Search for: "vascular" - 650 articles found

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Magnetic pull on catheters

Fringe Field Navigation transforms endovascular surgery

A new technique could enable vascular surgeons to reach even the more difficult body regions. Instead of pushing catheters into minute veins, the system, devised in Canada by Professor Sylvain Martel and team at the Polytechnique Montréal Nanorobotics Laboratory, uses magnetic forces to pull a guidewire, or catheter, into remote physical locations, guiding medical instruments into narrow and…

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Viral on­co­logy

Kaposi Sarcoma: Answers to a longstanding enigma

The oncogenic herpesvirus (HHV8 or KSHV) causes a cancer known as Kaposi’s Sarcoma. An international team of scientists led by the University of Helsinki has discovered key factors that control the genome maintenance and replication of a virus responsible for lymphatic vascular cancer. Kaposi Sarcoma (KS) is the most common cancer among Aids patients and it is often seen in sub Saharan and…

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Increased usability and precision

New X-ray contrast agent enhances vascular imaging

Researchers at the University of Zurich have developed a new X-ray contrast agent which is easier to use and distributes into all blood vessels more reliably, increasing the precision of vascular imaging. This reduces the number of animals required in research experiments. Various diseases in humans and animals – such as tumors, strokes or chronic kidney disease – damage the blood vessels.…

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Solution for pediatric assessment

Ultrasound: A gentler approach to imaging children

Royal Philips announced the ultimate ultrasound solution for pediatric assessment, the latest addition for its Philips Ultrasound System (EPIQ Elite). The new ultrasound solution provides clinicians with exceptionally detailed images and the performance they need to make a definitive diagnosis for pediatric patients, reducing the need for additional diagnostic imaging steps, such as X-ray imaging.

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More power for interventionists

Combining image-guided diagnosis and robot-assisted treatment

Siemens Healthineers AG took a big step last October. To incorporate treatment along an entire clinical path, the firm acquired Corindus Vascular Robotics, Inc., to combine image-guided diagnosis with robot-assisted surgery. A couple of months later, the Corindus endovascular robotic system CorPath GRX was used to implant a vascular stent into an obstructed coronary artery – the first use of…

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Support during the COVID-19 crisis

103 portable ultrasound systems for Italy

Esaote, an Italian company in the field of medical diagnostic imaging systems, recently delivered 103 portable ultrasound scanners in four Italian regions. An operation that confirms the full operation of the Company even during the COVID-19 emergency and strong support to the national health system. Esaote won the tender launched by Consip (central purchasing body procuring goods and services…

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Medical imaging

SymphonyAI acquires TeraRecon

SymphonyAI Group, an operating group of leading business-to-business AI companies, announced the acquisition of TeraRecon, the market-leading advanced visualization and AI solution provider for medical imaging. As SymphonyAI Group’s seventh portfolio company, TeraRecon has a charter to establish a new portfolio of healthcare AI solutions focused on medical imaging. Using newly patented AI and…

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Bringing AI to the clinics

Pioneering a vendor neutral AI system

Capturing all the possibilities brought by AI long-seemed a faraway dream for hospitals, since most artificial intelligence (AI) solutions are vendor dependent, thus complicating their deployment in clinical practice. However, the dream has become reality at Utrecht UMC, which launched a pioneering AI infrastructure able to monitor information and run any algorithm from its HIS, RIS and PACS.…

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Accessories / Complementary Systems

GCTechnology - CIRS Phantoms

Highlights• Doppler flow phantom • Quality assurance test phantoms • Ultrasound accreditation phantoms • Male and female ultrasound pelvic phantoms • Thyroid ultrasound training phantom • Prostate phantom family – Breast phantom family • Kidney training phantom • Vascular access training phantom kit • Shear…

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Ultrasound

Konica Minolta – Sonimage HS1

Frequency range: Up to 18 MHzDisplay mode: 2DDisplay size: 15"Highlights• Triad Tissue Harmonic Imaging (3 THI)• SNV – Simple Needle Visualization• Newly developed multi-frequency probes up to 18 Mhz• Portable system with built-in battery• Start-up from standby within 15 seconds• Excellent for MSK / orthopaedic, nerve, vascular and anaesthesia•…

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Ultrasound

Canon – Aplio 300

Frequency range: 1.8 –18 MHzDisplay mode: 2D / 3D / 4DDisplay size: 21.5"Highlights• High Density Beamformer, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Superb Micro Vascular Imaging • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging and CEUS quantification • 4D (surface, MPR, MultiView, Luminance) • Smart Fusion, Strain and…

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Ultrasound

Canon – Aplio 400

Frequency range: 1.8 –18 MHzDisplay mode: 2D / 3D / 4DDisplay size: 21.5"Highlights• High Density Beamformer, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Superb Micro Vascular Imaging • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging and CEUS quantification • 4D (surface, MPR, MultiView, Luminance) • Smart Fusion, Strain…

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Ultrasound

Canon – Aplio a450

Frequency range: 1.8 –18 MHzDisplay mode: 2D / 3D / 4DDisplay size: 21.5"Highlights• aBeam, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Superb Micro Vascular Imaging, Doppler Luiminance • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging • 4D (surface, MPR, MultiView, Luminance) • Smart Fusion, Strain and Shearwave elastography,…

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Ultrasound

Canon – Aplio 500

Frequency range: 1.8 –18 MHzDisplay mode: 3D / 3D / 4DDisplay size: 21.5"Highlights• High Density Beamformer, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Superb Micro Vascular Imaging • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging and CEUS quantification • 4D (surface, MPR, MultiView, Luminance) • FlyThru virtual endoscopy, Smart…

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Ultrasound

Canon – Aplio a550

Frequency range: 1,5 – 18 MHzDisplay mode: 2D / 3D / 4DDisplay size: 23"Highlights• aBeam, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Intelligent Superb Micro Vascular Imaging, Doppler Luminance • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging and CEUS quantification • 4D (surface, MPR, MultiView, Luminance, Shadow Glass) • FlyThru…

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Ultrasound

Canon – Aplio i600

Frequency range: 1 –22 MHzDisplay mode: 2D / 3D / 4DDisplay size: 23"Highlights• iBeam, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Intelligent Superb Micro Vascular Imaging • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging, Quad View • 4D (surface, MPR, MultiView, Luminance, Shadow Glass) • FlyThru virtual endoscopy, Smart Fusion,…

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Ultrasound

Canon – Aplio i700

Frequency range: 1 – 33 MHzDisplay mode: 2D / 3D / 4DDisplay size: 23"Highlights• Intelligent Dynamic Micro Slice, iBeam, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Intelligent Superb Micro Vascular Imaging • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging, Quad View • 4D (surface, MPR, MultiView, Luminance, Shadow Glass) •…

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Ultrasound

Canon – Aplio i800

Frequency range: 1 –33 MHzDisplay mode: 2D / 3D / 4DDisplay size: 23"Highlights• Intelligent Dynamic Micro Slice, iBeam, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Intelligent Superb Micro Vascular Imaging, Ultra High Frequency • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging, Quad View • 4D (surface, MPR, MultiView, Luminance, Shadow…

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Ultrasound

Canon – Aplio a

Frequency range: 1.8 –18 MHzDisplay mode: 2D / 3D / 4DDisplay size: 21.5"Highlights• aBeam, Precision Imaging, ApliPure+, Differential THI, TSO, ADF, Superb Micro Vascular Imaging, Doppler Luminance • CEUS; Advanced CEUS incl. VRI, MicroFlow imaging • 4D (surface, MPR, MultiView, Luminance) • Smart Fusion, Strain and Shearwave elastography, MicroPure,…

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Coronavirus disease research

Seeking a COVID-19 antidote: the potential of ACE2

As coronavirus disease COVID-19 continues to jet and alight invisibly around the globe, scientists now report that the virus has mutated to become two strains: the older ‘S-type’ appears milder and less infectious, while the later-emerging ‘L-type’, is more aggressive, spreads more quickly, and currently accounts for about 70 per cent of cases. Worldwide, medical researchers are exploring…

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Flatpanel Fluoro

Canon – Zexira/FPD

Power: 80 kWDetector type: CsIPixel size: 148 μmHighlights• General radiography (abdominal / skeletal).• Non-vascular contrast-enhanced studies of the spine, intervertebral disks, joint cavities, biliary tract, nerve block procedures, etc.• Non-vascular IVR(ERCP, PTC, biopsy, ileus tube, etc.).• Angiography (abdomen, shoulders, upper / slower trunk and…

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Enhancing cancer imaging

New contrast agent for early diagnosis of brain metastases

A group of researchers led by Leif Schröder from the Leibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP) have found a way to detect metastases in certain types of cancer in the brain at an early stage, using only minimal amounts of contrast agent. To this end, the team uses a synthetic molecule that helps to detect the formation of new blood vessels, producing much more sophisticated…

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Accessories / Complementary Systems

GCTechnology - CIRS Phantoms

Highlights• Multi modality abdominal biopsy phantom (for CT, US, MRI) • Biopsy breast phantom • Thyroid training phantom • Prostate training phantoms family • Kidney training phantom • Vascular access training phantom

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Surgical Flat Panel C-Arms

Ziehm – Vision FD

Power: 2.4 kWDetector: CMOS / a-SiPixel size: 100 μm / 150 μmHighlightsNow in the upgraded CMOSline*, the Ziehm Vision FD features an enhanced imaging chain for excellent image quality and - thanks to the Advanced Active Cooling – is designed for continuous use.In addition, finely tuned workflows and new software features help to optimize patient outcomes and further increase…

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Surgical Flat Panel C-Arms

Technix – TCA7

Power: 20 kWDetector: 21x21 cm/ 30x30 cmPixel size: 205/ 194 µmHighlights• Orthopedics, spine, abdomen, vascular • Rotating anode, water cooled for long procedures • Large C-Arm and wide orbital rotation permits easy patient positioning • Intuitive Touchscreen user interface with image preview • Removable grid and motorized filters for…

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Surgical Flat Panel C-Arms

Stephanix – Omniscop DReam S

Power: 4.2 / 5 kWDetector: 21x21 cm/ 30x30 cmPixel size: 194/ 205 µmHighlights• Orthopaedic / Urology / Cerebral / Thoracic / Pain therapy / Peripheral vascular using DSA function• Single unit system, all components integrated into the C-arm stand• Very small footprint• 4 Mpixel 27" medical monitor on an articulated arm, adjustable height and angle•…

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Surgical Flat Panel C-Arms

Stephanix – Omniscop DReam

Power: 5 kW / 20 kWDetector: 21 × 21 cm / 30 × 30 cmPixel size: 154 μmHighlights• Orthopaedic, head, spine, thorax, abdomen, vascular, cardiac• Large C-Arm depth and wide orbital rotation• Adjustable height & angle of medical displays• Dynamic FPD with high DQE and MTF• Removable grid• Advanced functions :APR, post-processings, DSA• DICOM…

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Surgical Flat Panel C-Arms

GMM – Symbol FP – Mobile C-Arm system

Power: 20 kWDetector: a-SiPixel size: 154 μm – 184 μmHighlights• State-of-the-art flat panel technology for outstanding performances and superior image quality for any imaging activity in operating room.• General and vascular surgery, neurosurgery, cardiology, gastroenterology, urology.• Easy patient positioning thanks to the wide C-Arm opening.• Exclusive user…

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Multi Modality Suites

Canon – Alphenix 4D CT

Power: 100 kWDetector: a-Si / CsIPixel size: 194 μmHighlightsThis integrated system combines premium CT and ceiling-mounted angiography technology. The perfect diagnostic and treatment set-up for high-risk procedures in various interventional segments such as:• Interventional Oncology• Trauma / Neuro / Stroke• General Vascular• Additional or Backup CT• Detector…

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Smart algorithm

Automated analysis of whole brain vasculature

Diseases of the brain are often associated with typical vascular changes. Now, scientists at LMU University Hospital Munich, Helmholtz Research Centre for Environmental Health and the Technical University of Munich (TUM) have come up with a technique for visualising the structures of all the brain's blood vessels – right down to the finest capillaries – including any pathological changes. So…

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Skeletal reconstruction

New stem cells discovery could pave the way to generate new bone

A population of stem cells with the ability to generate new bone has been newly discovered by a group of researchers at the University of Connecticut (UConn) School of Dental Medicine. In the journal Stem Cells, lead investigator Dr. Ivo Kalajzic, professor of reconstructive sciences, postdoctoral fellows Dr. Sierra Root and Dr. Natalie Wee, and collaborators at Harvard, Maine Medical Research…

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After mastectomy

Promising approach for breast regeneration

A team of researchers from Osaka University, Kyoto Prefectural University of Medicine, and Toppan Printing Co., Ltd. succeeded in reconstructing adipose tissue balls (“mini-breasts”) with a functional vascular network using patient-derived cells, achieving a high graft survival rate in small animal models. So far, silicone breast implants were primarily used in breast reconstruction following…

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Interventional cardiology

First robotic coronary angioplasties in Germany

Robocath, a company that designs, develops and commercializes cardiovascular robotic systems for the treatment of vascular diseases, announces it has successfully completed its first robotic coronary angioplasties with R-One in Germany. The Percutaneous Coronary Interventions (PCI) were performed by Pr Michael Haude, a recognized and highly experienced interventional cardiologist at Rheinland…

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Personalized treatment

Could B cells turn the tide in sarcoma immunotherapy?

How can the treatment of soft tissue sarcomas, these particularly resistant and aggressive forms of cancer, be improved and better personalized? An international team led by Wolf Hervé Fridman with researchers from Inserm, Sorbonne Université and Université de Paris at the Cordeliers Research Center, in collaboration with the French League against cancer and Institut Bergonié, has shown that…

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Percutaneous coronary intervention (PCI)

Robotic angioplasty: The future of endovascular interventions

An exciting development from an innovative French company is poised for a major breakthrough in European markets. As is now well-known, coronary angioplasty is a procedure that widens and/or unblocks the arteries to the heart by the insertion and inflation of a balloon and/or stent into the vessel lumen. In modern practice, a stent is normally left in place to ensure the blood flow remains…

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PET precision brain imaging

‘Tau’ protein far more predictive for Alzheimer's damage than amyloid

Brain imaging of pathological tau-protein “tangles” reliably predicts the location of future brain atrophy in Alzheimer’s patients a year or more in advance, according to a new study by scientists at the UC San Francisco Memory and Aging Center. In contrast, the location of amyloid “plaques,” which have been the focus of Alzheimer’s research and drug development for decades, was found…

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Healthcare in a conflict zone

Wound care in wars

War wounds sustained by frontline soldiers or civilians usually need urgent, specialist, trauma surgery. Over the last two decades much has been learned from injuries sustained during conflicts in, for example, Afghanistan and Iraq. In early June, during a Catastrophe and War Wound key session at the European Wound Management Association conference in Gothenburg, specific remedial approaches to…

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Cardiology in Cape Town

First successful robotic coronary angioplasties in Africa

Robocath, a company that designs, develops and commercializes cardiovascular robotic systems for the treatment of vascular diseases, announced it has successfully completed six robotic coronary angioplasties with R-One, a first for the continent of Africa. The Percutaneous Coronary Interventions (PCI) were performed by Dr Faizel Lorgat, an interventional cardiologist at the Netcare Christiaan…

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Personalised prevention

‘Liquid health check’ could predict disease risk

Proteins in our blood could in future help provide a comprehensive ‘liquid health check’, assessing our health and predicting the likelihood that we will we will develop a range of diseases. Preventative medicine programmes such as the UK National Health Service’s Health Check and Healthier You programmes are aimed at improving our health and reducing our risk of developing diseases. While…

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Surgical planning, medical training, patient education

Mixed reality anatomy viewer released

Digital medical technology company Brainlab announced the launch of Mixed Reality Viewer, which brings spatial computing into daily clinical practice for surgical plan review, medical student training and patient consultation. Brainlab Mixed Reality (MR) Viewer uses the head-mounted display Magic Leap One from Brainlab strategic development partner Magic Leap to add a new dimension to patient…

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Smart patch

ELSAH: A wearable to determine biomarkers

The EU four-year project ELSAH, which began at the dawn of 2019, aims to design a wearable to enable continuous determination of biomarker concentrations. Project coordinator Dr Joerg Schotter, Molecular Diagnostics, Centre for Health & Bioresources, AIT Austrian Institute of Technology GmbH, explains the project’s objectives and potential applications for the planned wearable.

