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Medical Care May Have Swayed Kevin Durant’s Decision to Join the Nets

What’s worse than losing your patient’s confidence? Probably having it announced throughout national media coverage. This scenario just played out for the medical staff of the Golden State Warriors basketball team as one of the most popular faces within the NBA, Kevin Durant, suffered a season, and possibly career ending Achilles tear injury.

Durant’s Achilles tear took place in Game 5 of a 7 Game series after he was previously evaluated for a calf strain. It appears that both Durant and head coach, Steve Kerr, “didn’t think he could get injured worse”by returning to play. After feeling mislead or possibly misdiagnosed by the Warriors’ physicians, Durant chose to return to his former foot & ankle surgeon, Dr. Martin O’Malley, MD, at Hospital for Special Surgery in New York, to operate on his ruptured tendon, according to the New York Post. Dr. O’Malley performed surgery on Durant’s broken foot four years ago.

Even worse for the Warriors, the Brooklyn Nets hoped to capitalize on Durant’s lack of confidence in the medical staff to sway Durant to join their squad since Dr. O’Malley is their team foot and ankle specialist. And they succeeded. Kevin Durant confirmed in June that he would be signing a four-year contract with the Brooklyn team.

Why have Durant and the Nets chosen Dr. O’Malley? Well, not only do they have a relationship from a prior injury and surgical repair, but Dr. O’Malley has remained committed to offering the most cutting-edge technology and diagnostics to his patients. One of his most valued tools is the pedCAT, a weight bearing cone beam CT imaging system ,which allows him to perform the scans in his office and review the results with the patients the same day using 3D rendering software. The pedCAT allows him to gather 3D information similar to traditional CT with radiation exposure levels almost equivalent to a standard set of X-Rays.

Watch the video above to hear how Dr. Martin O’Malley, MD, utilizes the pedCAT in his Manhattan orthopedic practice. 

As a patient, wouldn’t you always want your doctor to have more information to help tailor your treatment plan? As a physician, wouldn’t you rather be certain about your diagnosis rather than agonize over equivocal X-Rays? Utilizing software that provides talas_curvebeam1a 3D rendering of the patient’s anatomy provides the physician with an opportunity to discuss the nuances of that patient’s case right then and there in the office. It also allows the patient to better understand their treatment options and feel more engaged in the decision-making process. Ultimately, the patient feels that they have greater ownership of their care and assurance that their physician has done all he/she could to get to the true source of the problem.

CURVEBEAM CONNECT: Getting to Know Dr. Cesar de Cesar Netto

For a premier orthopedic surgeon, you might be surprised to learn Dr. Cesar de Cesar Netto, has never broken a bone. Even as an athlete playing soccer, the founding member of the Weight Bearing CT Society never sustained an injury like the ones he sees from his patients in his orthopedic work. “I was a goalkeeper,” he says chuckling.

On today’s episode of Curvebeam Connect, host Vinti Singh, Curvebeam Marketing Manager, sits down with Dr. Cesar de Cesar Netto, M.D., Ph.D. of the University of Iowa Carver School of Medicine to learn more about the Brazilian surgeon and researcher and discuss advancements in extremity CT scans.

Since the WBCT Society held its first meeting in Berlin in 2016, the organization has presented at several conferences and made significant strides towards its mission, Dr. de Netto says.

Specifically, a recent imaging study of patients with adult-acquired flat foot, or flat foot deformity, found that 70 percent of those patients had some degree of subtalar joint subluxation and sinus tarsi impingement. Dr. de Netto was a co-author of the study that used weight bearing CT imaging and MRI, as opposed to two-dimension x-ray imaging.

“The foot is such a beautiful biomechanical machine with so many joints that I always thought X-Rays couldn’t really demonstrate to you what the deformity consisted of,” he says.

Click here to watch a YouTube video of Dr. de Netto discussing how weight bearing CT permits further research into flat foot deformities.

El Equipo de Chile y la Clínica de la Universidad de los Andes Firman Acuerdo para el Cuidado de Atletas de Alto Rendimiento

En Abril, el Comité Olímpico de Chile firmo un nuevo acuerdo con la Clínica de la Universidad de los Andes.

signed a new agreement

La Clínica de la Universidad de Los Andes provee servicios de ortopedia a un gran numero de los mejores miembros del Equipo Olímpico de Chile. El acuerdo consolida un pacto entre el centro medico y el Comité Olímpico Chileno, nombrando la clínica como el Centro de Recuperación Oficial del Equipo de Chile.

