ISO 13485 Certified | ISO9001 Certified Request more information or an in-office demo (267) 483-8081

Tag Archives: CurveBeam

CurveBeam Heads to Nashville for AAOE 2019


CurveBeam will be on hand at AAOE 2019, exhibiting our innovative imaging solutions for orthopedic specialties and subspecialties in Booth #629.

AAOE provides advocacy, networking and business development for the orthopedic and musculoskeletal healthcare professions. To further promote quality healthcare practice management in the industry, each year the AAOE hosts a conference, gathering orthopedic practice professionals from around the country in one venue to learn new practice management techniques and policies, compare new products and services, discuss changes in healthcare and other issues affecting them each day, and more.

Proud to be a field pioneer, CurveBeam’s design and manufacture of advanced 3D imaging technologies have been setting new standards in orthopedic and podiatric 3D imaging since the company’s founding in 2009. Industry-leading innovation, CurveBeam’s imaging systems utilize progressive Cone Beam CT capabilities to provide cutting-edge imaging at a fraction of the cost of traditional CT equipment.

While at AAOE 2019, stop by Booth #629 and let the CurveBeam team guide you through the benefits of our trailblazing solutions that can positively support the imaging needs of your practice and patients.

CurveBeam heads to Austria and San Antonio


You can catch CurveBeam at both ECR and the OrthoForum at the end of this month.

The European Congress of Radiology (ECR) is the largest medical meeting in Europe and the second-largest radiological meeting in the world. CurveBeam is proud to present our LineUP system at ECR.

The OrthoForum is a national physician specialty organization whose membership includes many of the largest privately owned orthopaedic practices in the United States. The OrthoForum was established to meet the unique challenges that integrated orthopaedic group practices face in today’s health care environment.

Curvebeam Achieves ISO 13485:2016 & MDSAP Certification

QualityCurvebeam announced the company’s ISO 13485 certification has been updated to the latest revision of the standard. The company’s quality system is now certified to the ISO 13485:2016 standard, which represents the most recent revision of the widely recognized manufacturing quality standard issued by the international Organization for Standardization (ISO).

In addition to 13485:2016 requirements, this certification covers the requirements of the Therapeutic Goods Administration (TGA) of Australia; Brazil’s Agencia de Vigilancia Sanitaria (ANVISA); Health Canada; the U.S. Food and Drug Administration (FDA) under the Medical Device Single Audit Program (MDSAP).

“These latest accomplishments are the result of a significant effort by our entire quality, technical and operations teams,” said Ryan Conlon, Director of Quality and Regulatory Affairs for Curvebeam. “CurveBeam’s quality system lays a strong operational foundation for continuous innovation in orthopedic imaging.”

The ISO 13485 standard is specifically designed to certify medical device manufacturers and their key suppliers. The International Standard outlines requirements for a quality management system where an organization needs to demonstrate its ability to provide medical devices and related services that consistently meet customer and applicable regulatory requirements.

Using The InReach to Detect Scaphoid Fractures

Scaphoid fractures are often difficult to diagnose. The scaphoid may be difficult to visualize on X-Rays due to superimposition.  A delayed or incorrect diagnosis of a scaphoid fracture could result in grave outcomes such as nonunion, delayed union, decreased grip strength, reduced range of motion, and/or osteoarthritis of the radiocarpal joint.

X-ray is currently the standard method of diagnosis, but according to Vinti Singh, an Advanced Medical Imaging Specialist at CurveBeam, “…that particular part of the wrist is really hard to see on X-ray.  CT scans show scaphoid fractures clearly, but traditionally, patients must travel to a hospital or imaging center to access this service.” Singh adds that CurveBeam is developing the InReach, a point-of-care cone beam CT imaging system for the upper extremities. The InReach is investigational only and is not available for sale in the United States. The CurveBeam R&D team is striving to  “provide faster, more accurate detection and as a result, better patient care.”

Since scaphoid fractures rarely appear on X-rays right away, doctors often send a patient home in a splint or cast for two to three weeks if they suspect a scaphoid fracture. Typically, the patient will then return for another X-ray.  With the InReach, a patient could get a CT scan, at the physician’s discretion, for a definitive diagnosis.

