The Florida Podiatric Medical Association will hold the Science & Management Symposium (SAM) in Orlando January 15 – 19. The conference agenda includes a lecture on weight bearing CT imaging presented by Dr. Albert Armstrong, DPM, Professor of Radiology at Barry University School of Podiatric Medicine in Miami Shores, Fl.
Won’t be at the meeting? Click here to read the recap of a similar presentation Dr. Armstrong recently delivered on FOOTInnovate.com.
As a soloist for the Pittsburgh Ballet Theater, dancer Diana Yohe, 25, has sprained her ankle several times – enough times that she had to have a ligament reconstruction surgery on her left ankle.
Throughout her recovery, her surgeon ordered X-Ray exams to track the progress of her healing. Yet Yohe worried she might not be ready for her upcoming lead role in Giselle.
Shortly before opening night, Dr. Victor Prisk, MD, ordered a state-of-the-art standing CT exam. Yohe stood en pointe during the scan.
“I could literally see the bones, the ligaments and even the skin,” Yohe said. “Prior to surgery my ankle was badly skewed. But on the CT scan, I could see it was back to perfect alignment.”
Dr. Prisk specializes in foot & ankle sports and dance medicine. He recently added weight bearing CT technology to Prisk Orthopedics and Wellness, PC, his private practice in Monroeville, PA. During a weight bearing CT scan, a patient stands naturally while the X-Ray tube and detector rotates 360-degrees around their feet & ankles. The X-Rays are then processed to produce a three-dimensional image of the patient’s foot.
CT imaging is more sensitive than 2D X-Rays in detecting fractures, fracture healing, and other conditions. However, traditional CT technology typically requires much more infrastructure than the average orthopedic clinic can accommodate and exposes the patient to a higher radiation dose than 2D X-Ray. In addition, foot & ankle specialists require a standing or “weight bearing” view of the foot and ankle for most conditions. In traditional CT imaging, the patient is lying down.
Dr. Prisk’s weight bearing CT scanner fits in his clinic’s X-ray room, and peer reviewed research demonstrates the scanner’s radiation dose is comparable to an X-Ray exam.
“I invested in this technology because I knew it would be a game changer in how I look at the foot & ankle from a 3D perspective; it literally adds another dimension,” Dr. Prisk said. “It allows me to critically assess deformities like never before.”
Dr. Prisk offers a pedCAT exam for every patient during their initial visit.
“The pedCAT allows me to get all X-Ray views for a new patient in less than 45 seconds, and is higher quality than standard X-Ray imaging,” Dr. Prisk said.
Several of Prisk’s patients are ballet dancers. With the pedCAT, he can get a 3D X-Ray while the dancer is standing en pointe.
“Scanning a foot en pointe allows to me see mal-alignments that could be resulting from an intrinsic foot problem or even from ballet technique,” Prisk said. He added there have been cases where he was able to determine the ballet dancer was wearing ill-fitting pointe shoes, as the toe box was either too large or too small.
Dr. Prisk, a former professional dancer himself, sprained his ankle during a gymnastics practice when he was 15 years old. The injury inspired him to become an orthopedic surgeon.
“My dance career taught me how prevalent foot & ankle injuries were for these athletes, and I wanted to help this particular population,” Dr. Prisk said. “Perhaps back then, if pedCAT technology were available, I would have known if my own ankle was displaced.”
Yohe is back to dancing five days a week. She said her first performance of Giselle went really well.
An international research team of orthopedic surgeons was awarded the prestigious International Federation of Foot & Ankle Societies (IFFAS) Award for Excellence for a study that utilized weight bearing CT imaging to analyze the effect of residual misalignment on cyst formation in total ankle replacement (TAR) patients.
The authors hypothesized that longer follow-up and increased residual misalignment would correlate with increased peri-prosthetic cyst (PPC) volume and worse AOFAS scores. They found that residual varus cases had a more medial distribution of PPC and residual valgus cases had a more lateral distribution of PPC. During a presentation the next day, the authors explained that a using weight bearing CT to calculate a “Safe Zone” for 3D alignment of the foot prior to a TAR procedure could be instrumental in preventing osteolysis, a condition that can eventually lead to implant failure.
The study was carried out at institutions using CurveBeam weight bearing imaging solutions, which provided the researchers with automatic 3D measurement tools such as TALAS. The authors explained this research contributes to the comprehension of how peri-prosthetic cysts develop in the ankle.
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 a 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.
The Olympic Committee of Chile signed a new agreement with the Clinica Universidad de los Andes in Santiago, Chile, earlier this year.
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.
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.
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.
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.
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.
Dr. Soomekh is the founder of the Foot & Ankle Specialty Group in Beverly Hills, as well as a Board Certified foot and ankle surgeon. Dr. Soomekh was named best foot and ankle surgeon in Los Angeles by Los Angeles magazine.
The webinar is scheduled for Tuesday, May 7th from 7 p.m. – 8, EST. To view this webinar, you must register in advance here. Once registered, you will receive an email with instructions on how to join the session.
