...The Future of Cardiovascular Diagnostics THE MARKET, TRENDS & FUTURE DIRECTIONS Extracted on: 20 Apr 2011 Reference Code: BI00021-008 Publication Date: 02 Mar 2010 Publisher: Datamonitor © Datamonitor This content is a licensed product, no part of this publication shall be reproduced, sold, modified or stored in a retrieval system or transmitted in any form by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Datamonitor. The information in this document has been extracted from published research by a registered user of the Datamonitor360 platform. Datamonitor shall not be responsible for any loss of original context and for any changes made to information following its extraction. All information was current at the time of extraction although the original content may have been subsequently updated. Please refer back to the website http://360.datamonitor.com/ to view the most recent content and the original source of the information. To the maximum extent permitted by applicable law we exclude all representations, warranties and conditions relating to the facts of all publications. At time of publication no guarantee of accuracy or suitability, whether express or implied, shall attach to this publication (including, without limitation, any warranties implied by law of satisfactory quality, fitness for purpose and/or the use of reasonable care and skill). Please note that the findings, conclusions and recommendations...
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... Ethical Issues in Radiology Interview Paper Annelia Cyril Adventist University of Health Sciences 2 Abstract As a health care professionals we live through our career with sincere dedication to our patients. Ethics encompasses a variety of issues that all medical professionals, including medical imaging technologists must ultimately tackle. When considering ethics, medical imaging professionals need to take into account their responsibilities to patients, colleagues, employers, the imaging profession, and themselves. This interview will review these responsibilities with respect to medical imaging and the challenges that imaging technologists may face in approaching their work from the perspective of ethics. The American Registry of Radiologic Technologists (ARRT) has developed a Standard of Ethics in which radiologic technologists have to abide by. With the continual invention and improvement of lifesaving medical technology also comes the burden of ethical decision making. Radiologists today face more ethical issues than meet the eye. ...
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...New Medical Devices in the US August 13 2010 Table of Contents 1. Introduction……………………………………………………………………………………………………………………………………2 2. Background and Framework……………………………………………………………………………………………………………4 2.1 Priority Medical Devices for the Netherlands…..……………………………………………………………………4 2.2 The US Vision: From see and treat to predict and prevent……………………………………………………6 2.3 Conclusions…………………………………………………………………………………………………………………………..7 3. Medical device sector in the US………………………………………………………………………………………………………8 3.1 Economic Impact…..………………………………………………………………………………………………………………8 3.2 The Sector by State…..…………………………………………………………………………………………………………10 3.3 Key Institutes: Patent Applications in the Cluster Areas…..………………………………………………….13 3.4 Conclusions…..…………………………………………………………………………………………………………………….20 4. Turning research into novel medical devices………………………………………………………………………………….22 4.1 The Medical Device Development Process…..……………………………………………………………………..22 4.2 CIMIT: A Structure for Medical Device Innovation…..………………………………………………………….23 4.3 Stanford Biodesign: Innovation as a Discipline…..………………………………………………………………..26 4.4 Conclusions and Recommendations…..……………………………………………………………………………….28 5. Summary and Conclusions…………………………………………………………………………………………………………….30 6. Acknowledgements……………………………………………………………………………………………………………………….32 7. References…………………………………………………………………………………………………………………………………….33 Appendices A1 Selection of Key Institutes A2 Results Patent Analysis A3 Research...
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...Technologist’s Role……………………………………………………………………………. 1.4 Radiologist’s Role……………………………………………………………………………….. 1.5 Medical Physicist’s Role…………………………………………………………………….. 2.0 Important Points……………………………………………………………………….. 2.1 Maintenance…………………………………………………………………………………. 2.2 Evaluation and Review…………………………………………………………….. 2.3 Training…………………………………………………………………………………….. 2.4 Quality Control Records………………………………………………………… 2.5 Alternative Phantoms………………………………………………………….. 2.6 Alternative Procedures…………………………………………………………………… 2.7 Occupational Dose……………………………………………………………………….. 2.8 Patient Dose………………………………………………………………………………. 2.9 Action Limits………………………………………………………………………………. 2.10 SMPTE Pattern…………………………………………………………………………. 2.11 Monitors Used for Interpretation………………………………………………. 3.0 Technologist’s QC Section…………………………………………………………… 1.0 QUALITY ASSURANCE PROGRAM 1.1 INTRODUCTION A well-designed, documented, and executed quality assurance program in a medical imaging department is essential to producing consistent, high-quality diagnostic images. This facility, Atlantic Urology, qualifies as a diagnostic imaging facility because it deploys a 32-slice Siemens computed tomography machine to evaluate and diagnose many of their patients, including scans involving intravenous contrast and scans without the intravenous contrast. This facility’s imaging department includes one full-time CT technologist, one part-time CT technologist, and one in-house part-time radiologist...