The CurveBeam InReach will provide point-of-care CT imaging of the upper extremities. The InReach is investigational only and is not available for sale in the United States.
The CurveBeam InReach will provide point-of-care CT imaging of the upper extremities. The InReach is investigational only and is not available for sale in the United States.

CurveBeam’s InReach system will scan the wrist structures in nineteen seconds. MRIs take much longer, as do bone scintigraphy processes, which also require injections of imaging dye or radioactive material. The InReach delivers high resolution images with 0.3mm slices, accounting for their improved diagnostic accuracy over the X-ray. The unit will have a small footprint and uses a regular wall outlet, unlike a traditional CT unit, which requires  more space, power and additional cooling needs of a traditional CT. Patients need only place a hand in the machine for a few seconds, as opposed to having to lie down on a CT bed. So not only does the InReach system reduce patient frustration at scheduling and waiting for multiple appointments, but it also maximizes patient comfort.

With complicated injuries like the scaphoid fracture, timely diagnosis and treatment are critical in avoiding the potential long-term wrist dysfunction resulting from misdiagnosis. Compared to the previous standards of X-rays, MRIs, bone scintigraphy, and traditional CT scans, the InReach would offer superior speed and accuracy while delivering a high level of patient care and comfort. Learn more about CurveBeam and the InReach imaging technology here.

From RADAR to pedCAT, Amrita Kar is Making Her Mark

The strength of our company originates with engaged and driven employees. The staff at CurveBeam incorporate their ambitious and innovative ideas into the quality services you can expect when seeking extremity imaging solutions. Our team of engineers have made it possible to bring the same point-of-care Cone Beam CT imaging used in the dental industry to the field of foot and ankle diagnostics.

The CurveBeam team created the pedCAT, a compact and ultra-low dose CT imaging system for orthopedic and podiatric clinics. They then went one step further, building an imaging system that provides bilateral, weight bearing 3D views of the foot and ankle within one minute. This revolutionary technology has become the standard level of quality for our team of engineers.

One of those engineers is Amrita Kar. In less than two years with CurveBeam, Amrita has carved out her place as a talented and creative expert in her field. In 2006 she started training at the Indian Defence Research & Development Organization (DRDO), a department of the Indian Ministry of Defence. Amrita contributed to building Radar control and signal processing systems, and others in the industry soon recognized her talents. She was quickly recruited by the private sector to oversee end-to-end development on many classified projects. Then in 2011, she discovered some Computed Tomography images, which sparked her interest in medical imaging. Hoping to explore her new passion, she earned a full scholarship to Villanova University, where she pursued her Master’s degree in Electrical Engineering.

After receiving her graduate degree with a specialization in Biomedical Signal Processing, the search to utilize her new skills began.

“A startup medical device company was a natural professional choice based upon my past experiences working effectively with cross-functional teams at a fast-paced environment and dealing with evolving customer requirements,” says Amrita.

Thus, she began serving as an intern in September of 2014 for our team, and by December she had advanced to the position of Senior Development Engineer. She serves as a mentor for other CurveBeam scientists, physicians, and engineers, and together they have achieved innovations in the world of medical imaging, including the pedCat system.

“It’s inspiring as a developer,” she says, to work with others to help physicians provider faster and more accurate diagnoses. Further, she admits to feeling privileged to “work here among very sharp, intelligent, and competent team [members]” toward the goal of “fast implementation of changing customer needs.”

This system is in fact helping change the methods used by medical professionals in their approach to foot and ankle care. We are proud to be making a difference and proud to employ dedicated people like Amrita Kar on our team.

Enjoyed this post? Meet another member of the CurveBeam team.

Join The TALAS Revolution in Foot and Ankle Diagnosis

For years, Dr. François Lintz, an orthopedic foot & ankle surgeon at Clinique de l’Union in Toulouse, France, relied on 2D (weight-bearing) X-rays and 3D (non-weightbearing) CT scans in treating patients, some with extraordinarily complicated deformities. Because of the shortcomings of the images, the doctor had to rely on his eyes and hands to calculate alignment measurements. The combination of the rudimentary tools and his expertise allowed him to successfully correct many malformations, although for reasons unknown, a fraction of patients did not experience positive treatment outcomes.