Seleccionado por el sobresaliente cuidado que su equipo medico le provee a atletas profesionales y de élite, la Clínica de la Universidad de los Andes realizara consultas, exámenes, procedimientos, cirugías, y tratamiento traumatologico.

outstanding care for elite athletes

La Clínica invierte en la tecnología necesaria para que esto sea posible, uniéndose a CurveBeam para darle a los atletas acceso a LineUp, una  solución bilateral para las tomografías, que toma imágenes de las rodillas y extremidades inferiores en 3D.

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Utilizando esta tecnología, los cuidados de la Clínica tendrán un enfoque muy personal y humano con el atleta/paciente y su familia, ayudando a simplificar los cuidados médicos y el proceso de recuperación de los atletas nacionales de Chile.

Rodrigo Rojas, medallista de oro en karate, Rodrigo Toti Miranda, medallista de oro en ski acuático, Diego Moya y Macarena Salazar, medallistas en triatlón, Tomas Briseño, medallista de Judo, así como otros prominentes atletas nacionales buscan diagnosticarse en esta prestigiosa institución.

athletes

Ahora los atletas de alto rendimiento del país tienen acceso a un nivel de cuidados que los ayudara a desatollar sus carreras con apoyo medico de clase mundial.

tour

Después de la firma, los atletas hicieron un tour del centro medico y no solo estaban contentos con las instalaciones de primera clase, sino también el hermoso ambiente de la clínica.

Mira el video completo de CDO a continuación:

Luminary South American Hospital Named Official Recovery Site for Chilean Olympic Athletes; Will Provide Weight Bearing CT Imaging

The Olympic Committee of Chile signed a new agreement with the Clinica Universidad de los Andes in Santiago, Chile, earlier this year.

signed a new agreement

The Clinica Universidad de Los Andes provides orthopedic services for numerous top members of Chile’s Olympic Team. The agreement solidifies a pact between the medical center and the Chilean Olympic Committee, naming the clinic as the official recovery site of Team Chile.

Chosen because of its medical team’s outstanding care for elite and professional athletes, the Clinica Universidad de los Andes will provide consultations, examinations, procedures, surgeries, and traumatological treatment.

outstanding care for elite athletes

The Clinic invests in state-of-the-art technology to make this possible, and it recently partnered with CurveBeam to furnish athletes with access to the LineUP CT imaging system, a bilateral, weight-bearing  solution that quickly images knees and lower extremities in 3D.

tech

Leveraging technology, the Clinic’s care will center around a very personalized and humanized focus on the athlete/patient and his or her family, helping to streamline the medical care and recovery processes of Chile’s national athletes.

World karate gold medalist Rodrigo Rojas, water skiing gold medalist Rodrigo Toti Miranda, triathlete medalists Diego Moya and Macarena Salazar, judo medalist Tomas Briseno, as well as other prominent national athletes already seek care at this prestigious institution.

athletes

Now, the country’s high-performance athletes have access to a level of care that will help them to develop their careers on a foundation of world-class medical support.

tour

After the signing, the athletes toured the medical center and were not only pleased with the first-class offerings of the facility, but the clinic’s beautiful setting as well.

Watch the full clip from CDO below:

CURVEBEAM CONNECT: A FOCUSED APPROACH TO TECHNOLOGY IN HEALTHCARE

Dr. Bob Baravarian Advocates a Focused Approach to Technology in Healthcare

Dr. Babak (Bob) Baravarian has been at the forefront of technological innovation since the beginning of his career. CurveBeam Marketing Manager Vinti Singh recently had an enlightening conversation with Dr. Baravarian on CurveBeam Connect about his approach to technology in patient care, with an emphasis on the use of the pedCAT weight bearing CT imaging solution.

 

Dr. Baravarian Embraced Technology from the Beginning of His Career

Dr. Bob Baravarian, DPM, FACFAS,  is a board-certified podiatric foot and ankle specialist and one of the few foot and ankle surgeons to have both foot and reconstructive rearfoot and ankle certifications as a Fellow of the American College of Foot and Ankle Surgeons. He also serves as Editor Emeritus of the international medical journal, Foot and Ankle Specialist.

