: promising for imaging of obese patients

Imagers need special scenarios, skills and tools to examine larger patients, who present more challenges when it comes to radiological procedures. New ultrasound devices could help reduce dose exposure in these patients, who are more likely to undergo x-ray based examinations and receive a higher dose during those, experts explained in a dedicated session during ECR 2020.

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Video • Enhanced therapeutic delivery

Focused ultrasound shows promise for Alzheimer's treatment support

A recent preclinical study from scientists at Sunnybrook Research Institute, Canadian Blood Services and the University of Toronto has demonstrated that focused ultrasound improves the delivery of intravenous immunoglobulin (IVIg), a blood product composed of antibodies from healthy donors, previously shown to have potential in treating a subgroup of patients with Alzheimer’s disease.

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Article • USA and Chinese experts share observations

AI in Covid research

A panel of experts from the USA and China highlighted AI use in radiological workflow during the Covid pandemic and identified current pitfalls during the Hot Topic session at RSNA 2020. Radiologists from the USA prioritised Covid articles, delivered quick reviews, made all results open access, and helped organise a white paper from the Fleischner Society recognising recommendations for the role…

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Article • The role of chest CT in diagnosis and treatment

UPDATE: Covid-19 and lung infections imaging

RSNA 2020: International experts showcased new studies on chest CT’s role in Covid-19 diagnosis and treatment. A staggering volume of work and has been produced on the pandemic this year, with an average 367 Covid-19 journal articles published per week, according to Michael Chung, Assistant professor of radiology at Icahn School of Medicine at Mount Sinai, NYC.

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Article • Resecting brain tumours

Benefits of ultrasound in neurosurgical oncology

Italian neurosurgeon Professor Francesco Di Meco, explored the current and potential role of intra-operative ultrasound in neurosurgical oncology during the annual meeting of the European Association of Neurosurgical Societies (EANS) this October. The extent of resection is considered a prognostic factor in operative neuro oncology surgery and image-guided surgery is being regarded as one of the…

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News • Success in Düsseldorf

virtual.Medica receives international resonance

For the first time in the history of MEDICA, the world-leading medical trade fair, and the industry’s number one platform for the suppliers of the medical technology industry, COMPAMED, held from 16 to 19 November 2020, took place entirely online due to the pandemic - but still won over their audiences due to their high degree of international resonance in this format too, as virtual.MEDICA and…

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Sponsored • Point-of-Care ultrasound

Diving deep with POCUS

Costantino Balestra, Professor of Physiology at Haute Ecole Bruxelles-Brabant in Belgium, uses point-of-care ultrasound (POCUS) in environments that could not be more different from a typical hospital setting. His expertise lies in studying the effects of extreme conditions on the human body, including temperatures, altitudes, and ambient pressures, for example, in deep oceans. One of his areas…

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Article • Video consultation on the rise

“A patient’s home has to become a mobile diagnostic centre”

There are many reasons why for some patients a visit to the doctor’s office is difficult or well-nigh impossible – limited mobility after surgery, old age, or a handicap. For others, particularly in rural areas, the doctor is often far away and/or difficult to reach due to poor public transport. In times of corona, another important issue emerged: infection protection.

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News • Tiny chip, huge benefits

Researchers develop the world’s smallest ultrasound detector

Researchers at Helmholtz Zentrum München and the Technical University of Munich (TUM) have developed the world’s smallest ultrasound detector. It is based on miniaturized photonic circuits on top of a silicon chip. With a size 100 times smaller than an average human hair, the new detector can visualize features that are much smaller than previously possible, leading to what is known as…

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News • POCUS equipment

New point-of-care ultrasound system for better workflow

Fujifilm Sonosite, Inc. has announced the launch of the new Sonosite PX ultrasound system. It is the next generation in the manufacturer's point-of-care ultrasound (POCUS) devices, with the most advanced image quality ever seen in a Sonosite system, a suite of workflow efficiency features, and an adaptable form factor.

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News • Rad Companion

Siemens expands AI portfolio in clinical decision-making

The AI-Rad Companion family supports radiologists, radiation oncologists, radiotherapists and medical physicists through automated post processing of MRI, CT and X-ray datasets. It saves the clinicians' time and helps them to increase their diagnostic precision.

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Sponsored • Deep Learning in Radiology

New Levels of Precision with Self-learning Imaging Software

The complex form of machine learning DLIR (Deep Learning Image Reconstruction) is based on a deep neuronal network which is similar to the human brain. The artificial neurons of this network learn according to their biological model through intensive training. For the DLIR image reconstruction, the network is fed with sample data from phantom images on the one hand and high-resolution images of…

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News • Teaching partnership

Setting new standards for specialist integrated cardiac care

Royal Philips and Leeds Teaching Hospitals NHS Trust announced a seven-year managed service agreement to deliver on the Trusts’ vision to set new standards of excellence for cardiac care in the UK and globally. The partnership will combine the latest innovations in technology for integrated cardiovascular solutions to deliver on the quadruple aim: better health outcomes, lower cost of care, and…

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News • Ultrasound monitoring

'Smart bra' to detect early-stage breast cancer

Students from EPFL in Switzerland teamed up with startup IcosaMed to develop the SmartBra – the first piece of smart clothing that can be used for cancer prevention. “Our smart-clothing technology is designed to detect cancer at the earliest stages. It uses a non-invasive, painless method based on frequent ultrasound monitoring,” says Hugo Vuillet, one of the students on the development…

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Article • Radiographers in Spain report