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Hope for new skin grafts

3D printed living skin complete with blood vessels

Researchers at Rensselaer Polytechnic Institute have developed a way to 3D print living skin, complete with blood vessels. The advancement, published in Tissue Engineering Part A, is a significant step toward creating grafts that are more like the skin our bodies produce naturally. “Right now, whatever is available as a clinical product is more like a fancy Band-Aid,” said Pankaj Karande, an…

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Vascular surgery

New lease of life thanks to new aorta

Patients with the rare Loeys-Dietz syndrome suffer from aortic enlargement which may result in sudden over-expansion and a fatal aortic tear. In order to prevent this from happening, an aortic prosthesis must be implanted. A team of vascular surgeons at the University Hospital of Zurich was one of the first in the world to risk undertaking this life-saving operation on a child as an emergency…

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Tissue construct

A 'swift' way to 3D-print organs

Twenty people die every day waiting for an organ transplant in the U.S., and while more than 30,000 patients now receive transplants annually, another 113,000 are currently on organ waitlists. Many people see artificially grown human organs as the Holy Grail for resolving the organ shortage, and advances in 3D printing have led to a boom in using that technique to build living tissue constructs…

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POCUS

Point-of-care ultrasound – a valuable tool for nephrology

Point-of-care ultrasound (POCUS) systems are becoming a common sight in nephrology departments and renal dialysis clinics, helping clinical staff to evaluate and effectively access the vasculature of dialysis patients. Dr Jean-Yves Bosc, a nephrologist and vascular doctor working at the non-profit private health establishment AIDER SANTÉ in the South of France, has been a champion of ultrasound…

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High tissue contrast, spatial detail, complete tissue characterisation

MRI shows cardiac diagnostic value

Cardiovascular magnetic resonance (CMR) imaging has become faster, simpler and more widely available in recent years because it has evolved to deliver effective assessment and diagnosis of a range of heart conditions with expanding guideline indications. ‘MRI is the reference test for anatomical imaging of the heart, for quantifying chamber sizes and function,’ explains Professor Sven Plein,…

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Vascular PSP survey

Giving patients a say in vascular conditions research

A new survey will give patients, carers and members of the public the opportunity to have their say in what they think is important for future research for vascular conditions. The Vascular Priority Setting Partnership (PSP) survey, developed in partnership with the James Lind Alliance aims to identify unanswered questions about the prevention, diagnosis and treatment of vascular conditions from…

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Interventional radiology

Safe, cheap embolisation for emerging countries

Vincent Vidal (Marseille, France) and colleagues have demonstrated the in vivo feasibility of arterial embolization with permanent and absorbable suture fragments, leading them to propose what they have termed the “FAIR-Embo” concept to the wider interventional radiology (IR) community. Writing in Cardiovascular and Interventional Radiology (CVIR), they conclude: “Embolization by absorbable…

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Microstents vs foetal urethral strictures

The world’s smallest stent

Researchers at ETH Zurich have developed a new method for producing malleable microstructures – for instance, vascular stents that are 40 times smaller than previously possible. In the future, such stents could be used to help to widen life-threatening constrictions of the urinary tract in foetuses in the womb. Approximately one in every thousand children develops a urethral stricture,…

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Hot, spicy & dangerous

Chili lovers might increase dementia risk

Think twice before adding that extra kick of chili sauce or chopped jalapeno to your meal. New research involving the University of South Australia shows a spicy diet could be linked to dementia. A 15-year study of 4582 Chinese adults aged over 55 found evidence of faster cognitive decline in those who consistently ate more than 50 grams of chili a day. Memory decline was even more significant if…

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Collaboration

The virtual patient comes to the angio-suite

Siemens Healthineers and Mentice AB announced the collaboration to fully integrate Mentice’s VIST Virtual Patient into the Artis icono angiography system from Siemens Healthineers. The VIST Virtual Patient thus becomes a fully integrated simulation solution for the angio-suite. The global partnership between the two companies will allow interventional radiologists, neuroradiologists, and…

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Macular Degeneration

Implanted drug ‘reservoir’ reduces injections

In a clinical trial of 220 people with “wet” age-related macular degeneration, Johns Hopkins Medicine researchers, collaborators from many sites across the country, and Genentech in South San Francisco have added to evidence that using a new implant technology that continuously delivers medication into the eyes is safe and effective in helping maintain vision and reduces the need for…

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Detecting migrant health risks

‘Refugees do not bring diseases to western shores’

The migrant population is fast growing and heterogeneous. Experts at a session held during the European Congress of Radiology (ECR 2019) concluded that radiologists can play a key role in detecting and differentiating related diseases. Migration is a growing phenomenon and has an impact on health, according to Jozef Bartovic from the World Health Organisation (WHO) in Copenhagen, Denmark.…

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Artificial Intelligence

Allying AI to biomarkers is powerful but validation remains challenging

Using artificial intelligence (AI) to push development of imaging biomarkers shows great promise to improve disease understanding. This alliance could be a game changer in healthcare but, to advance research, clinical validation and variability of results must be factored in, a prominent Spanish radiologist advises. In clinical practice efforts are already ongoing to apply AI to obtain new…

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Breakthrough technologies

From detectors to turnkey imaging solutions in radiology

With mounting pressures on funding and making healthcare more affordable for national health services and private sector providers alike, technology providers must strive to continuously innovate in order to improve product portfolios. Thales’s strategy is underpinned by its world leadership in digital technologies, which are becoming intrinsic to medical imaging and radiology. The result of…

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Research

First use of vasoprotective antibody in cardiogenic shock

Scientists at the German Centre for Cardiovascular Research (DZHK) have started a study to find out whether a monoclonal antibody restoring vascular integrity is safe and has positive effects on organ functions of patients with cardiogenic shock. The multicenter trial is sponsored by the University of Hamburg, financially supported by the biopharmaceutical company Adrenomed AG, and led by Dr.…

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Be prepared

This 3D printed baby dummy could improve resuscitation training

Two millions: this is, worldwide, the number of babies which suffer suffocation during birth every year. A resuscitation procedure is sometimes the key to avert irreparable damages for the baby. And, for successful outcomes, promptness of action and preparation are vital. Researcher Mark Thielen (Industrial Design) from the Eindhoven University of Technology (TU/e) developed a 3D printed baby…

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Bioprinting

3D printing of biological tissue

The future of medicine is biological – and scientists hope we will soon be using 3D-printed biologically functional tissue to replace irreparably damaged tissue in the body. A team of researchers from the Fraunhofer Institute for Interfacial Engineering and Biotechnology IGB has been working with the University of Stuttgart for a number of years on a project to develop and optimize suitable…

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New hematologic biomarker

FDA clearance for early sepsis indicator

A major milestone on its strategic mission to lead in sepsis diagnostics, Beckman Coulter announced that its Early Sepsis Indicator has received 510(k) clearance from the U.S. Food and Drug Administration (FDA). Sepsis is a global healthcare crisis that affects more than 30 million people worldwide. The Early Sepsis Indicator is a first-of-its-kind, hematology-based cellular biomarker that is…

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Magnetic resonance elastography

Faster than fMRI: Seeing brain activity in ‘almost real time’

The speed of the human brain is remarkable. Almost immediately upon being exposed to stimuli, neurons are activated, prompting subconscious reactions and, a fraction of a second later, thought. But the speed at which we can noninvasively follow brain function using an MRI is not as impressive. Functional MRI (fMRI), which measures changes in blood-oxygen levels, has revolutionized neuroscience by…

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Biotechnology

First ever 3D printed heart from a patient’s own cells

In a major medical breakthrough, Tel Aviv University researchers have "printed" the world's first 3D vascularised engineered heart using a patient's own cells and biological materials. Until now, scientists in regenerative medicine — a field positioned at the crossroads of biology and technology — have been successful in printing only simple tissues without blood vessels. "This…

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Differentiate and select

Myths and truths about antibiotics, antiseptics and vaccination

Sixty-two percent of Germans fear antibiotic resistance, according to a survey recently conducted by the German Federal Institute for Risk Assessment. ‘Patients colonised by multi-resistant pathogens are particularly scared. But many of these fears are rooted in misunderstandings,’ explained Professor Mathias Pletz at the Congress for Infectious Diseases and Tropical Medicine (KIT).

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Cancer research

Black nanoparticles slow tumor growth

Melanin protects our skin from the sun’s damaging rays by absorbing light energy and converting it to heat. This could make it a very effective tool in tumor diagnosis and treatment, as demonstrated by a team from the Technical University of Munich (TUM) and Helmholtz Zentrum München. The scientists managed to create melanin-loaded cell membrane derived nanoparticles, which improved tumor…

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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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ECR 2019

Promising applications of mixed realities in medicine

Extended reality applications like virtual reality (VR) and augmented reality (AR) are mostly known for their use in the gaming or movie industries. However, in recent years, clinicians have begun exploring potential medical applications for those immersive technologies. In a Coffee and Talk session at ECR 2019, researchers from the Netherlands, Sweden, and the UK talked about practical…

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Kickstarted imaging

First total body PET/CT scanner cleared for clinical use

The first total-body positron emission tomography/computed tomography (PET/CT) that can acquire a 3D image of the human body in a single position received 510(k) clearance from the U.S. Food and Drug Administration (FDA) in January 2019. Its forthcoming commercial availability for clinical use in the United States later this year is the milestone achievement of a multi-institutional consortium…

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Practical videos, e-booklets, case studies and more

Online education in vascular ultrasound

Fabrizio d’Abate, St. George’s University Hospitals NHS Foundation Trust, in London, UK describes new aspects of learning and training in ultrasound operation: "A textbook represents the most traditional tool of a teaching arsenal. However, the IT boom and internet have transformed the way people approach different tasks in their lives, from solving a problem to acquiring knowledge. This…

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T-2-weighted imaging

When the brain turns white

White matter on the brain is a difficult subject. Even the terminology is varied, making differential diagnosis complex. An understanding of prevalence and of the tools available to facilitate the diagnosis of individual diseases is important, Dr Gunther Fesl, radiologist at Praxis Radiologie Augsburg, explains. ‘Differential diagnosis of white matter on the brain is difficult. Even the…

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Lab equipment

Horiba launches D-Dimer hematology reagent

Horiba Medical announces the availability of a D-Dimer reagent for their semi-automated Hemostasis instruments. The D-Dimer is a key measurement and the reference exclusion test for the diagnosis of deep vein thrombosis or pulmonary embolism and may also be used for monitoring Disseminated Intravascular Coagulation. The new Yumizen D-Dimer reagent kit is available for Yumizen G hemostasis…

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Minimally-invasive

Endoscopy: Through the keyhole or open surgery?

Physicians in Germany remove around 200,000 gall bladders annually, mostly by minimally invasive surgery, the so-called keyhole surgery. While gall bladders and appendices can be removed through a tiny aperture in the body, large tumours cannot. Patients also profit from the keyhole technique with joint and bone problems in the knee, shoulder or elbow. Advantages: small cuts, less blood loss,…

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Wound care

Healing helped by fish skin or bio-ink

Many methods to treat current or chronic wounds are available. However, the differences in general conditions prevailing in hospital, or for out-patient care, make effective therapy more difficult. Each patient also has other preconditions for healing. Improved communication between everyone involved in the treatment would benefit patients. We see a lot of progress with the issue of “wounds”,…

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Blockage detection

This blood flow sensor wraps around the blood vessel

A new device developed by Stanford University researchers could make it easier for doctors to monitor the success of blood vessel surgery. The sensor, detailed in a paper published in Nature Biomedical Engineering, monitors the flow of blood through an artery. It is biodegradable, battery-free and wireless, so it is compact and doesn’t need to be removed and it can warn a patient’s doctor if…

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Organs and qualified surgeons drop

Will transplant medicine have a future in Germany?

‘Do we want transplant medicine? And if yes, what are we prepared to change in public policy, society and medicine?’ This question characterises the current situation within this medical discipline. Since the 2011 transplant scandal, there has been a steady decline in organ donations according to the German Foundation for Organ Donation (DSO). Although there were some 1,200 transplant donors…

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Neuropathy

How to protect your feet from diabetes

Diabetes is a disease that can cause a host of accompanying problems, for example nerve dysfunction that can lead to diabetic feet. John Giurini, DPM, Chief of Podiatric Surgery at Beth Israel Deaconess Medical Center, talks about where these complications come from and what can be done to deal with them.

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Teamwork <3

7-Tesla: Multidisciplinary care is key to cardiac disease management

New 7-Tesla MR methods could potentially shed light on cardiomyopathies’ principles, according to a leading French radiologist who also stresses the importance of teamwork between radiologists, cardiologists, surgeons and anaesthesiologists. Morphologic and dynamic information of the myocardium is achieved with millimetric resolution (0.9x0.9 square mm). Strong intensity variations…

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Powerful. Versatile. Productive.