Dr. Baravarian opened the University Foot & Ankle Institute in Santa Monica, Cali., in 2003 with Dr. Gary Briskin, DPM, FACFAS. The partners wanted to start their own practice so they would have the ability to treat patients from start to finish without outsourcing. Dr. Baravarian says, “We wanted to make sure we offered state-of-the-art care, and the patient was able to get everything done in a cost-efficient, appropriate manner. That’s what drove the innovation.” The practice was paperless from day one, and was one of the first in  the country to invest in podiatric digital X-Ray technology. They now have 10 locations, offering their own physical therapy, surgery, MRI, and CT scans in-house.

Weight Bearing CT Scans Offer a Number of Benefits

University Foot and Ankle was also one of the first podiatric practices in the country to get a pedCAT weight bearing CT system. “We knew the pedCAT was going to be a significant benefit to patients and a significant benefit for us in being able to take care of patients better,” says Dr. Baravarian. The decision came down to three criteria. Was this something that will benefit the patient? Would it allow them to practice better? And does the payment of the machine compared to payments from insurance make sense? The pedCAT checked all three boxes.

Taking the Practice to Another Level

The intangibles were just as important, Dr. Baravarian says. “From a marketing standpoint, the idea of having a weight bearing CT scanner that does 3D renderings of the foot and allows for proper analysis of the foot is something that sets you apart.” When a patient is referred to a practice for a 3D scan of their foot and is then able to see those images live – rotated and in multiple planes – they better understand what’s wrong with their foot. A 3D CT scan also changes the practice because it allows doctors to have as much information as possible when caring for a patient, so that they can offer the absolute best care with the least risk. “I think that’s a really important part of being able to grow your practice substantially and offer best practices to patients,” says Baravarian, adding, “It just takes your practice to another level.”

A Better Alternative to X-Rays

The University Foot & Ankle Institute uses weight bearing CT scans in complement to X-Ray exams. Dr. Baravarian believes the latter is becoming increasingly obsolete as new and more effective equipment arises. “The two areas where we’re using the pedCAT the most are one, for pre-operative planning and two, for post-operative assessment,” says Dr. Baravarian. For example, he thinks CT scanning is a must for flat foot reconstruction because it allows doctors to see the structure in three dimensions and better determine the nature of the deformity. That enables a doctor to plan surgery and make better decisions. Not a traditional application for CT scanning, but just as useful in Dr. Baravarian’s opinion, is hallux rigidus surgery because it allows the surgeon to have more confidence when creating a game plan, reduces surprises, and saves time during the procedure. And finally, when doing a fusion on any joint, he will get a CT scan before allowing them to become weight bearing. The confidence provided from the information gathered during this 3D view has improved results enormously.

Click here to see additional indications for weight bearing CT imaging.

The Future of Healthcare

Of course, Dr. Baravarian knows technology is only one part of the healthcare equation. Other changes are needed to the system to better serve patients. “What is wrong with our healthcare system is that the dollar is going into the wrong pockets,” Dr. Baravarian says, citing the amount of administration that goes into healthcare. “In both in the hospital setting and the health insurance company setting, you used to have one doctor to four administrators. Now you have one doctor to somewhere around 200 administrators.” He says servicing Medicare patient is easier than servicing a private care patient, because with private insurance companies, you have to jump through hoops, including pre-authorizations and approvals. Dr. Baravarian believes universal healthcare would be cheaper, better, and faster by eliminating many of the inefficiencies in the system, allowing him to reach his goals. “We want to start to grow to 30, 40, 50 locations and so I think of things much more on a larger scale of practice than seeing one patient at a time.”

To listen to the full podcast, visit https://marketscale.com/industries/healthcare/focused-healthcare-technology/. And to find out more about the pedCAT CT Imaging Scanner from CurveBeam, visit https://www.curvebeam.com/products/pedcat/.

CT Confirms Scaphoid Fracture Union Quicker than X-Ray

CT assessment of patients casted for a non-displaced scaphoid fracture shows union occurring at approximately 7.5 weeks, with a majority of fractures healing in less than 6 weeks, according to  a 2016 study by Ruby Grewal et al. Similar studies using plain X-Ray demonstrated union time to be anywhere between 10 – 24 weeks. The authors noted the union time on CT may even be overestimated because the majority of patients’ first CT scan after casting was not until 6 weeks.