Equipment hygiene: taking back center stage during the COVID-19 pandemic

The COVID-19 pandemic is putting extra pressure on radiology services. Radiographers are particularly at risk of catching and spreading the disease. This is why they must follow strict cleaning and disinfection protocols, according to Pablo Valdés Solís, President of the Spanish Society of Radiology (SERAM), who has just published new guidelines on how to protect staff and patients, as the…

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News • Automated helper

Robot uses AI and imaging to draw blood

Engineers at Rutgers University have created a tabletop device that combines a robot, artificial intelligence and near-infrared and ultrasound imaging to draw blood or insert catheters to deliver fluids and drugs. Their most recent research results, published in the journal Nature Machine Intelligence, suggest that autonomous systems like the image-guided robotic device could outperform people on…

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Article • Underrated technique

Pitfalls in pelvic CT imaging

Computed tomography (CT) plays an increasingly important role in assessing pelvic disease, particularly when patients present with acute abdominal pain. In addition, radiomic approaches on CT are being developed to increase the characterisation of ovarian cancer for optimising treatment planning.

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News • Finding the frequency

Ultrasound selectively damages cancer cells (with the right settings)

Doctors have used focused ultrasound to destroy tumors in the body without invasive surgery for some time. However, the therapeutic ultrasound used in clinics today indiscriminately damages cancer and healthy cells alike. Most forms of ultrasound-based therapies either use high-intensity beams to heat and destroy cells or special contrast agents that are injected prior to ultrasound, which can…

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Article • Significant improvement in cleaning, disinfection and sterilisation

Surgical robots must also be hygienic

Modern healthcare without hand hygiene? Inconceivable – particularly in the operating room (OR). But what happens when it is not the surgeon who handles the scalpel, but a robot? Robotic surgery, just like surgery performed by humans, always carries a risk of microbial transmission to the patient, says Professor Johannes K-M Knobloch of University Hospital Hamburg-Eppendorf (UKE). A specialist…

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Sponsored • POCUS in Basque Country

Spreading point-of-care ultrasound across northern Spain

The rapid scanning and dynamic imaging capabilities offered by point-of-care ultrasound make it an invaluable tool for emergency medicine. Dr Enrique Ortiz Villacian (from Emergency Services at Donostia University Hospital in San Sebastián) and Dr Juanjo Zafra Sanchez (from the Emergency Unit at San Eloy Hospital in Barakaldo) discussed the role ultrasound plays in their respective emergency…

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Article • Evolution of technology

The value of AI in breast screening

Although breast cancer (BC) mammography screening enables early detection of breast cancer, mammography presents issues such as variability between the radiology readings and shortage of radiologists. This area of medical imaging is where artificial intelligence (AI) could help make the biggest difference and improve patient outcome.

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Article • Surgery to reduce obesity-related mortality

When diet and excercise alone are not enough

Obesity not only means someone is overweight but, over time, they will probably suffer sequelae that increasingly impair quality of life and are potentially fatal – these include hypertension, coronary heart disease, type two diabetes, pulmonary function disorders, tumours, plus an increased risk during surgery and anaesthesia. In patients with morbid obesity, class three obesity, according to…

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Article • Healthcare 2.0 by NVIDIA

Deploying AI in healthcare

With the right tools, physicians could transform the lives of patients and scientists. For Kimberly Powell, Vice President of Healthcare at NVIDIA, artificial intelligence is such a tool, and could meet the increasing demand for personalised medicine and next-generation clinics. ‘AI is the biggest technological breakthrough of our lifetime.’

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Article • Ultrasound in intracranial injuries

A future gold standard tool

Whilst researchers acknowledge ultrasound, when used as a tool to assess intracranial pressure in an emergency, is not a replacement for current gold standard invasive approaches, they believe it has enormous potential as a non-invasive and fast, cost-effective, and patient-friendly way to assess possible brain injury at a patient’s bedside. Consultant anaesthetist Dr Chiara Robba, a specialist…

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Sponsored • Trailblazers in medical solutions

Taiwanese excellence on display at Medica

From Augmented Reality to Robotics, and all exciting technologies in between, the Taiwanese companies present at Medica always manage to impress visitors with health tech innovations. In co-operation with the Bureau of Foreign Trade (BOFT) of the Taiwanese Ministry of Economics and the Taiwan External Trade Development Council (TAITRA), 20 elite healthcare companies put on display their…

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News • Onvision needle tip tracking

A breakthrough in real-time ultrasound guidance for regional anesthesia

Royal Philips and B. Braun Melsungen AG announced the launch of Onvision, a breakthrough ultrasound guidance solution for real-time needle tip tracking in regional anesthesia. Available on the latest version of the B. Braun and Philips Xperius ultrasound system, Onvision gives anesthesiologists the confidence to accurately position the needle tip inside the body. The introduction is part of a…

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Article • Risk stratification

Cardio-controversy: Added value through CAD imaging?

