C M Y CM MY CY CMY K 15Medical006 European Hospital copy.pdf 1 16/1/15 3:54 pm EUROPEAN HOSPITAL Vol 24 Issue 1/15 24 EH @ ECR A portable colour Doppler for POC M9 brings maximum mobilityFor medical ultrasound it’s quick, easy and portable – and so popular with Professor Christoph Dietrich, chief of Medical Department 2 at Caritas Hospital, Bad Mergentheim, one of the first physicians worldwide to test the M9 in clinical routine. ‘The com- pact Mindray colour Doppler system is about the same size as a notebook computer. The imaging suite comes to the patient,’ the specialist reports. Located on the Tauber River in the quaint town of Bad Mergentheim, Medical Clinic Two focuses on hae- matology/oncology, palliative medi- cine, gastroenterology and herpe- tology, geriatrics, endocrinology and metabolic diseases and has an excellent reputation for specialised and innovative endoscopic and ultra- sound techniques. Dr Dietrich uses the M9 ultrasound system for any standard diagnostic exam, from head to toe, and simply opens up M9’s high-resolution 15 inch LED monitor for swift bedside exams. ‘Despite its compact design, the M9 offers outstanding image quality that’s definitely comparable to that of a stationary system,’ he happily reports. ‘It offers all image data needed in a general hospital or medical office environment.’ Above all the patented 3-T trans- ducer technology provides excellent visualisation in b-mode and colour mode, Mindray adds. ‘It offers higher sensitivity and larger bandwidth as well as enhanced transmission efficiency and excellent signal-to-noise ratio. The single crys- tal probe technology allows imaging of deep structures. ‘Not only is the transducer state- of-the-art; the small and lightweight five kg system itself is chock-full of premium Mindray imaging tech- nology, such as Echo Boost, High Dynamic Range Flow (HDR Flow) for visualisation of minute vessels and complex flow patterns, as well as the Natural Touch elastography package for reproducible and user- independent measurement of tissue elasticity. The professor highly val- ues that ability to perform bedside exams. Where every second counts, particularly in emergency and trau- ma care, quick intuitive diagnostic tools are in high demand. The mobil- ity of current ultrasound devices has swiftly shifted them from an emergency modality to a primary diagnostic modality. Caritas Hospital is a certi- fied regional trauma centre in the Northern Bavaria trauma care net- work. Prof. Dietrich cooperates closely with the emergency depart- ment. ‘Thanks to the M9’s portabil- ity and immediate usability we can immediately start radiography on an injured patient – even while other clinical tests are being performed. We unfold the M9, it’s up and run- ning within seconds.’ To accelerate diagnostic work-up in trauma care, the ultrasound exam follows an internationally recognised standard, Focused Assessment with Sonography for Trauma, FAST for short. This rapid bedside screening test is designed to detect or exclude free fluid, mostly bleeding, in certain anatomical regions. ‘The procedure lists clear questions that can be answered with an unambiguous yes or no,’ Professor Dietrich explains. ‘By systematically imaging the entire abdomen the physician can tell, in less than a minute, whether free fluid is present or not.’ Even for abdominal contrast- enhanced ultrasound (CEUS) the professor relies on the M9’s image quality. ‘With the M9 you can quickly detect or exclude a spleen, kidney or liver rupture. Two to three minutes after contrast administration you can see blood flow.’ For CEUS the M9 offers anoth- er advanced Mindray technology: Ultra Wideband Nonlinear Contrast Imaging. This transmission uses sec- ond harmonic as well as non-linear signals, which results in excellent contrast-to-tissue specificity. Prof. Dietrich is convinced that ultrasound, while still essential in a clinical setting, will continue to gain importance in disciplines such as intensive and trauma care due to mobility and POC availability. Current President of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Christoph F Dietrich has been senior consultant at Caritas Hospital in Bad Mergentheim, Germany, since 2002. A German National Academic Foundation scholarship enabled studies at Hanover’s Medical University. Additionally, in 1988 he passed the US-American FMGEMS exam. From 1997 he specialised in internal medicine and in 1999 received his habilitation. Professor Dietrich is also a certified specialist in several other disciplines, including gastroenterology and haematology/oncology. A perihepatic lymph node (LK) situated between hepatic portal vein (PA) and inferior vena cava (VCI) illustrates the M9’s high resolution. Liver, duodenum (DUO) and right renal artery (ARD) are also marked. Contrast-enhanced ultrasound (CEUS) visualises bleeding and abscesses and allows characterisation of the surrounding liver tissue. Note the enhanced margin between the markers. M9 ASSETS •Single crystal 3T transducer •UWN+ Contrast Imaging (ultra- wideband non-linear) •HDR Flow (High Dynamic Range Flow) •Natural Touch elastography •LVO (left ventricular opacification) with stress echo •Compatible with TEE transducers •mQuadro ultrasound platform Editor-in-Chief: Brenda Marsh Art Director: Olaf Skrober Managing Editor: Chrissanthi Nikolakudi Editorial team: Sascha Keutel, Marcel Rasch Senior Writer: John Brosky Executive Director: Daniela Zimmermann Founded by Heinz-Jürgen Witzke Correspondents Austria: Michael Kraßnitzer, Christian Pruszinsky. France: Annick Chapoy, Jane MacDougall. Germany: Anja Behringer, Annette Bus, Walter Depner, Bettina Döbereiner, Matthias Simon, Axel Viola, Cornelia Wels-Maug, Susanne Werner, Holger Zorn. Great Britain: Brenda Marsh, Mark Nicholls. Malta: Moira Mizzi. Poland: Pjotr Szoblik. Russia: Olga Ostrovskaya, Alla Astachova. Spain: Eduardo de la Sota. Switzerland: Dr. André Weissen. USA: Cynthia E. Keen, i.t. Communications, Jacquie Michels Subscriptions Janka Hoppe, European Hospital, Theodor-Althoff-Str. 45, 45133 Essen, Germany 15Medical006 European Hospital copy.pdf 116/1/153:54 pm