World-class ultrasound designed for peace-of-mind

GE Healthcare introduces Versana Premier – an ultrasound system that can help deliver high-quality, personalized care, patient after patient, day after busy day. This innovative system is well suited for general practice clinics, physical check-up centers, community health clinics, and other facilities offering basic medical care. It is versatile to cover abdominal, OB/GYN, cardiac, urology,…

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Cut device-related pressure ulcers

Biomedical designers must increase safety

Whilst acknowledging that state-of-the-art bioengineering approaches are being applied in preventing Medical Device Related Pressure Ulcers (MDRPUs), Professor Amit Gefen, from the Department of Biomedical Engineering at Tel Aviv University, believes there are gaps in knowledge and technology in this area and therefore more must be done to improve patient care and avoid additional healthcare…

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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. Led by Dr Richard Barr, Professor of Radiology at Northeast Ohio Medical University, the team has been using CEUS since 1999 and, for the specific study, focused on 721 patients referred for contrast-enhanced ultrasound…

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Gene editing

The future of CRISPR in plastic and reconstructive surgery

The CRISPR genome editing technique promises to be a "transformative leap" in genetic engineering and therapy, affecting almost every area of medicine. That includes plastic surgery, with potential advances ranging from prevention of craniofacial malformations, to therapeutic skin grafts, to new types of rejection-free transplants, according to a paper in the November issue of Plastic…

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Point-of-care

Improving the safety and quality of pediatric emergency care with POC ultrasound

Point-of-care ultrasound (POCUS) has become an important adjunct to clinical diagnosis and procedural guidance in the Pediatric Emergency Department (PED), supported by literature demonstrating that its use can improve patient safety and expedite life-saving care. POCUS further helps to reduce costs and children’s exposure to ionizing radiation. Not only is POCUS ideally suited for…

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Innovative material

'Smart' surfaces might pave the way for safer implants and better diagnostics

Researchers at McMaster University have solved a vexing problem by engineering surface coatings that can repel everything, such as bacteria, viruses and living cells, but can be modified to permit beneficial exceptions. The discovery holds significant promise for medical and other applications, making it possible for implants such as vascular grafts, replacement heart valves and artificial joints…

31st Annual Cardiologists Conference

Every heart beat counts

The term “Cardiology” means the division of science that converses functions, diseases and health activities related to heart. It is also connected with blood, arteries and veins, as blood is the vital component of human body, upon which the heart works and for it we survive. The world cardiology market includes cardiac biomarkers, interventional cardiology and cardiovascular devices. The…

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Chronic obstructive pulmonary disease

COPD: Biomarker for kidney disease has unexpected benefits

A commonly used biomarker of kidney disease may also indicate lung problems, particularly COPD, or chronic obstructive pulmonary disease, according to new research published online in the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine. In “Albuminuria, Lung Function Decline, and Risk of Incident COPD: the NHLBI Pooled Cohorts Study,” Elizabeth C.…

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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 Allison Hays, a cardiologist and assistant…

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Gaining ground

MRI advances approach the realm of precision medicine

MRI has developed rapidly over the past decade in Poland, where clinicians are combining MRI with PET and CT to highlight tumour growth or regression and perfusion. ‘The fact that MRI offers new software and programmes means we can diagnose pathologies more precisely and make a diagnosis faster than a few years ago,’ explained Poland’s national advisor on radiology and diagnostic imaging…

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Neurology

A new therapy for common cause of dementia?

Scientists have uncovered a potential approach to treat one of the commonest causes of dementia and stroke in older people. Studies with rats found the treatment can reverse changes in blood vessels in the brain associated with the condition, called cerebral small vessel disease.

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New systems

Thales presents innovations in digital radiology

Original Equipment Manufacturers (OEM) and end-users in the field of dynamic radiology can now benefit from new detectors and imaging solutions to further enhance patients’ examinations. The digital technologies produce greater quality images at a lower dose for end-users and patients, which helps OEMs to make their systems more attractive on the market. Thales is driving the shift from…

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Gait analysis

What your walk says about your health

The way you walk can reveal current and future health problems. New research from Halmstad University suggests the use of wearable sensors for analysing your movement. This can potentially result in early detection of for example Parkinson’s disease, dementia, multiple sclerosis and other neuro-physiological disorders. Many of our body systems, such as the cardio-vascular system and the…

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Machine Learning

Finding the right algorithms to tackle big data

Tracy Accardi, Hologic’s Vice President (Global R&D), spoke of the importance of innovation, tomosynthesis, artificial intelligence/deep learning and open dialogue with the radiology community. Hologic addresses a broad spectrum of gynaecological, perinatal, aesthetic, skeletal and breast women’s health issues. To enhance this approach, Accardi, explained the importance of working closely…

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GCCA/GBCA safety

Gadolinium @ ECR 2018 – diverse and “disunited”?

Gadolinium-containing/gadolinium-based contrast agents (GCCAs/GBCAs) and their usage was a major topic at ECR 2018. Fuelled by the current debate a number of presentations focused on possible impact, risks and necessities. Some were highly specific, others took a broader view. The only consensus, however, seems to be the need for more research and the focus on safety. Three ECR speakers, Joseph…

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Rising up

Anaesthesia is a story of great success

Technical innovations and the implementation of quality standards in anaesthesia have immensely increased patient safety. ‘Over the past 60 years, patient safety during anaesthesia has improved more than in any other medical discipline,’ according to Professor Achim von Goedecke MD MSc, Director of the Institute of Anaesthesiology and Critical Care at Landeskrankenhaus Steyr in Upper Austria.…

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DNA research

Stroke: largest-ever genetic study provides new insight

An international research group, including scientists at the University of Maryland School of Medicine, studying 520,000 people from around the world has identified 22 new genetic risk factors for stroke, tripling the number of gene regions known to affect stroke risk. The results show that stroke shares genetic influences with other vascular conditions, especially blood pressure, but also…

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Artificial lungs

Easing ARDS and AECOPD

Innovative ‘artificial lungs’, which help the patients to breathe, offer less traumatic treatment for severe diseases such as acute respiratory distress syndrome (ARDS) or chronic obstructive pulmonary disease (COPD/AECOPD). Respiratory failure is one of the most frequent causes of ICU admission. It may occur inter alia in patients with ARDS, a dangerous condition when the respiratory system…

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Women's health

Benign gynaecology specialist centres are needed

The recently opened Uterine Repair Center (URC) in VUmc (Amsterdam) serves women suffering non-cancerous gynaecological disorders, such as myomas, adenomyosis (endometriosis of the uterus), niches (caesarean scar defects) or congenital uterine abnormalities. Gynaecologist Professor Judith Huirne leads the clinic – but has greater aspirations. As a professor of benign gynecology, in her…

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MRI vs. Alzheimer's

Seeking leaks in the blood-brain barrier

‘With our new MRI method, we can finally visualise tiny leaks in the blood-brain barrier. They shed light on the vascular contribution to dementia and may indicate Alzheimer’s disease. However, the MRI scan is only a tool to diagnose cerebrovascular damage. We have not yet found a cure for Alzheimer’s,’ confirms Walter H Backes, medical physicist and professor at Maastricht University…

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Responsive or not?

Breast cancer: Near-infrared light shows chemo beneficiaries

A new optical imaging system developed at Columbia University uses red and near-infrared light to identify breast cancer patients who will respond to chemotherapy. The imaging system may be able to predict response to chemotherapy as early as two weeks after beginning treatment. Findings from a first pilot study of the new imaging system—a noninvasive method of measuring blood flow dynamics in…

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TCAR (Transcarotid artery revascularization)

Reversing blood flow reduces stroke risk during carotid artery procedure

Loyola Medicine is the first academic medical center in Illinois to use the TCAR system, which reduces stroke risk during carotid artery procedures by temporarily reversing blood flow. Carotid arteries on each side of the neck supply blood to the brain. In patients with carotid artery disease, a build-up of plaque can cause blockages. A common method to open the artery involves a balloon…

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Uncommon causes

Abdominal pain? Try thinking outside the box

Early detection of mesenteric ischemia increases treatment options and the possibility of a full recovery, but the condition’s rarity may lead to a delay in diagnosis while more common causes of abdominal pain are explored. An article in the February 2018 issue of Critical Care Nurse (CCN) aims to heighten nurses’ knowledge of mesenteric ischemia and infarction (MI), which are infrequent but…

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New presidency

Siemens Healthineers names Deepak Nath head of laboratory diagnostics

Siemens Healthineers has appointed Dr. Deepak Nath as President of Laboratory Diagnostics effective February 1. Nath succeeds Franz Walt, who served from 2014-2017, and led the business during its launch of the Atellica Solution. Nath will continue the endeavor to transform care delivery in the laboratory by growing the business, leveraging his extensive operational experience in healthcare. He…

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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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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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Ophthalmology

Researchers explore way to reverse diabetic blindness

Johns Hopkins researchers have discovered a cell signaling pathway in mice that triggers vision loss in patients with diabetic retinopathy and retinal vein occlusion – diseases characterized by the closure of blood vessels in the retina, leading to blindness. In experiments that suppressed vascular endothelial growth factor (VEGF) in the eye, researchers were able to re-establish normal blood…

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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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Infection - defect - regeneration

Challenges in septic bone surgery

Infections associated with osteosynthesis and prostheses are not to be underestimated: the infection rate is reported to be one to three percent after joint prosthetic surgery and five to 10 percent after osteosyntheses. ‘When you include later infections, the rate is twice as high,’ says Professor Andrej Trampuz, infectologist and Head of the Centre for Septic Surgery at the Centre of…

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Prognosis and diagnosis

Deep insight into the heart

By no means are only elderly people at risk from heart diseases. Physically active individuals can also be affected, for example if a seemingly harmless flu bug spreads to the heart muscle. Should this remain undetected and if, for example, a builder continues with his strenuous job or an athlete carries on training, this can lead to chronic inflammation and in the worst case even to sudden…

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Grim prognosis

Number of americans with Alzheimer’s will more than double by 2060

About 15 million Americans will have either Alzheimer’s dementia or mild cognitive impairment by 2060, up from approximately 6.08 million this year, according to a new study by researchers at the UCLA Fielding School of Public Health. The findings highlight the need to develop measures that could slow the progression of the disease in people who have indications of neuropathological changes…

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Work in Progress

Toshiba Medical pushes the boundaries of automation

Automation might be the solution for many of the challenges radiologists and clinicians face today. Toshiba Medical, a Canon Group, is currently pushing the boundaries of what automation can accomplish and presenting their project in progress at this year's RSNA. Overwhelming volume of clinical data every day, limited access to relevant clinical information, missed findings and lack of…

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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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Beyond palliative care

Perspectives of SIRT – who benefits and why?

Selective internal radiotherapy (SIRT) is often only looked at from a palliative perspective. However, the procedure is now also increasingly moving into the curative field, as Prof. Dr. Jens Ricke, Chair of Radiology at the Ludwig-Maximilian University Munich and Director of the Clinic and Polyclinic for Radiology at the University Hospital of the LMU reports. “As a locoregionally used…

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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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CEUS

Advancing contrast enhanced ultrasound

The ability to demonstrate blood perfusion as well as organ function using contrast agentenhanced ultrasound is quickly finding innovative uses in clinical practice. Contrast-enhanced ultrasound (CEUS) has advanced rapidly since its first introduction. Today it is widely used as a primary imaging technique for a number of indications and pathologies. At a symposium organised by Bracco Imaging…

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Golden helpers

Nanoparticles could allow for faster, better medicine

Gold nanoparticles could help make drugs act more quickly and effectively, according to new research conducted at Binghamton University, State University of New York. Nanoparticles are microscopic particles that are bigger than atoms but smaller than what the eye can see. They are unique for their large surface area-to-volume ratio and their fairly ubiquitous nature. A new study, co-conducted by…

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Developed by Single Use Surgical

Top quality single-use suctions

A pioneering single-use Diathermy Abbey Needle with suction that helps surgeons improve performance and outcomes during a range of procedures is on show at this year’s Medica.

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Non-invasive sensors

Manometry v. BioBeat

A preliminary human study was conducted to validate an advanced wearable sensor which has been developed by the start-up company BioBeat Technologies Ltd, comparing it to the common manometry method. The 2015 guidelines of the European Society of Hypertension on The requirements of the International Protocol (revision 2010) were used to define the difference between the commonly used device and…

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Cholesterol testing

Follow-up test reduces heart attack reoccurrence risk

If you have a heart attack or stroke, it’s important to get your “bad” cholesterol measured by your doctor on a follow up visit. Researchers have found that one step is significantly associated with a reduced risk of suffering another serious cardiovascular episode. The new research, conducted by researchers at the Intermountain Medical Center Heart Institute in Salt Lake City, found that…

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Predictive technology

New software enables early diagnosis of arteriosclerosis

Little exercise, fatty food and too many cigarettes – factors like these aid the onset of arterial calcification, also known as arteriosclerosis. If blood can no longer be pumped through arteries properly, this can lead to a heart attack or stroke. Doctors are typically only able to diagnose the disease once it reaches an advanced stage. Computer scientists at the University of Kaiserslautern…

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Point-of-care ultrasound

Gambian trip offers dialysis hope

Point-of-care ultrasound is a valuable tool for successful dialysis fistula surgery, allowing pre-operative mapping to find a suitable site and post-operative fistula scanning to check for stenosis and adequate blood flow. Anna Jerram, a clinical vascular scientist at the Manchester Royal Infirmary, discusses the role POC ultrasound played during a recent trip to the Gambia to provide critical…

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Recommendations

First European advice on deep vein thrombosis

The first comprehensive European advice on deep vein thrombosis is published in the current issue of European Heart Journal. The recommendations were produced by the European Society of Cardiology (ESC) Working Group on Aorta and Peripheral Vascular Diseases and Working Group on Pulmonary Circulation and Right Ventricular Function.

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Emergency medicine

Streamlining management of cardiac arrest with the aid of point-of-care ultrasound

Point-of-care ultrasound plays an important role in the emergency sector, enabling hospital clinicians and paramedics responding to an urgent call for medical assistance to assess a patient’s condition. Dr Matthew Reed, an Emergency Medicine consultant at the Royal Infirmary of Edinburgh, explained how ultrasound contributes to the management of cardiac arrest.

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Electrospinning

Renewing the promise of bioabsorbable implants

Electrospun materials bring a spark of hope to a cardiovascular landscape darkened by setbacks for reabsorbable stents. It was famously said that implanting a device in a person to cure a disease is to implant a new disease. Simply put, the human body will continually fight against foreign materials, leading to chronic inflammations or repeated interventions.

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Backlog

Ten percent of radiology scanners should be scrapped

One in ten CT scanners and one in five MRI scanners are technically obsolete. Radiologists are sounding the alarm. In 2008, around 60% of all CT scanners and 55% of all MRI scanners were up to five years old; 31% of all CT scanners and 32% of all MRI scanners were between five and ten years old; 9% of all CT scanners and 16% of all MRI scanners were over ten years old.

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Molecular mechanisms

The key to growing new arteries

Arteriogenesis is a critical event – not only during development but also in adult life. Many Cardiovascular life-threatening events could be overcome by inducing the formation of new arteries. A team of scientists led by Ralf Adams from the Max Planck Institute for Molecular Biomedicine has developed a genetic approach in mice to uncover molecular mechanisms of arterial growth.

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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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Gadolinium-based contrast agents

Clinicians define optimal approach for MRI contrast to maximize benefit

Gadolinium-based contrast agents are an essential component of MRI exams, but are challenged by findings of residual depositions of gadolinium in the body, even though the clinical relevance remains unknown. Three clinicians described how changes to MRI protocols and dose levels for contrast media can optimise the balance between benefit and risk for patients and radiologists.

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Under the skin

Handheld scanner reveals vascularization in psoriasis patients

A newly developed tissue scanner allows looking under the skin of psoriasis patients. This provides clinically relevant information, such as the structure of skin layers and blood vessels, without the need for contrast agents or radiation exposure. A team of researchers from Helmholtz Zentrum München and the Technical University of Munich (TUM) recently introduced the technology in ‘Nature…

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Point-of-care

The TUBE approach to perioperative point-of-care ultrasound

Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination – thanks to the development of point-of-care ultrasound. Dr Christophe Aveline, Consultant Anaesthetist in critical care and surgery at the Sévigné Private hospital in Rennes, is an advocate of TUBE and works closely on its…

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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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Blood flow control

"Switch" in brain’s capillary network monitors activity

All it takes is the flip of a protein “switch” within the tiny wire-like capillaries of the brain to increase the blood flow that ensures optimal brain function. New research has uncovered that capillaries have the capacity to both sense brain activity and generate an electrical vasodilatory signal to evoke blood flow and direct nutrients to nourish hard-working neurons.

