Appendicitis a common disease
|
|
- Tamsin Williamson
- 5 years ago
- Views:
Transcription
1 Appendicitis a common disease n Suspicion of appendicitis 300/ inh/year n Large variations in use of: - laboratory examination - in-hospital observation with repeat examination - diagnostic imaging - laparoscopic vs open appendectomy - non-surgical treatment n Large variations on costs and outcome 1
2 Untreated appendicitis - a ticking bomb? Balance between perforation - negative appendectomi Proportion perforations (%) Velanovich Proportion negative appendectomies (%) focusing on the negative appendectomy rate is inappropriate. Rather, the primary focus should be upon the perforation rate. 2
3 Appendectomies in Jönköping, 1970 to 2006 Proportions By an improved clinical diagnosis (no diagnostik imaging or laparoscopy) we have seen a decreasing proportion of negative appendectomies. Increasing proportion of perforation Are we putting our patients at risk? Numbers per inhabitants 95% decrease in number of negative appendectomies Unchanged number of perforations 60% decrease in number of non-perforated appendicitis Incidence per inh Proportion (%) Negative Perforation Year period Perforated Non/perforated Not inflamed R Andersson et al. BMJ Time period Wide indications for surgery does not prevent perforations but detects more cases of appendicitis that would otherwise resolve Incidence per inh Perforated Non perforated Incidence of negative explorations per inh R Andersson et al. BMJ 1994 Review of 7 studies, n=53,143 3
4 Diagnostic laparoscopy on wide indications detects more appendicitis cases that would otherwise resolve Early laparoscopy vs conventional treatment in patients with right iliac fossa pain Early Conventional Decadt et al, 1999 laparoscopy management p-value Number patients operated appendicitis Morino et al, 2006 Number patients operated appendicitis Resolving appendicitis is common! n Many cases of appendicitis goes undetected n Not all patients with appendicitis need treatment n Increased use of diagnostic imaging will result in increased detection of appendicitis 4
5 Appendectomy rate per inh. Swedish hospitals Perforated Non-perforated Negative Other diagnoses Incidence per inh Routine imaging compared to selective imaging Comparison of two hospitals in Sweden Danderyds hospital Ryhov hospital Non-perforated Non-perforated Perforated Perforated Negative Negative 5
6 Increasing incidence of appendicitis in the USA from the middle of the 1990s Livingstone et al, Ann Surg 2007 Imaging for the diagnosis of appendicitis Rao The radiologist makes the diagnosis better and cheaper 6
7 Imaging has good diagnostic properties Ultrasound CT 35 studies Sens 0.75 Spec 0.94 ROC area studies Sens 0.94 Spec 0.93 ROC area 0.98 But how does it compare with clinical diagnosis? n Restrospective studies comparing patients that had imaging with those who did not! - selection bias 7
8 But how does it compare with clinical diagnosis? n Comparison of provisional clinical diagnosis with final diagnosis after imaging - provisional diagnosis is provisional! - clinical presentation changes with time Toorenvliet BR et al 2010 But how does it compare with clinical diagnosis? n Retrospective studies comparing outcomes in the pre- and post-imaging era - was imaging the only intervention? - are the patients comparable? 8
9 Increased use of CT - no impact on outcome Rao s report in NEJM Okt 1996-mars CT examinations 106 operations 16 not inflamed (15%) April sept CT examinations 120 operations 16 not inflamed (13%) Mc Donald G, Am Surg 2001 Frei et al, Am J Emerg Med 2008;26:
10 july1992- sept p-value Observation period, months CT scans Operations Proportion negative 20% 7% <0.001 Proportion perforated 22% 14% Recalculated as numbers per month: Negative Perforerated ns Non-perforated <0.001 Increased use of CT leads to more operations! Randomised trials: Ultrasound compared with clinical diagnosis n Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score. Douglas C et al. BMJ patients had US and 142 conventional management (observation) - US has high sensitivity (0.95) and specificity (0.89) - no effect on proportion of negative appendectomy (9 vs 11%, p=0.59) - more appendicitis cases in US group (46 vs 39%, p=0.23) n.. US could lead to an increase in therapeutic operations by correctly diagnosing appendicitis in patients who may have recovered during a period of observation. n graded compression ultrasonography has not been shown to produce better outcomes than clinical diagnosis alone. 10
