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Our surgical team successfully used ICG fluorescence imaging to visualize an intramural LAD during a challenging robotic CABG. Intramural coronary arteries can pose significant difficulties in localization for optimal graft placement. Administering ICG and utilizing fluorescence imaging allowed clear real-time delineation of the entire intramural LAD course, providing critical...

50,071 просмотров • 2 лет назад •via X (Twitter)

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PHOTON COUNTING CT is NOT a better CT It is a NEW imaging modality Photon Counting CT (PCCT) represents a transformative leap in medical imaging, not only as a molecular imaging modality but also as a technology offering ultra-high resolution and functional imaging capabilities. It is fundamentally more than just an enhanced version of traditional CT—PCCT introduces new ways of seeing and understanding the human body, providing critical insights at the molecular, structural, and functional levels. This positions PCCT as a unique imaging modality that requires a fresh approach to technical implementation, operational workflows, and financial planning. Despite the larger upfront investment, PCCT’s ability to drastically reduce downstream healthcare costs makes it a highly valuable investment in the long run. 1. Technical Innovations • Molecular Imaging and Energy Discrimination: Unlike traditional CT, which simply measures the total absorbed energy, PCCT counts individual X-ray photons and differentiates their energy levels. This allows for precise molecular imaging, revealing the composition of tissues and materials at a biochemical level. By distinguishing between different tissue types and contrast agents, PCCT opens up new diagnostic possibilities, such as identifying molecular biomarkers in tumors or distinguishing between stable and unstable plaque in coronary arteries. This capability shifts the focus of imaging from purely anatomical to both anatomical and molecular, offering more comprehensive diagnostic information. • Ultra-High Spatial Resolution: PCCT features significantly smaller detector elements compared to conventional CT scanners, allowing for ultra-high resolution imaging. This means clinicians can visualize fine structures such as microcalcifications in arteries, small lesions in soft tissues, or the intricate architecture of bones. This level of detail was previously unattainable with traditional CT. When combined with molecular imaging, this ultra-high resolution allows for the precise localization and characterization of disease at very early stages, which is essential for early diagnosis and intervention. • Functional Imaging Capabilities: PCCT also excels as a functional imaging modality. By capturing energy-resolved information, PCCT can provide insights into tissue functionality and dynamic physiological processes. For instance, it can detect changes in blood flow, tissue perfusion, and oxygenation without the need for additional contrast agents or scans. This functionality allows for real-time assessment of physiological processes, making it particularly valuable in cardiology, oncology, and neurology for evaluating organ function and monitoring disease progression. • Reduced Noise and Artifact Reduction: Photon-counting technology dramatically reduces electronic noise and imaging artifacts, such as beam hardening, resulting in clearer and more accurate images. The ability to deliver ultra-high resolution images with minimal artifacts improves diagnostic accuracy, reducing the need for repeat scans and ensuring that even subtle abnormalities are detected. 2. Operational Considerations • New Workflow for Molecular, High-Resolution, and Functional Imaging: The integration of molecular, ultra-high resolution, and functional imaging into routine clinical workflows introduces complexity that requires adaptation. Radiologists and technicians need specialized training to interpret and analyze multi-energy datasets that include molecular and functional information. PCCT produces a vast amount of detailed data, requiring clinicians to adopt new imaging protocols and refine their diagnostic approaches to fully leverage its capabilities. • Post-Processing and Data Management: PCCT generates richer, more complex datasets, which necessitates advanced post-processing tools and data management systems. Existing PACS and imaging software may not be equipped to handle such large volumes of data or to process functional and molecular information effectively. This means healthcare institutions must invest in robust IT infrastructure, including upgraded software and storage solutions, as well as provide additional training for staff on new imaging analysis techniques. • Revised Clinical Protocols: The molecular, functional, and ultra-high resolution imaging capabilities of PCCT will likely prompt changes in clinical protocols. For instance, the need for contrast agents may be reduced, simplifying patient preparation and decreasing the risk of adverse reactions. Additionally, the ability to monitor physiological functions in real-time through functional imaging could lead to more dynamic diagnostic procedures, such as assessing the effectiveness of interventions or treatments in real-time. 3. Financial Impact • Higher Initial Investment: PCCT systems are more expensive than traditional CT scanners due to their advanced technology, which includes photon-counting detectors and the computational power required for high-resolution, molecular, and functional imaging. While this upfront cost is significant, it is crucial to view it in the broader context of the downstream benefits and cost reductions that PCCT offers. • Downstream Cost Reductions: Although the initial capital investment is higher, PCCT’s ability to combine molecular, functional, and ultra-high resolution imaging leads to substantial reductions in downstream healthcare costs. Its superior diagnostic accuracy minimizes the need for follow-up tests, repeat scans, or invasive diagnostic procedures, such as diagnostic coronary angiographies. For example, in cardiology, PCCT can precisely differentiate between types of coronary plaque, reducing the need for invasive procedures to assess risk. • Lower Overall Healthcare Expenditures: By enabling earlier, more accurate diagnoses, PCCT can reduce the overall cost of patient care. Early detection of disease, particularly through its molecular and functional imaging capabilities, allows for more targeted treatments, potentially preventing the need for more aggressive and expensive interventions down the line. For instance, early-stage tumor detection via molecular imaging could lead to less invasive treatments, reducing hospital stays and improving patient outcomes, ultimately driving down healthcare costs. • Increased ROI Through Enhanced Patient Outcomes: Over time, the combination of molecular, functional, and ultra-high resolution imaging enhances diagnostic precision, which translates into better patient outcomes. Improved diagnostic accuracy reduces the incidence of unnecessary procedures, minimizes treatment delays, and results in more personalized and effective care. This leads to increased patient satisfaction, better healthcare outcomes, and greater patient throughput—all factors that improve the institution’s return on investment (ROI). • Competitive Advantage and New Revenue Streams: By adopting PCCT, healthcare institutions position themselves at the forefront of advanced imaging technologies. The ability to offer molecular, functional, and ultra-high resolution imaging creates a competitive advantage, attracting more complex and high-value cases. This can boost the institution’s reputation for excellence in diagnostics, leading to increased referrals, new patient populations, and expanded revenue opportunities. Summary Photon Counting CT (PCCT) is not just an evolution of existing CT technology—it is a molecular, ultra-high resolution, and functional imaging modality that fundamentally transforms the diagnostic landscape. Its ability to capture detailed molecular data, visualize minute anatomical structures with ultra-high resolution, and provide real-time functional imaging opens new possibilities for earlier and more precise diagnoses. While the financial investment in PCCT is larger, the reduction in downstream healthcare costs through improved diagnostic accuracy, fewer unnecessary interventions, and earlier disease detection far outweighs the initial expense. For institutions committed to advancing patient care and improving long-term financial outcomes, PCCT is an essential investment in the future of medical imaging. The video attached shows a patient accessing the Hospital for ACS. PCCT can provide ALL the imaging information of the concurrent imaging modalities (CXR, CAG, Echo, CMR) that you see around it... that's a lot! #PhotonCountingCT #MolecularImaging #UltraHighResolution #FunctionalImaging #FutureOfImaging #AdvancedMedicalImaging #EarlyDiseaseDetection #InnovativeCT #CuttingEdgeHealthcare #PrecisionDiagnostics #HealthcareInnovation #MedicalTechnology #CostEffectiveImaging #NextGenCT #PatientCareRevolution