CurveBeam Mobile makes weight-bearing CT imaging accessible and affordable to all providers, regardless of practice size. Featuring custom-built mobile imaging suites and expertly trained technicians, CurveBeam Mobile delivers the ultimate in cost-effective service and convenience, providing a first-class experience for patients and unparalleled diagnostic support for practices.
Recently, Physicians Footcare (PFC), a full-service podiatry practice with 11 offices located throughout South Carolina, announced it will begin providing standing CT services to its locations via a mobile imaging center, which was custom built by CurveBeam Mobile.
The state-of-the-art mobile imaging facility is the first-of-its-kind in the United States. The imaging facility will travel around Richland and Aiken counties to each PFC location, scanning patients in communities throughout the Palmetto state.
“Our unique delivery model provides our patients with the quality and sophistication of care they would expect from the very best medical centers in the country,” said Dr. Kevin L. Ray. “This motto provides our patients with the convenience and comfort of personalized care they receive from the local practitioner they know and trust.”
Until standing CT technology was introduced in the United States in 2012, foot and ankle physicians and radiologists had to rely on conventional medical CT, in which a patient is scanned while lying down.
However, the American Orthopedic Foot & Ankle Society recommends standing imaging when possible. Imaging patients while they are standing provides a true assessment of bone and joint alignment. Standing CT scans will allow the PFC’s 15 podiatric physicians to diagnose and treat conditions including but not limited to fractures, subluxations and dislocations, midfoot injuries, bunions, flat feet, sprains, arthritis, and diabetic-related complications.
The mobile imaging suite is outfitted with a CurveBeam pedCAT. The CurveBeam pedCAT takes 360 two-dimensional X-Rays of each foot and stitches them together to create an exact, three-dimensional digital replica of the foot and ankle, allowing PFC physicians a comprehensive study of each foot and ankle structure.
A pedCAT standing CT scan takes less than 45 seconds, and radiation dose is lower than a conventional medical CT exam.
Both CurveBeam Mobile and PFC are excited about this first of its kind venture.
Orthopaedic Summit Evolving Techniques (OSET) is the premier gathering of spine and trauma surgeons, physician assistants, nurse practitioners, athletic trainers, and physical and occupational therapists from across the globe. This year’s event will be held at the Bellagio in Las Vegas from December 5-8 and includes cutting-edge, industry-sponsored, surgical demonstrations, symposia, debates, and small group discussions on the latest techniques in orthopaedics.
CurveBeam, an industry leader in the design and manufacturing of CT imaging equipment for the orthopedic and podiatric specialties, is proud to be a part of this year’s summit. Attendees can stop by Booth 323 on the exhibition floor to check out the company’s innovative products, such as the LineUP, firsthand. The LineUP allows bilateral, weight-bearing CT imaging of the knee and lower extremities and is helping to redefine orthopedic care.
In addition, Dr. Keith Wapner, MD, will be presenting December 6th during the “Innovation in Foot & Ankle Surgery” section from 2:20 pm to 2:27 pm. Dr. Wapner, Director of the Division of Foot and Ankle Orthopaedic Surgery at the University of Pennsylvania, will be sharing valuable information on weight bearing CT scans for foot and ankle surgeons.
The 2018 Orthopaedic Summit promises to be an exciting event. Schedule your LineUP demo at the Curvebeam booth at the summit today by clicking here.
The Radiological Society of North America 104th Annual Meeting commences November 25 at McCormick Place in Chicago. Attendees will get hands-on experience with cutting-edge tech, including artificial intelligence, 3D printing and virtual reality in the radiology specialty.
See the complete LineUP system on display
CurveBeam will feature its largest exhibit to date at the 2018 RSNA meeting. CurveBeam’s LineUP system, which was cleared by the FDA for sale earlier this year, will be on display. CurveBeam will showcase the Multi-Extremity chair, which permits imaging of the hand and elbow, as well as non-weight bearing foot and ankle imaging. Radiology administrators will be able to get a first-hand look at the multi-extremity chair’s ergonomic design that is comfortable for both patients and operators.
2. Improved Metal Artefact Reduction
CurveBeam unveiled its proprietary metal artefact reduction (MAR) tool earlier this year with the launch of its LineUP system. CurveBeam’s MAR employs a high- density detection filter, which enables more authentic reconstructions in the vicinity of metal hardware. Users have the option to activate MAR prior to the start of each scan. Attendees can get a demo of before and after MAR datasets at CurveBeam’s exhibit.
3. Cinematic Renderings
CurveBeam will display a cinematic rendering feature, currently under development, that will be offered as a part of its visualization software, in the future. Cinematic renderings simulate lifelike lighting techniques to provide a more photo-realistic 3D rendering of the bones and joints. In a recent study by Swiss researchers, radiologists and surgeons preferred cinematic renderings to volume renderings for a majority of ankle injuries.
If you are interested in setting up an appointment for a personal demo at RSNA, click here.