11 Randomised trials: CT compared with clinical diagnosis n Walker et al, Am J Surg patients with suspicion of appendicitis - proportion of operations was the same (57 vs 57%) - slightly more appendicitis cases after CT scan (54 vs 46%) - fewer negative appendectomies (3 vs 11%, p=0.09) CT scan should be routinely performed for every patient whom the surgeon suspects of having appendicitis n Hong et al, Surg Inf patients with indeterminate Alvarado score - no difference in negative appendectomy (8 vs 14%, p=0.50) Computed tomography should not be considered the standard of care for the diagnosis of appendicitis. n Lopez et al, Am Surg women in childbearing age - no difference in negative appendectomy (5 vs 12%, p=0.62) CT in women of childbearing age who presented with right lower quadrant was not significantly different from clinical assessment STRAPP-score study Baseline registration N=1793 Intervention Lecture on the use of AIR score 25 hospitals Total 4468 patients Implementation of AIR-score and algorithm N=2675 Score <5 Observation at home N=996 Score 5-8 Randomisation N=1078 Score>8 Operation N=262 Imaging N=548 Repeat scoring 4-8 hours of observation N=530 11
12 STRAPP-score study Preliminary results Number of randomised patients with AIR score 5-8 Observation Imaging p-value Negative appendectomy Non-perforated appendicitis Perforated appendicitis Appendicitis abscess Other diagnosis Not operated Total Conclusion n Randomized trials does not support that diagnostic imaging is better than clinical assessment for diagnosing acute appendicitis! n The routine use of diagnostic imaging in patients with suspicion of appendicitis may lead to more (unnecessary) operations for resolving appendicitis! n We need to better define the role of imaging in the algoritm for the managament of patients with suspicion of appendicitis. 12
Gastrointestinal Imaging Original Research
Gastrointestinal Imaging Original Research Lee et al. Low-Dose CT in Cases of Suspected Appendicitis Gastrointestinal Imaging Original Research Yoon Jin Lee 1 Bohyoung Kim 1 Yousun Ko 1 Kyung Eun Cho 1
More informationMedtronic Payer Solutions
Medtronic Payer Solutions Delivering Cost-Savings Opportunities through Minimally Invasive Surgery In today s business environment, managing employee overhead and healthcare benefit costs necessitate that
More informationPolicy for the Surgical Release of Trigger Finger Policy Number 32 (Pan Lancashire)
Policy for the Surgical Release of Trigger Finger Policy Number 32 (Pan Lancashire) Version of: December 2017 Version of: November 2017 Version Number: Changes Made: 1.1 OPCS and ICD codes added to appendices
More informationResearch Article Developing an Intelligent Automatic Appendix Extraction Method from Ultrasonography Based on Fuzzy ART and Image Processing
Computational and Mathematical Methods in Medicine Volume 2015, Article ID 389057, 10 pages http://dx.doi.org/10.1155/2015/389057 Research Article Developing an Intelligent Automatic Appendix Extraction
More informationEdge Detection and Diameter Measurement of Appendiceal Ultrasound Images for the Assessment of Acute Appendicitis
Edge Detection and Diameter Measurement of Appendiceal Ultrasound Images for the Assessment of Acute Appendicitis NIK NUR ZULIYANA MOHD RAJDI, LEE MEE YUN, HEAMN NOORI ABDULJABBAR, WAN MAHANI HAFIZAH,
More informationWhat to expect at your outpatient consultation. Hospitals + Health Checks + Physio + Gyms
What to expect at your outpatient consultation. Hospitals + Health Checks + Physio + Gyms We are here to answer any questions you have about surgery. We listen to you and guide you through every part of
More informationSecurity and Risk Assessment in GDPR: from policy to implementation
Global Data Privacy Security and Risk Assessment in GDPR: from policy to implementation Enisa Workshop Roma - February 8, 2018 Nicola Orlandi Head of Data Privacy Pharma Nicola Orlandi Nicola Orlandi is
More informationE5 Implementation Working Group Questions & Answers (R1) Current version dated June 2, 2006
INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE E5 Implementation Working Group & (R1) Current version dated June 2, 2006 ICH Secretariat,
More informationAI: will the machines save the world (and make me redundant)? Gregor Russell R&D Director Consultant Old Age Psychiatrist Honorary Senior Lecturer
AI: will the machines save the world (and make me redundant)? Gregor Russell R&D Director Consultant Old Age Psychiatrist Honorary Senior Lecturer Your therapist will see you now. The rise of the machines?