Dr. Filippo Cademartiri

11,849 просмотров • 1 год назад

I am humbled to share a significant milestone in pancreatic surgery: I recently performed the first-ever da Vinci single-port robotic distal pancreatectomy and splenectomy without an additional incision for pancreatic cancer in the United States, approved by both the Institutional Review Board and IDE from the FDA through a 2cm incision inside the belly button leaving no additional scar. This pioneering procedure not only achieved negative margins but also allowed for the thorough harvesting of all local lymphatics, a critical factor in ensuring comprehensive cancer treatment. I am grateful to report that the patient is doing exceptionally well, and it was a privilege to see him in the clinic several days post-operation. The images included illustrate the operating room moments and a snapshot of our follow-up clinic visit with my remarkable ARNP Dana Manzi and myself. This journey underscores the importance of innovation in surgical techniques and the profound impact they can have on patient outcomes. Thank you to everyone who has supported and believed in this work. THANK YOU INTUITIVE SURGICAL FOR DEVELOPING SUCH AN INCREDIBLE SURGICAL TECHNOLOGY. #pancreaticcancer #DaVinciSinglePortRobot #women #roboticsurgery #innovations #surgery AdventHealth AdventHealthWFL AdventHealthCFL BayCare HCA Healthcare Moffitt Cancer Center Tampa General Hospital USF Health Medicine USF Health UCF Health FSU Seminoles FLORIDA UMiami Health System Miller Medicine FIU Intuitive Medtronic Johnson & Johnson Olympus Boston Scientific NVIDIA Women in Surgery WomenSurgeons SAGES is in Vegas in 2027! AHPBA E-AHPBA IHPBA American College of Surgeons Journal of the American College of Surgeons (JACS) Florida Lancer SSAT Society of Robotic Surgery | SRS Society of Laparoscopic & Robotic Surgery (SLS) Pancreatic Cancer Action Pancreatic Cancer North America

