Integrated Planning, Navigation and Targeting for Tumor Ablation
|
|
- Claude Harris
- 6 years ago
- Views:
Transcription
1 Integrated Planning, Navigation and Targeting for Tumor Ablation
2 Ablation Assessment: Can we get beyond Contrast Enhancement? Contrast-enhanced radiologic imaging is the basis of current response evaluation criteria for HCC Novel imaging approaches do not seem to be able to overcome the main limitation of dynamic imaging, i.e., the inability to detect tiny foci of residual viable tumor Volumetric techniques provide objective documentation of the ablation margin and thus appear as the best method to confirm AO treatment Volumetric planning of the ablation strategy, including selection of device, approach and treatment protocol should become standard of care for clinical practice by Dr Riccardo Lencioni, MD, University of Pisa - Italy, at RSNA 2012 This compilation of diagnostic and therapeutic procedures were performed on Perfint s targeting systems. Information contained here is for private circulation only. The information is intended for the purpose it serves and not beyond. In case of any issue, error or complaint please write to: clinicalmarketing@perfinttech.com Perfint Healthcare ( is a world leader in planning and targeting solutions for image guided interventional procedures - with an emphasis on oncology and pain care. Perfint s products, PIGA CT and ROBIO, are used by radiologists around the world for biopsy, drug delivery, ablation, drainage and fine needle aspiration. PIGA CT and ROBIO are installed at some of the world s top hospitals and are CE marked. Perfint s newest product MAXIO, is set to change the world of Interventional Oncology. MAXIO will allow clinicians to visually plan, execute and validate ablation procedures on a single system and all in 3D. MAXIO has been designed to make complex, multi-probe ablations simpler, which will help to make these life-saving procedures available to more cancer sufferers than ever before. New Directions New hope
3 Integrated Planning, Navigation and Targeting for Tumor Ablation Clinical Cases as performed with MAXIO Classified by type of procedure Clinicians benefit from MAXIO s intelligent planning suite and targeting... Registering pre-operative images and offline procedure plan with current CT images Organ specific tumor visualisation and segmentation Multiple VOI, Multi-probe placement plan for multiple procedures Accurate placement without fluoroscopic radiation PROCEDURE PAGES ABLATION 6-42 PAIN MANAGEMENT IRE 54 BIOPSY 56 Ability to treat hard to access and larger tumors Post procedure verification Tumor Ablation is heading in a whole new direction... And MAXIO is leading the way. MAXIO IS NOT AVAILABLE FOR SALE OR DISTRIBUTION IN THE US, IT IS PENDING 510 K CLEARANCE. 4 5
4 Case 01 Radio Frequency Ablation of Multiple Liver Lesions Patient planned for RFA of mulitple lesions in the liver Lesions are situated close to diaphragm and bowel. Critical organs like lung, vasculature and bowel surround the targets. With free hand technique it is difficult to place the probe in target(s) without traumatizing critical organs. MAXIO assisted in the precise planning & targeting of the deep-seated lesions through safe trajectory with a combination of both Cranio-caudal and orbital angles. Parameters: Tumor 1 Tumor 2 Lesion Size : 15 mm 9 mm Location : Segment 7 Close to diaphragm Segment 4 close to bowel Angulation : Orbital : Cranio caudal: Orbital : Craniocaudal: 5.39 Entry slice : Target slice : Target depth : mm mm Tumor 1 Tumor 2 6 7
5 02 Case Radio Frequency Ablation of recurrent HCC after TACE A patient was planned for radiofrequency ablation of 3.8 x 3.7 cm lesion at segment 8 of liver Post TACE lesion was not visible on ultrasound. The residual lesion was situated below diaphragm. Patient was planned under GA, coolitip: 17G 150/30 Two probes were used. Orbital angle : 64/63 CC angle : 18/13 Depth : 90.9 / 91 mm Procedure time : 28 min Planning in 3D and 2D Ablated area 8 Doctor placing probe with MAXIO Post RFA shows ablated area covering tumour 9
6 Case 03 Radio Frequency Ablation of a HCC and a Lung Lesion Patient planned for RFA of 25 mm mass at 6th segment of the liver and 9 mm mass in right lung during the same procedure Planning safe trajectories with minimal patient discomfort and less procedure related complications is a challenge. Ablation procedure planned in two sittings. Lesions targeted precisely with the assistance of MAXIO in sequential mode. No post procedure complications. Liver plan: Orbital angle : CC angle : 0 Depth : 93 mm Lung Plan : Orbital angle : CC angle : 0 Depth : mm Needle used : 17G Cooltip : Planning time : 10 min Procedure time : 40 m Planning in 3D and 2D Ablated area 10 Check scan shows probe Post RFA shows ablated area covering tumour 11
7 04 Case Radio Frequency Ablation of Adrenal Tumor Patient diagnosed with HCC underwent liver transplant now with solitary adrenal metastatic lesion In free hand, it is difficult to place the probe with steep angulations to reach the target without traumatising the diaphragm and renal vessels. MAXIO helps in precise planning and targeting of the adrenal lesion with such complex oblique approach, so as to avoid passing through pleural recess. Size : 15 mm Orbital : Cranio caudal : Target depth : mm Planning in 3D and 2D 12 Check scan needle in situ 13
8 Case 05 Radio Frequency Ablation of Liver lesion with multiple probes A patient planned for Radio-frequency ablation with multi-probe placement Multiple probe placement required to cover the lesion completely. Overlapping the ablation zones is a challenge to avoid the residual tumors. MAXIO helps in multi-probe placement and precise targeting of the lesion. Ablation planned in 5 sittings through simultaneous and sequential mode. Orbital angle : 7.85 Depth : mm Needle used : 17G Cooltip : Planning time : 15 min Procedure time : 80 min Planning in 3D and 2D Ablated area 14 Check scan shows probe Post RFA shows ablated area covering tumour 15
9 06 Case Radio Frequency Ablation of 2 cm of HCC Patient planned for radiofrequency ablation at 7th segment of liver Lesion is situated posteriorly so planning and treatment is done in prone position. 2 cm lesion was targeted under GA in prone position. The thermal simulation area covered the lesion. Orbital angle : Depth : mm Needle used : 17G Cooltip : Number of needles : one Planning time : 10 min Procedure time : 30 min Planning in 3D and 2D Ablated area 16 Check scan shows probe Post RFA shows ablated area covering tumour 17