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Monitoring

Down to earth devices

Space missions are famous for driving innovation, from Mylar blankets to microchips. So when French scientists learned one of their compatriots would be aboard the Soyuz MS-03 spacecraft to reach the International Space Station (ISS), they gathered cutting edge technologies for him to carry into orbit.

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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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Announcement

International Conference on 3D Printing in Medicine

At the 2nd International Conference on 3D Printing in Medicine from May 19-20, 2017 in Mainz, Germany, the focus is on innovative deployment options for the 3D print process in medicine. Today already, 3D printing is being applied in virtually all medical disciplines.

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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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Experience

25 years of point-of-care ultrasound in anaesthesia

Dr. Thomas Grau, Head of Anaesthesia, Surgery, Intensive Care, Emergency Medicine and Pain at the Gütersloh Clinic, first studied ultrasound for a PhD on spinal imaging at Heidelberg University Hospital in the 1990s. 25 years on, he reflects on the role point-of-care ultrasound now plays in anaesthesia.

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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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Endoscopy

New devices deliver exceptional clarity

This year Pentax Medical launches three premium products for use in gastroenterology, Ear nose and throat (ENT) and bronchoscopy. These result from highly focused global research and development, for which Mike Drexel, the company’s Chief Technology Officer, is responsible. In our interview he discusses how the firm’s globalised approach to product research and development has taken shape.

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Users first

SonoSite wins Silver in Design Award

FUJIFILM SonoSite has been named a Silver winner in the 36th Annual International Design Excellence Awards (IDEA) announced by the Industrial Designers Society of America (IDSA). SonoSite’s SII Ultrasound Machine is among more than 1,700 projects from 30-plus countries that competed in IDEA 2016.

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Future changes

Laboratory medicine is an interdisciplinary subject

‘Lab medicine connects’ is the congress theme of the German Congress of Laboratory Medicine and reflects the fact that laboratory medicine is an interdisciplinary subject like no other and connects those who are involved in medicine across disciplines. It works almost imperceptibly in the background, hardly noticed by patients. European Hospital spoke with this year’s Congress President,…

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Education

e-learning could help and certify radiologists

Dr Angel Gayete Cara took over the reins of the Spanish Society of Radiology (SERAM) in May, immediately after the society’s meeting in Bilbao. In an exclusive interview with European Hospital he revealed his vision for the next two years and how he means to help radiologists in their increasingly clinical role.

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Transducers

3-D transducers prove their mettle in cardiology

One of the first facilities to purchase a complete set of the 3-D TEE transducer, including the equipment, was the Department of Cardiology and Angiology at University Hospital Magdeburg, as Thomas Groscheck, specialist physician for internal medicine at the echocardiography lab explains. Since July 2015 he has worked with the new Siemens transducer – and is enthusiastic.

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Oncology

Loophole for cancer cells

Many cancers only become a mortal danger if they form metastases elsewhere in the body. Such secondary tumours are formed when individual cells break away from the main tumour and travel through the bloodstream to distant areas of the body. To do so, they have to pass through the walls of small blood vessels. Scientists from the Max Planck Institute for Heart and Lung Research in Bad Nauheim and…

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Research

Testosterone clue to male heart deaths

As men appear to have higher risk of cardiovascular disease (CVD) than women of a similar age – with vascular calcification a strong predictor of mortality and morbidity from CVD – a team from the University of Edinburgh hopes that exploration of a link between gender and calcification could help unlock the pathway to new therapies. The researchers have been looking at whether sex hormones…

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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.

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Intervention

Hybrid ORs: not equally beneficial for all facilities

The hybrid operating room is one of the most innovative developments in the surgical sector. The combination of interventional and minimally invasive surgical procedures is exciting for many clinical disciplines. The room design, intraoperative imaging techniques as well as interdisciplinary collaboration play a pivotal role in this.

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The vascular bypass revolution

Coronary or peripheral bypasses are the most frequently performed vascular operations. Although one million patients per year and around the world, undergo this intervention, its failure rate reaches 50%, because of poor vessel healing, leading to vessel graft occlusion. To improve the outcome of bypasses, researchers from the University of Geneva (UNIGE) work together with medical doctors from…

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Hybrid

The whole is greater than the sum of its parts

‘The combination of nuclear medicine and modern imaging procedures such as CT and MRI is becoming increasingly important in the diagnosis, treatment planning and aftercare of cancerous diseases,’ explains Professor Katrine Åhlström Riklund, who presides over the newly established European Society for Hybrid Medical Imaging, ESHI.

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Brain disorder

Using ultrasound to achieve permeability of blood vessels

CarThera, a French company based at the Brain and Spine Institute (ICM), that designs and develops innovative ultrasound-based medical devices to treat brain disorders, announces the publication on initial successes in disrupting the blood-brain barrier (BBB) with the use of ultrasound. This has been achieved in association with teams from the Assistance Publique-Hôpitaux de Paris (the Greater…

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Regenerated Bone

Living bone replicates original anatomical structure

A new technique developed by Gordana Vunjak-Novakovic, the Mikati Foundation Professor of Biomedical Engineering at Columbia Engineering and professor of medical sciences (in Medicine) at Columbia University, repairs large bone defects in the head and face by using lab-grown living bone, tailored to the patient and the defect being treated. This is the first time researchers have grown living…

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Endothelial progenitor cells

Growing blood vessels could boost regenerative medicine

In addition the technique to grow the blood vessels in a 3D scaffold cuts down on the risk of transplant rejection because it uses cells from the patient. It was developed by researchers from the University of Bath's Department of Pharmacy and Pharmacology, working with colleagues at Bristol Heart Institute.

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Respiratory support

Extracorporeal technology eases stress

Conventional therapy for ARDS patients and for patients with exacerbation of chronic obstructive pulmonary disease (COPD) has relied on invasive mechanical ventilation. Mechanical ventilation, however, has several major drawbacks: sedation has to be induced and the air being pressed into the lungs with positive pressure can damage the pulmonary alveoli or the diaphragm. Moreover, even maximum…

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Endoscopy

Combining digital and optical imaging - the video processor from Pentax

Pentax Medical launches a world first for endoscopy, the OPTIVISTA EPK-i7010 Video Processor, featuring both digital and optical enhancements, in the European, Middle Eastern & African (EMEA) markets. This unique enhancement combination provides detailed information for more accurate endoscopic in vivo diagnosis through improved vessel and mucosal pattern characterization.

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SonoSite SII

Fujifilm Sonosite launches new ultrasound system

Fujifilm Sonosite announced CE mark and 510(k) clearance for its new mountable ultrasound system, the SonoSite SII. Developed for regional anesthesia, vascular access and trauma applications, the SII empowers efficiency for clinicians through a simple, yet smart user interface that adapts to the user’s imaging needs. The system is portable and can be used across multiple hospital environments,…

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Peripheral artery disease

Treating poor blood circulation with injectable gel

Bioengineers and physicians at the University of California, San Diego have developed a potential new therapy for critical limb ischemia, a condition that causes extremely poor circulation in the limbs and leads to an estimated 230,000 amputations every year in North America and Europe alone to prevent the spread of infection and tissue death. The new therapy could prevent or limit amputations…

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New

The ESR iGuide

Electronic radiology clinical decision support (CDS) systems, designed to help doctors order the most appropriate imaging examinations for patients, offer a way to practice better medicine, to reduce the costs of radiology and help increase patient safety by preventing radiation exposure from inappropriate or unnecessary exams.

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CSI

3-D printed hearts

The CSI Congress (Congenital, Structural and Valvular Interventions) is one of the major fixtures for catheter therapy of congenital and structural heart defects. Key moments in this high profile event are live broadcasts and the audience can not only to listen to but also interact with the teams in the cath labs involved.

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Glioblastoma

Imaging 'toolkit' to help identify new brain tumor drug targets

Stopping the growth of blood vessels in tumours is a key target for glioblastoma therapies, and imaging methods are essential for initial diagnosis and monitoring the effects of treatments. While mapping vessels in tumours has proven a challenge, researchers have now developed a combined magnetic resonance imaging (MRI) and ultramicroscopy 'toolkit' to study vessel growth in glioma models in more…

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Head-Mount-Display

Taking endoscopic and laparoscopic surgeries into the third dimension

Since September 2015, Greifswald University Hospital in Germany has been using the HMS-3000MT 3D head mount display from Sony Professional — currently up to eight times a week for laparoscopic procedures with varying levels of difficulty. The team, led by Consultant Doctor Maciej Patrzyk, is convinced by the advantages of the new system—in terms of both ergonomics and imaging technology—in…

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Fast. Precise. Sharp.

Superb Microvascular Imaging and more…

Impacting on clinical decisions. Accelerating clinical routine. Following the release of its new Version 6 software upgrade for the Aplio Platinum Series ultrasound system, Toshiba has received high marks for the enhanced functions and performance from practitioners, each offering specific insights into how they are applying the technology.

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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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Gynaecology

Easy to learn yet high performance US

The Acuson NX3* and Acuson NX3 Elite*, two new ultrasound systems from Siemens Healthcare, are on show at this year’s Medica Trade Fair. ‘Both mid-range systems offer a simple, intuitive interface combined with innovative imaging solutions for examinations primarily in general medicine, obstetrics/gynaecology, paediatrics and neurology,’ the manufacturer reports.

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Illuminating

Roadmap to easier blood draws

Blood drawing for patients with hard-to-reach veins just became a lot easier and less painful at The Valley Hospital in Ridgewood, NJ, thanks to a small hand-held device that lights up veins like a roadmap. With the AccuVein illumination device, the need for multiple needle sticks to try to hit a good vein for a blood draw is a thing of the past.

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Eyes

New eye structures discovered

"It's not everyday that one newly discovers parts of the human body," says Roy S. Chuck, MD, PhD, Chairman Department of Ophthalmology and Visual Sciences, Albert Einstein College of Medicine.

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Trinias MiX-Package

Shorter treatment times and less contrast media

In the year of its 140th anniversary, Shimadzu has released the new Trinias MiX package (Minimally invasive eXperience) to support less invasive treatments through a variety of applications. The Trinias MiX package is an exten¬sion of the Trinias angiography system, which facilitates high-level interventions through proprietary image processing technology. Shimadzu provides functional…

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Hours at a computer

Short walk can reverse vascular dysfunction

Across the country, many employees are seated at desks for the majority of an eight-hour workday. As technology creates an increase in sedentary lifestyles, the impact of sitting on vascular health is a rising concern. Now, researchers from the University of Missouri School of Medicine have found that when a person sits for six straight hours, vascular function is impaired — but by walking for…

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The mechanism that impairs blood flow with aging

With the world’s elderly population expected to double by 2050, understanding how aging affects the body is an important focus for researchers globally. Cardiovascular disease, the No. 1 cause of death worldwide, often is associated with aging arteries that restrict blood flow. Now, University of Missouri researchers have identified an age-related cause of arterial dysfunction, a finding that…

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Improved blood flow

Saving Lives using new stent graft design

Vascular surgeon Pat Kelly of Sanford Health in Sioux Falls, South Dakota, knew his patients were doing better with the stent graft he designed, but he wanted a better understanding of the mechanics before testing the device more widely in a clinical trial. For that, he reached out to South Dakota State University. Associate professor Stephen Gent in mechanical engineering had done computational…

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Pathology

Unlocking imaging potential

Automated image analysis shows significant potential within histopathology to help identify novel and subtle prognostic features. UK expert Dr Peter Caie also believes such image analysis can turn aspects of histopathology from a traditionally semi-quantitative field into a fully quantifiable and standardised science. However, he also points out that challenges remain before the full potential is…

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Tissue definition

PET/MR is promising

PET/MR has long been studied for oncology but the technique also holds promise in cardiovascular applications, according to a panel of experts at the recent International Conference on Nuclear Cardiology and Cardiac CT (ICNCT).

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Ars Electronica Center

Virtual journey through the heart

Medical research and art sometimes meet at their finest: experts from the Fraunhofer Institute for Medical Image Computing MEVIS in Bremen produced a three-dimensional movie, showing the human heart in full action. The organ beats and pumps, and special techniques visualize the dynamic flow of blood in the vessels. The sequence is part of a new interactive three-dimensional experience to be…

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Radial artery catheter failure

2.5 million radial arterial catheters (RAC) are used annually in Europe (USA: 8 million), commonly to monitor arterial blood pressure and take blood samples in surgical, A&E and ICU units. They can fail. For a study of mechanisms that might lie behind premature RAC failure and complications related to RAC in clinical use*, at team at the Radiology/Ultrasound and Anaesthesiology Department,…

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Multi-parametric MRI

Prostate MRI: “Yes, we scan!”

One in six men will develop prostate cancer. It is the second leading cause of cancer death amongst men in both the US and the EU. Definite diagnosis at an early stage is vital for survival and early treatment minimizes the risk of adverse effects, such as incontinence, erectile dysfunction, or impotence. While there is no preventive screening there is a ray of hope. Prof. Jelle Barentsz,…

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Siemens Computed Tomography

40 Years at the cutting edge of technological development

40 years after the launch of its first series model, Siretom, Siemens Healthcare is looking back on the successful development of its computed tomography division. With innovations such as Spiral, Multislice, and most recently Dual Source technology, Siemens has been driving the CT market and clinical diagnostics for decades. Today, three patients are scanned with a Siemens CT system every…

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Open platform

Hitachi powerfully expands Oasis 1.2T MRI

Hitachi has double-down its bet on the advantages of open-platform MRI by introducing a new generation of the Oasis 1.2T scanner this year at RSNA. The jump to new processing power and the new Origin 4.0 MR Operating Software effectively enhances capabilities with a range of new applications for neuro, orthopedic and vascular imaging as well as enhancing routine exams for women's health and…

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Public Health

Romania: Land of hope

Although Romania joined the EU in 2007, only recently has its macroeconomic increases influenced a rise in a middle class and dented the country’s widespread poverty. However, development is still hampered by corruption and red tape in its commercial world. Report: Daniela Zimmermann/Brenda Marsh

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Blindness

OCT technology detects blood vessel in the eye

Research published in the Proceedings of the National Academy of Sciences (PNAS) demonstrates that technology invented by researchers at Oregon Health & Science University’s Casey Eye Institute can improve the clinical management of the leading causes of blindness. Optical coherence tomography (OCT) angiography could largely replace current dye-based angiography in the management of these…

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New material for creating artificial blood vessels

Blocked blood vessels can quickly become dangerous. It is often necessary to replace a blood vessel – either by another vessel taken from the body or even by artificial vascular prostheses. Together, Vienna University of Technology and Vienna Medical University have developed artificial blood vessels made from a special elastomer material, which has excellent mechanical properties. Over time,…

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Cardiology III

Restrictive ruling on cardiac procedure

In the future, TAVIs can only be carried out in German hospitals with cardiac surgery departments and cardiac wards, as decided by the German Government’s Expert Panel on Health (G-BA) last January. An interim arrangement in force until 2016 is anticipated for Heart Centres that currently carry out the TAVI procedure without cardiac surgery departments on site. The Federal Ministry of Health is…

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Neuroradiology

More freedom, more responsibility

She is a neuroradiologist, professor, researcher and now the Medical Director of the Department of Neuroradiology at Dresden University Hospital. Her objectives are ambitious – be it in patient care, research or teaching. Professor Jennifer Linn MD wants to increase the quality of care, drive breakthroughs in research, ignite enthusiasm in students for their future profession and last, but not…

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Personalised medicine

Computerised tailor-made retinopathy therapy

Nowadays the concept of personalised medicine is usually applied to oncology. However, there are other clinical disciplines in which therapies tailored to the individual patient are within reach, viz. ophthalmology. In the researchers’ limelight is intravitreal drug delivery since the outcomes of injections into the vitreous differ from patient to patient. Ophthalmologists in Vienna, Austria,…

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Nuclear Medicine in Practice

Defining a role and routine differences

Before 2013, when Professor Dietmar Dinter became partner of Radiologie Schwetzingen, a multi-discipline group practice specialised in radiology and nuclear medicine, he was senior resident at the Institute of Clinical Radiology and Nuclear Medicine at University Hospital Mannheim (2003-2012) and head of its Nuclear Medicine Department (2009-2012). Was his work in nuclear medicine altered by the…

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Frostbite

Chilled to the bone!