ESC Congress, Paris: Two key strands in the ‘Controversies in imaging coronary artery disease’ session at the congress will examine the pros and cons of imaging use for coronary artery disease risk stratification in asymptomatic patients; the second strand will focus on whether CT angiography should be the first choice for imaging coronary artery disease in patients with stable chest pain.…

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Article • ESC consensus statement

Intracoronary imaging advances

Interventional cardiologists have been aware of the value of intracoronary (IC) imaging in clinical practice for more than twenty years. However, recent developments and improvements in modalities and software have enabled huge strides in its range and scope for both diagnostic assessment and in percutaneous coronary interventions. Imaging options now include intravascular ultrasound (IVUS),…

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News • Target in sight

MRI scans improve prostate cancer detection

Using MRI scans to target biopsies is more effective at detecting prostate cancers that are likely to need treatment than standard ultrasound guided biopsies alone, according to research published in JAMA Network Open. The research, led by the National Institute for Health Research (NIHR) and Universities of Bristol, Ottawa, Exeter and Oxford, combined the results from seven studies covering…

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Article • Travel medicine

Parasites & company – the radiologists' view

Sunburn and happy memories are not the only things we can bring home from a holiday. Sometimes parasites, fungi, viruses or bacteria from distant countries accompany our return, later to become noticeable in unpleasant ways, often to pose a real health threat. At the German Radiology Congress in Leipzig, Dr André Lollert and colleagues ventured into the world of tropical and travel medicine.

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Article • From generic to personalised, from empirical to evidence-based medicine

Hopes for hybrid imaging lie in AI

During a European Society of Hybrid, Molecular and Translational Imaging (ESHI) session at ECR 2019, three speakers discussed the role of artificial intelligence (AI) in hybrid imaging. While AI and machine learning is supporting clinicians using hybrid techniques such as PET/CT, MR/PET, or ultrasound and CT, challenges remain in ‘training the machines’ to add value to radiologists’ and…

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Video • Ultrasound systems

Introducing the newest members of the Arietta family

At ECR 2019, Jean-Luc Budillon, President & COO of Hitachi Medical Systems Europe, introduces the newest members of the Arietta Family. The Arietta 50, Arietta 50LE and Arietta 65 ultrasound systems are perfectly equipped for shared service in diagnostic imaging. From OB/Gyn to radiology, the 3 new Arietta systems complete Hitachi's portfolio of ultrasound solutions.

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Article • Morphology, texture, function, metabolism

Radiomics will transform tumour characterisation

Tumours change over time – and not only in size. They also evolve genetically, mutate and spread through equally diverse metastases. Each is unique and present with a more or less complex structure, but rarely as a unified entity. Characterising them from A to Z and from detection to neutralisation remains a challenge for modern medicine.

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Article • Fusion of CT and ultrasound

Merging the benefits of two imaging worlds

Radiologist Alexis Kelekis, Associate Professor of Interventional and Musculoskeletal Radiology at Attikon University Hospital, Athens, speaks about his work and developments in merging scans and techniques to gain greater accuracy in diagnosis and planning. The benefits of fusion imaging are widely acknowledged. Favoured in clinical practice by radiologist Alexis Kelekis, he explained: ‘The…

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Article • PET/MRI, PET/RF & more

Disruptive innovations in molecular imaging

Molecular imaging is an exciting field for scientists who are willing to explore and innovate, prominent Spanish physicist José María Benlloch pointed out when he reviewed some of the most impacting and recent innovations in his portfolio during a meeting in Valencia. ‘Our mission is to develop innovative sensitive and harmless medical imaging instruments for early detection of diseases and…

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Interview • POC ultrasound

Touchscreen and exam pre-set assets

During our interview with Professor Felice Eugenio Agrò, Professor, Director and Chairman of the Postgraduate School in Anaesthesia and Intensive Care at the University Campus Bio-Medico of Rome, he spoke of the use of Mindray’s TE7 ultrasound system, which provides a touchscreen and focused exam pre-sets. ‘Anaesthesiologists are seeking safe and accurate methods during procedures. Many…

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Article • Breast and skeletal health

AI is proving pivotal in women’s health solutions

Pete Valenti, Hologic’s division president of breast and skeletal health solutions, talks about how AI is driving innovation in breast health technology. Underpinning that evolution more recently has been the acquisition of two organisations – digital specimen radiography specialists Faxitron Bioptics and BioZorb marker manufacturer Focal Therapeutics.

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Sponsored • Equipment for Iraq

Fulfilling a promise to Mosul with point-of-care ultrasound

Mosul, Iraq’s second city, is slowly rebuilding its healthcare infrastructure after years of war and destruction. Dr Henryk Pich, a consultant anaesthetist and intensive care physician at the University of Dresden, Germany, visited the region soon after the fighting had ended, supported by the independent aid organisation CADUS. Moved by the makeshift treatment centres he witnessed in the…

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Article • Medica 2018

The Czech med-tech market is thriving

The Czech Republic has a long tradition of ground-breaking medical innovations. At Medica 2018, the presence of Czech companies and traders underlined that medical devices and technologies from this country have continuing strength and value. Having recorded steady growth over the past few years, the Czech medical technology sector now produces a volume of around €870 million. 13,400 people…

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News • Neurology

Focused ultrasound: CE Mark for Exablate Neuro

Siemens Healthineers and Insightec announce the CE clearance of Exablate Neuro compatible with Magnetom Skyra, Prisma and Prisma Fit scanners from Siemens Healthineers. Exablate Neuro uses focused ultrasound for treatments deep within the brain with no surgical incisions. MR imaging provides a complete anatomical survey of the treatment area, patient-specific planning and real-time outcome…

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Article • CEUS & the kidneys

Contrast-enhanced ultrasound for renal masses

Contrast enhanced ultrasound (CEUS) has proved in trials to be more accurate than computed tomography and MRI and can help eliminate the need for unnecessary biopsies and surgery. Dr Richard Barr, Professor of Radiology at Northeast Ohio Medical University, explains the benefits of the modality.