Sharona B. Ross

27,526 просмотров • 2 месяцев назад

It is sad the extent to which human beings can go for social media views and clicks, sometimes outrightly endangering the lives of people they claim they love. From a medical personnel point of view, Cute Abiola exposed his wife to harm by his presence in the theatre during her Caeserean Section. He was there without a surgical mask which contravenes everything medicine stands for Surgical masks in the theatre prevents surgical site infection. The nose and upper respiratory tract contain billions of bacteria like staphylococcus aureus which poses a great risk to the surgical site. Risk of spread is even higher if you are talking during the surgery , as he was in the video. When you see surgeons cover their nose and mouth, they are not doing it for aesthetics . They are doing so to protect the patient. Cute Abiola being in the OR with his wife’s abdomen open and his nose and mouth open, put his wife in harm’s way. Moreover the position he was staying during the surgery is exclusively the position of an anesthesiologist . The anesthesiologist must stay at the head of the patient throughout the surgery. This ensures that any abnormal lapse in consciousness is spotted immediately and flagged for emergency response. So many things could have gone wrong by him taking over the position of the anesthesiologist just for views, clicks and social media awwww The surgical team should be arrested. Cute Abiola himself should be arrested.

Dr Penking™

335,135 просмотров • 3 месяцев назад

In a revelation that underscores a paradigm shift in modern medicine, Dr. Sabine Hazan shares a profound, albeit anecdotal, discovery from the frontier of microbiome science. Her work pivoted on a single, staggering observation: the power of the gut to directly influence the human mind. Dr. Hazan recounts an incidental finding where she administered a fecal transplant from a carefully selected, happy, and healthy donor—a yoga instructor and vegetarian rigorously evaluated for her optimal mental and physical state—to a patient suffering from a constellation of severe issues: suicidal depression, chronic infections, and psoriasis. The outcome was nothing short of remarkable. The patient, once trapped in a cycle of physical and mental anguish, was no longer suicidal. This singular case, as Dr. Hazan is quick to note, is not a reproducible study but a powerful signal. It illuminates a critical and often overlooked variable: the donor's holistically defined health. Too often, she warns, we assume any "healthy" neighbor is a suitable donor, oblivious to the hidden struggles—the silent depression, anxiety, or despair—that may reside within them and could be transferred. For Dr. Hazan, this is more than a promising field of research; it is the pivotal medical frontier of our time. She argues with unwavering conviction that understanding the microbiome is the single most important pursuit for our current generation. It is a mission so urgent that it demands we push past the unknowns and conventional pace of science. To ignore this is to risk everything, for these microscopic inhabitants not only dictate our vitality in life but ultimately reclaim our bodies in death. The message is clear: the future of human health, and the well-being of our children, depends on our willingness to look within—to the vast, powerful universe inside our gut.