For people living in Chamonix-Mont Blanc medical services at the nearby community hospital have been reduced to little more than a stopover visit before being referred down the mountain to larger facilities in the network of the Hospitals of Mont Blanc Country. Report: John Brosky

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Fast Ultrasound

Ultrasound system sharpens paediatric hepatic imaging

Ask about UltraFast ultrasound and you might expect a technical answer explaining why the ultrasound is faster. However, for Stéphanie Franchi-Abella MD, fast means just fast, an ultra-quick acquisition she can take of a squirming, agitated new-born in the blink of an eye. ‘These babies are small and breathing rapidly, the organs are moving fast in the image and it’s sometimes difficult to…

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Passion for details

Discover new clinical values in X-ray imaging

Premieres in Europe: The new RADspeed fit (DR ready) with its best-in-class features for general radiography as well as the new MobileDaRt Evolution EFX for mobile X-ray applications are the most recent developments provided by Shimadzu. Together with angiographic, R/F and C-arm systems, they make the main attractions on Shimadzu’s stand at ECR 2015 in Vienna, Austria – 4-8 March, Expo C,…

Study examines

Link between quality improvement program and complications

David A. Etzioni, M.D., M.S.H.S., of Mayo Clinic Arizona, Phoenix, and colleagues compared rates of any complications, serious complications, and death during a hospitalization for elective general/vascular surgery at hospitals that did vs did not participate in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP).

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Surgery

Recycling blood lost during major surgery

Sucking up blood spilt during a major surgical procedure, or drained from a heart-lung machine after surgery, the Hemosep cell concentration system has a blood bag that uses a chemical sponge technology and mechanical agitator to filter red and white blood cells and platelets through a plastic membrane so that they can then be returned to the patient by intravenous transfusion. Report: Mark…

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Delivering on dose reduction promises

With more than 60 years in radiology, Zwanger-Pesiri is one of the largest non-hospital-based radiology practices in the USA. Among its 60 radiologists the number of specialties include interventional, neuro, abdominal and cardiovascular radiology as well as musculoskeletal, breast and vascular imaging.

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Albit ultrasound

Albit was designed as an easy-to-use and practical ultrasound device both for general diagnostic applications such as obs/gyn, paediatric, small subsurface organ examinations and specific diagnostic applications such as proctology, TRUS, anaesthesia, vascular surgery or orthopaedics.

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Colour calibration

NDS Surgical Imaging has developed and patented a unique method for calibrating the colour response of its Radiance surgical displays, the manufacturer reports. ‘This proprietary technology uses advanced algorithms to perform pixel-by-pixel colour response correction in real-time, delivering accurate consistent colour performance.

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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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Biologised medical technology

New approaches, solutions and outlooks on biologised medical technology developed in the Berlin metropolitan region were presented at this year’s annual 'Medical technology meeting place' in Berlin, which presents the latest research, new product developments and best practice examples from the greater-Berlin area. report: Bettina Döbereiner

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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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To pulse or not to pulse

Whether mechanical, temporary cardiac assist systems should pulsate in the same way as a biological heart is a discussion topic, which raises the pulse rates amongst all those involved within the industry and in hospitals.

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NICE sets new guidelines

Pointing out that it is unacceptable that some 300,000 people become adversely infected while being in the care of the UK’s National Health Service every year, the National Institute for Health and Care Excellence (NICE), which provides national guidance and advice to improve health and social care, has launched a new set of quality standards.

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Researchers Find Protein 'Switch' Central to Heart Cell Division

In a study that began in a pair of infant siblings with a rare heart defect, Johns Hopkins researchers say they have identified a key molecular switch that regulates heart cell division and normally turns the process off around the time of birth. Their research, they report, could advance efforts to turn the process back on and regenerate heart tissue damaged by heart attacks or disease.

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Dual energy brings more to meet the eye

How does spectral – or dual energy – imaging work? Very similar to red and green light used in black-and-white photography. A black-and-white camera provides information on the colours of the photographed objects: an object that is black under red light is actually green.

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Gender medicine

The insight that psychological, social and environmental conditions affect a person’s health is insufficiently considered in medical training and in the every-day diagnosis and treatment of patients.

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Cardiology on the road

Part of the University Hospital Centre at Charleroi, the cardiology service provides consultations for a cluster of other hospitals, polyclinics and private physicians, which means that Dr Kathleen Retailleau takes to the road several days of each week to see patients throughout the region.

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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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The ESPOIR Study

Professor Axel Haverich and team at the Clinic for Cardiothoracic, Transplant and Vascular Surgery in Hanover Medical School (MHH) have been carrying out research into decellularised heart valves for over 15 years. They trialled a procedure – initially in the laboratory and in animal experiments – which does not cause tissue rejection, is hoped to last a lifetime and, in the case of children,…

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The fall and rise of cardiac surgery innovations

Grandly announced, the da Vinci became the must-have of any self-respecting cardiac surgeon, only to sink into obscurity as quickly as it had risen to stardom. Once the wunderkind of robotic surgery, today this surgical system is merely collecting dust on many a hospital cupboard. A whole slew of methods and technologies were launched with varied fanfares over the past ten years. European…

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The complex science behind microbubbles

At Bracco Suisse SA in Geneva all efforts are dedicated to contrast media for ultrasound scans. During their visit to the firm’s research centre and manufacturing site, Daniela Zimmermann and Ralf Mateblowski met with François Tranquart MD PhD, general manager of the Bracco Suisse research centre, to hear why SonoVue is now Europe’s most popular ultrasound contrast agent, with research…

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Endoscopic Hemostat stems bleeding

A few years ago the American forces succeeded in dramatically lowering the mortality of soldiers from gunshot wounds with the help of a new, haemostatic powder. These silicate crystals, which attach to a wound, not only stem external bleeding but also internal bleeding resulting from stomach or duodenal ulcers, tumours or rare types of vascular deformities.

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Art meets science

The future will be aesthetic or, put another way, Art meets Science. With this motto, the 43rd Congress of the German Society for Endoscopy and Imaging Procedures e.V., jointly held in Munich with six other specialist associations, demonstrated that aesthetic means the brilliance of images generated by the latest generation of X-ray, CT, MRI and ultrasound equipment.

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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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40 years of CT scanning

Forty years ago an article was published that would change medical practice. In the British Journal of Radiology, English electrical engineer Godfrey N Hounsfield described how he had made a patient’s brain visible non-invasively by evaluating a large number of X-ray images of the skull taken from different directions.

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Embracing a nano-size silken promise

Artificial vascular trees, the growing of heart tissue, nerve regeneration: The World Congress of the Tissue Engineering and Regenerative Medicine International Society (TERMIS) held in Vienna this October offered an impressive display of current developments in tissue reconstruction and regeneration, Michael Krassnitzer reports

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Nanotechnology

Over the last five years the tiniest particles have attracted large attention in relation to the diagnosis and treatment of cardiovascular disease. Indeed, as in other medical disciplines, nanotechnology is advancing in cardiology despite as yet insufficient research on the extent of its effect and double blind studies to confirm findings

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Teamwork works well in Hamburg

One heart – One Team, the motto for this year’s German Society for Thoracic and Cardiovascular Surgery Congress emphasises that cardiac surgeons and cardiologists must now work more in tandem for their mutual patients. This is not just a short-lived three-day slogan, but a daily reality at the University Heart Centre Hamburg, as EH correspondent Holger Zorn reports

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COPD: screening, comorbidity, mortality

Despite some decline in cigarette consumption during the last decades, chronic obstructive pulmonary disease (COPD) remains a major public health concern. COPD is among the top five leading causes of chronic morbidity and mortality in the US and in Europe. Nevertheless, COPD is substantially underdiagnosed.

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A Plethora of Techniques‘ emerging for thoracic intervention

“On a day-to-day basis, each of us in thoracic imaging is dealing with a large number of patients with pulmonary metastasis or lung cancer,” said Christoph Engelke, MD. “These patients have been targeted by different chemotherapies and surgical therapies. Yet the prognosis in advanced lung cancer stages has not been changed.”

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Celebrating 20 Years of ESTI

This congress was a celebration, marking 20 years since the founding of ESTI, which began as a small group of founding members and has grown to become thriving society contributing to the education in Europe and encouraging worldwide.

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Fewer tests reduce radiation for pregnant patients with thromboembolic disease

Suspicion of venous thromboembolism (VTE) in a pregnant patient will quickly bring a radiologist to a choice, where the next step holds potentially significant consequences for both the mother and unborn child. At ESTI 2012, Fergus Gleeson, MD, from the Oxford Radcliffe Hospitals NHS Trust, will present colleagues a way forward for these cases, which are not frequently encountered in practice,…

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Diabetes and CAD

Anja Behringer reports on a neglected risk factor. With an aging population multimorbidity is increasingly a major challenge for hospital care. Diabetes is one of the medical conditions frequently encountered in multimorbid patients since cardiac and vascular diseases are often accompanied by dysfunctions of the blood sugar metabolism.

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Hybrid imaging: Virtual FDG-PET/CT bronchoscopy

Virtual FDG-PET/CT bronchoscopy has been found to be a technically feasible tool for the detection of lymph node metastases in non-small cell lung cancer patients with good diagnostic accuracy, according to researchers at the Department of Diagnostic and Interventional Radiology, University Hospital Dusseldorf and Essen.

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IROS 2012

Controversies were certainly aired when 800 radiologists gathered in Salzburg for The Interventional Radiological Olbert Symposium - a meeting of the German, Austrian and Swiss Societies for Interventional Radiology (DEGIR ÖGIR and SGCVIR) – and certainly some striking new interventions were presented. Michael Krassnitzer reports

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Brain Cancer Blood Vessels Not Substantially Tumor-Derived

Johns Hopkins scientists have published laboratory data refuting studies that suggest blood vessels that form within brain cancers are largely made up of cancer cells. The theory of cancer-based blood vessels calls into question the use and value of anticancer drugs that target these blood vessels, including bevacizumab (Avastin).

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Transcatheder aortic valve implants

With transcatheder aortic valve implants (TAVI) forming some 20% of all heart valve replacement procedures today, and the technology constantly developing, the ´real art`to the intervention´s success lies in precise patient selection and procedure performance carried out by a multi-disciplinary and effective team, according to Simon Redwood, Professor of the interventional cardiology at King´s…

A niche with no lobby

Italy is a front runner in diabetic foot revascularisation. Among the country’s pioneers is Professor Roberto Gandini, at the Diagnostic Imaging and Interventional Radiology Department, University of Tor Vergata in Rome, who has developed and improved new technical options in peripheral vascular disease intervention, a technique that now saves about 92% of patients from major amputations due…

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Coronary Heart Disease can be diagnosed and treated earlier using new techniques

Prof. Uwe Nixdorff from the European Prevention Centre, Düsseldorf advocates cardiologists combine IMT measurement with ALOKA’s pulse wave intensity function to check for unseen coronary heart disease: “This technique is currently seldom used, however in my experience it provides a more complete picture and enables me to treat patients earlier for life-threatening conditions that are often…

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Documentation and certification

The German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR) has been developing its nation-wide quality assurance programme since 1987. ‘We launched this instrument very early and on a voluntary basis. Other medical associations have been forced to do so by law,’ explains Professor Arno Bücker, Member of the Board at DeGIR and Director of the Clinic for Diagnostic…

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ElastoScan in breast ultrasound

Dr Katja Gabriel of the Hirschhauser & Gabriel Obstetrics and Gynaecology Practice in Erkrath, Germany, describes clinical experience with this novel technique and the resulting improved diagnostic accuracy.

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The ClearVue ultrasound system

Manufactured by Royal Philips Electronics and currently being introduced in Europe, India, Australia and New Zealand, ClearVue introduces proprietary Active Array technology, which moves key technology from the system to the transducer, resulting in enhanced image quality in 2-D and colour, lighter weight cabling and increased transducer reliability, Philips reports.

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One in six people will have a stroke, but most strokes can be prevented

The theme of this year's World Stroke Day on 29 October is "One in Six", referring to the facts that one in six people will have a stroke at some point in their lifetime, and that a stroke will be the cause of someone's death every six seconds. These, says the World Stroke Organization (WSO), are everyday people leading everyday lives, but around 85% of them will have risk factors…

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The New York Academy of Sciences Conference

This two-day international scientific symposium follows two previously successful conferences held by the New York Academy of Sciences (NYAS), ‘la Caixa’ Welfare Projects, and the International Centre for Scientific Debate (ICSD) for researchers, physicians, scientists and representatives of the related industries, working in cardiology, vascular disease, inflammation, regenerative medicine,…

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Staying on the right side of the law

High flexibility and live conditions contribute towards the high popularity of image-guided interventions, now performed under ultrasound control in 80-90% of cases. However, although minimally-invasive examinations are based on high standards of medical safety, complications can arise that could ultimately lead to litigation. Thus, experienced ultrasound operators would be wise to know the…

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Microbubbles in tumour therapy

Contrast agents have opened up entirely new possibilities are taking shape for ultrasound, above all in oncology. Following the publication of guidelines on the clinical use of contrast-enhanced ultrasound (CEUS) by the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) in 2004 and 2008, at this year’s World Ultrasound Congress, WFUMB and EFSUMB will present joint…

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Elastography in breast ultrasound

In recent years, the technique of breast ultra-sonography has become an essential procedure in the diagnostic evaluation of breast tissue. The improvement of ultrasound technology, especially with regards to the high resolution of modern devices and the use of colour Doppler sonography, has made this technique indispensable in our daily routine. Although the value of conventional breast…

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When overweight kids become heart condition adults

A modern-day childhood totally differs from what was common just a few decades ago. It is mostly spent sitting -- at school desks, in front of TV screens or before computer monitors – all combined with the sweet temptations of the kid’s food industry. According to a WHO worldwide estimate, an estimated 10% of school-age children between five and 17 years old are overweight or obese. The…

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MRI: Still the best tool for seizures

Anti-seizure medication is not successful in all patients, while in others such medication can have side effects. In recent years significant technical advances have delivered better imaging results, which, combined with growing demand for a surgical solution from patients whose medications do not control seizures, or those not wanting to take medication constantly, has led to an increase in…

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Imaging for diabetes and vascular occlusive disease

Metabolic syndrome, diabetes and vascular disease: What do we need to know? During ECR session this important question is addressed by vascular specialist Professor Erich Minar, Assistant Head of the Department of Angiology at the Vienna General Hospital (AKH), President of the Austrian Society of Angiology, and scientific researcher working closely with research centres in the USA.