10 Case 07 Radio Frequency Ablation of Multiple Lung Lesions A patient is planned for Radio-frequency ablation of 3 sub-cm lung lesions of primary HCC Precise targeting of the 6mm peripheral lung nodule is difficult. MAXIO enables better planning for small lung lesions, minimising number of passes / adjustments required for optimal probe positioning. Procedure completed without any complication. Cranio caudal : 9.37 Target angle : mm Planning in 3D and 2D 18 Check scan needle in situ 19
11 08 Case Radio Frequency Ablation of 12 mm Mass in Liver RFA of 12 mm mass at 5th segment of the liver followed by alcohol ablation Ablation area cannot be predicted easily due to its position in the liver segment. MAXIO helps to visualize the ablation zone, so it can be adjusted to treat the tumor precisely. The site of lesion is well within the ablation zone in post RFA CT. Orbital angle : 45.6 Depth : 64.5 mm Needle used : 17G Cooltip : Number of needles : one Planning time : 5 min Procedure time : 22 min Planning in 3D and 2D Ablated area 20 Check scan shows probe Post RFA shows ablated area in region of tumour 21
12 09 Case Radio Frequency Ablation 1.8 cm HCC A patient is planned for radiofrequency ablation of 5th segment of 1.8 cm lesion A deep seated lesion requiring the short and safe trajectory. 1.8 cm lesion is targeted with cooltip probe. Orbital angle : CC angle : 0.97 Depth : 118 mm Needle used : 17G Cooltip : Number of needles : 1 Planning time : 9 min Procedure time : 30 min Planning in 3D and 2D Ablated area 22 Check scan shows probe Post RFA shows ablated area covering tumour 23
13 Case 10 Radio Frequency Ablation of 3.4 cm HCC A patient is planned for radio frequency ablation of 3.4 cm lesion in 5 th segment of liver Completely covering the tumour with safety margin by thermal ablation zone in sequential probe placements. The lesion is ablated in two sitting of ablation. Two needles placed in simultaneous and first sitting of ablation done and third needle placed towards caudal border by manipulation and second sitting of ablation done. Orbital angle : CC angle : 0 Depth : 140 mm Needle used : 17G Cooltip : Number of needles : 2 Planning time : 9 min Procedure time : 45 min Planning in 3D and 2D Ablated area 24 Check scan shows probe Post RFA shows ablated area covering tumour 25
14 Case 11 Radio Frequency Ablation of 1.5 cm HCC A patient planned for a radiofrequency ablation of 1.5 cm lesion in 3rd segment of liver Avoiding the No Go region like stomach in planning and targeting is a challenge. RFA done under GA. Cooltip : 150/30 Orbital angle : 9.56 CC angle : 6.88 Depth : mm Planning time : 5 min Procedure time : 15 min Planning in 3D and 2D 26 Overlaid image shows tip of the probe on the target and thermal simulation is not covering the stomach 27
15 Case 12 Radio Frequency Ablation of Segment 5 HCC Patient planned for RFA of (HCC) at Segment 5, with liver cirrhosis and fluid around liver It is a tough case because the lesion, to be targeted, is bouncing due to cirrhosis and fluid around liver. 2 cms HCC targeted for RFA with MAXIO at segment 5 of the liver and RFA performed. Trauma to the bowel was avoided by adjusting thermal simulation option. Post ablation scan shows, a wedge-shaped area without enhancement covering lesion. Lesion size : 1.6 x 2 x1.3 cms Orbital angle : 44 Depth : 69 mm Needle used : 17 G/100 mm, Cooltip : Number of needles : 1 Planning time : 10 min Procedure time : 25 min Planning in 3D and 2D 28 Check scan, probe in situ Check scan, post RFA 29
16 Case 13 Multiple Liver tumours planned for MWA Multiple probe planning in sequential mode Overlapping ablation zone can be estimated Collision detection and sequencing algorithm 30 31
17 Case 14 Pancreatic tumour - IRE Tumor in pancreatic region, precisely targeted with assistance of MAXIO. Multiple probes placed in parallel for IRE. No post procedure complications
18 Case 15 Radio Frequency Ablation of Liver Patient planned for RFA of 3 cm HCC mass Lateral approach requires precise trajectory to target the mass in liver. MAXIO assisted in precise targeting of the lesion on lateral position. No post procedure complications. Orbital angle : 86.5 Depth : mm Needle used : Starburst 100 mm Number of needles : 1 Planning to needle : 10 min placement 34 35
19 Case 16 Radio Frequency Ablation of Liver Tumor Heterogeneous large volume Liver lesion ablated using RFA probe in sequential manner. MAXIO s planning software displays segmented organs, tumors and vascular structure for effective planning 36 37
20 Case 17 Volumetric Planning & Assistance for an AO Ablation Strategy Solutions like MAXIO will help Interventional Oncologists to plan and achieve AO ablation which is as important as RO resection in surgery. 3D visualization of tumor and vasculature with MAXIO s intuitive planning 38 39
21 Case 18 Planning of Multiple Liver Lesions for Ablation MAXIO allows to segment and visualize multiple liver lesions in addition to checking the respective ablation volumes. MAXIO s intuitive planning helps in volumetric assessment of liver and ablated area Segmentation of multiple liver lesions 40 41
22 Case 19 Ablation Planning in 3D Anatomical View MAXIO helps to plan safest probe trajectory. This helps to minimize damage to surrounding structures. Probe planning in MPR or in 3D view 42 43
23 20 Case Multiple Facet Joint Injections at L4-L5 & L5-S1 Patient with degenerative lumbar spine planned for facet joint injections at L4-L5 and L5-S1 on right and left side simultaneously Multiple Facet joints at L4-L5 and L5-S1 on right side and left side to be targeted. Facet joint targeted at multiple levels with multiple needles simultaneously, with assistance of MAXIO. Each Facet joint injected with 1ml of Marcaine and 1ml of Celestone Chronodose. Procedure completed precisely. Orbital angle : 10 Depth : 68 to 75 mm Needle used : 19G/127.5 mm Number of needles : 4 Planning time : 15 min Procedure time : 35 min Planning in 3D and 2D 44 Check scan, needles in situ 45
24 Case 21 Multiple Facet Joint Injections at L4-L5-S1 Patient with degenerative lower back pain and Non-operative management, planned for facet joint injection at L4-L5-S1 level Multiple Facet joints at L4-L5-S1 to be targeted. Facet joint targeted at multiple levels with multiple needles simultaneously, with assistance of MAXIO. Each Facet joint injected with 1ml of Marcaine and 1ml of Celestone Chronodose. Procedure completed precisely. Orbital angle : 0 Depth : 44 to 52 mm Needle used : 22G/100 mm Number of needles : 4 Planning time : 6 min Procedure time : 31 min for four needles Planning in 3D and 2D 46 47