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Article • Cardiology

AI system improves heart disease diagnosis

Cardiologists in the UK are trialling an artificial intelligence (AI) system that will help better diagnose heart disease. Devised by researchers from the University of Oxford, it can predict heart disease and cardiac events from ultrasound stress test images with initial results showing that the AI system is far more accurate than conventional techniques. Paul Leeson, Professor of Cardiovascular…

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Sponsored • Point-of-care ultrasound

POCUS: Nothing gives so much info so quickly

Doctors working in the eight-bed Paediatric Intensive Care Unit (PICU) at the Ramón y Cajal University Hospital in Madrid extensively use point-of-care ultrasound to evaluate the condition of critically ill children, and they find it essential in their work, as Dr José Luis Vázquez Martínez, Head of PICU at Hospital Ramón y Cajal, with over 25 years’ experience in paediatric intensive care…

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Article • Cardiology & the sexes

Why heart attacks are different for women

MRI has a central role in picking up myocardial infarction with non-obstructive coronary disease, a condition that particularly affects women but is often left untreated, with potentially fatal outcome. Heart attack in women presents differently than in men and requires a different approach when it comes to detection and prevention, according to cardiologist Allison Hays.

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Article • Innovation

Siemens Healthineers tackle the problem of high-BMI patients with new Acuson Sequoia

Confidently scanning patients varying in size is one of the main difficulties in ultrasound imaging. With their new system Acuson Sequoia, Siemens Healthineers respond to this challenge. We spoke with Thomas Hartley, Senior Director of Global Marketing and Communication for Ultrasound at Siemens Healthineers, about the new device which aims to tackle some of the most pressing challenges in…

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Sponsored • Exhibition

Progress in medicine presented at Bulmedica/Buldental 2018

New products and technologies in medical practice expect the specialists of the leading international exhibition Bulmedica/Buldental from 16 to 18 May at Inter Expo Center. This year, the medical profile of the exhibition will focus on the progress in imaging, physiotherapy, aesthetic medicine. Once again Bulmedica/Buldental will be a platform to keep an eye on the tendencies, a meeting point of…

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News • Pivotal trial

Parkinson's disease: First patient treated with focused ultrasound

The first patient in a multicenter pivotal trial using focused ultrasound to address the major motor symptoms of Parkinson’s disease has been treated at Weill Cornell Medicine and NewYork-Presbyterian/Weill Cornell Medical Center in New York. This randomized, double-blind clinical trial is evaluating the safety and efficacy of using Insightec’s Exablate Neuro device in more than 100 patients…

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News • Groundbreaking technique

Noninvasive brain tumor biopsy on the horizon

Taking a biopsy of a brain tumor is a complicated and invasive surgical process, but a team of researchers at Washington University in St. Louis is developing a way that allows them to detect tumor biomarkers through a simple blood test. Hong Chen, a biomedical engineer, and Eric C. Leuthardt, MD, a neurosurgeon, led a team of engineers, physicians and researchers who have developed a…

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Sponsored • Medical fair

Welcome to the 79th CMEF Spring Show! Register Now to Save CNY 100!

China International Medicinal Equipment Fair (CMEF), launched in 1979, is held twice annually – spring and autumn. After over 39 years of continuous innovation and self-improvement, CMEF has become the largest fair of medical devices, related products and services in the Asia-Pacific region. The fair widely covers 15,000 products such as medical imaging, IVD equipment and reagent, medical…

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Interview • New technologies

Robots in medicine: Weak knees and hard facts

Although robotics is now an established arm of medical technology – with the Da Vinci surgical system a trailblazer – many basic issues need to be resolved before nurse Robot can report for the morning shift in a ward. Since centre-forward Robot and nurse Robot are closely related, we spoke with the developer of soccer robots about current progress.

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Article • Diverse benefits

Experts present CEUS insights

In April 2016 CEUS received the USA’s FDA approval. This year‘s RSNA Samsung Symposium ‘Contrast-Enhanced Ultrasound (CEUS): Innovations and a Problem-Solving Tool in Clinical Practice’ provided an opportunity to take stock. For European Hospital, Professor André Clevert, Director of the Interdisciplinary Centre for Ultrasound at University Hospital Munich, Germany, describes the current…

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Article • Old technique & new technology

Optoacoustics: the sound of cells

For centuries, hands, eyes and ears were the physicians’ most important instruments when it came to detecting and diagnosing disease. Today, one of the traditional techniques, percussion, is being revived, supported by state-of-the-art technology and dressed in a new name: optoacoustics. In one of the most exciting visionary ideas in modern healthcare short laser pulses (optics) are transmitted…

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News • Microbubbles

Bracco Imaging to innovate ultrasound for new personalized gene therapy

Bracco Imaging S.p.A., a global leader in diagnostic imaging, announced that it has initiated new experimental activities in its R&D Center in Geneva, Switzerland, to explore a new application for gas-filled microbubbles in the development of personalized gene therapy for treatment of chronic dysfunctional diseases related to lipid metabolism. Microbubbles have already revolutionized medical…

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Video • Emergency care

Point-of-care ultrasound helps save time and lives

Time is of the essence in an emergency situation, and may be the difference between life and death. Ambulance crews on the front line must decide rapidly whether or not a patient is suffering from a life-threatening condition requiring specialist treatment, and point-of-care ultrasound can provide vital guidance. Geert-Jan Deddens, a nurse practitioner in emergency care with the Rotterdam…

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News • Handheld scanner

Hologic partners up with Clarius Mobile Health for handheld ultrasound

Hologic, Inc. announced that it has signed a development and distribution agreement with Clarius Mobile Health for its wireless, handheld ultrasound scanner. The partnership supports Hologic's commitment to early detection and will help ensure that women around the globe have access to the most accurate breast health solutions that are rooted in clinical superiority. "We're very excited to…

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Interview • Diffuse liver diseases

The liver is a master of deception

Professor Dr Thomas Kröncke, Medical Director of Diagnostic and Interventional Radiology at Klinikum Augsburg, has been dealing with liver diseases for 17 years. Talking to European Hospital he explains which diseases the liver tends to mask and why fatty liver has become a public health issue.