The CurveBeam InReach provides 0.2mm high resolution slices of the distal limbs.
The CurveBeam InReach provides 0.2mm high resolution slices of the distal limbs.

In a previous study, Professor Timothy Davis wrote CT studies demonstrate healing of a non-displaced fracture treated with a plaster cast can occur in as little as 4 weeks. If a fracture is displaced less than 2 mm, Davis said those CT studies suggest a plaster cast for 8 – 12 weeks.

CT is ideally performed for all scaphoid waist fractures in the first week after injury to classify whether they are displaced or non-displaced, said Professor Davis, an orthopedic surgeon at Woodthorpe Hospital in Nottingham, UK said in his research paper.

 

 

Professor Tim Davis proposes this workflow , which calls for a CT scan for every suspected scaphoid waist fracture, for management of scaphoid waist fractures.
Professor Timothy Davis proposes the above workflow , which calls for a CT scan for every suspected scaphoid waist fracture.

By using CT as a baseline, researchers at the Roth/McFarlane Hand and Upper Limb Center in London said they were able to identify fractures which may have appeared non-displaced on X-Ray, but were actually minimally displaced.

“We feel that the added visualization of CT over plain radiography enables the surgeon to properly select which fractures are appropriate for non-operative cast treatment with an expected high degree of union,” the researchers said in a study published in The Open Orthopaedics Journal.

Out of the research setting, routine CT scans of scaphoid fractures may not be practically feasible, Professor Davis wrote.

“I appreciate that [routine CT assessment of scaphoid fractures] is impossible in many centers at the present time but it should become increasingly possible in the future,” Professor Davis wrote in the medical journal “Annals of the Royal College of Surgeons of England” in 2013.

The CurveBeam InReach plugs into a standard wall outlet and is self-shielded.
The CurveBeam InReach plugs into a standard wall outlet and is self-shielded.

The InReach is a compact CT imaging system dedicated to the hand, wrist and elbow. The system received FDA and CE approval in 2017. Since then, it has been installed in leading orthopedic centers and hospitals in the United States. The InReach allows orthopedic practices to offer CT imaging at the point-of-care.

“InReach has been an excellent asset allowing in-office imaging and rapid CT evaluation of the hands with complex diagnostic dilemmas,” said Dr. Lloyd Champagne, an orthopedic surgeon at the Arizona Center for Hand to Shoulder Surgery in Phoenix.

Fifteen percent of acute fractures of the scaphoid waist fail to unite if treated non-operatively in plaster, resulting in a persistent loss of function, according to the 2013 article. Plain X-Rays do not clearly show fracture features such as displacement and communition. Previous inter-observer studies have shown radiographs of scaphoid fractures are neither sensitive nor specific.

Podcast: Interview with James Kraft, Founder of Standing CT Company

Weight-bearing CT scans have many benefits when compared to a weight-bearing X-ray. The problem is that the United Kingdom’s hospitals often don’t have the immediate capital to invest in the 3D technology.

On today’s episode of Curvebeam Connect, host Vinti Singh, Director of Marketing at CurveBeam talks to James Kraft, founder and CEO of The Standing CT Company, a provider of weight-bearing CT services to hospitals throughout the UK and Europe via mobile imaging vans.

“The question was how to get more of these into hospital in a way that was financially feasible,” Mr. Kraft said. “So, we came up with a mobile solution that could go from hospital to hospital.”

 

JamesKraftGraphic

 

 

The mobile scanning unit has so far taken off with flying colors, and hospitals are beginning to adopt this structure. “Right now, we are doing a lot of one-off scanning days with our first unit. And the surgeons are very motivated to get it into their hospitals. They know the advantages,” Dr. Kraft said. “We plan to have our second mobile unit by end of the year and two to three more by 2020.”

The company is very focused on educating surgeons, radiologists, and clinicians about the units, the workflow of getting scans back to hospitals, and why mobile units are more cost-effective. To bring together all stakeholders, The Standing CT Company is hosting a full day conference in London on July 12.

“The event came from the idea of looking at what the industry needed to know, and our advisory board was very influential. The conference will have lots of sessions from experts about CT scanning, orthopedics, and more,” Mr. Kraft said.