In order to minimize these unsuccessful treatment outcomes, Dr. Lintz searched for more advanced imaging tools and found CurveBeam’s pedCAT. pedCAT provides bilateral, weight bearing 3D CT imaging of the foot and ankle. Dr. Lintz quickly discovered that pedCAT greatly surpassed traditional imaging methods. pedCAT technology proved to be ten times faster than X-Ray and CT studies, reduced the number of patient trips to the hospital, and exposed patients to significantly less radiation.

Dr. Lintz also realized the 3D data generated by pedCAT was far more robust than could be interpreted by available software for making foot alignment measurements. So he embarked on a collaboration with CurveBeam engineers to develop a revolutionary new measurement software – TALAS.

TALAS Software demonstration of 3DWBCT hindfoot alignment measure


TALAS (Torque Ankle Lever Arm System) is a groundbreaking feature within pedCAT’s visualization application CubeVue. Currently only applicable for hindfoot alignment with forefoot alignment coming soon, TALAS automatically determines foot and ankle offset in a 3D volume. While not approved as a diagnostic tool in humans, TALAS can be used in research for establishing a 3D database of important anatomical landmarks for future diagnostic use. TALAS is patent pending.

Using TALAS to conduct his own research, Dr. Lintz compared the correlations of 3D and 2D biometrics of hindfoot alignment with actual alignment. What he discovered was a 20% greater correlation with actual alignment using pedCAT’s 3D imaging and TALAS feature. pedCAT outperforms radiographs and non-weightbearing CT scans in detecting correct angles, helping to prevent inaccuracies of projection and foot orientation. And TALAS utilizes this wealth of data to provide remarkably precise measurements.

The innovative features of the TALAS Software

TALAS is the only tool available dedicated to measure hindfoot alignment with a weight bearing 3D dataset. While presently useful for research, Dr. Lintz hopes clinicians around the world will use the software feature to help build a comprehensive database of (anonymized) information, which will allow TALAS to one day serve in diagnosis. Quantifying deformities is the first step to helping medical experts develop treatment plans to correct them. You’re invited to join the data harvesting effort by utilizing TALAS in order to create more positive outcomes for your current, and future, patients.


A company is only as good as its team members, and CurveBeam is no exception. Since our founding in 2009, we’ve been fortunate to add some exceptional professionals to our workforce. All of these amazing individuals are essential to our continued success as a leading manufacturer of imaging solutions for the orthopedic and podiatric specialties. Our pedCAT system has become an indispensable health care tool in the United States, Europe and Australia thanks to the dedication of our entire team. Today, we’d like to recognize a certain member of our staff who consistently goes above and beyond to ensure CurveBeam remains a world-class enterprise. Her name is Simone Adams.

Simone Adams is CurveBeam’s Director of Sales, Western Region and an incredibly talented professional we’re honored to work alongside. She excels in a stressful and competitive environment through hard work, intellectual curiosity, and a commitment to proactive practices. Her skill set is exceptional, and best of all, customers absolutely love her.

Simone is a trained Radiologic technologist. Though she enjoyed the clinical environment in this role, she yearned for new challenges and moved to set up and managed outpatient imaging centers. From there, she pivoted to the vendor side of healthcare and began excelling in sales and business development. Simone has her MBA from Dominican University of California with a focus on Strategic Leadership, and currently serves as a Board Member on the President’s Council there.

She is a dedicated volunteer who has been working for three years on a project to help build a 132-foot wooden brigantine named for the historical San Francisco Bay ship builder Matthew Turner. Once the ship is complete in 2017, Simone will work with other Educational Tall Ships to teach teenagers how to navigate waters locally and abroad. Professionally, Simone’s interests evolve around technology that can help others, and fostering the energy of start-up companies developing new products and bringing them to market.

