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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.”

 

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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.

WEBINAR: “Role of WBCT in the Assessment of Pes Cavovarus”

CurveBeam’s next FOOTInnovate webinar  “Role of WBCT in the Assessment of Pes Cavovarus” will  be delivered by Dr. Alessio Bernasconi, MD,  on May 22nd at 12 pm CDT.

Register for the webinar today. A FOOTInnovate membership is required, but is complimentary for foot & ankle surgeons and related professions.

Dr. Bernasconi is currently a Foot and Ankle Clinical Fellow at the Royal National Orthopaedic Hospital of Stanmore, UK. He has served as a Clinical Fellow in Orthopaedics and Traumatology at St. George’s University Hospital in Tooting, UK, and participated in a Foot and Ankle Research Fellowship & Clinical Observership at the Hospital for Special Surgery in New York City.

To view this webinar, you must sign up for a FOOTInnovate account, then register in advance here. Once registered, you will receive an email with instructions on how to join the session.

Conference Will Feature Full Day Agenda on Weight Bearing CT

An upcoming conference at the Royal Society of Medicine – London will feature a day-long program on weight bearing CT Imaging. “Bipedalism: Defining Humanity and Foot & Ankle Surgery” is aimed at surgeons, podiatrists and radiologists. CurveBeam is proud to be the primary sponsor of this prestigious event.

The conference will be held on July 12. Sponsored registration is available for attendees who register prior to May 30th.

The conference is organized by Standing CT Company, which provides weight bearing CT services via mobile imaging centers to hospitals and orthopedic practices in the United Kingdom and Europe. Standing CT Company exclusively utilizes CurveBeam’s weight bearing CT systems.

Several members of Standing CT’s medical advisory board will be lecturing at the conference. Advisory board member Dr. Sajid Butt, MB BS, FCPS, FCPR, a respected radiologist at Royal National Orthopedic Hospitals in London and Stanmore, will present imaging best practices in the morning session.

Another member of the advisory board, Mr. Stephen Bendall, MBBS, FRCS, FRCS (Orth), an orthopedic foot & ankle surgeon at Princess Royal Hospital in Haywards Heath will present on Lisfranc injuries during the section “Trauma: Better Imaging, Better Outcomes.”

If you are interested in attending, call 0800 047 1010 or email kirsty.collins@standingct.com.

Recap: WBCT Society Scientific Meeting

The Weight-Bearing CT Society held its latest Scientific Meeting in Las Vegas this past March during the AAOS 2019 conference. Co-sponsored by CurveBeam, the Scientific Meeting featured an education-packed agenda to discuss the revolutionary transformation weight-bearing technology is having on the imaging industry.

First to present was Dr. Alexej Barg, MD, a University of Utah orthopedic surgeon who also served as the moderator for this event. In his presentation discussing imaging of patients with syndesmosis instability, Dr. Barg explained that conventional non-weight-bearing radiograph imaging cannot predict syndesmotic injuries reliably. And while MRI’s demonstrate sensitivity and specificity of nearly 100%, correlating patient complaints with MRI findings can be difficult. Further, although CT technology surpasses conventional imaging methods when 3D MRI or CT imaging is transferred to 2D, there is a substantial loss of information. However, the torque applied in the natural standing position offered higher contrast and spatial resolution of alignment and degeneration, providing a significant advantage in the accuracy of diagnosing syndesmotic injuries.

Dr. Pablo Wagner, MD, of Clinica Alemana in Chile then took the stage for a presentation titled “WBCT for Assessment of Metatarsal Rotation”. Crediting his brother, Emilio Wagner, MD, for his work with hallux valgus patients, Dr. Wagner explained that metatarsal condyles are visible laterally if pronated, of which 87 percent of hallux valgus cases are. If not corrected, metatarsal pronation will result in worse clinical outcomes and higher deformity relapse rates due to the soft tissue balance lateral to the medical ray axis. However, when compared to challenging, unreliable weight-bearing axial sesamoid views and more useful AP foot weight-bearing views on plan X-Ray, weight-bearing CT scans are the gold standard in quantifying metatarsal rotations.

Following Dr. Wagner, Dr. Cesar de Cesar Netto, MD, Ph.D., discussed “WBCT in Patients with AAFD”. While some symptoms or pain are experienced in patients with Adult-Acquired Flatfoot Deformity, it can be difficult knowing when to be more aggressive in treatment to prevent foot collapse. In a study of 55 male and female patients with stage II AAFD, multiple weight bearing CBCT and MRI variables related to the severity of the deformity were evaluated. Weight-bearing CBCT was found to provide more reliability in predicting patients at high risk for foot collapse.

Dr. Arne Burssens, MD, of the Univesity Hospital of Ghent then deliberated on the “Hidden Aspects of a Medializing Calcaneus Osteotomy Revealed by a WBCT”. Difficult to assess via 2D plain radiographic technology, there is a significant difference when assessing MCO in AAFD using weight-bearing imaging versus non-weight-bearing, offering substantial detail to improve understanding with a higher rate of reliability.