25 22 Case Ozone Injection Into Inter Vertebral Disc Disc bulge causing compression on L5 nerve root on left side The depth is more and need precise plan to reach the central nucleus of affected disc. Ozone nucleus Injection into the Disc to suck out the water content, after the injection the size of the disc will get reduced in diameter and relieves pressure on nerve roots. The L4-L5 central nucleus of the disc is targeted Orbital angle : 38 Depth : 102 mm Needle used : 18G / 150 mm Number of needles : one Planning time : 5 min Procedure time : 10 min Planning in 3D and 2D 48 49
26 23 Case Facet Joint Injections Patient with post lumbar decompression and left Para spinal pain planned for multilevel facet joint injections on left side Multiple Facet joints to be precisely targeted. Facet joints on the left side at L3-L4, L4-L5, L5, S1 precisely targeted simultaneously with MAXIO. Each Facet joint injected with 1ml of Marcaine and 1ml of Celestone Chronodose. Orbital angle : 0 to 1 Depth : 58 to 59 mm Needle used : 22G/100 mm Number of needles : 3 Planning time : 7 min Procedure time : 25 min for three needles Planning in 3D and 2D and MPR 50 Three needle at Multiple level on left side 51
27 24 Case Facet Joint Injections Patient with lower back pain, planned for facet Joint injection at L4-L5 and L5-S1 level Multiple Facet joints at L4-L5 and L5-S1 to be targeted. MAXIO assisted in precise and simutaneous targeting of facet joint at Multiple level. Each Facet joint injected with 1ml of Marcaine and 1ml of Celestone Chronodose Patient tolerated the procedure well. Orbital angle : 0 to 1 Depth : 52 to 60 mm Needle used : 22G/90 mm Number of needles : 4 Planning time : 6 min Procedure time : 60 min Planning in 3D and 2D 52 53
28 Case 25 IRE on Iliac Bone IRE with Nano Knife performed on solitary metastasis right iliac wing from Ca. Prostate Placing two parallel probes with in a narrow space of 8 mm is very difficult and time consuming, requiring repeated check scans and needle manipulations. 8 mm lesion at iliac bone precisely and quickly targeted with MAXIO for two IRE parallel probe. IRE performed by Nano knife with maximum 3k voltage and Amps current. Patient discharged on same day (Advantage of CT guided intervention). Orbital angle : 39 Depth : 69 mm Needle used : 11G/100 mm Nanoknife : 150/40 Number of needles : 2 Planning time : 10 min Procedure time : 60 min Planning in 3D and 2D 54 First needle with MAXIO Two parallel needle with Nano Knife 55
29 26 Case Exophytic renal mass Biopsy 1.2 cm left renal mass was targeted with 5 orbital angle at depth of 108 mm. Precise targeting helped to avoid any complications. Planning in 3D and 2D 56 Check scan needle in situ 57
30 Winning with Customers Globally Some of Our Key Users* St. Petersburg Oncology Centre Alfred Hospital, Melbourne, Australia NKI-AVL Dutch Cancer Insitute, Amsterdam Zurich University Hospital, Zurich St. Petersburg Oncology Centre, Russia All India Institute of Medical Sciences, India AC Camargo, Sao Paulo, Brazil Tata Memorial Centre, India Makati Medical Center, Manila, Philipines University of Malaya Mediccal Center, Malaysia Hassanuddin University Makassar, Indonesia EGE University, IZMIR, Turkey National Cancer Hospital, Bogota, Colombia Hospital Barros Luco Santiago, Chile Jaslok Hospital, India PGI, India JIPMER, India Hospital Barros Luco, Santiago * This is a partial list of customers world wide, using Perfint s assistance solutions. * 58 *applied for regulatory clearance 59
31 World Class IO Systems Integrated Planning, Navigation and Targeting for Tumor Ablation Visualization, planning and navigation for interventional oncology 60 61
32 TUMOR ABLATION Current practice Today, clinicians plan their interventional oncology procedures by viewing 2 dimensional CT slices, and combining what they see with their understanding of human anatomy, to determine the optimal approach to target the tumor. They must determine the probe trajectory path and the amount of energy needed to destroy the MAXIO A new approach Clinicians can now visualize and plan an entire ablation procedure in 3D - pre-operative registration, segmentation and visualization of multiple VOI, multi probe placement planning, estimated ablation volume* visualization, probe placement sequence, all before advancing a single probe into the patient. Tumor Ablation is heading in a whole new direction... And MAXIO is leading the way. Clinicians benefit from MAXIO s intelligent planning suite and targeting... Registering pre-operative images and off-line plan with current CT images tumor, while sparing healthy tissue. Multiple energy probes must be manually advanced into the tumor one at a time, without coming in contact with one another, and without damaging vital organs. Once the plan is confi rmed, MAXIO s targeting system combined with adaptive intra-operative registration provides spatial positioning and orientation for a probe guide, through which the clinician then carefully advances each probe and performs the ablative procedure. Organ specific ctumor visualization and segmentation Multiple VOI, multi-probe placement plan for multiple procedures Accurate placement without fluoroscopic radiation Once ablation has been completed, MAXIO s visualization tool allows the clinician to verify if the procedure was executed as planned and determine whether additional treatments may be required. MAXIO s reporting tool then Ability to treat hard to access and large tumors Post procedure verifi cation generates the required reports. All this while factoring in the potential for organ movement Tumor ablation made easier and more predictable. during patient respiration. It s not surprising the procedure is performed by only the most skilled and practiced clinicians. * as provided by the device manufacturer or as determined by the clinician