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...Emad Hafiz Business Plan “Clarity Diagnostic Imaging Centers” 2267 West Medical Parkway Suite # 111 Chicago, IL 60610 Clarity Diagnostic Imaging Centers 2267 West Medical Parkway Suite # 111 Chicago, IL 60610 February 20th 2013 Dr. John Stockton 3329 Airfield Lane Miami, Florida 44342 Dear Dr. Stockton: My name is Emad Hafiz and I am the CEO of Clarity Diagnostic Imaging Centers (CDIC). From one physician to another I am confident that you too see the changes in demand in the last decade in diagnostic imaging services in outpatient and inpatient procedures. This demand is exceeding our supply of diagnostic imaging capabilities and the demand will only rise as more of the population is requiring medical attention than ever. I would like to personally extend an invitation to come in and visit our franchise model diagnostic medical imaging center that we have setup in Chicago, Illinois. This standard imaging center model is a very easy setup, with a guaranteed net income of approximately $150-200k depending on the geographical location and demand of the center. With initial startup investment costs as low as $300k (includes a onetime $100k franchising fee, royalty fee, setup fee and operations support) your investment is very well protected and return in seen within 2 years. Generating a stable income in the healthcare field, possibly close to your own practice and helping patients increase their quality of health...
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...“In-Depth Mobile Radiology” - A Marketing Plan Background IN-DEPTH MOBILE RADIOLOGY is a new medical staffing and mobile diagnostic company that caters to medical facilities that are in need of our services. Our company provides a couple of types of service who are in need of diagnostic machines or technologists. The first type of service is acquiring trailer truck based mobile MRI or CT scanner machines or providing ultrasound and mobile x-ray machines. The market is open for medical facilities, nursing homes or rehabilitation centers that do not have their own diagnostic equipment and instead of purchasing their own machine that cost so much our company can offer our services to bring our mobile machines into their facilities parked outside gets all their procedures done for the cheapest price possible. The second type of service is staffing for surgical centers or medical facilities providing technologists that would operate the advanced fluoroscopic x-rays, CT scans, MRI, ultrasound, bone density and other medical diagnostic equipment that needs a certification to operate. Most medical facilities have procedures daily but not all of their cases need x-ray, so it would be best for them to hire a temp rather than have a regular tech. IN-DEPTH MOBILE RADIOLOGY will base its main facility in the area of Palm Springs and Indio California by the 10 freeway for easier access to walk in clients. After surveying the area of southern California, we found that the Palm Springs...
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...diagnostic facilities, pharmaceutical retailers and distributors, and medical education and training institutes. Each is characterized by distinct factors to consider when appraising credit and investment worthiness. A discussion follows of success factors and common mistakes that investors see in financing requests from each of these types of businesses. The box on this page describes one banker’s experience with health-sector borrowers in Uganda. Hospitals Key Elements for Analysis: Typically private hospitals earn revenue from inpatient and outpatient services, surgical procedures, diagnostic testing (laboratory and radiology), and drug sales. The number of beds defines the inpatient capacity, and bed occupancy rate and average length of stay are key metrics for determining inpatient numbers (a key revenue driver). Similarly, outpatient numbers and consultation fees drive outpatient revenue. Key profit centers are usually surgical procedures, diagnostic tests, and drug sales, rather than room rates and consultation fees. Because of the equipment and facility requirements, hospitals are generally much more capital intensive than clinics and need to replace and modernize equipment regularly. Salaries tend to be a significant operating expense. Staffing-topatient ratios can be indicators of quality, efficiency, and cost control. The text box on the next page lists some common benchmarks or rules of thumb for analysis of hospital investments. (In addition refer to Annex 4 for a sample...