More information30 lesions. 30 lesions. false positive fraction
Solutions to the exercises. 1.1 In a patient study for a new test for multiple sclerosis (MS), thirty-two of the one hundred patients studied actually have MS. For the data given below, complete the two-by-two
More informationCorporate Perspective Alcon Unanswered Technical Challenges that Still Need to be Overcome
Corporate Perspective Alcon Unanswered Technical Challenges that Still Need to be Overcome Ronald Krueger, MD Refractive Industry Challenges Diagnostic Improvement Optimal Laser Performance Corneal Factors
More informationTianjin Onehealth Medical Instruments. Onehealth Your surgical solutions partner
Tianjin Onehealth Medical Instruments Introduction Tianjin Onehealth Medical Instruments Co Ltd is a part of KXBD Group which was established in 2006. Onehealth has a long term and massive investment strategy
More informationAutomated Detection of Early Lung Cancer and Tuberculosis Based on X- Ray Image Analysis
Proceedings of the 6th WSEAS International Conference on Signal, Speech and Image Processing, Lisbon, Portugal, September 22-24, 2006 110 Automated Detection of Early Lung Cancer and Tuberculosis Based
More information& Medical Tourism. DIHTF - Dubai 20 th -21 st Feb 2018 V S Venkatesh -India
& Medical Tourism DIHTF - Dubai 20 th -21 st Feb 2018 V S Venkatesh -India The human brain is an amazing work of art, it has very complex neural circuits and the way it registers, stores, processes and
More informationCapture-recapture studies
Capture-recapture studies Laura Anderson Centre for Infections Health Protection Agency UK Reiterating underlying assumptions 1) No misclassification of records (perfect record linkage) 2) Closed population
More informationRENDERING MEDICAL INTERVENTIONS VIRTUAL AND ROBOT
RENDERING MEDICAL INTERVENTIONS VIRTUAL AND ROBOT Lavinia Ioana Săbăilă Doina Mortoiu Theoharis Babanatsas Aurel Vlaicu Arad University, e-mail: lavyy_99@yahoo.com Aurel Vlaicu Arad University, e mail:
More informationENDOSCOPIC ULTRASOUND SYSTEMS
ENDOSCOPIC ULTRASOUND SYSTEMS DISCOVER HIGH-PRECISION DIAGNOSES AND PROCEDURES NEW ENDOSCOPIC ULTRASOUND Ultrasonography revolutionized the clinical approach to patients with digestive and respiratory
More informationExtracting Actionable Findings of Appendicitis from Radiology Reports Using Natural Language Processing
Extracting Actionable Findings of Appendicitis from Radiology Reports Using Natural Language Processing Journal: 2013 AMIA Summit on Translational Bioinformatics Manuscript ID: AMIA-031-T2013.R1 Manuscript
More informationGuide To Medical Image Analysis Methods And Algorithms Advances In Computer Vision And Pattern Recognition
Guide To Medical Image Analysis Methods And Algorithms Advances In Computer Vision And Pattern Recognition We have made it easy for you to find a PDF Ebooks without any digging. And by having access to
More informationParameter Estimation Techniques for Ultrasound Phase Reconstruction. Fatemeh Vakhshiteh Sept. 16, 2010
Parameter Estimation Techniques for Ultrasound Phase Reconstruction Fatemeh Vakhshiteh Sept. 16, 2010 Presentation Outline Motivation Thesis Objectives Background Simulation Quadrature Phase Measurement
More informationDisclosure of Financial Relationships. Why Am I So Unhappy? Jeff Wiese, MD, FACP, MHM Professor of Medicine Tulane University Health Sciences Center
Disclosure of Financial Relationships Why Am I So Unhappy? Jeff Wiese, MD, FACP, MHM Professor of Medicine Tulane University Health Sciences Center The Story of Us Hospitalists vs Gen Internists Length
More informationnothing is more important than health