33 Integrated planning, execution and verifi cation of interventional oncology procedures. SETUP PLAN 1. Roll MAXIO into position and register to the CT table using InstaReg TM [A] 2. Prepare the patient, obtain CT images on MAXIO [B] 3. Register current images with pre-operative images or plan, if available 4. Segment one or more Volumes of Interest, identify no-go regions, define tumor margins 5. Target tumor, with upto 6 probes, on 2D / 3D image 6. Visualize and edit estimated ablation volumes* EXECUTE VERIFY 7. Enable MAXIO s stereotactic arm to position the probe guide for the procedure [C] 8. Manually advance each probe through the probe guide to reach the tumor 9. Perform intra-operative registration to verify probe placement and adapt subsequent plan(s), if needed 10. Ablate tumor as planned 11. Register post-operative and pre-operative organ images 12. Verify if volume within tumor margin is ablated fully, extend treatment if needed 13. Generate patient reports to document procedure *Step 6 is optional. Ablation volumes as provided by the device manufacturer or as determined by the clinician 14. Image registration may be used to monitor tumor progression during follow-up visits Pre-operative Intra-operative Post operative MAXIO s powerful planning software provides 2D and 3D visualization of the affected region and a wide range of tools to aid the development and execution of the plan. MAXIO allows clinicians to move seamlessly from planning to execution. to advance the probes. Intra-operative registration allows verifi cation of With the click of a button, the arm moves into position for the clinician probe(s) placement prior to ablation Post-procedure images can be viewed, and compared to the plan or pre-operative images 64 65
34 1 Multi phasic contrast image of liver co registered prior to procedure planning on MAXIO suite Works with all DICOM3 CT images Supports RF, MW, IRE, Cryo ablation Patient and Respiratory motion management. Sterile disposable kit* to enhance clinical efficiency * Please contact your Perfint representative for details With MAXIO everyone benefits... Clinicians are better able to plan interventional oncology procedures with the help of MAXIO s visualization and planning software, then successfully perform the procedure with the help of MAXIO s targeting system. 2 Intuitive one touch segmentation helps segment organs & tumor Hospitals are looking for effi ciency and it s the goal of MAXIO to make interventional procedures faster and more predictable, a key challenge to scheduling of the CT suite. 3 Multiple probe / multiple VOI planning Patients deserve access to life-saving treatments that are safe and effective. MAXIO strives to reduce the potential for unintended organ damage due to repeat punctures and is likely to reduce the need for repeat scans which would mean less radiation exposure for the patient
35 Acknowledgement Alfred Hospital, Australia UMMC, Malaysia Tata Memorial Hospital, India Medanta, India Research Analysis Library, Pisa Copyright 2012 perfint healthcare corporation. All rights reserved. ( V2) Together with clinicians, improve quality of life of those fighting cancer Perfint Healthcare Corporation Contact your local sales representative to learn more about MAXIO. All claims of product performance and indications for use contained within this document relate only to data submitted to and reviewed by regulatory authorities in those jurisdictions in which clearance(s) and/or approval(s) have been obtained. No product performance claims or indications for use are made for jurisdictions in which such clearance(s) and/or approval(s) have not been obtained.
CT Guided Procedures And Interesting Cases. Stephen Kim, MD Diagnostic and Interventional Radiology
CT Guided Procedures And Interesting Cases Stephen Kim, MD Diagnostic and Interventional Radiology CT guided procedure benefits Precise lesion targeting Clear image guidance for needle placement Immediate
More informationAccurate Guidance. Confident Outcomes.
Accurate Guidance. Confident Outcomes. CIVCO s VirtuTRAX is a breakthrough technology that enables virtual needle tracking to expand the capabilities of ultrasound interventions. VirtuTRAX allows users
More informationEffect of Electromagnetic Navigation on CT-Guided Percutaneous Thermal Ablation or Biopsy of Lung Tumors
Effect of Electromagnetic Navigation on CT-Guided Percutaneous Thermal Ablation or Biopsy of Lung Tumors Chaitan K. Narsule 1, Avneesh Gupta 2, Michael I. Ebright 1, Ricardo Sales dos Santos 3, Roberto
More informationIntroduction of FIREFLY Technology
Introduction of FIREFLY Technology FIREFLY Technology is a unique, patent-pending, pre-surgical planning and intra - operative navigation technology that is focused on spinal applications and is derived
More informationPatient Selection for Ablative Therapies. Adrian D Joyce Leeds UK
Patient Selection for Ablative Adrian D Joyce Leeds UK Therapy Renal Cell Ca USA: 30,000 new cases annually >12,000 deaths RCC accounts for 3% of all adult malignancy 40% of patients will die from their
More informationBackground Information
Background Information Erlangen, November 26, 2017 RSNA 2017 in Chicago: South Building, Hall A, Booth 1937 Artificial intelligence: Transforming data into knowledge for better care Inspired by neural
More informationWelcome to a better way for
Welcome to a better way for The Next Generation of Prostate Care from Invivo biopsy standard, commonly suffers from poor image resolution, and the biopsy needle often passes through tumor-free areas of
More informationRobotic-assisted thermal ablation of liver tumours
DOI 10.1007/s00330-014-3391-7 INTERVENTIONAL Robotic-assisted thermal ablation of liver tumours Basri Johan Jeet Abdullah & Chai Hong Yeong & Khean Lee Goh & Boon Koon Yoong & Gwo Fuang Ho & Carolyn Chue
More informationMahrad Paymani, MD Lake Medical Imaging
Mahrad Paymani, MD Lake Medical Imaging Background: My name is Mahrad Paymani. I am an Interventional and General Radiologist. I attended four years of college (at UNC Greensboro), four years of medical
More informationOSTEOCOOL ] PRODUCT PORTFOLIO
OSTEOCOOL ] PRODUCT PORTFOLIO REGIONAL ONCOLOGY LEADERS PMD016967-2.0 OBJECTIVES Discuss the current indications and contraindications for the OsteoCool RF Ablation System Describe the product portfolio
More informationA Navigation System for Minimally Invasive CT-Guided Interventions
A Navigation System for Minimally Invasive CT-Guided Interventions Markus Nagel 1,GerdSchmidt 2, Ralf Petzold 3, and Willi A. Kalender 1 1 Institute of Medical Physics, University of Erlangen-Nürnberg,
More informationRobotically Assisted Nerve and Facet Blocks: A Cadaveric Study 1
Technical Report Robotically Assisted Nerve and Facet Blocks: A Cadaveric Study 1 Kevin Cleary, PhD, Dan Stoianovici, PhD, Alexandru Patriciu, MS, Dumitru Mazilu, PhD David Lindisch, RT, Vance Watson,
More informationVirtually-tracked US-guided Radiofrequency Ablation(RFA) of Benign Thyroid Nodules: Preliminary Results
Virtually-tracked US-guided Radiofrequency Ablation(RFA) of Benign Thyroid Nodules: Preliminary Results e-poster: 408 Congress: ESHNR 2013 2013 Type: Scientific Poster Presentation Topic: Head and Neck
More informationWelcome to a better way for YOU and YOUR patient.