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Article • Early detection

From detection to treatment response

Imaging is increasingly useful in detecting colorectal cancer (CRC) liver metastases and evaluating how these lesions respond to treatment. Dr Daniele Regge reviewed all the latest advances during last September’s Madrid meeting of the European Society of Medical Oncology (ESMO)

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News • Radiology tech

LI-RADS promotes improved liver imaging techniques and reporting

From its earliest beginnings in 2006 to its most recent update this year, the Liver Imaging Reporting and Data System (LI-RADS) is helping radiologists deliver clearer and more consistent imaging reports to hepatologists and surgeons worldwide. "LI-RADS is the leading system for interpretation and reporting of liver imaging exams in adults with cirrhosis. It is also the first radiology…

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Article • Smart phone sized ultrasound

Emergency ultrasound training

Training was at the heart of the biggest annual fair in the world, thanks to the newly introduced Medica Academy sessions, i.e. full-day seminars that dealt with practical questions, current techniques and advances in medicine. One of the hot topics tackled by the new format was emergency ultrasound, as renowned experts such as Dr Wolfgang Heinz from Stuttgart gave hands-on training on this…

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Article • Emergency medicine

Ultrasound can save lives

‘Ultrasound plays a key role in diagnosis and monitoring of treatment in the A&E department,’ emphasises Professor Joseph Osterwalder, Medical Director of the Cantonal Hospital in Appenzell, Switzerland. ‘I cannot imagine emergency medicine without ultrasound.’

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Article • Automation, AI and more

Abundant ultrasound tech potential

Automation continues to conquer healthcare, including diagnostic imaging. Christian Kollmann, Assistant Professor at the Centre for Medical Physics and Biomedical Technology, Medical University Vienna, Austria, highlights innovative software, fast hardware and artificial intelligence in ultrasound – today and in the future. Automated analyses are already supporting the diagnostic work-up. In…

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Sponsored • Innovation

The future of elastography rides on the shear wave

A practicing radiologist specialising in ultrasound, Pavlos Zoumpoulis MD PhD is also President and CEO of Diagnostic Echotomography, a day clinic based in Kifissia, Greece. The past President of the Hellenic Society of Ultrasound in Medicine and Biology spoke with our European Hospital team about his experiences with the next-generation in shear wave elastography on Mindray’s Resona 7 platform.

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Article • prenatal diagnostics

Ultrasound is indispensable in prenatal exams

‘In prenatal diagnostics, particularly in the first trimester, ultrasound continues to be the modality of choice when looking for malformations,’ says Professor Markus Hoopmann, deputy director of prenatal medicine and gynaecological ultrasound at the Women’s Health Clinic in Tübingen University Hospital. This case for ultrasound is significant because today fetal DNA that circulates in…

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Article • Handheld devices

Is 'Bring your own ultrasound' really such a good thing?

Pocket ultrasound accelerates diagnosis at the point-of-care reducing the role of the radiologist. You can buy a pocket ultrasound probe online, download an app to your smart phone and start making your own diagnoses of joints and organs. ‘It’s popping up everywhere. But is this a good thing?’ asked Michael Bachmann Nielsen, a radiologist at the Rigshospitalet in Copenhagen, during a…

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Article • Ultrasound

Controversies and practices in breast cancer screening

A controversy regarding the benefit of early screening programmes for breast cancer continues. Germany, Austria and Switzerland have developed individual strategies. European Hospital asked three experts from these countries to outline each chosen system. Markus Hahn MD, senior consultant at the University Breast Centre in Tübingen, Martin Daniaux, MD, Head of Breast Diagnostics at the Breast…

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Article • Multimodality

Risk profiling in breast diagnostics

Breast diagnostics are undergoing considerable change, with new technology facilitating alternative procedures. Genetics and nuclear medicine also enhance diagnostic possibilities. During our EH interview, Professor Rüdiger Schulz-Wendtland described current changes in breast diagnostics. ‘To date, complementary breast diagnostics has comprised clinical, sonographic and mammographic…

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News • Medical training

Supporting the next generation of doctors

Fujifilm SonoSite maintains its focus on supporting medical training and education, and recently supplied instruments for a series of ultrasound workshops at the Doctors Academy International Medical Summer School. On the 31st of July 2017, over 160 medical students from across Europe and the Middle East congregated in Manchester for the summer school, a five-day programme of workshops, lectures…

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Sponsored • Transducer

The multi-tasking 4G CMUT linear matrix probe

Holding Hitachi’s newest ultrasound probe in your hand, it looks and feels like any other ultrasound transducer. ‘Yet, you are actually holding a marvel of ultrasound engineering, a true break-through in transducer architecture that performs so well across so many types of exams that you may never want to let it go,’ the manufacturer reports.

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Article • Professional standards

The role of sonographers: future professionals across Europe?