Simone’s career success can be attributed to how highly she values her customers’ needs, often anticipating new concerns before they arise. She thoroughly enjoys the challenge in finding the perfect solution to help companies and individuals meet their goals. By focusing on customer satisfaction, she has been able to negotiate high value business contracts, generate impressive profits, and execute expansive growth initiatives. She’s also used customer insights to create new business verticals, and fostered collaborations with partners on technology and software projects. All of Simone’s achievements contribute to CurveBeam’s success.

The healthcare industry is notorious for its slow adoption of new technology. Even CurveBeam’s revolutionary pedCAT system, with its innovative design and compact footprint that brings point of care advanced imaging into the foot and ankle specialty, is sometimes challenging to sell. But thanks to Simone’s leadership and the tireless efforts of her sales team, numerous specialty practices around the world have integrated our solution to provide faster and lower cost health care, resulting in happier patients and customers.

According to Simone herself, “it’s all about customer satisfaction! To provide the right solution at the right time…and enjoying your customers, your company and the work you do, every day.”

We’d like to offer our sincerest appreciation to Simone Adams for her outstanding performance, and also a huge “thank you” to all our team members who give 100% each and every day.

To meet the rest of our team, visit us online at or give us a call at (866) 400-0035.


CurveBeam Announces Development of Extremity CT System for Knee

A new orthopedic CT system promises to improve the standard of care for knee imaging. On the CurveBeam LineUp, patients are scanned while standing upright and fully weight bearing.

CurveBeam LineUP
CurveBeam LineUP provides bilataral weight bearing CT imaging of the knees and lower extremities.

Traditional CT and MR images are acquired in a non-weight bearing position, leading to “missed diagnoses of meniscal damage,” according to Dr. Neil Segal, who has been overseeing research efforts using a LineUp prototype, first at the University of Iowa and currently at the University of Kansas.

Neil Segal, MD
Neil Segal, MD

Although plain radiographs can be acquired while the patient is in a full weight-bearing position, the optimal degree of knee flexion and X-Ray beam tilt to best visualize the joint surface is person specific.

“Difficulty in reproducing the same view of the joint over time impairs ability to detect joint disease, and the 2D nature of radiographs makes these images of overlapping bony anatomy very insensitive for detecting abnormalities until there is advanced joint damage,” Dr. Segal said.

The LineUp was developed by CurveBeam, a Pennsylvania-based company that specializes in extremity cone beam CT systems for orthopedics. CurveBeam anticipates it will submit an application for and receive FDA 510(k) clearance for the LineUp in 2017. The LineUp will be on display at RSNA at Booth #8008 in the North Hall.

CurveBeam introduced the pedCAT, a bilateral weight bearing CT system dedicated to the foot and ankle, in 2012. Since then, the device has been added to the imaging services of hospital foot & ankle sections, orthopedic clinics and podiatry offices.

Like the pedCAT, the LineUp will provide isotropic, three-dimensional volumes of the anatomy with a high resolution output of between 0.2 mm and 0.3 mm slices. The LineUp will be the only cone beam CT system that can provide bilateral, weight bearing scans.

A study led by Dr. Segal focused on osteophytes, one structure

linked to pain in people with knee osteoarthritis. Knees of community-dwelling adults with knee OA were imaged with MRI (reference), fixed-flexion radiographs, and weight bearing CT. The sensitivity and accuracy for detecting osteophytes and subchondral cysts were higher with weight bearing CT imaging in comparison to fixed-flexion radiographs. The study was published in the August 2016 issue of the Journal of Orthopedic Research.

“Clinically, this is a highly meaningful improvement,” Dr. Segal said. “It suggests that weight-bearing CT could replace radiographs as the recommended means of assessing knee OA. This advancement is even more significant given that it was made without significantly increasing the radiation dose (0.01 mSv for SCT vs. 0.005–0.102 mSv for a series of knee radiographs).”

Another research effort led by Dr. Segal indicates weight-bearing CT arthrography studies can provide outstanding delineation of articular cartilage with better differentiation between cartilage and subchondral bone then MRI studies, while also visualizing the cruciate ligaments. In knees with osteoarthritis, meniscal tears not visualized on MRI were detectable on weight-bearing CT.