Welcome to a better way for YOU and YOUR patient. The Next Generation of Prostate Care from Invivo Current methods of prostate cancer screening, such as prostate-specifi c antigen (PSA) tests and digital
More informationPERCUTANEOUS FACET JOINT DENERVATION
Status Active Medical and Behavioral Health Policy Section: Surgery Policy Number: IV-95 Effective Date: 10/22/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should
More informationLiver Perfusion Analysis New Frontiers in Dynamic Volume Imaging. Case Study Brochure Chang Gung Memorial Hospital.
New Frontiers in Dynamic Volume Imaging dynamic volume CT Case Study Brochure Chang Gung Memorial Hospital http://www.toshibamedicalsystems.com Toshiba Medical Systems Corporation 2010-2011. All rights
More informationIMAGE-GUIDED SPINE SURGERY
SPINE NAVIGATION IMAGE-GUIDED SPINE SURGERY CONFIDENCE AND ACCURACY Brainlab Spinal Navigation combines state-of-the-art touch screen based image control with best-in-class registration methods for image-guided
More information8 Performing Medical Procedures
8 The Terason usmart3200t Ultrasound System can aid in performing medical procedures such as biopsies. Depending on whether you purchased the additional equipment required for these procedures, you may
More informationDamian Dupuy, MD. Image Guided Intervention (IGI) Studies 10:25 11:05 AM
Damian Dupuy, MD Image Guided Intervention (IGI) Studies 10:25 11:05 AM Image Guided Intervention (IGI) Studies Damian E. Dupuy, M.D., FACR Professor of Diagnostic Imaging The Warren Alpert Medical School
More informationRF Ablation: indication, technique and imaging follow-up
RF Ablation: indication, technique and imaging follow-up Trongtum Tongdee, M.D. Radiology Department, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand Objective Basic knowledge
More informationVarian Acuity BrachyTherapy Suite One Room Integrated Image-Guided Brachytherapy
Varian Acuity BrachyTherapy Suite One Room Integrated Image-Guided Brachytherapy The Acuity BrachyTherapy Suite Integrating Imaging, Planning, and Treatment in a Single Room Each component draws on the
More informationFull ultrasound breast volumes. Faster scans. Streamlined workflow. ACUSON S2000 Automated Breast Volume Scanner. Answers for life.
Full ultrasound breast volumes. Faster scans. Streamlined workflow. ACUSON S2000 Automated Breast Volume Scanner Answers for life. 1 ACQUIRE An automated whole breast solution. Reduced acquisition time.
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationSBRT TREATMENT PLANNING: TIPS + TRICKS. Rachel A. Hackett CMD, RT(T)
SBRT TREATMENT PLANNING: TIPS + TRICKS Rachel A. Hackett CMD, RT(T) OUTLINE Brief radiobiology review 3D CRT Tx Planning VMAT Tx Planning Protocols Other Sites Oligomets Spine Liver Kidney Adrenal Gland
More informationBRAINLAB ELEMENTS RADIOTHERAPY PLANNING
BRAINLAB ELEMENTS RADIOTHERAPY PLANNING BUILD REACH AND RICHNESS BRAINLAB ELEMENTS Medical technology just got a whole lot easier and innovation is within reach with pre-planning software apps by Brainlab.
More informationDisclosures. Sacroiliac Joint (SIJ) Pain. Modified Triplanar Fluoroscopic Approach in Percutaneous Fixation of Sacroiliac Joint 5/12/2017
Modified Triplanar Fluoroscopic Approach in Percutaneous Fixation of Sacroiliac Joint J.E. Barrett, M.D. Atlanta Medical Center Atlanta Trauma Symposium 22 April 2017 Disclosures None Sacroiliac Joint
More informationStaging & Current treatment of HCC
Staging & Current treatment of HCC Dr.: Adel El Badrawy Badrawy; ; M.D. Staging & Current ttt of HCC Early stage HCC is typically silent. HCC is often advanced at first manifestation. The selective ttt
More informationRadiotherapy What are our options and what is on the horizon. Dr Kevin So Specialist Radiation Oncologist Epworth Radiation Oncology
Radiotherapy What are our options and what is on the horizon Dr Kevin So Specialist Radiation Oncologist Epworth Radiation Oncology Outline Advances in radiotherapy technique Oligo - disease Advancements
More informationWhen You Need To Know More.
www.siemens.com/ultrasound When You Need To Know More. ACUSON S2000 Ultrasound System Table of Contents Powerful Imaging 01 Penetrating Insight 02 03 Revealing Perspectives 04 05 Smart Workflow 06 Ergonomics
More informationTechnical Note NEEDLE TIP DEPTH ASSESSMENT ON FORAMINAL OBLIQUE FLUOROSCOPIC VIEWS DURING CERVICAL RADIOFREQUENCY NEUROTOMY.
Technical Note Interventional Pain Management Reports ISSN 2575-9841 Volume 2, Number 4, pp127-131 2018, American Society of Interventional Pain Physicians NEEDLE TIP DEPTH ASSESSMENT ON FORAMINAL OBLIQUE
More informationIntroducing the TrueBeam STx system with Novalis Radiosurgery.
Introducing the TrueBeam STx system with Novalis Radiosurgery. For the best minds in radiosurgery. TrueBeam STx with Novalis Radiosurgery. As radical as the best minds in radiosurgery, the TrueBeam STx
More informationGE Healthcare. Total-access ultrasound LOGIQ e compact ultrasound system for general imaging and shared services.