Ultrasound is often the first line of imaging used in the diagnostic pathway of a patient’s journey into hospital. Additionally, the increased prevalence of chronic conditions and changes in the demographics of the general population has led to an increased demand for ultrasound. Fast-growing advances in technology also shift ultrasound into a more prominent role in patient diagnosis and…

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Interview • Biomarkers

Aiming for the earliest diagnosis of hepatocellular carcinoma

For almost three quarters of hepatocellular carcinoma (HCC) patients in Europe it is too late for curative treatment because the disease is often only diagnosed at a very advanced stage. Interviewed Professor Guido Gerken MD, Director of the Department for Gastroenterology and Hepatology at University Hospital Essen, about improved and timelier diagnostic capabilities that have already been…

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Sponsored • Point-of-care

Creating a new standard for emergency care

Point-of-care (POC) ultrasound is now commonly used in emergency departments throughout the UK. These instruments provide valuable insight for the assessment of both trauma and non-trauma patients, as well as helping to guide procedures. But for many departments, the use of POC ultrasound is limited by a lack of training and poor instrument availability. Professor Bob Jarman, Consultant in…

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News • Liver-Surgery

Ultrasound scalpel destroys liver tumors

Focused ultrasound can effectively destroy tumor cells. Until now, this method has only been used for organs such as the prostate and uterus. At the European Congress of Radiology, Fraunhofer researchers will present a method, developed as part of the TRANS-FUSIMO EU project, that enables focused ultrasound treatment of the liver, an organ that moves while breathing. In the future, this could…

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Article • Breast Cancer

Mammography screening with MR

Breast cancer screening is traditionally a mammography – ultrasound business but abbreviated protocols could enable more women to be imaged with MR and receive treatment earlier, a leading researcher will show during the annual Garmisch MR meeting.

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Article • Women's health

Built for comfort; created for speed

The new Sofia 3-D breast ultrasound system solves all the economic and logistic challenges associated with whole-breast ultrasound by using a full-field radial scanning method, the firm reports. The resulting throughput, efficiency, and patient comfort make Sofia an ideal solution for women with dense breasts.

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Sponsored • POC-System

Point-of-care ultrasound shows promise for Osgood-Schlatter diagnosis

Dr Ralf Doyscher, from the Department of Sports Medicine at Charité – Universitätsmedizin Berlin, has a close association with soccer at both professional and amateur levels. He recently participated in a scientific project focusing on preventative check-ups for the general health of elite young soccer players, and took the opportunity to simultaneously investigate the potential of…

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Article • Laboratories

Emergency POCT

Point-of-care testing can play an influential role in reducing over­crowding in hospital emergency departments.

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Article • Diagnostic radiology solution

Going fully digital in a single key stroke

Installing a complete diagnostic radiology solution to network six sites of a hospital group, to process, manage and archive image data acquired across all modalities, is a ‘challenge’, acknowledged by Professor Dr Peter Landwehr, Medical Director of the Clinic for Diagnostic and Interventional Radiology of Diakovere Henriettenstift, Hanover, Germany. In 2010, he and his team overcame that…

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News • Aid

Bringing point-of-care ultrasound training to West Africa

Dr. IlyasTugtekin, a consultant anaesthetist from Ulm University Clinic in Baden-Wuerttemberg, Germany, recently travelled to Kumasi in Ghana to help establish an ultrasound training centre for doctors all over West Africa. Funded by the Else Kröner-Fresenius Foundation (Else Kröner-Fresenius-Stiftung, EKFS) – a non-profit organisation dedicated to supporting medical research and related…

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Article • Emergency

Resuscitation: E-FAST or CT?

Ultrasound examinations are considered cost-efficient, fast and effective. The E-FAST (Extended-Focused Assessment with Sonography for Trauma) is a standardised examination used in accident & emergency medicine worldwide. The procedure helps to diagnose internal bleeding and organ damage in severely injured patients in the resuscitation room and, in some regions, even during emergency…

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Article • Contrast enhancement

Sonic boom with bubbles

Illuminating blood vessels, opening the blood-brain barrier and delivering drugs. What will be the next big thing that tiny microbubbles can do?

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Sponsored • What a concept!

Ultrasound developed by the people who use it

SonoSite's portable ultrasound machines are intuitive, durable, and ready to perform when you are. Our machines undergo rigorous durability testing, hours of quality assurance, and we're committed to spreading point-of-care ultrasound education through online webinars, in-person education and our mobile app. Learn how our focus on Durability, Reliability, Ease of Use and Education helps you…

News • To Image or Not?

Library of Evidence to aid imaging decisions, curb wasteful tests

Do a middle-aged man’s lightning-bolt headaches spell a garden-variety migraine, or do they call for a brain MRI to rule out more pernicious causes? Does a young woman’s recurring flank pain warrant a CT scan, or is she better off undergoing an ultrasound? To help practicing clinicians choose the most appropriate imaging test for each patient, Harvard Medical School is launching Library of…

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Article • Mobility

Hitachi puts punch in portablility

When Ferdinando Draghi, M.D. speaks, the world of ultrasound listens carefully. The Editor-in-Chief of the Journal of Ultrasound, the author of 90 publications that have been cited in other peer-reviewed publications hundreds of times, Dr. Draghi is widely known for his authoritative knowledge in diseases affecting the musculoskeletal (MSK) system.

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News • Noninvasive

Tremor: scalpel-free surgery proves effective

A study published in the prestigious New England Journal of Medicine offers the most in-depth assessment yet of the safety and effectiveness of a high-tech alternative to brain surgery to treat the uncontrollable shaking caused by the most common movement disorder. And the news is very good.