Camus

35,955 просмотров • 10 месяцев назад

The Dallas Police Department’s new Drone as First Responder program officially launched today with eight remotely piloted drones based at Dallas Fire-Rescue stations across the City of Dallas. These drones are operated out of the Fusion/Real Time Crime Center and are designed to respond to calls for service in a two-mile radius from their base station. The base locations were selected based on heat maps of calls for service for both police and fire, placing them where they can potentially respond to the greatest number of calls. The pilots will be able to get to the scene quicker than in a squad car and begin to provide real-time intelligence and feedback to officers, as well as reduce the level of response or clear a call entirely if the incident has resolved. If a pilot sees a call in a drone’s response area where aerial intelligence can enhance officer safety, they can deploy a drone to provide critical updates to officers at the scene. Each drone is equipped with a thermal camera to help during nighttime operations, as well as a loudspeaker to make announcements to individuals on the ground. “I challenged our team to find innovative ways to continue improving our response times, and this new drone unit will not only keep officers free to respond to more calls, but provide real time updates as they are responding to calls,” said Dallas Police Chief Daniel Comeaux. “Even during our training, our pilots were able to clear three holding calls in an hour with one drone. That alone proved their value to us, and I’m looking forward to seeing the benefits in both officer safety and response times.” Our public safety partners at Dallas Fire-Rescue will also be utilizing the Drone as First Responder program, with training for pilots underway. Under the new program, in the event of a reported structure fire, a drone will be dispatched to the scene ahead of arriving apparatus. This real-time aerial perspective will allow incident command to assess the size, scope, and intensity of a fire before firefighters even step off the apparatus. “Dallas Fire-Rescue is proud to collaborate with DPD on any initiative that will make our city safer,” said Justin Ball, Chief of Dallas Fire-Rescue. “By strategically docking the drones at our fire stations in high-demand areas, we are optimizing our response times and ensuring our tactics are more precise, while adding an extra layer of protection for the city.” This collaborative partnership between police and fire departments represents a major step forward in using smart-city technology to protect both residents and first responders.

Dallas Police Dept

10,318 просмотров • 2 месяцев назад

Last night, Washoe County Sheriff’s Office DFR (Drone as First Responder) pilots used RapidSOS live 911 monitoring to launch one of our unmanned aerial vehicles, commonly known as a drone, in response to a report of a suspicious person in the backyard of a residence in Sparks. The drone was airborne and on scene within three minutes of the call being broadcast to patrol deputies. Once overhead, DFR pilots began canvassing the area and relaying real-time information to responding deputies. Using thermal imaging in low-light conditions, the drone successfully located the suspect in the backyard of a nearby residence on Cromwell Place. Pilots continued to provide live updates on the suspect’s location and behavior, allowing deputies to safely detain the individual without incident. Further investigation revealed the suspect, identified as Ryan Davis, 38, had forcibly entered a residence and moved through multiple neighboring backyards prior to being located. Davis was arrested and transported to the Washoe County Detention Facility, where he was booked on a felony charge of home invasion and an additional charge of trespassing. This incident highlights the outstanding coordination between patrol deputies and our DFR pilots, demonstrating how advanced aerial technology is not used for routine surveillance or to monitor lawful activity. DFRs are deployed for specific, time-limited public safety purposes—their use allows deputies to gain real-time situational awareness before making contact, often reducing the need for force and lowering risk to both the public and responding officers. This technology helps deputies make informed decisions, slow situations down, and choose safer resolutions whenever possible. At its core, this program is about saving time, saving lives, and improving outcomes—for victims, for our community members, and for our deputies. By using technology responsibly and transparently, we can respond more effectively to emergencies. #WCSO #DFR #Pilots #DroneasFirstResponder #PublicSafety #CommunitySafety #ProudSheriff

Washoe Sheriff

11,171 просмотров • 6 месяцев назад

#WATCH | Ghaziabad, UP: On the Surya Murder Case, DCP Dhawal Jaiswal says, "An accident occurred on 28 May, in which Surya Chauhan was stabbed by an individual named Asad, who died during treatment. Based on a complaint filed by his family, a police station has registered a case against five people. A case was registered in Khoda under relevant sections, and swift action was taken, resulting in the arrest of the three main accused. Asad, the main accused in this incident, was absconding, and a reward of Rs 50 thousand had been announced by the police team. Today, the police team received information that Asad was going to meet some of his friends in the Khoda police station area and was planning to escape after taking some money from them. Based on this information, the entire team combed the entire area and set up checkpoints. In this sequence, Asad and one of his friends are seen arriving here on a bike. The police team attempts to stop them and warn them, but instead of stopping, they open fire on the police team. In the retaliatory fire, the police fire in self-defence, in which Asad is shot. Asad is immediately taken to the hospital for treatment. During this exchange of fire, one of our constables was also injured and has been taken to the hospital... Asad's bike has been recovered, and the pistol he used to fire has also been recovered. The police are conducting a thorough investigation of the entire incident and taking further legal action."