GE Healthcare Total-access ultrasound LOGIQ e compact ultrasound system for general imaging and shared services. Opening possibilities. Where should an ultrasound exam be performed? And how big does a
More informationmild Devices Kit - Instructions for Use
INDICATION FOR USE The Vertos mild Devices are specialized surgical instruments intended to be used to perform lumbar decompressive procedures for the treatment of various spinal conditions. CONTENTS AND
More informationIntraoperative case studies. Portable full body 32-slice CT scanner
Intraoperative case studies Portable full body 32-slice CT scanner Point-of-care CT imaging Your multi-departmental imaging solution Orthopedic surgery Arthroplasty Musculoskeletal disorders Hip replacement
More informationUse of Irreversible Electroporation in Unresectable Pancreatic Cancer. Robert C. G. Martin, II, MD, PhD, FACS
Use of Irreversible Electroporation in Unresectable Pancreatic Cancer Robert C. G. Martin, II, MD, PhD, FACS University of Louisville Division of Surgical Oncology, James Graham Brown Cancer Center, Department
More informationModule: #15 Lumbar Spine Fusion. Author(s): Jenni Buckley, PhD. Date Created: March 27 th, Last Updated:
Module: #15 Lumbar Spine Fusion Author(s): Jenni Buckley, PhD Date Created: March 27 th, 2011 Last Updated: Summary: Students will perform a single level lumbar spine fusion to treat lumbar spinal stenosis.
More informationTREAT SPINAL METASTASES WITH REPRODUCIBLE PRECISION
TREAT SPINAL METASTASES WITH REPRODUCIBLE PRECISION OsteoCool RF Ablation System YOUR EXPERTISE OUR INNOVATION The OsteoCool RF Ablation System is cooled radiofrequency ablation technology. It offers simultaneous,
More informationStereotactic Body Radiation Therapy and Radiofrequency Ablation 2014 Masters of Minimally Invasive Surgery
Stereotactic Body Radiation Therapy and Radiofrequency Ablation 2014 Masters of Minimally Invasive Surgery Matthew Hartwig, M.D. Duke Cancer Institute Case Presentation I: Patient ER 74 y/o male with A1A
More informationUTERINE FIBROID EMBOLIZATION
INTERVENTIONAL RADIOLOGY PROTOCOLS UTERINE FIBROID EMBOLIZATION Interventional Radiology Tower Health Medical Group offers the option to treat uterine fibroids with fibroid embolization (UFE), an alternative
More informationCoATherm. AK Series. APRO KOREA Inc. Radio Frequency Thermal Ablation System
CoATherm Radio Frequency Thermal Ablation System MINIMAL INVASIVE SURGERY FOR TUMORS AK Series APRO KOREA Inc. Ⅰ. RFA Ⅰ RFA Minimal Invasive Surgery? g y Alternating current through the tissue creates
More informationACUSON P500. Ultrasound Anytime, Anywhere. ACUSON P500. siemens.com/acusonp500. siemens.com/acusonp500 1
Ultrasound Anytime, Anywhere. ACUSON P500 siemens.com/acusonp500 siemens.com/acusonp500 1 Enabling ultrasound imaging anytime, anywhere. 2 siemens.com/acusonp500 Ultrasound Anytime, Anywhere Siemens Healthineers
More informationvertaplan the spine surgeon s software vertaplan System for successful reconstruction of the individual sagittal balance
the spine surgeon s software System for successful reconstruction of the individual sagittal balance What do you think of patient-specific reconstruction of the spine geometry? Optimum surgical outcome
More informationACUSON P500. Ultrasound Anytime, Anywhere. ACUSON P500. siemens.com/acusonp500. siemens.com/acusonp500 1
Ultrasound Anytime, Anywhere. ACUSON P500 1 Enabling ultrasound imaging anytime, anywhere. 2 Ultrasound Anytime, Anywhere Siemens Healthineers engineered the compact and powerful ACUSON P500, a portable
More informationThe neov for Percutaneous Laser Disc Decompression (PLDD)
The neov for Percutaneous Laser Disc Decompression (PLDD) Surgical power was never so small The neov surgical laser platform with your choice of 1470nm or 980nm - The smallest, lightest weight, and most
More informationIMAGE-GUIDED RADIATION THERAPY
IMAGE-GUIDED RADIATION THERAPY Your Single Source Oncology Solutions Provider Plan. Target. Treat. At Best NOMOS, we design products and solutions that help medical professionals treat a variety of cancers.
More informationStereotactic Radiosurgery. Extracranial Stereotactic Radiosurgery. Linear accelerators. Basic technique. Indications of SRS
Stereotactic Radiosurgery Extracranial Stereotactic Radiosurgery Annette Quinn, MSN, RN Program Manager, University of Pittsburgh Medical Center Using stereotactic techniques, give a lethal dose of ionizing
More informationDiagnosis of Liver Tumor Using 3D Segmentation Method for Selective Internal Radiation Therapy
Diagnosis of Liver Tumor Using 3D Segmentation Method for Selective Internal Radiation Therapy K. Geetha & S. Poonguzhali Department of Electronics and Communication Engineering, Campus of CEG Anna University,
More informationDisclosure. Speaker name: Prof. Maciej Pech I have the following potential conflicts of interest to report:
Disclosure Speaker name: Prof. Maciej Pech I have the following potential conflicts of interest to report: Consulting Employment in industry Stockholder of a healthcare company Owner of a healthcare company
More informationChapter 4 Section 20.1
Surgery Chapter 4 Section 20.1 Issue Date: August 29, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) 1.0 CPT 1 PROCEDURE CODES 61000-61626, 61680-62264, 62268-62284, 62290-63048, 63055-64484, 64505-64595,
More informationChapter 4 Section 20.1
Surgery Chapter 4 Section 20.1 Issue Date: August 29, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
More informationBrain Tumors. What is a brain tumor?