nothing is more important than health affidea affinity with doctors and patients affidea trust and fidelity in everything we do affidea constant progress through ideas and innovation Much has changed in
More informationIssuing and Appropriate Completion of Medical Certification of Causeof-Death Forms by Physicians at a Tertiary Teaching Hospital in Nigeria
ORIGINAL ARTICLE Issuing and Appropriate Completion of Medical Certification of Causeof-Death Forms by Physicians at a Tertiary Teaching Hospital in Nigeria Cornelius O UKAH 1 Alexander M NWOFOR 2 1 Department
More informationInfrared Screening. with TotalVision anatomy software
Infrared Screening with TotalVision anatomy software Unlimited possibilities with our high-quality infrared screening systems Energetic Health Systems leads the fi eld in infrared screening and is the
More informationMedical robotics and Image Guided Therapy (IGT) Bogdan M. Maris, PhD Temporary Assistant Professor
Medical robotics and Image Guided Therapy (IGT) Bogdan M. Maris, PhD Temporary Assistant Professor E-mail bogdan.maris@univr.it Medical Robotics History, current and future applications Robots are Accurate
More informationAcquisition of MST Medical Surgery Technologies Ltd:
Acquisition of MST Medical Surgery Technologies Ltd: Meaningfully Bolsters Senhance Platform Innovation to Further Advance Digital Laparoscopy September 24, 2018 2 FORWARD LOOKING STATEMENTS This presentation
More informationSan Diego. March 2, American College of Surgeons Surgical Health Care Quality Forum. American College of Surgeons
American College of Surgeons Inspiring Quality: Highest Standards, Better Outcomes American College of Surgeons Surgical Health Care Quality Forum San Diego March 2, 2012 Scripps Memorial Hospital La Jolla
More informationBy Dr. Nicholas Hugentobler
By Dr. Nicholas Hugentobler TABLE OF CONTENTS Introductory Letter From Dr. Nicholas Hugentobler... 2 NUMBER 1: Do They Fully Understand Your Needs?... 3 NUMBER 2: Do They Take A Consultative Approach?...
More informationCOMPONENT II CANDIDATE STUDY GUIDE PEDIATRIC DENTISTRY
COMPONENT II CANDIDATE STUDY GUIDE PEDIATRIC DENTISTRY Introduction The intent of this guide is to provide the candidate with an understanding of the format used for the Component II of the National Dental
More information1 May Telesurgery with haptic sensation: The future of surgery. Michael Stark The New European Surgical Academy (NESA)
1 May 2014 Telesurgery with haptic sensation: The future of surgery Michael Stark The New European Surgical Academy (NESA) Disclosure Michael Stark is the scientific advisor for the EU/SOFAR European Telesurgical
More informationImproving Depth Perception in Medical AR
Improving Depth Perception in Medical AR A Virtual Vision Panel to the Inside of the Patient Christoph Bichlmeier 1, Tobias Sielhorst 1, Sandro M. Heining 2, Nassir Navab 1 1 Chair for Computer Aided Medical
More informationIhor TROTS, Andrzej NOWICKI, Marcin LEWANDOWSKI
ARCHIVES OF ACOUSTICS 33, 4, 573 580 (2008) LABORATORY SETUP FOR SYNTHETIC APERTURE ULTRASOUND IMAGING Ihor TROTS, Andrzej NOWICKI, Marcin LEWANDOWSKI Institute of Fundamental Technological Research Polish
More informationSimendo laparoscopy. product information
Simendo laparoscopy product information Simendo laparoscopy The Simendo laparoscopy simulator is designed for all laparoscopic specialties, such as general surgery, gynaecology en urology. The simulator
More informationA Case Study on the Use of Unstructured Data in Healthcare Analytics. Analysis of Images for Diabetic Retinopathy
A Case Study on the Use of Unstructured Data in Healthcare Analytics Analysis of Images for Diabetic Retinopathy A Case Study on the Use of Unstructured Data in Healthcare Analytics: Analysis of Images