ANI UP/Uttarakhand

348,676 просмотров • 2 месяцев назад

The LUCAS device, also known as the Lund University Cardiopulmonary Assist System, is revolutionizing the way we perform CPR (Cardiopulmonary Resuscitation). This mechanical marvel is designed to deliver high-quality chest compressions during cardiac arrest, ensuring consistent and uninterrupted compressions that are crucial for maintaining blood circulation and oxygen delivery to vital organs. How does LUCAS work? Imagine a portable, easy-to-use device that can seamlessly integrate into your emergency response protocol. The LUCAS device does just that, providing consistent and high-quality chest compressions, even during transport or in challenging environments. This frees up healthcare providers to focus on other critical tasks during resuscitation efforts, optimizing the overall care for the patient. Why is LUCAS so important? Manual chest compressions, while essential, can be inconsistent and tiring for healthcare providers, especially during prolonged resuscitation attempts. The LUCAS device ensures that the patient receives the necessary compressions at the correct depth and rate, enhancing the chances of successful resuscitation. Benefits of using LUCAS: Improved chest compression quality:LUCAS consistently delivers high-quality chest compressions, even in challenging situations. Reduced provider fatigue:By taking over chest compressions, LUCAS allows healthcare providers to focus on other critical tasks. Enhanced patient outcomes:Consistent and effective chest compressions are crucial for improving patient survival rates after cardiac arrest. Where is LUCAS used? The LUCAS device is becoming increasingly popular in hospitals and emergency medical services worldwide. Its portability and ease of use make it ideal for use in various settings, including ambulances, operating rooms, and even during transport. The future of CPR: The LUCAS device represents a significant advancement in CPR technology. Its ability to deliver consistent and high-quality chest compressions is revolutionizing the way we respond to cardiac arrest, ultimately improving patient outcomes. As technology continues to evolve, we can expect even more innovative solutions to emerge in the field of CPR, further enhancing our ability to save lives."

Fatai Ibrahim, RN,MSN 🇳🇬🇺🇸

54,852 просмотров • 1 год назад

🫀 Why Photon-Counting CT Is the New Standard for Non-Invasive Stent Imaging Because “Uninterpretable” Should No Longer Be Acceptable For years, coronary stent evaluation by CTA was often dismissed: “Too much blooming.” “Too much metal artifact.” “Just send the patient to invasive angiography.” That paradigm belongs to the past. Photon-Counting CT (PCCT) is changing non-invasive stent imaging from a limitation into a true diagnostic tool. 🧠 Why conventional CT struggles With standard EID-CT: - Metallic struts create significant blooming - Partial volume effects obscure the intrastent lumen - Small stents become nearly unreadable - Motion artifacts worsen proximal and ostial evaluation The result? 👉 Many stents are labeled “non-diagnostic” 👉 Patients are sent to unnecessary invasive angiography ⚡ Why PCCT changes everything -Ultra-high spatial resolution - Sharper visualization of stent struts - Clear assessment of the true intrastent lumen Reduced blooming artifacts - Metal appears closer to reality - Less artificial lumen narrowing High temporal resolution - Better imaging of proximal, ostial, and fast-moving segments - Reduced motion blur around the stent High iodine concentration contrast (400 mg I/mL) - Strong intraluminal enhancement - Better contrast between lumen and metal - Spectral capability Additional confidence separating iodine signal from stent artifact 🎯 The clinical shift From: “Can we read this stent?” To: “We can characterize it with confidence.” - Restenosis - Stent patency - Aneurysm repair - Complex proximal LAD interventions - Left main and bifurcation stents >>>> all become more reliably assessable. From invasive default to non-invasive confidence and convenience. From metallic blur to diagnostic clarity. That’s why PCCT is becoming the new standard for coronary stent imaging. ⚡🫀 #PhotonCountingCT #PCCT #CoronaryCTA #StentImaging #CardiacCT #CoronaryStent #UltraHighResolution #RadiologyInnovation #yesCCT

Dr. Filippo Cademartiri

19,835 просмотров • 3 месяцев назад

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

Wall Street Apes

115,712 просмотров • 1 год назад