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Article • Echocardiography

Toshiba beams in on cardiology ultrasound

To sharply focus on the specialised requirements in echocardiography, Toshiba engineers built from scratch the Aplio i900CV with a total redesign of hardware and software. The new Aplio i-series is a premium addition to the award-winning Aplio 500 platform, which today is used in more than 31,000 clinical settings worldwide.

News • Agreement

Siemens and INSIGHTEC provide access to Exablate Neuro technology

INSIGHTEC announced the signing of a strategic agreement with the global leader in Magnetic Resonance Imaging, Siemens Healthineers. The strategic collaboration will involve the development of compatibility between Exablate Neuro and Siemens leading 1.5T and 3T clinical MRI systems, MAGNETOM Aera and Skyra. With this agreement, Siemens Healthineers follows its strategy of broadening and…

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News • Photoacoustic imaging

Promising option for noninvasive monitoring of prostate cancer

While active surveillance is often recommended for patients with nonaggressive prostate cancer to reduce unnecessary treatment, the challenge for clinicians is to monitor and distinguish early-stage tumors from advanced cancers. A team of scientists led by researchers from Roswell Park Cancer Institute have demonstrated that photoacoustic imaging (PAI) may be an effective tool for more accurately…

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News • Iso-acoustic focusing

Ultrasound method increases awareness about cancer cells

In brief, the new method involves exposing cells to ultrasound when they flow through a so-called micro-channel inside a chip. The individual cells are separated in the acoustic field and by studying the cells’ lateral movement at the end of the channel it is possible to identify the acoustic properties of the cells. Conversely, if you know the cells’ acoustic characteristics, you can detect…

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Article • OnSight 3D Extremity System

Carestream Submits Application for FDA 510(k) Clearance

Carestream Health has filed a 510(k) application with the FDA for clearance of its CARESTREAM OnSight 3D Extremity System that uses cone beam CT (CBCT) technology to capture weight-bearing and other types of patient extremity images. This affordable system is designed to offer high-quality, low-dose 3D imaging for use by orthopaedic and sports medicine practices, hospitals, imaging centers,…

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Ebola: Guidelines for treating infected children

When the Ebola virus outbreak erupted in West Africa in 2014, children infected with the virus — particularly those under age 5 — faced overwhelming challenges. Not only was there a high death rate among young children infected with the disease, they often were isolated from their families, leaving them feeling distressed and without the intensive care they needed.

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Article • Breast cancer screening

Spanish experts clash over benefits and harms

Breast cancer screening has helped to detect cancer in its early stages, but it is unclear how important this contribution is to mortality reduction because treatment has greatly improved. Overdiagnosis and overtreatment remain associated risks that need to be fully assessed for screening to be of real benefit. Leading experts in this field passionately discussed these controversies in a…

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Article • Diagnostic

SuperSonic reveals micro vessels with AngioPLUS

Building on an innovative ultrasound technology that continues to yield break-through capabilities, SuperSonic Imagine is introducing AngioPLUS, a third diagnostic functionality for its Aixplorer platform that promises to be instrumental in the diagnosis of cancerous tissues as well as musculoskeletal pathologies.

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Article • Scanner

Cone beam CT sharpens focus for MSK imaging

Expanding on core technologies, Carestream re-engineers cone-beam CT for targeted orthopaedic exams. For a focused look at bone joints or sports injuries, there are a few 3D mini-scanners, yet adoption has been slow, according to Andrew Hartmann, Vice President and General Manager at Carestream for Ultrasound & CT Solutions. For difficult cases, he said, a physician might turn to full-body…

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Sponsored • Obstetrics

New atlas will redefine OB/GYN imaging

Using the Arietta V70 from Hitachi, a French diagnostic imaging team is rewriting the book on obstetrics and gynaecology. Entitled the ‘Atlas d’échographie de fusion en gynécologie obstétrique’, the new edition by Jean-Marc Levaillant MD, and colleagues from the diagnostic imaging centres at the Bicêtre and Créteil hospitals in Paris, will be published before the end of 2015.

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Sponsored • On the move

Flexible and adaptable US systems and probes

Esaote specialises in designing and manufacturing diagnostic ultrasound systems and probes, shaping solutions to answer demanding clinical needs in any application, as the firm outlines, from abdomen to vascular, passing through musculoskeletal, internal medicine, cardiology, emergency and physiotherapy.

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Article • Event

International Day of Radiology 2015 focuses on children

This year, the worldwide International Day of Radiology (IDoR) on 8 November is dedicated to paediatric radiology. Professor Erich Sorantin, Head of Paediatric Radiology at the University Hospital Graz (Austria) and IDoR coordinator for Austria is particularly pleased: “Only very few countries recognize paediatric radiology as a radiological sub-speciality. Now we have the opportunity to…

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Article • Prostate radiological

‘We need more feedback’

What you see is what you get - unfortunately, this doesn’t always apply in cancer imaging. Why is it that something which looks conspicuous on an image later turns out not to be a tumour? Why, on the other hand, are things overlooked that later turn out to be cancer? Pathological findings are extremely important to help improve diagnostic precision in radiology. Both disciplines therefore…

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Endurance athletes should be tested for fatal heart condition

Some athletes who take part in endurance exercise such as marathon running, endurance triathlons or alpine cycling can develop irregularities in their heartbeats that can, occasionally, lead to their sudden death. Evidence published in the European Heart Journal by Professor La Gerche and colleagues has shown that doctors who try to detect these arrhythmias by focusing on the left ventricle of…

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Sponsored • First hand experience

Improving point-of-care ultrasound training in intensive care medicine

Dr Sven Ballnus is Director of the Department of Intensive Care Medicine at the Hospital Centre Biel/Bienne, Switzerland, and an active member of the European Society of Intensive Care Medicine. Formerly a chief consultant in intensive care medicine at Westküstenkliniken in Heide, Schleswig-Holstein, Germany, he oversaw the development of an ultrasound course focusing on the specific needs of…

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Article • Influential innovations

Unfolding new vistas for MRI, PET and PET/CT

The importance of cardiac imaging is increasing, but nuclear medicine procedures are by no means obsolete, observes Okan Ekinci, during our EH interview with the Siemens Vice President for Healthcare Consulting & Clinical Affairs about the latest innovations for cardiology.

