Ultrasound

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Expectant parents no longer seem satisfied with keeping 3D fetal videos in their DVD collection armoire. Now they are posting them on the web. This practice could undermine organized radiology efforts to rein in unwarranted fetal sonography scans.

Ultrasound could make the diagnosis of rheumatoid arthritis considerably more accurate, aiding in recommendations for treatment. Treatment decisions can depend on how far the disease has progressed, and the only way to measure the progression of rheumatoid arthritisis to identify which of a patient’s joints show synovitis. Yet a recent study shows that doctors miss swelling in the shoulder joints of 30% of patients.

Revenues from ultrasound scanners in the U.S. rose more than 5% last year compared with 2005 on the heels of increasing demand for echocardiography. A drop of 23% in upgrades, however, damped overall growth to just 2.6%, according to a new report by Klein Biomedical Consultants. Still the ultrasound market rose to a record $1.33 billion in 2006 and could go much higher. Sales are expected to grow at an annual rate of 5.8% to reach $1.76 billion by 2011, according to the report, “Medical Diagnostic Ultrasound Market in the USA: Challenges & Opportunities in the New Millennium, 2006.”

Earlier this year it was SonoSite and Zonare preparing to battle in court over ultrasound patents. Last week GE opened a new front, alleging SonoSite infringement of five GE patents.

Treatment guidelines from the FDA limit the ultrasonic ablation of uterine fibroids to 50% of the lesion mass, as seen and targeted with MRI, a limitation that has raised doubts in the medical community about whether the treatment can be effective. But Dr. Phyllis Gee, medical director of the North Texas Uterine Fibroid Institute in Plano, says physicians need not be concerned about the efficacy or long-lasting effect of this treatment.

Features of high-end cart-based ob/gyn scanners officially trickled down to lapsize ultrasound systems this week when GE Healthcare launched its new ob/gyn portfolio at the American College of Obstetricians and Gynecologists meeting in San Diego.

Business Briefs

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Business Briefs

FDA clears Hansen EP robotic systemToshiba nabs ultrasound contractFinal data clock in for 64-slice CT trial

Researchers have found a way to use ultrasound as a diagnostic tool for gout. The noninvasive modality could serve as a potential supplement to blood, urine, and joint fluid tests, which don't always provide a definitive diagnosis.

An increased demand for vascular ultrasound technologists and interventional technologists parallels an increase in the number of peripheral vascular disease cases and minimally invasive procedures.

Lower costs, speedier recovery, and reduced pain give uterine artery embolization an edge over surgery for fibroid treatment, according to a multicenter trial that examined the relative merits of the two methods.

Current teleradiology image transfer systems were developed for high-bandwidth networks and therefore cannot support radiographs or sonograms from remote or underdeveloped areas due to limited bandwidth availability at those locations.

Diagnosing pancreatic disease generally requires many different imaging procedures. Ultrasound and CT are most commonly used to evaluate the pancreatic ducts, parenchyma, and adjacent soft tissues. CT-based assessment of pancreatic pathology has been greatly aided by the advent of multislice technology.

In late November, nearly 300 doctors and imaging center managers paid $325 each for a day-long seminar sponsored by the law firm McDermott Will & Emery. They packed a large ballroom in the swank Ritz-Carlton Hotel at Water Tower Place in Chicago to learn how to turn referrals to imaging facilities into lucrative income streams.

Technical advances in MRI have paved the way for functional imaging of the abdomen, moving beyond simple morphological evaluation of disease and in some cases proving superior to multislice CT.

Patients with major depressive disorder can show actual physical changes to the brain structure on sonographic evaluation, according to German researchers. One study found that depressed patients with a history of responding to serotonin reuptake inhibitors also had a high incidence of reduced echogenicity of the brain stem raphe. Another found that many patients diagnosed with depression also showed increased echogenicity in a specific area of the midbrain common in patients with Parkinson’s disease.

Engineers at Duke University’s Pratt School of Engineering have come up with software that twists the data composing volumetric ultrasound images into stereoscopic views, creating images that appear to float off display monitors into 3D space. The software splits the single ultrasound image into two separate images 7° from each other -- one seen by the right eye and the other by the left.

Business briefs

Advanced Magnetics losses balloonAloka integrates FPGAsKodak upgrades dashboard

Journal Review

Several studies published in the top peer-reviewed journals in April caught our eye, particularly those relevant to current trends and clinical practice issues. Credible indications suggest that the rate of thyroid cancer in the U.S. may be on the rise. A ground-breaking study published in Radiology from Japanese and U.S. researchers assesses the value of elastography to tell benign from malignant lymph nodes in the neck. The same publication also ran an editorial by a leading Thomas Jefferson University sonologist that sheds light on this issue. Researchers in Michigan discovered relevant changes in fetal cardiac development that have been overlooked, even with 3D technology. Italian investigators published a study comparing sonography and multislice CT to characterize renal cysts and found the former could help reduce unnecessary surgery and radiation dose exposure. And an interesting study from Iran assesses the feasibility of replacing invasive endoscopic cholangiopancreatography with ultrasound for detection of biliary gallstones.

The first quarter of this year was the slowest of any in the seven years during which DI SCAN has tracked FDA clearances. The radiology industry was able to clear just 55 devices in the first three months of 2007. Only once since the decade began has the FDA cleared fewer than 60 devices during the first quarter. That was in 2004, when radiological device makers earned 59 clearances.