Scan for mobile link. Brain Tumors A brain tumor is a collection of abnormal cells that grows in or around the brain. It poses a risk to the healthy brain by either invading or destroying normal brain
More informationConfident and Conclusive Diagnosis with Flexible Solutions
Internal Medicine Confident and Conclusive Diagnosis with Flexible Solutions ALPINION MEDICAL SYSTEMS We are Ultrasound Professionals Ultrasound is widely used as the gold-standard for internal medicine
More informationChanges in Respiratory-induced Motion Patterns of Primary Liver Tumors using an Abdominal Compression Device
Changes in Respiratory-induced Motion Patterns of Primary Liver Tumors using an Abdominal Compression Device James A. Tanyi, Ph.D. 3181 SW Sam Jackson Park Road, KPV4 Oregon 97239, USA Phone: 53-494-428
More informationNeedle Placement Robots
Needle Placement Robots Gabor Fichtinger, Ph.D. Director of Engineering, Assistant Research Professor of CompSci & Radiology Engineering Research Center (ERC) for Computer Integrated Surgical Systems and
More informationVolume 14, Issue 4, Oncology special
Volume 14, Issue 4, 2012 - Oncology special The growing role of interventional oncology within multidisciplinary cancer care Interventional radiology (IR) is already well established within the field of
More informationAccuracyMatters. Ultrasonic surgical aspiration system
AccuracyMatters Ultrasonic surgical aspiration system High performance tissue ablation Vessel sparing, soft and hard tissue removal Adaptive radio frequency coagulation capability Easy to set up and break
More informationIntuitive. Intelligent. Innovative. General Imaging
Intuitive. Intelligent. Innovative. General Imaging CLARITY CONFIDENCE EASE OF USE 2 Complete flexibility, outstanding quality For robust performance you can rely on for a wide range of clinical tasks,
More informationBreast Cancer. What is breast cancer?
Scan for mobile link. Breast Cancer Breast cancer is a malignant tumor in or around breast tissue. It usually begins as a lump or calcium deposit that develops from abnormal cell growth. Most breast lumps
More informationThoracic Cooled-RF Training Presentation
Thoracic Cooled-RF Training Presentation Patient Selection Anatomy Overview Neuroanatomy Lesion targets Technique Diagnostic Block Cooled-RF Precautions Summary Appendix AGENDA Patient Selection Thoracic
More informationXSIGHT LUNG TRACKING SYSTEM
XSIGHT LUNG TRACKING SYSTEM CYBERKNIFE SYSTEM HIGHLIGHTS Continual image guidance Without the need for staff intervention or treatment interruption, the CyberKnife s revolutionary image guidance technology
More informationSuperior Performance. Lower Dose.* 1,2. World s first and only. 3D breast biopsy. Breast Biopsy Guidance System. Affirm
World s first and only 3D breast biopsy Superior Performance. Lower Dose.* 1,2 TM Affirm Breast Biopsy Guidance System For Stereotactic and Tomosynthesis Interventional Procedures Breast and Skeletal Health
More informationTherapy - Minimize harm to patients
Therapy - Minimize harm to patients CHONGQING HAIFU MEDICAL TECHNOLOGY CO., LTD Tel: 86-23-6788 6799/6788 6195/6788 6199 Fax: 86-23-6788 6168 Email: sales@hifu.cn Website: www.haifumedical.com Address:
More informationHEPATIC METASTASES. We can state 3 types of metastases depending on their treatment options:
HEPATIC METASTASES 1. Definition Metastasis means the spread of cancer. Cancerous cells can separate from the primary tumor and enter the bloodstream or the lymphatic system (the one that produces, stores,
More informationStereotactic Minimally Invasive Brain Repair brings hope for patients with seizure disorders
Stereotactic Minimally Invasive Brain Repair brings hope for patients with seizure disorders It is well known that, currently, the incidence rate of epilepsy is approximately 20-50/100,000 worldwide. This
More informationCAREFULLY READ ALL INSTRUCTIONS PRIOR TO USE
CAREFULLY READ ALL INSTRUCTIONS PRIOR TO USE INDICATIONS FOR USE The LATERA Absorbable Nasal Implant is indicated for supporting upper and lower lateral nasal cartilage. CAUTION: Federal law restricts
More informationCase Report: CASE REPORT OF FACET ARTHROPATHY INDUCED NERVE ROOT COMPRESSION RESULTING IN MOTOR WEAKNESS AND PAIN
Cox Technic Case Report #100 published at www.coxtechnic.com (sent October 2011 on 10/11/11 ) 1 Case Report: CASE REPORT OF FACET ARTHROPATHY INDUCED NERVE ROOT COMPRESSION RESULTING IN MOTOR WEAKNESS
More informationCase Report Multimodality Fusion with MRI, CT, and Ultrasound Contrast for Ablation of Renal Cell Carcinoma
Hindawi Publishing Corporation Case Reports in Urology Volume 2012, Article ID 390912, 5 pages doi:10.1155/2012/390912 Case Report Multimodality Fusion with MRI, CT, and Ultrasound Contrast for Ablation
More informationStereotactic Body Radiotherapy (SBRT) For HCC T A R E K S H O U M A N P R O F. R A D I A T I O N O N C O L O G Y N C I, C A I R O U N I V.
Stereotactic Body Radiotherapy (SBRT) For HCC T A R E K S H O U M A N P R O F. R A D I A T I O N O N C O L O G Y N C I, C A I R O U N I V. Hepatocellular carcinoma (HCC), is a major health problem worldwide.
More informationFacet Joint Syndrome / Arthritis
Facet Joint Syndrome / Arthritis Overview Facet joint syndrome is an arthritis-like condition of the spine that can be a significant source of back and neck pain. It is caused by degenerative changes to
More informationChapter 4 Section 20.1
Surgery Chapter 4 Section 20.1 Issue Date: August 29, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
More informationSYNEX The vertebral body replacement with ratchet mechanism
SYNEX The vertebral body replacement with ratchet mechanism Instruments and implants approved by the AO Foundation. This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Image
More informationSoft tissue biopsy needles
Soft tissue biopsy needles Automated Achieve programmable biopsy systems 2 Semi-automated CareFusion offers a wide range of soft tissue biopsy needles that you can rely on for precise samples every time.