“Thus, we found that some potential advantages of weight-bearing CT over non-weight-bearing MRI/MRA include 3D measures of meniscal position, detection of pathology not detected in unloaded positions, and ability to bear weight in a functional position, thus better recreating the magnitude of body weight and muscle forces acting around the knee during usual standing,” Dr. Segal said.

CurveBeam CT Imaging Technology is Right On Point

Ballet is an art of extremes. As such, the risk factors are high among dancers for developing chronic injury and weakened tissues throughout the lower half of their bodies. About 60% of ballet injuries affect the legs, hips, ankles or feet. Lateral ankle sprains and Posterior Ankle Impingement Syndrome, or the pinching sensation felt during repeated floor or barre work as the heel bone comes into contact with the talus bone, are chief among them.

By the age of 12, ballet dancers are generally considered ready to begin learning the en pointe technique which utilizes the unnatural convergence of the tibia, talus, and calcaneus to lock the ankles in place.

pedCAT weight bearing CT scan of a ballerina en pointe.

While we do know this position may facilitate injury, prior to the advent of advanced CT imaging podiatrists had no method of accurately determining the exact anatomical position of either bones or tissue in this position.

CurveBeam, founded in 2009, designs and manufactures Cone Beam CT imaging equipment for the orthopedic and podiatric specialties. In 2012 CurveBeam’s pedCAT system received official clearance from the FDA, and in 2013, CE Mark approval. With the implementation of tools such as the pedCAT and CubeVue, CurveBeam’s custom visualization software, researchers finally have the capability to help ballet teachers better understand the demands of this position before introducing it to young students.

en pointe sag
pedCAT weight bearing CT scan of a ballerina en pointe

Pointe technique, when examined through an advanced imaging system, reveals the posterior portion of the talus resides beyond its articular surface, while the posterior portion of the tibia’s articular surface leaves the articular surface of the dome to rest on the posterior talus. The three bones converge. According to Dr. Jeffrey A. Russell, Ph.D, A.T., FIADMS:

“Attaining the full en pointe position requires contributions from movements between the bones in the foot. Examples of such movements include sliding between the talus and the navicular, the navicular and the medial cuneiform, and the medial cuneiform and the first metatarsal. These small increments of motion combine to provide approximately 30% of the plantar flexion range.”

pedCAT weight bearing CT ballet
pedCAT weight bearing CT scan of a ballet dancer en releve.

“In addition, it is noteworthy that the talus shifts slightly anterior from under the tibia as the ankle-foot complex moves en pointe. This subtlety arises because the converging tibia, talus, and calcaneus form a fulcrum that applies an anterior force to the talus, somewhat like a watermelon seed being squeezed from between one’s thumb and forefinger.”

Recently, Dr. Russell took to an advanced open MR scanner to review the upright and weight bearing position of uninjured ankles in six university-level dancers who had been dancing for an average of 13 years, and dancing en pointe for an average of seven years.

“All exhibited several traits in their ankle MRIs: the posterior portion of the articular surface of the tibia rested on a nonarticular surface of the posterior talus; the synovial sheaths of the flexor and fibularis tendons collected fluid; Kager’s fat pad was impinged by the posterior tibial plafond; and small ganglion cysts were apparent in one or more spots around the ankle and proximal foot.”

pedCAT weight bearing CT ballet
pedCAT weight bearing CT scan of a ballet dancer en releve

It’s an interesting find, and begs the question: do these conditions increase the likelihood of ballet dancers developing ankle osteochondritis or osteoarthritis?

Not only do advanced imaging systems such as the CurveBeam pedCAT – which was not used in this particular study – reveal the bones’ proper anatomic alignment, but they also enable a close investigation of cartilage quality, which isn’t possible with traditional MR imaging. Bilateral, weight bearing three-dimensional views of the foot and ankle are therefore the most cogent means for specialists to create comprehensive treatment regimens and surgeons to better visualize their surgery plans for better operation outcomes.