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...image processing applications to extract useful information. In medical imaging field, segmentation is required to identify the disease embedded in particular organ, e.g. it helps in early diagnosis of diseases like glaucoma, diabetic retinopathy and macular degeneration by segmenting retinal images (Sinthanayothin et al., 2002; Ahmed et al., 2008; Dey et al., 2012). Glaucoma is one of the most common diseases and if it is not early detected, may have serious cost, can even lead to eye blindness. Most of the existing detection and assessment methods of diabetic retinopathy are manual, costly affair and also require trained ophthalmologists (Teng et al., 2002; Olson et al., 2003). Morphological feature of retinal blood vessel may be utilized as a vital sign for various retinal diseases such as diabetes, arteriosclerosis and hypertension. The geometrical changes in veins and arteries of the retinal images can be measured and applied to a variety of clinical studies to develop automatic...
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...non-contacting technique for visualization of the electrical impedance distribution inside a media. In any tomography system, the image is reconstructed using image reconstruction algorithm which requires sensitivity maps. There are three methods of acquiring sensitivity maps; finite element technique, analytically or experimentally. During reconstruction both the forward solution and the Jacobian matrix need to be calculated.[1] 1.2 Overview For industrial tomography, the emphasis is usually on high speed data acquisition, rather than resolution. This lends itself to electrical tomography techniques, which although lacking the resolution of x-ray and MRI tomography, are nearly instantaneous. Examples of electrical tomographic imaging methods are Magnetic Induction Tomography (MIT), in which multiple measurements of coupling between magnetic excitation Sensitivity maps reconstruction of Magnetic Induction Tomography real data measurement technique through and sensing coils are used to determine the internal resistivity of an object. Object Image Figure 1.1: Object and imaged with electrical capacitance tomography Sensitivity maps reconstruction of Magnetic Induction Tomography real data measurement technique through 1.2.1 Magnetic Induction Tomography (MIT) Magnetic induction tomography (MIT) is a new and emerging type of tomography technique that is able to map the passive electromagnetic properties (in particular conductivity) of an object...
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...Patient history Doctors often begin their examination of a patient suspected of having dementia by asking questions about the patient's history. For example, they may ask how and when symptoms developed and about the patient's overall medical condition. They also may try to evaluate the patient's emotional state, although patients with dementia often may be unaware of or in denial about how their disease is affecting them. Family members also may deny the existence of the disease because they do not want to accept the diagnosis and because, at least in the beginning, AD and other forms of dementia can resemble normal aging. Therefore additional steps are necessary to confirm or rule out a diagnosis of dementia. Physical examination A physical examination can help rule out treatable causes of dementia and identify signs of stroke or other disorders that can contribute to dementia. It can also identify signs of other illnesses, such as heart disease or kidney failure, that can overlap with dementia. If a patient is taking medications that may be causing or contributing to his or her symptoms, the doctor may suggest stopping or replacing some medications to see if the symptoms go away. Neurological evaluations Doctors will perform a neurological examination, looking at balance, sensory function, reflexes, and other functions, to identify signs of conditions - for example movement disorders or stroke - that may affect the patient's diagnosis or are treatable with drugs. Cognitive...
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... In my previous position I worked as the Administrator for a well-established outpatient diagnostic imaging facility. As the Administrator I was faced with having to make various decisions that utilized economics on a daily basis. The decisions that I would have to make would range from very simple to very complex purchases. Regardless of the amount of the purchase the same economic considerations were utilized prior to any purchases. Introduction In my previous position as Administrator for an outpatient imaging facility I was faced with various daily decision making tasks that would range from something as simple as a supply order that would cost the company a few hundred dollars, to the decision of final equipment purchases that could cost over a million dollars. One particular instance that I was faced with was to utilize additional space within the facility for a different imaging modality. The decision at the time was not completely left up to me, but was my responsibility to present which modality I thought would benefit the company and our patients the most, and how the best options to move forward with overseeing this project. The facility offered various imaging services such as a positional stand up MRI, nuclear imaging, ultrasounds, and high quality x-rays. The new project was to fill the additional imaging room with a service based on my analysis. The options that I had were to bring in a new device to see a different set of patients, or to accommodate...