More informationWhite Sands Guide for a Healthy Back
White Sands Guide for a Healthy Back 7157 Curtiss Ave. Sarasota, FL 34231 Phone: (941) 924-9525 www.aquaticsphysicaltherapy.com Home of the Spinal Solutions Program 1 What Causes Back Pain? Since the lower
More informationImaging Guided Biopsy. Edited & Presented by ; Hussien A.B ALI DINAR. Msc Lecturer,Reporting Sonographer
Imaging Guided Biopsy Edited & Presented by ; Hussien A.B ALI DINAR. Msc Lecturer,Reporting Sonographer Objective By the End of this lessons you should : Define what biopsy Justify Aim to perform biopsy
More informationCS 3600 / CS 3600 ACCESS A SMARTER WAY TO SCAN INTRAORAL SCANNING
CS 3600 / CS 3600 ACCESS A SMARTER WAY TO SCAN INTRAORAL SCANNING R R HARNESS THE POWER OF INTRAORAL SCANNING AWARDS AND RECOGNITION CLINICIANS REPORT Excellent in Rapid Acquisition and Margin Detail Capture;
More informationRADIOFREQUENCY ABLATION
RADIOFREQUENCY ABLATION ELIZABETH DAVID M D FRCPC VASCULAR A ND INTERVENTIONAL RADIOLOGIST SUNNYBROOK HEALTH SCIENCES CENTRE GIST GASTROINTESTINAL STROMAL TUMORS Stromal or mesenchymal neoplasms affecting
More informationChapter 16 Worksheet Code It
Name: Class: Date: ID: A Chapter 16 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CT scans generate three-dimensional images. 2. An ultrasound produces images of
More informationSectra Orthopaedic Solutions
Sectra Orthopaedic Solutions Customer case story Well prepared before surgery Preoperative planning in 2D and 3D The Orthopaedic section at the University Hospital of Rostock is a well-known institute
More informationInterventional Oncology Patient Awareness
Interventional Oncology Patient Awareness Interventional Radiology: your minimally invasive alternative www.cirse.org Cardiovascular and Interventional Radiological Society of Europe Cardiovascular and
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: facet_joint_denervation 6/2009 4/2017 4/2018 4/2017 Description of Procedure or Service Facet joint denervation
More informationIntuitive. Intelligent. Innovative. General Imaging
Intuitive. Intelligent. Innovative. General Imaging CLARITY CONFIDENCE EASE OF USE 2 The perfect fit Aplio i700 helps you provide better quality of care in the shortest possible time. Combining superior
More informationSoft tissue biopsy needles
Soft tissue biopsy needles Automated Achieve programmable biopsy systems 4 Semi-automated CareFusion offers a wide range of soft tissue biopsy needles that you can rely on for precise samples every time.
More informationComputer based delineation and follow-up multisite abdominal tumors in longitudinal CT studies
Research plan submitted for approval as a PhD thesis Submitted by: Refael Vivanti Supervisor: Professor Leo Joskowicz School of Engineering and Computer Science, The Hebrew University of Jerusalem Computer
More informationProstate Cancer. What is prostate cancer?
Scan for mobile link. Prostate Cancer Prostate cancer is a tumor of the prostate gland, which is located in front of the rectum and below the bladder. Your doctor may perform a physical exam, prostate-specific
More informationGLOBAL INNOVATION BY DESIGN
GLOBAL INNOVATION BY DESIGN For over 130 years Toshiba s research and development has improved the health and welfare of people around the world. Today, Toshiba Medical Systems offers a full range of diagnostic
More informationSpineJack. Ø 5.8 mm Ø 5.0 mm Ø 4.2 mm. Controlled Anatomical Restoration
SpineJack Ø 5.8 mm Ø 5.0 mm Ø 4.2 mm Controlled Anatomical Restoration Introducing Controlled the Anatomical Surgical Restoration Technique SpineJack The SpineJack System is designed for the Anatomical
More informationPaolo Giorgio Arcidiacono MD FASGE
LOCAL ABLATIVE TREATMENT OF PANCREATIC SOLID LESIONS. WHERE ARE WE NOW? Paolo Giorgio Arcidiacono MD FASGE Pancreato-Biliary Endoscopy & Endosonography Division Pancreas Translational & Clinical Research
More informationCorporate Medical Policy
Corporate Medical Policy Epidural Steroid Injections for Back Pain File Name: Origination: Last CAP Review: Next CAP Review: Last Review: epidural_steroid_injections_for_back_pain 2/2016 4/2017 4/2018
More informationLiver imaging takes a step forward with Ingenia
Publication for the Philips MRI Community ISSUE 49 2013 / 2 Liver imaging takes a step forward with Ingenia Lyon South Hospital strives to move from several studies first CT, then MR or PET to using just
More informationLIFE MOVES US CORPORATE OVERVIEW
LIFE MOVES US CORPORATE OVERVIEW 1 Our mission is to deliver cutting-edge technology, research, and innovative solutions, to promote healing in patients with musculoskeletal disorders. Dave Demski, Chief
More informationPercutaneous ablation: indications, techniques and results
Percutaneous ablation: indications, techniques and results Giovan Giuseppe Di Costanzo Dipartimento dei Trapianti UOSC Epatologia AORN A Cardarelli - Napoli Treatment algorithm EASL, EORTC guidelines HCC
More informationBackground & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
More informationperformed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management.
Hello, I am Maura Polansky at the University of Texas MD Anderson Cancer Center. I am a Physician Assistant in the Department of Gastrointestinal Medical Oncology and the Program Director for Physician
More informationTECHNICAL BROCHURE. Capture Facet Fixation System
TECHNICAL BROCHURE Capture Facet Fixation System Table of Contents Product Overview...2 Instruments...4 Capture Facet Screw Surgical Technique Patient Preparation and Positioning...6 Guide Pin Placement...7
More informationRADICULOPATHY AN INTRODUCTION TO
AN INTRODUCTION TO RADICULOPATHY This booklet provides general information on radiculopathy. It is not meant to replace any personal conversations that you might wish to have with your physician or other
More informationSacropelvic Fixation. Ahmet Alanay M.D. Professor. Acıbadem Maslak Hospital Comprehensive Spine Center Istanbul TURKEY
Sacropelvic Fixation Ahmet Alanay M.D. Professor Acıbadem Maslak Hospital Comprehensive Spine Center Istanbul TURKEY Conflict of Interest Grant Depuy & Synthes Definition Sacropelvic fixation Long spinal
More informationInnovative Spine Care Technology
Extentrac Elite Innovative Spine Care Technology US FDA 510(k) K031996, K980021 China FDA Kazakhstan FDA #C3 2009/05629 United States Patents 6,905,508 6,923,825 7,309,347 Additional United States and
More informationUltrasound Guidance Needle Techniques
Ultrasound Guidance Needle Techniques Dr TANG Ho-ming AED/UCH USG Guidance Needle Techniques Commonly used in EM 1. Vessel cannulation-peripheral & central 2. Foreign body removal 3. Peripheral nerve/plexus
More informationPrinciple. 1 Diskit II Technique Manual
1 Diskit II Technique Manual The Diskit II is developed for treating discogenic pain in the lumbar (and thoracic) region. The diagnosis should be made first by anamnesis and physical examination (low back
More information