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Imaging and stroke

USA - Although it is well know that the speed of diagnosis and treatment for stroke victims is of paramount importance (4.5 hours), not all US hospitals have stroke expertise. The Joint Commission, the organisation responsible for accrediting US non-government hospitals, has certified only about 500 out of several thousand hospitals as primary stroke centres.

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Integration to combat diabetes

To face the national and worldwide increase in diabetes mellitus cases, the German Federal Ministry of Education and Research initiated the foundation of the German Centre for Diabetes Research (DZD), aiming to improve basic research, prevention, diagnostic and therapy of diabetes. Inaugurated in Berlin a few months ago, the centre has five strategic partners.

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Easy breathe - new tools for prolonged lung support

Often a life-saving intervention, mechanical ventilation also has some serious drawbacks: the need for sedation, the risk of ventilator associated pneumonia, intubation or tracheostomy related complications. In 1972, Donald Hill from Pacific Medical Centre, Los Angeles, reported the first successful long-term mechanical lung assist device with extracorporeal membrane oxygenation (ECMO).

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Countdown to Paris

With its spotlight theme of ‘Controversial Issues in Cardiology’, the 2011 edition of the European Society of Cardiology (ESC) Congress promises lively discussions and ground-breaking debate. The ESC Congress is well established as the world’s premier cardiovascular conference and regularly attracts around 30,000 international cardiologists and members of related professions through its…

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POCT brings values

Bedside testing of parameters has been introduced in clinical practice much earlier than laboratory testing: In past centuries, not only were temperature or pulse rate taken at the point of care (POC), but also qualitative blood or urine analysis were performed right next to a patient’s bed

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Europe’s first AIRIS Vento LT

November saw the opening of the private Avicenna Clinic in Berlin, a clinical "gem" set in the heart of Berlin, not far from the famous Kurfürstendamm. This spinal hospital is also the first in Europe to have installed the AIRIS Vento LT, Hitachi Medical Systems’ latest generation of open MRI systems in its AIRIS Series.

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Meaningful Innovations: Ingenuity CT and Ingenuity TF PET/CT

During RSNA, Philips announced the new Philips Ingenuity CT platform, an innovative technology that will help redefine low dose imaging. The Ingenuity CT features iDose4, Philips’ next-generation iterative reconstruction technique, designed to provide equivalent diagnostic image quality at up to 80 percent less dose; improve spatial resolution by up to 35 percent with up to 50 percent less…

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Hybrid operating theatres

In technical terms ‘hybrid’ is a system that connects two technologies so they may benefit from each other. This also applies to the newest generation of operating theatre*: hybrid OTs combine diagnostic and surgical facilities that are usually found in separate locations. Thus procedures can be carried out in less time and involve less discomfort and risk for the patient.

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Diabetics must lower their risk of CVD

Diabetics can face a five times increase in the risk of developing cardiovascular disease (CVD) than non-diabetics. This leads to a seven to ten year reduction in life expectancy and a higher probability of suffering a fatal heart attack. These sad statistics have prompted the European Society of Cardiology (ESC) to mark World Diabetes Day on 14 November by emphasising the simple measures that…

Agfa at RSNA 2010

Agfa HealthCare is focused on providing excellent imaging solutions to support clinical confidence and improve delivery of health outcomes. At RSNA 2010, the company will demonstrate its engineered solutions that optimize the radiology workflow all along the imaging chain. By bringing the power of IT to radiology, we deliver tools that promote strong collaboration between healthcare providers and…

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Cardio-Thoracic Center of Monaco is the first Siemens European Reference Center Cardiovascular Medicine

Siemens Healthcare and the Cardio-Thoracic Center of Monaco (CCM) signed a partnership contract in Monaco. Within the framework of this contract, CCM was nominated the first “Siemens European Reference Center Cardiovascular Medicine". The strategic partnership is dedicated to the entire spectrum of cardiovascular medicine with the objective to develop innovative solutions for the treatment…

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Aortic valve replacement in the third dimension

No white lab coats anywhere; instead men in hard hats, equipped with hammers and drills. The Düsseldorf University Hospital’s Cardiology Pneumology and Angiology Clinic is a construction site, but once the workmen have packed up their tools and removed the scaffolding the view to the human heart will be unobstructed and clearer than ever before. Here, innovative patient care and a highly…

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Arteries seen in a new light

New imaging technologies are opening a new chapter in interventional cardiology by offering something this widely practiced procedure has been missing -- vivid clinical evidence to assess effectiveness. Interventional cardiology has moved rapidly from opening blocked arteries by crushing plaque with inflatable balloons to reinforcing the walls of the re-opened arteries with flexible metal stents…

Image-Arena analysis and quantification tool for multimodal 2D/3D/4D data

Agfa HealthCare, a leading provider of diagnostic imaging and healthcare IT solutions, announces today that it has signed an agreement with TomTec, active in the sector of echocardiography image analysis, reporting and data management, for the integration of its Image-Arena solution into the company's IMPAX Cardiovascular Picture Archiving and Communication System (PACS). TomTec offers a wide…

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Diabetes doubles CVD risk

A team led by UK-based researchers has found that having diabetes doubles the risk of developing a wide range of blood vessel diseases, including heart attacks and different types of stroke. The consortium, headed by Dr Nadeem Sarwar and Professor John Danesh of the University of Cambridge, analysed data from the individual records on 700,000 people, each of whom was monitored for about a decade…

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Ethianum in Heidelberg with future proof infrastructure

The Ethianum in Heidelberg is one of the first clinics in Germany to align itself consistently according to sustainability criteria, thus making it a hospital in keeping with the spirit of Siemens' Green+ Hospital Program. Working in partnership with the Ethianum, Siemens has developed and implemented comprehensive solutions: These include energy management, patient care, and the communications…

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The psychology of healing

People suffering from diabetes-related foot ulcers show different rates of healing according to the way they cope and their psychological state of mind, according to new research by a health psychologist at The University of Nottingham, UK. The large study published in the journal Diabetologia has shown that the way patients cope with the condition and their levels of depression, affect how the…

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Postprandial blood glucose

The daily management of diabetes mellitus is a complex interaction between blood glucose measuring, lifestyle aspects and drug therapy. Large epidemiological trials such as UKPDS (United Kingdom Diabetes Prospective Study) have shown that an optimal blood glucose adjustment has beneficial long-term effects on type-2 diabetics’ risk of micro- and macrovascular secondary complications.

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Negative pressure wound healing technology

Despite some uncertainty about how it works, there is a growing consensus that Negative Pressure Wound Therapy (NPWT) – also known as Vacuum Assisted Closure (VAC) – is revolutionising wound care. Speaking at the 1st International Surgical Wound Forum, held recently in Amsterdam, surgeons from Europe and the USA predicted the growing use of this innovative technology across the spectrum of…

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Colonic stents - buying time for surgery

In 2006, about 307,432 new cases of colorectal cancer arose in the European Union. The rates varied by a factor of two for women and three for men. The lowest rates were in Greece; the highest in Hungary and the Czech Republic. The incidence of colorectal cancer is increasing in Europe, particularly in the south and east, where rates were originally lower than in Western Europe.

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Hybrid operating theatres

Basically, a hybrid operating theatre (OT) is a combined operating room containing large imaging equipment, such as MRT and CT, which enables intra-operative diagnostics. If provided for in the hygiene and theatre concept, the hybrid OT can also be used purely as a diagnostics room, or as a classic operating room.

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Spotlight on the AACC Annual Meeting 2010

The American Association for Clinical Chemistry (AACC) is holding its 2010 Annual Meeting & Clinical Lab Expo July 25 - 29 at the Anaheim Convention Center, Anaheim, CA. This year’s AACC Expo promises to be the largest, most comprehensive yet, featuring nearly 700 vendors showing the latest technology and products for every aspect in clinical laboratory testing.

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Re-inventing mammography

The overall success of MRI in diagnosing breast cancer and the exploding demand for breast MRI, in particular, have caused a scanner shortage in much of Europe. Dr Jean-Pierre Pruvo, Chairman of the French Society of Radiology, recently raised the alarm: ‘We have hundreds of thousands of women in France at risk for breast cancer, yet we do not have the means to provide a breast examination by…

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The 91st German Radiology Congress

The congress organiser Deutsche Röntgengesellschaft again expects about 7,000 participants at this the largest German language congress on medical imaging. The programme, organised by Hamburg radiologist Professor Walter Gross-Fengels, will focus on the potential of radiology in diagnoses and therapies for vascular diseases.

Secret to Healing chronic wounds might lie in tiny pieces of silent RNA

Scientists have determined that chronic wounds might have trouble healing because of the actions of a tiny piece of a molecular structure in cells known as RNA. The Ohio State University researchers discovered in a new animal study that this RNA segment in wounds with limited blood flow lowers the production of a protein that is needed to encourage skin cells to grow and close over the sore.

New cancer therapy to fight cardiovascular diseases?

New drugs that are helping fight a multi-front war on cancer may do the same for cardiovascular disease, Medical College of Georgia researchers said. Cancer and cardiovascular disease, both among top U.S. killers, share inflammation as a cause. Heat shock protein 90 inhibitors as a treatment could become additional common ground, said Dr. John Catravas, director of MCG's Vascular Biology Center.

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Philips' Imaging Highlights at ECR 2010

At ECR 2010, Philips launches the GEMINI LXL, the newest PET/CT scanner, offering many of the features available on premium systems for those working in the clinical areas of both radiology and oncology. Also making its European debut is DoseAware, a new dose-saving solution for interventional procedures. Furthermore, Philips presents its new Sonalleve MR-HIFU Fibroid Therapy system, which offers…

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Contrast agents

At this year’s ECR, new developments will be outlined during the Contrast agents: Experimental and Clinical session. Mark Nicholls spoke with the session moderator Professor Peter Aspelin, Professor in Diagnostic Radiology at the Karolinska Institute, Stockholm, about their potential.

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The diagnostic laptop

Toshiba America Medical Systems, Inc.’ reports that its new Viamo laptop device is ‘…the industry’s no-compromise ultrasound system with advanced radiology capabilities, previously unavailable on hand-carried systems’, adding that It offers the same premier image quality as larger, more expensive ultrasound systems, but at a lower price.

Laptop ultrasound system receives FDA clearance

Designed to meet the needs of today’s hospitals by combining portability with high-end radiology features, Toshiba America Medical Systems, Inc.’s new Viamo laptop ultrasound system has received FDA clearance. The Viamo is the industry’s no-compromise ultrasound system with advanced radiology capabilities, previously unavailable on hand-carried systems. Toshiba’s Viamo provides the best…

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The e-Health Insider Conference

Considering the huge tasks and issues involved, the connection of health services, digitised EPRs, and text messaging via mobile phones, all are progressing -- some slowly, others at a more rapid pace – as many speakers at the e-Health Insider Conference underlined.

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Treatment beyond anti-infectives

Professor Norbert Suttorp and his team at the Clinic for Infectology and Pneumonology, Charité University Hospital Berlin, have been working on the understanding of the basic mechanisms of inflammation and infection -- and utilising them. Professor Suttorp has been working for many years on questions relating to the subject Therapy in addition to antibiotics.

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Handwriting revisited

A specialised brain area involved in the production of written language was first empirically described by 19th century scientist S. Exner. At that time, the only way to investigate was by post mortem study of patients who had experienced writing problems during their lives. Now, in France, a team of researchers led by Jean François Démonet, has applied state-of-the art technology to study…

RSNA 2009 showcases Agfa HealthCare's newest features for IMPAX

Agfa HealthCare unveiled the latest version of its IMPAX product portfolio at the 2009 meeting of the Radiological Society of North America (RSNA). The improvements to its IMPAX solutions will further increase a radiologist's ability to read more exams, with fewer mouse clicks. Enhancements include new tools supporting multi-planar labeling for volumetric spine studies, new communications tools,…

Aneurysm - Coil, surgery or clip?

A young singer leans against the mixing desk in a recording studio in a laid-back manner. She listens to songs just recorded for her new album, moving her lips to the sound. Suddenly she stops, reaches for her head and seconds later collapses, unconscious. On hospital admittance physicians discover that a previously undetected aneurysm in her brain has ruptured.

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The portable Mysono U5 ultrasound

Sonoace, the German distributor of the Korean firm Medison Co. Ltd has launched its first hand carried ultrasound machine MySono U5 at Medica. ‘Complete with various image optimisation processing technologies in a lightweight and compact form , Mysono U5 is designed to guarantee immediate diagnostics in a wide range of applications, such as emergency medicine, vascular, musculoskeletal and…

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The GE Venue 40 series

GE Healthcare is presenting its new Venue ultrasound product line at Medica. The Venue 40, the first product launched, provides visualisation for needle guidance procedures and rapid diagnostics in real-time at the bedside. These point-of-care (POC) settings are the fastest growing in ultrasound internationally (USA growth: 30% average in the last four years. Source: industry report by Klein…

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MIRROR 2

Mirror 2, the all-digital colour Doppler ultrasound system, produced by Landwind International Medical Science Pte Ltd, incorporates a number of advanced imaging technologies, including powerful multi-beam parallel imaging, premium vascular imaging, real-time dynamic receiving focusing, magic focus, superior aptitude filter, 3-D, and panoramic imaging, the manufacturer reports.

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The Epidot SC

Founded in Poland, in 1993, Echo-Son S.A. manufactures the ultrasound colour Doppler scanners Spinel II, Epidot_SC, Desmin_M, Epidot_V and the portable (b/w) Desmin_F, Desmin_H and Albit, for medical and veterinary applications (2.5-12.0 MHz, Doppler) and ophthalmology: A+B mode scanner 12 MHz and pachymeter 20MHz.

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The Fetatrack DD250

Weighing just 2 KG, in a hospital, small clinic or doctor’s surgery the fully portable Fetatrack DD250 can provide continuous foetal and vascular dopler. The unit operates from a mains electricity supply for 30 hours; alternatively the built-in rechargable batteries can be used. ‘The system has all the necessary facilities for accurate antenatal foetal assessment in one compact unit,’…

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The brain - A promising target for multimodal imaging

Integrated PET/MRI systems will permit the simultaneous acquisition of molecular, functional and structural parameters. The combined strengths of PET (high sensitivity and specificity, but relatively low spatial resolution) and MRI (high resolution, but low sensitivity) is the most attractive feature of multimodal imaging with hybrid scanners. Their application could substantially contribute to…

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Hepatocellular carcinoma

Cases of hepatocellular carcinoma (HCC), one of the most frequently occurring cancers throughout the world, are expected to increase dramatically in the next 10-15 years in Germany alone. The main reason is the increased occurrence of fatty hepatitis. Thus, in the future, interventional radiologists will also be increasingly involved in HCC patients treatment.

Vital Images and Sectra expand partnership

Vital Images, a leading provider of advanced visualization and analysis software, and Sectra, one of the world-leading IT and medical-technology companies, deepened their relationship by expanding the advanced visualization solution offered to Sectra's PACS customers.