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...allows to measure nuclear magnetic moments. Since the energy values vary significantly with the return of the core, it is possible to obtain information on the structure of the test compound. Magnetic resonance imaging has wide application in chemical analyzes of products known as NMR spectroscopy in organic chemistry and modern medicine. The nuclear magnetic resonance imaging a diagnostic technique that uses a magnetic field to produce images of structures located inside the body. During an MRI, the body is involved by a very powerful magnetic field and subjected to radio waves pulses. The machine creates an image based on how the hydrogen atoms in the body react with the magnetic field and radio waves. The signals of NMR can provide multiple images of multiple "slices" of an organ or body part. The NMR computer can combine these cuts so as to produce three-dimensional images. Since the water molecules are especially sensitive to the forces used in the art, the NMR is very efficient with respect to reveal differences in water content from different body tissues. This is particularly important for the detection of tumors and to verify if there are problems in terms of the soft tissues of the body such as the brain, spinal cord, heart, and eyes. Analysis: NMR can be used for many things, including supporting a diagnosis of stroke, supporting a diagnosis of multiple sclerosis or identifying brain damage, and spinal cord that can not be observed in a computed tomography...
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...An Exploration of the investigations used to diagnose stroke Methods Used to Diagnose a stroke There are many different tests that can be carried out to help diagnose a stroke. The main way in which they are found is by using brain imaging so that they are able to pick up any visual issues. Brain imaging allows the doctors to understand whether the stroke was ischemic or hemorrhagic. It also allows them to determine how severe it was. Those who have suffered from a stroke must have a brain scan within 24hours to ensure the best diagnosis can be given to them allowing them to recover much better. Other tests are carried out to help the doctors realise the other smaller effects that the stroke has had upon the patient, these tests are smaller and easier to do but are no less important in allowing the stroke to be diagnosed. Brain Imaging (CT and MRI) CT and MRI scans are popular methods to carry out brain imaging. CT scan is rather like an X-ray which is more detailed and built up into a 3D image. An MRI scan creates an extremely detailed picture of the patient’s body. Both scans are useful in diagnosis however the particular one carried out depends upon how severe the doctors feel your stroke may have been. Both types of scans have their individual pros and cons as they are appropriate to reach different needs of the patient. Blood Tests Blood tests may be taken as these will tell us the person’s cholesterol and blood sugar levels, so that they are able to receive a wider understanding...
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...CHAPTER ONE INTRODUCTION 1.1 General Medical robots may be classified in many ways: by manipulator design (e.g., kinematics, actuation); by level of autonomy (e.g., preprogrammed versus teleoperation versus constrained cooperative control), by targeted anatomy or technique (e.g., cardiac, intravascular, percutaneous, laparoscopic, microsurgical); and by the intended operating environment [e.g., in-scanner, conventional operating room (OR)], etc,[1]. Traditional surgery requires an incision large enough for the surgeon to see directly and place his or her fingers and instruments directly into the target operating site. Most often, the damage done to skin, muscle, connective tissue, and bone to reach the region of interest causes much...
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...Literature Review When dealing with patients' sensitive medical records, it's always important how one also deals with medical images that should also be kept private. Health Insurance Portability and Accountability initiated on April 14, 2013 by the federal government, establishes all relevant standards to address the issue of privacy protection. The HIPAA requires for integrity and confidentiality in all of current, previous and future from hospitals, doctors, and other relevant professionals. In an era where digital technology has become of major importance, there is a series of medical images that can now be kept in digital format and become quite easy to retrieve, store and preserve. Watermarking – An Essential Aspect for the Protection of Medical Images A. Ethical reasons and relevant legislation define Medical Information Assurance & Watermarking Medical directions. USA's HIPAA and Europe's EC 95/46 Directive are the major legislations defining relevant directions. When dealing with medical information records, thus, which involve a series of clinical examinations, diagnoses, and EPR images, three major security attributes should be considered: • Confidentiality: only authorised users can view and evaluate medical information; • Availability: Scheduled accessing periods should be set when entering the information system containing the medical data; • Reliability: The information should be examined by authorised people and not changed by unauthorised...
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