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News • Cooperation

Strategic alliance between Agfa HealthCare and Hitachi Medical Systems

Agfa HealthCare announced that it has entered into a sales and marketing agreement with Hitachi Medical Systems America, Inc. (Hitachi) whereby Hitachi will promote Agfa HealthCare's complete portfolio of Direct Radiography (DR) and Computed Radiography (CR) solutions to its large and growing community of MRI and CT customers in the United States, including hospitals, imaging centers and…

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Sponsored • Point-of-Care

M9 brings maximum mobility

For medical ultrasound it’s quick, easy and portable – and so popular with Professor Christoph Dietrich, chief of Medical Department 2 at Caritas Hospital, Bad Mergentheim, one of the first physicians worldwide to test the M9 in clinical routine. ‘The compact Mindray colour Doppler system is about the same size as a notebook computer. The imaging suite comes to the patient,’ the…

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Article • IVD Market

Santa’s bag full of cash

We are seeing great priority shifts in China’s funding for R&D and manufacturing expansion. Even the agency responsible for selecting the recipients has changed, Jie Ren reports from the Beijing-based market analysis consultancy Whitney Research Inc. Report: John Brosky

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Article • Paediatric imaging

MRI in paediatric cardiology

'In paediatric cardiology, echocardiography is the method of choice for preoperative diagnostic purposes,' explains Professor Dr Emanuela Valsangiacomo-Büchel, senior cardiologist and director of cardiovascular imaging at the University Children’s Hospital Zurich, Switzerland. Report: Axel Viola

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Simply Superb Microvascular Imaging

‘An intelligent imaging tool, Superb Microvascular Imaging (SMI) moves beyond conventional colour Doppler technology by applying a unique algorithm allowing visualisation of small vessels with low velocity, while maintaining high resolution, minimal motion artefacts and high frame rates,’ Toshiba proudly reports.

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Article • Incidental findings

Liver lesions are most often benign

At least 60% of liver lesions can be characterised purely by ultrasound. Screening and examinations of supposedly healthy patients often result in an accidental discovery of liver lesions. According to Dr Antonius Schuster MD MBA, Head of the Department of Radiology at the LKH Bregenz, (Vorarlberg). ‘The prevalence of such changes is around 20% of patients examined’. Depending on a…

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Superior image quality meets intuitive operating concept

Visiorad is an association of radiology, radiotherapy and nuclear medicine practices which serve the northwestern part of Hamburg and the adjacent suburban areas. Dr Timo Gomille, partner of Visiorad, and his team focus on breast diagnostics. A mainstay of their daily work is the RS80A – the Samsung ultrasound system which impresses with superior image quality and an innovative operating concept

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Refinements and advancements galore

The Aplio, Toshiba’s flagship ultrasound scanner, has been extensively advanced and essentially turned into a new system. The highly innovative Japanese company in imaging diagnostics has refined the successful Aplio series of scanners and introduced it internally in Frankfurt at the beginning of October.

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Article • Mobile

MRI goes wireless

The current setup for MRI-guided interventions is challenging. With a physician positioned in the MRI room and an MRI operator in an adjacent room, setting scanning parameters requires communication by hand signals or via a headset that comes with inconvenient cabling.

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Smart Fusion of modalities enhances clinical output

Adding high quality, dynamic ultrasound for hybrid imaging enables clinicians to improve detection of a range of lesions or to intervene better for improved clinical outcomes. ‘We can no longer be fascinated with pictures; what we need is proof of the clinical benefit from tools and techniques,’ said Professor Jose Zamorano MD, Director of Cardiology at Ramón y Cajal University Hospital in…

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Diagnostic imaging service extended

Medical Equipment Solutions and Applications (MESA) and Euromedic International have agreed to extend their current diagnostic imaging service and maintenance partnership covering Euromedic’s Tier 1 (MRI, CT, PET-CT, Gamma Camera and Angio) and Tier 2 (mammography, ultrasound and other general X-ray) systems.

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Polytrauma imaging

Professor Ulrich Linsenmaier, a leading expert in emergency radiology, has highlighted the need for clinicians to read image data rapidly in an emergency department if they are to help improve clinical outcomes for polytrauma patients.

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Small patients, big challenges

Children are not small adults. General radiologists are increasingly aware of the very special needs of young patients since frequently they rather than specialized paediatric radiologists perform initial diagnostic imaging and thus play a crucial role in the therapy decision. No mean feat as children may present with very different types of diseases and symptoms than adults, knows Dr. Christoph…

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Diagnosing from a distance

An echocardiography system that conveniently slips into a coat pocket, this kind of miniature device is now commercially available. Portable ultrasound has been around for about a decade, but until recently the machines were about the size of a laptop rather than that of a smart-phone

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