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Carestream Cardiology PACS

Now Carestream Health can provide an enterprise-wide image and information management solution for cardiology data.  Bring the advantages of digital workflow to cardiology with an innovative web-based solution that enables:

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The role of exercise training in cardiovascular health

Western societies are struggling to pay for their ever increasing medical budgets. In the US up to 393 billion US-$ were spent in 2005 for cardiovascular diseases alone. Based on epidemiologic studies in primary prevention it is reasonable to estimate that 30% of coronary heart disease and stroke could be prevented by 2.5 hours of brisk walking per week.

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Cardiovascular research

As Professor Valentin Fuster pointed out this year, the Centro Nacional de Investigaciones Cardiovasculares (CNIC) is now a splendid reality thanks to the support of the Ministerio de Ciencia y Tecnología and the Instituto de Salud Carlos III institutions on which, now and for the future, it depends. Along with that public sector backing, CNIC will also receive civil support from the ProCNIC…

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The AACC Annual Meeting & Clinical Lab Expo

The American Association for Clinical Chemistry (AACC) hosts its 2009 meeting in conjunction with the Canadian Society of Clinical Chemists. Along with this, a high European participation is on the cards. "We are pleased that so many peers from Europe join us each year, and that our European colleagues lead many of the important scientific sessions," said Barbara Goldsmith PhD, current AACC…

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Ultrasound most cost effective

In comparing ultrasound with other medical imaging methods such as MRI and CT scans, a literature review of published studies in the May/June issue of Journal of Diagnostic Medical Sonography (JDMS) describes the use of ultrasound to provide an accurate diagnosis more cost effectively than the alternatives.

Angioplasty gains new balloon catheter

Voyager NC, a new coronary dilation catheter with a high-pressure capability designed to optimise coronary artery treatment during angioplasty procedure, can be used for both pre-dilatation and post-dilatation procedures, the manufacturer Abbott explains, adding: "Surgeons can use it to navigate tortuous anatomy and open up lesions before a stent is delivered, or expand a stent more precisely…

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The summit of science

For this year's ECR president, Professor Borut Marincek, there could be no more apt motto for the event than The Summit of Science. ‘Over the last 20 years, imaging procedures, particularly radiology, have revolutionised healthcare. At the same time, radiology as a high-tech discipline is dependent on an increased natural scientific and technological knowledge. Therefore, the objective is to…

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Radiologists must change or lose out

With cardiologists and neurologists purchasing imaging equipment for use by them in their departments, clinical education has become crucial to the survival of radiologists, for whom specialist training, with a focus on particular body areas, is also imperative, says radiological interventionist Professor Malgorzata Szczerbo-Trojanowska, President of the ECR 2010.

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EAU hot topic: Imaging in urological oncology today

Big discussions are expected at the upcoming European Association of Urology (EAU) Congress in Stockholm* when urologist Dr Jochen Walz (right), of the Urological Department at the Institute Paoli-Calmettes, Marseilles, France, presents the forum: Imaging in Europe: Who, where, what, how many! and M F Coelho, of the European Society of Urological Imaging (ESUI) describes the Clinical utility of…

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Uterine fibroids

Uterine fibroids are the most common benign tumours in women. Treatment is only necessary if the fibroids cause pain and bleeding due to their size and position. Minimally-invasive fibroid embolisation is a gentle, efficient and long-lasting treatment for their removal, leaving the uterus intact. The first evaluations of several international long-term studies have indicated a high success rate…

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GE's new Discovery PET/CT 600 scanners go global

GE Healthcare's first Discovery PET/CT 600-series scanners are being installed in a number of leading clinics around the world. "This first set of installations is a big step forward in the diagnosis and monitoring of disease", said Terri Bresenham, newly appointed vice- president and general manager of GE Healthcare's global Molecular Imaging business.

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Huntleigh: Diagnostic division with new website

A new version of the Huntleigh - Diagnostic Products Division web site was successfully launched in January of this year with a new brand identity and will be followed by a change of the logo on products, facilities, and marketing materials in a transition that is expected to take about 18 months.

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New tumour ablation technique in clinical practice

Electroporation is going to widen the spectrum of cancer treatment in the future. While other tumour ablation techniques like cyroablation, radiofrequency ablation and microwave ablation work with intense heat or cold to kill cancer cells, irreversible electroporation (IRE) uses electric pulses allowing minimal collatoral damage to surrounding tissue. First clinical applications have already…

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Luhacovice

Admittedly not one of the easiest names to pronounce but a name to note: Luhacovice in the Czech Republic.

CHD symptoms

Coronary heart disease (CHD) symptoms, presented in the context of a stressful life event, were identified as psychogenic when presented by women and organic when presented by men, which could help explain why there is often a delay in the assessment of women with CHD, according to research presented at the 20th annual Transcatheter Cardiovascular Therapeutics (TCT) conference.

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The power of cardiac imaging and the invasive cardiologist

Progress in cardiac imaging diagnostics has made cardiac catheterisation less common. What may sound like 'fishing in foreign territory' is in reality the chance for interventional cardiologists to concentrate on, and specialise in, more innovative invasive procedures.

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Cardiohelp

Maquet has launched Cardiohelp, the world's smallest, lightest heart-lung machine, that can not only provide a total therapy solution for heart surgery, cardiology, intensive and emergency care, but also, due to its suitcase size and 10 kg weigh, the device can be carried by just one person onto a helicopter or ambulance for mobile use.

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Carotid artery stenosis

Patients who have suffered strokes due to stenosis of the carotid artery are at a high risk of suffering further strokes. Many of these second strokes could be avoided if the stenosis was treated in time. This can be done in two ways: Surgical removal of plaque during the endarterectomy, or catheter treatment with a stent being inserted under local anaesthetic, to prevent another stenosis…

Portable real-time 3-D ultrasound for brain scans

USA - 3-D ultrasound technology developed at Duke University provides images of the brain vessels in real-time, which could be miniaturised in coming years for use in ambulances. In an initial pilot study, the system has passed the proof-of-principle.

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ProVision 80

ProVision 80, a shared-service colour Doppler all-digital system, provides an all-in-one solution for abdominal, obstetrics/gynaecology, cardiovascular, small parts, paediatric, and musculoskeletal applications, the manufacturer Chison Medical Imaging Co. reports.

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Ruhr's centre of excellence for medical

The Centre for Medical Imaging Ruhr (zmb ruhr) in Bochum offers the technological infrastructure for the development of therapeutic and diagnostic imaging procedures. The primary focus is on ultrasound — the most commonly used imaging procedure in Germany, delivering the highest volume of examinations.

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Cardiohelp

Maquet has launched Cardiohelp, the world's smallest, lightest heart-lung machine, that can not only provide a total therapy solution for heart surgery, cardiology, intensive and emergency care, but also, due to its suitcase size and 10 kg weigh, the device can be carried by just one person onto a helicopter or ambulance for mo-bile use.

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EVINCI

The European multi-centre, multi-modality cardiac imaging project that could lead to a more intelligent and less costly use of today's technology in cardiac care.

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Better diabetes care for the UK

Good news for diabetes patients in the UK: According to a report published recently by the Department of Health, diabetes care in the NHS is improving and focusing more on prevention. The result: More patients have been identified, and in more people at risk development of the condition could be prevented.

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Tablets for the people?

Last week the English government closed its consultation on the effectiveness of vascular checks for high-risk people aged 40-74. Would this help? Experts from New Zealand and the WHO say "yes". Others argue that public health approaches targeting the whole population are both: cheaper and more effective than tablets.

How save are antiangiogenic and anti-inflammatory drugs really?

Since Rofecoxib (Vioxx) was withdrawn from the worldwide market based on the safety findings of the Adenomatous Polyp Prevention on Vioxx (APPROVe) study, the uncertainty around the cardiovascular safety of NSAIDs and COX-2 inhibitors remains and leaves practitioners with difficult management decisions for the hundreds of millions of patients worldwide who continue to require pain-relieving…

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Childhood obesity

Recent studies have shown that overweight and obesity during childhood and adolescence have a negative impact on the functioning of the internal walls of the arteries, paving the way to the development of an arteriosclerotic disease from an increasingly early age.

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European debut for Acuson S2000

Siemens Healthcare will show its Acuson S2000, the first ultrasound system in the new product series S, at the ESC*. The system platform includes integration of the newest technologies to optimise workflow, e.g. comprehensive software applications such as new software for breast imaging.

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ProSound a7

`High performance systems need not be large,´ says Aloka, manufacturer of the new compact ProSound a7, which produces high-resolution images yet can be used in areas with little spare space. `Broadband Harmonics provides high sensitivity and penetration that is comparable to fundamental-frequency imaging resulting in a significant improvement above standard harmonic imaging,´ Aloka reports.

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Stroke prevention

Ultrasound brings many advantages, but trained sonographers are too few

What is the role of vascular ultrasound in stroke prevention? Asked by Karoline Laarmann of European Hospital, Professor Christian Arning MD, Medical Director of the Neurology Department at Asklepios Klinik Wandsbek, Germany, and Deputy Chairman of the German Society of Ultrasound in Medicine (DEGUM), gave an unequivocal answer: crucial - but only if the sonographer is properly qualified.

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A new imaging tool?

Mammography is the common way to detect breast cancer. But it's not perfect: it struggles to image dense glandular tissue or early-stage tumours. Magnetic resonance imaging (MRI) offers best sensivity but it is expensiv and not always specific enough. Now researchers have come up with another option: a scanner that integrates thermoacoustic and photoacoustic tomography to achieve dual-contrast…

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Green tea is an affair of heart

Not only for green tea fanciers. A recent study published in the European Journal of Cardiovascular Prevention and Rehabilitation shows that drinking green tea improves the function of cells lining the vascular system and therefore protect vessels from atherosclerosis, reported the European Society of Cardiology.

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20 years of MIS

Scientific studies confirm that after 20 years of minimally invasive surgery (MIS) most of these operations have advantages over the equivalent, conventional surgical procedures.

Nosocomial infections in the USA

As nosocomial, or healthcare-related infections (HAIs), continue to escalate in the US, and protocols to manage this problem remain complex and confusing, surveillance healthcare IT systems offer hope to gain control of the situation. These offer the potential for data to be uniformly collected, quantified, and assessed. How rapidly they will be implemented enough is unknown.

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The brain in three dimensions

Stroke treatment is a question of time. The faster the cerebral infarct can be diagnosed, the less the brain will be damaged. But unfortunately it is not always easy to get the patient to a brain scanner within the required three-hour window. Real-time 3D ultrasound might bring the solution, according to researchers from the Duke University in Durham, NC.

LIFEBRIDGE" ASSUMES CONTROL OVER HEART AND LUNG OUTSIDE THE OR

The clinical center of the university of Mainz, Germany, reported the first successful use of a newly developed mobile heart-lung support system with a patient suffering from life-threatening pulmonary embolism. "Lifebridge", a highly automated system, was connected via the inguinal vessels right after the embolism had occurred and immediately took over the functions of lung and heart, supplying…

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Philips to acquire Tomcat Systems

Royal Philips Electronics recently announced it will acquire TOMCAT Systems Ltd., based in Northern Ireland. Terms of this acquisition were not disclosed. TOMCAT offers a software solution to collect and aggregate data relative to the cardiac care of patients, and allows for a comprehensive, patient-centric presentation of this data to care givers such as doctors and nurses.

CZECH SURGERY NEWS

Rotational artherectomy - Around 33,000 patients are hospitalised annually due to myocardial infarction, but only five percent actually die, thanks to the various state-of-the-art treatments mastered by Czech physicians.

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German Radiology Congress 2008

Along with paediatric radiology, interventional radiology will have a high profile at the 89th German Radiology Congress and 5th Joint Congress with the Austrian Radiology Society. Congress presidents Professor Dierk Vorwerk and Professor Richard Fotter outlined what's on the agenda for the expected 6,900 visitors. Training, they pointed out, will aim at those preparing to specialise in…

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Interventional radiology

Along with paediatric radiology, interventional radiology will have a high profile at the 89th German Radiology Congress and 5th Joint Congress with the Austrian Radiology Society. During a discussion with Meike Lerner of European Hospital congress president Professor Dierk Vorwerk outlined what's on the agenda for the expected 6,900 visitors.

Further reports from the ACC 57th Scientific Session

A five-year study of 516 participants with coronary artery disease showed that patients who reduced their anxiety levels or kept them steady were 60% less likely to have a heart attack or die compared with those who had increased anxiety levels.

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Dynamic volume CT - the impact on neuro-imaging

A 320-row CT scanner (Aquilion One, Toshiba Medical Systems Co., Tokyo, Japan) was installed for the first time in Europe, at the Charité University Hospital, Berlin, Germany, in November 2007. Its capability to cover the whole brain in a single rotation means this new type of scanner has the potential to impact strongly on the field of neuro-imaging.

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Obese patients in radiology - XXL challenges

Radiological services and equipment are not yet adapted to obese patients. The accuracy of current MRI, CT and Ultrasound is hindered by subcutaneous and intraabdominal fat. These modalities are crucial in diagnosing pathologies associated with obesity, including heart-related disease. Optimising imaging modalities will be a major challenge for radiology.

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Successful weight control via Text Messaging

A highly innovative scheme to use mobile technology to obtain a patients weight has proved success in Hammersmith & Fulham PCT. The recent scheme found that by using iPLATO Patient Care Messaging to request a patient's weight via text message, the patient's medical record could be updated quickly and efficiently with a current body mass index (BMI) reading.

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Merger Agreement between MEDRAD and Possis Medical

As announced today, MEDRAD, an affiliate of Bayer HealthCare and a leading provider of contrast injection systems used to diagnose cardiovascular disease, has entered into a definitive merger agreement with Possis Medical, leading provider of mechanical thrombectomy devices used to treat narrowed or blocked blood vessels. MEDRAD will acquire Possis Medical in a cash tender offer for US-Dollar…

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3D medical imaging anywhere & anytime

Medical imaging innovator Barco unveiled AVT, a new advanced visualization solution with which doctors can read volumetric studies throughout the hospital, in a remote office, or even at home. This solution makes the diagnostic process considerably faster and more flexible.

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Early Health - Investment or Cost?

Early Health, i.e. the early detection of diseases, will have to move into the centre of attention - this is the result of a survey by Total Healthcare Solutions (THS). Dr Susanne Michel, Associate Director at THS, underlines that in the future prevention will have to be considered an investment in healthcare rather than a mere cost factor. Decision makers from politics and the healthcare system…

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Stereotactic radiosurgery

Italy - The latest advance in stereotactic radiosurgery - the Leksell Gamma Knife Perfexion made by Elekta, is due for inauguration this month at the Neurosurgery Department in Niguarda Hospital, located in the northern area of Milan. This prestigious hospital employs over 700 physicians and 1,500 nurses, and over 50,000 patients are admitted annually, and over 20,000 surgical procedures are…

The Novalis Tx for stereotactic radiosurgery

Novalis Tx, a system for stereotactic radiosurgery, has resulted from a partnership between the Munich-based medical technology company BrainLAB AG and Varian Medical Systems Inc, two firms that have successfully worked together on radiation therapy products for over a decade. The powerful linear accelerator Trilogy Tx and special technology for beam focusing was contributed by Varian; BrainLAB,…

Acuson P50: laptop-based ultrasound system for POC-use.