Most importantly, however, is Dr. Russell’s recent study confirms the use of orthopedic imaging to examine pointe dancers’ ankles in detail will only continue to offer more insight into the demands placed on the ankle by dancing in this way, ultimately leading to safer instruction, more accurate treatment of injuries, and faster recovery times.

Webinar Summary: Advanced CT Imaging in Foot and Ankle Surgical Considerations

We all know that X-rays and MRIs aren’t the be-all, end-all of diagnostic imagery.

Try determining the frontal plane rotation of the sesamoid and first metatarsal with an X-ray. It isn’t possible. Correction of the hallux valgus rotation in bunion surgery depends largely on the repositioning of the sesamoidal apparatus which is impossible to assess without an axial view, and X-rays fall completely short when it comes to assessing these relational details from the vantage point of a single plane.

Such was the topic of discussion during the latest Curvebeam webinar led by Dr. Bob Baravarian, Director of University Foot and Ankle Institute in Southern California. He explained how weight-bearing 3-dimensional CT scans are changing the game of podiatric diagnostics.

Throughout the webinar, titled “Advanced CT Imaging in Foot and Ankle Surgical Considerations,” Dr. Baravarian offered a very straightforward presentation of the often-not-so-straightforward complexities of foot and ankle deformities and how advanced imaging technology can improve both surgical planning and surgical outcomes. He cited the example of hallux valgus among many others as “impossible to imagine treating without 3-D imaging technology” these days – given the results he’s seen with his patients and scope webinar 3of its applications.

Planning the frontal plane correction of first metatarsal.

“CT scans are very helpful in planning your frontal plane deformity correction of the first metatarsal to get an anatomic position which is really underestimated,” said Dr. Baravarian.

Multi-plane imaging now allows physicians to correct the frontal plane deformity of the metatarsal while simultaneously realigning the sesamoid. The capability is “critical,” said Dr. Baravarian, “for proper outcome with bunion corrections whether you’re doing a LAP or any kind of osteotomy.”

Identifying the cause of hypermobility of the first ray

When you look at a patient who has a significant flat foot deformity and a significant bunion deformity with some level of hyper-mobility of the first ray, 3D CT imaging allows you to locate the exact area in need of correction.

“In patients who have PTTD or even a pediatric flat foot case we really need to decide which planes of correction make the best sense,” said Dr. Baravarian.  “If I correct my first metatarsal, is my hind foot going to realign or is there an outstanding deformity that needs correction?”

webinar captureDetermining the level of arthritis in hallux rigidus and limitus cases. 

“I’m constantly surprised when I go into surgery and I plan a cheilectomy and I open up a joint and there’s significantly more arthritic changes or some kind of osteochondral legion that I couldn’t really see on the X-ray. Or, I plan to do an osteotomy and I go in and the level of arthritis is not as bad as expected,” said Dr. Baravarian.

It’s very difficult to determine the level of arthritis in a hallux rigidus or limitus case based on a radiograph alone. While MRIs are an excellent option for soft tissue imaging and diagnostic ultrasounds still provide accurate, real-time guidance for proper injections –neither of these methods makes sense for treating anatomic alignment and assessing structural deformities.


“With a 3D CT I’m able to look a little more in-depth into the joint and make a better decision prior to surgery.”

Identifying major deformities in complex fractures

Weight-bearing imaging systems allow you to place a foot in its anatomic position and adjust its deformity to see what level of correction you can get across multiple planes.

It “doesn’t makes sense,” according to Dr. Baravarian, “to plan the correction of a complex fracture without a sense of what’s going on inside the foot and ankle.”

Our traditional method of two-dimensional x-rays doesn’t provide the highest level of certainty that doctors need in order to administer the best care possible to their patients where deformity planning is essential for proper surgical outcomes.

Now, with the help of tools such as the pedCAT, a compact 3D weight-bearing CT imaging system, podiatrists have everything they need to create comprehensive treatment plans and more effective surgeries. Better outcomes. Less risk. And patients back on their feet faster than they ever expected.

You can access the entire webinar here. A FOOT Innovate membership is required to access the content. Membership is complimentary for foot & ankle specialists.