The Acuson P50 is a new laptop-based ultrasound system from Siemens Medical Solutions. Presented at the MEDICA 2007, the portable ultrasound system was specially designed for mobile applications in cardiology, as well as vascular applications and use in anaesthesiology departments or operating theatres.

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Determining vascular age

New to the Siemens Medical Solutions portfolio of ultrasound applications is the syngo Arterial Health Package (AHP), which calculates cardiovascular risks by measuring carotid intima media thickness and determining the relative `vascular age´ of the vessel. Using this, along with, for example, cholesterol values and blood pressure, a physician can better assess a patient's myocardial or…

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Varicose veins

USA - A next-generation radiofrequency ablation catheter - the VNUS ClosureFASTTM - has been used by surgeon Phillip Levin MD, at Cedars-Sinai, in Los Angeles, California. An expert in VNUS closure procedure, Dr Levin has treated approximately 300 patients since 2003 with the ClosureFASTTM catheter's predecessor.

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From Screening to Diagnosis and Follow-Up

Easy to operate, highly accessible, fast and mobile - these are the characteristics that make ultrasound the No. 1 used modality in diagnostic imaging and the reason why leading healthcare providers continue to invest in innovation to drive workflow improvements. Siemens Medical Solutions continues to lead the way in innovating workflow solutions for their customers expanding the use of…

Device helps heal the meniscus

Faced with meniscus injuries surgeons usually decide to remove the torn meniscal cartilage, which typically leaves the deficient knee vulnerable to future arthritis, because the padding that provides shock absorption and joint stability has been removed, causing bone to rub on bone.

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Neuropelveology

Forging links between neurology and surgery

Surgery in the lower pelvic region often involves injury to or severing of nerve tissue. As in chronic diseases of the nervous system, the result can be pain, sensory disturbances or loss of function. Up to now the poor view of the nerves, partially formed of fine interwoven networks, has been one of the major problems – exacerbated by the strict division of skills between neurologists and…

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Cardiologists meet to sum up progress

During a meeting of cardiologists in Prague earlier this year to exchange experiences with new methods and treatments to control atrial fibrillation, Dr Josef Kautzner, Head of Cardiology Department at IKEM (Institute of Clinical and Experimental Medicine) pointed out that numbers of patients with AF will more than double during the next 20 years.

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Hot Spots:

A next-generation diagnostic tool for cardiovascular disease, using a nanoscale iron particle, is now under development at a unique industry-government-university named Nano AG. A report from Siemens describes the research and progress at the centre

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Monitoring of Surgical Bypasses

The aortocoronary bypass is an important surgical method for multivessel coronary revascularization, especially in the presence of complex lesions and in diabetic patients. It is can improve the prognosis of patients with three vessel disease and with left ventricular dysfunction1 . With regard to the type of graft used, bypasses are split into venous and arterial types. The use of venous…

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Advanced Dynamic Flow (ADF)

Ultrasound scanning with CCDS is an established technique in shunt diagnostics and allows non-invasive assessment of vascular flow. Stenosing changes to walls of vessels used as a dialysis shunt should be detected as early as possible to avoid occlusion by a thrombus. High occlusion rates with volume flow reduced by up to 45% in one year demand ultrasound screening. The risk of haemodynamically…

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Carotid Plaque Imaging

Ischaemic stroke accounts for 80-85% of all cerebrovascular accidents and causes considerable morbidity and mortality, thereby placing a significant burden on western societies. In the UK alone, stroke costs amount to 10.4 billion EUR annually. These events commonly are a consequence of systemic atherosclerotic disease and with the internal carotid arteries supplying 75% of cerebral blood flow,…

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Selenium-Based Flat Panel X-ray Detector for Digital Fluoroscopy and Radiography

We have succeeded in developing the first selenium-based flat panel X-ray detector for digital fluoroscopy and radiography. This flat panel X-ray detector efficiently captures X-rays that have passed through the patient's body and converts them directly to digital dynamic and static images. It has been confirmed that images with high spatial resolution and contrast can be obtained. The detector…

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Aplio - Dynamic and Advanced Dynamic Flow

There are a number of problems in contrast imaging using LevovistTM contrast agent. In Doppler mode, the problems are poor resolution and large areas of blooming. In 2nd harmonic imaging and pulse inversion imaging, there are problems related to tissue harmonic imaging (THI) because Levovist requires a high mechanical index (MI). THI increases under high-MI conditions, and THI interferes with…

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Contrast Harmonic Imaging (CHI)

Case 1 50-year-old male with a colorectal cancer. Greyscale imaging clearly shows the lesion, as an echogenic 3 cm mass (Fig.l a), which must be considered as suspicious for a metastasis from his colorectal cancer but benefit of the doubt must be given. Colour Doppler (Fig. 1b) is not helpful. At 33 seconds after SonoVue injection (early sinusoidal phase), Vascular Recognition Imaging (VRI)…

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Application of Vascular Recognition Imaging (VRI)

Vascular Recognition Imaging (VRI) is a low MI broadband colour Doppler method that images the interactions of Sonovue with microbubbles in a non-destructive manner as perfusion images of a quality never before achieved. The perfusion image represents the low velocities of unmoving or barely moving microbubbles as green-coded tissue perfusion, while the higher velocities of the veins and arteries…

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Contrast Harmonic Imaging at its best

Over the last years Toshiba has actively participated in the development of Contrast Harmonic Imaging. Around 1996 one of the first agents that became available on the European market was Levovist TM (Schering AG, Berlin, Germany). This was a galactose-based contrast agent. Levovist could be used as a Doppler signal enhancer throughout the entire vascular system. With the development of these…

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Neuroradiological Applications of Biplane Angiography Technology

Endovascular therapy of diseases of the brain-supplying blood vessels has recently sparked new interest. Hundreds of these minimally invasive and often operation-substituting interventions are now being performed annually at neuroradiological centers. The most impressive results in the treatment of intracranial aneurysms are achieved using coil embolization. Endovascular therapy has been lound to…

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New Breath for the Avignonnaise Radiology

Twenty years ago, during the construction of the Henri Duffaut Hospital in the community of Avignon, on the banks of the Durance, we transferred our radiology service at the Hospital St. Marthe (today the University Centre of Avignon, classified as a historical monument by the government) to the first floor of the new hospital. Over the years, our service has been restructured and adapted to the…

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Takayasu's Arteritis

The rare disease Takayasu's arteritis (TA) belongs to the vasculitis group of diseases and is also known as inflammatory aortic arch syndrome or as pulseless disease because of its typical clinical picture. The pathological-anatomical manifestations include inflammatory transformation of the media and adventitia with the appearance of giant cells, hence the term giant cell arteritis is also used.…

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Superior Vena Cava Syndrome

Intravascular contrast medium is essential for enhancement of vessels and parenchyma. In this way the relation between vessels and tumours can be detected. Factors that influence the time required for a contrast bolus are the cardiac output of a patient, body weight, hydration status and the condition of the vessels. When a main vessel is occluded because of thrombosis, embolia or trauma a…

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High-Frequency Eyeball Sonography in the Differential Diagnosis of Papillae Changes

Since the beginning of the 90s, sonography has been a solid diagnostic pillar in ophthalmology centers, but it is also used by related medical disciplines, such as pediatrics, whose patients require ophthalmological treatment. For all age groups, the fundus of the eye, and especially the optic disk, is well-suited for high-frequency sonography with linear transducers. This type of examination…

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Carotid Stenting

Arteriosclerosis is well known as a vascular disease and cardiovascular risk factor. In its generalised form it affects not only the peripheral vessels (pelvis, legs) but also the coronary vessels and the carotid arteries. Arteriosclerosis is primarily a manifestation of advancing age, hence it is often accompanied by other diseases of the lungs and the heart as well as by metabolic diseases…

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Medical-imaging contrast media market booms

Increased incidence of vascular diseases and improved medical-imaging technologies expand the application base for contrast media. According to a new study from US market-research group Frost & Sullivan, sales of medical-imaging contrast media will see an impressive 58 per cent rise until 2013.

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Everything Echocardiography Offers - at 4 559 Meters Above Sea Level

It has long been known that hypoxia at high altitudes leads to an increase of pulmonaryarterial pressure. For sensitive persons, one crucial factor for the development of HAPE is the overwhelming rise in pressure in the pulmonary circulation. Using right heart catheterization average pulmonary-arterial pressures of 60 mmHg were encountered in earlier studies of HAPE patients. A pressure increase…

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Vascular Imaging in Prenatal Medicine

The following two articles look at the advantages of a new ultrasound technique in prenatal diagnostics: Advanced Dynamic Flow (ADF). While the authors use ADF for different purposes - K. S. Heling applies ADF for general vascular imaging and R. Schmitz focuses on fetal liver tumours and a fetal aneurysm in the vein of Galen - they both arrive at remarkably similar conclusions. But read for…

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3D Vascular Imaging

Imaging of blood flow with colour Doppler sonography is an established method in prenatal medicine. Today, there are several techniques which offer colour visualisation whose quality is on a par with that of the B-mode. One example of such a technique is Advanced Dynamic Flow (ADF). Looking at two cases, we will describe the clinical use of ADF to visualise fetal vascular tumours. The quality of…

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Multislice CT Angiography for Advanced Diagnostics and Therapy Control of Aortic Diseases

Modern imaging modalities are increasingly playing a role in planning therapy for aortic diseases and in follow-up exams after surgery or endovascular intervention. The methods employed for minimally invasive endovascular therapy have been continually improved in recent years and are now being used by vascular surgeons or radiologists to treat thoracic, thoracoabdominal and abdominal aortic…

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Three-Dimensional Angiographic Imaging of Intracranial Aneurysms

In the Caucasian population, subarachnoid hemorrhage (SAH) due to a ruptured intracranial aneurysm is seen with an incidence of 6 to 8 per 100,000. In some specific countries such as Finland and Japan these numbers rise to 20 per 100,000. 60% of patients presenting with an aneurysmal SAH are female. The presenting symptoms are: thunderclap headache in combination with (temporary) loss of…

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Pancreatic Tumours and Echo-Enhanced Ultrasound

Echo-enhanced ultrasound is a newly available imaging modality for use in the differential diagnosis of pancreatic tumours. Ductal carcinomas are often hypovascularised compared with the surrounding tissue. On the other hand, neuroendocrine tumours ar hypervascularised lesions. Tumours associated with pancreatitis have a different vascularisation pattern depending upon their inflammation and…

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New insights, algorithms and debates

For the first time in 33 years, wound healing was the focus of a dedicated session at the 33rd annual VEITHsymposium for vascular surgeons in New York (11/06). This underscores the fact that wound healing is heading increasingly towards a speciality that warrants the special attention of dedicated people willing to embrace an interdisciplinary approach to non-healing or complex wounds.

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CTLM for cancer detection in dense breasts

Paolo Belli MD, Carmen Malaspina MD and Professor Lorenzo Bonomo, of the Department of Radiology, UCSC, Policlinico A. Gemelli, Rome, discuss results from using computed tomographic laser mammography (CTLM) to detect cancers occult to mammography in dense breasts, and their comparison of CTLM with MRI to follow results of neo-adjunctive chemotherapy

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Contrast media

In 2001, an astonishing 12.2 million contrast medium-supported CT studies were carried out in Europe alone. Currently, the overall sales of contrast media are estimated to rise to $915 million in Europe in 2008.

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Discovering Toshiba

Toshiba Medical Systems Corporation is a global medical solutions company covering research and development, manufacture, sales and service for medical diagnostic X-ray systems, CT scanners, magnetic resonance imaging (MRI), ultrasound, nuclear medicine systems, as well as healthcare IT systems and radiation therapy equipment. Daniela Zimmermann, of European Hospital, recently visited Toshiba's…

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Turf wars

Nowadays, no radiology conference would be complete without a discussion on turf battles. The rapid development and broad acceptance of cardiac CT has exceeded expectations, and both radiologists and cardiologists are incorporating this technology into their practices. Educational courses on cardiac CT are in high demand and well attended by both radiologists and cardiologists.

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Carotid stenting suffers a setback

The debate between carotid artery stenting (CAS) and carotid endarterectomy (CEA) - the surgical approach - for treating a narrowing of the carotid artery in the neck to prevent stroke has tipped in favour of the more proven procedure of operation.

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BOOK REVIEW

Professor Stephen Eustace, of the Institute of Radiological Sciences, Mater Misericordiae Hospital & University College Dublin, reviews a new book on MRI, compiled by Mathias Goyen, who also recently received the KlinikAward 2006 in the 'Manager of the year' category

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Vascular surgery

'Alles im Fluss' is the slogan of the 22nd Annual Congress of the German Society for Endovascular & Vascular Surgery, to be held from 6-9 September, in Muelheim an der Ruhr.

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40th anniversary

As the German Society of Neuroradiology 40th annual meeting approached (Venue: Dresden. 31 August - 3 September), Professors Martin Schumacher (Freiburg), President of the German Society of Neuroradiology (GSN) and Rüdiger von Kummer (Dresden), the meeting's President, examine the history and potential in this medical field

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Progress

Scientific meetings held since 1998 at Alpbach, Germany, have attracted the sponsorship of leading associations and companies such as the Philip Morris External Research Programme, the Donors Association of German Science, Swiss National Fund, the German Heart Centre Foundation, Berlin, and Philips Medical Systems. At the 4th Alpbach Meeting, which focused on Magnetic Resonance, Contrast…

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IGS

In our last issue we featured the Future Operating Room Project developed at St Olavs Hospital, University Hospital of Trondheim, Norway, a collaboration between the hospital and the Norwegian University of Science and Technology. There, highly promising research on navigation is being carried out in co-peration with the research foundation Sintef Health Research. Professor of Surgery Hans O…

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Women in Radiology

Member of the Board of the ECR Professor Malgorzata Szczerbo-Trojanowska, is Chairman of the Department of Radiology and Head of the Department of Interventional Radiology, at the University Medical School, in Lublin, Poland. The professor has carried out research in Italy, the UK, Sweden and Germany and is a member of many Polish radiological organisations, as well as the Cardiovascular and…

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EuroPCR 2006

France - EuroPCR is a major European event for interventional cardiologists and radiologists. Focusing on existing and new technologies in percutaneous interventions (coronary, peripheral and non-coronary cardiac diseases), cardiac and vascular invasive and non-invasive imaging, this year's meeting will take place at the Palais des Congrès, Paris, from 16-19 May.

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Intra-operative imaging in modern neurosurgery

The brain has few anatomical landmarks. During surgery it is critical that the neurosurgeon knows the exact locality of surgical instruments in relation to important brain structures. Thus neuronavigation systems have become standard tools for planning and guidance.

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Nurse-surgeons

Waiting lists, EU limits on working hours, doctor and nursing staff shortages, how could healthcare providers overcome all those hurdles let alone glimpse the winning post ahead?

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A new cutting mode for TUR-P

Dry Cut, a new cutting mode produced specifically for transurethral resection of the prostate (TUR-P), has been launched by Erbe Elektromedizin, of Tubingen, Germany. This, with High Cut and Auto Cut, means that Erbes VIO System now offers the entire range of cutting qualities needed for TUR-P, TUR-B and TUV-P procedures, the firm reports.