More informationUsing Web-Based Computer Graphics to Teach Surgery
Using Web-Based Computer Graphics to Teach Surgery Ken Brodlie Nuha El-Khalili Ying Li School of Computer Studies University of Leeds Position Paper for GVE99, Coimbra, Portugal Surgical Training Surgical
More informationUltrasound Appendix Image Segmentation Using Histogram Thresholding and Image Enhancement Using Noise Filtering Technique
Ultrasound Appendix Image Segmentation Using Histogram Thresholding and Image Enhancement Using Noise Filtering Technique Eko Supriyanto, Milton Wider, Yin Mon Myint Advanced Diagnostics and Progressive
More informationApplication of infrared thermography for early assessment of burn wound depth in children- a preliminary study
11 th International Conference on Quantitative InfraRed Thermography Application of infrared thermography for early assessment of burn wound depth in children- a preliminary study by M. Janicki*, W. Tylman*,
More informationTWO BY TWO: A METHODOLOGICAL PERSPECTIVE ON THE USE OF EVIDENCE TO SUPPORT THE VALUE OF A HEALTH TECHNOLOGY
TWO BY TWO: A METHODOLOGICAL PERSPECTIVE ON THE USE OF EVIDENCE TO SUPPORT THE VALUE OF A HEALTH TECHNOLOGY A/Prof Tracy Merlin Adelaide Health Technology Assessment (AHTA) School of Population Health
More informationImportance of virtual reality simulators in interventional radiology: the ImaGiNe-S CIRSE 2008 experience
Importance of virtual reality simulators in interventional radiology: the ImaGiNe-S CIRSE 2008 experience Amrita Sinha, Sheena Johnson, Carianne Hunt, Helen Woolnough, Franck Vidal, Nigel John, Pierre-Frédéric
More informationTREND OF SURGICAL ROBOT TECHNOLOGY AND ITS INDUSTRIAL OUTLOOK
TREND OF SURGICAL ROBOT TECHNOLOGY AND ITS INDUSTRIAL OUTLOOK BYUNG-JU YI Electronic Systems Engineering Department, Hanyang University, Korea E-mail: bj@hanyang.ac.kr Abstract - Since the launch of the
More informationYinsheng Li 1, Peter Bannas 2, M.D., Perry Pickhardt M.D. 2, Meghan Lubner M.D. 2, Ke Li Ph.D. 1,2, and Guang-Hong Chen Ph.D. 1,2
Yinsheng Li 1, Peter Bannas 2, M.D., Perry Pickhardt M.D. 2, Meghan Lubner M.D. 2, Ke Li Ph.D. 1,2, and Guang-Hong Chen Ph.D. 1,2 1. Department of Medical Physics, University of Wisconsin-Madison 2. Department
More informationPolicies for the Commissioning of Health and Healthcare
Policies for the Commissioning of Health and Healthcare Statement of Principles REFERENCE NUMBER Commissioning policies statement of principles VERSION V1.0 APPROVING COMMITTEE & DATE Governing Body 26.5.15
More informationISD Scottish Genetics Genealogy Service
ISD Scottish Genetics Genealogy Service Annual Report 2017 Introduction The genetics genealogy team provide a unique service, supplying accurate and comprehensive family history research for patients who
More informationComputer Assisted Abdominal
Computer Assisted Abdominal Surgery and NOTES Prof. Luc Soler, Prof. Jacques Marescaux University of Strasbourg, France In the past IRCAD Strasbourg + Taiwain More than 3.000 surgeons trained per year,,
More informationPlan of the course. Diagnostic and Interventional Radiology. Academic year 2018/2019. prof. dr. sc. Boris Brkljačić
UNIVERSITY OF ZAGREB SCHOOL OF MEDICINE Plan of the course Diagnostic and Interventional Radiology Academic year 2018/2019 I. COURSE AIMS To teach students basic physics, algorithms and clinical applications
More informationTelemedicine. Erik Borälv
Telemedicine Erik Borälv Department of Information Technology Uppsala university Telemedicine Today What it is What do we as IT-experts need to know An example case Desicion support A little about what
More informationPlan of the course. Infectious Diseases and Tropical Medicine. Academic year 2015/2016. prof. dr. sc. Adriana Vince
UNVERSTY OF ZAGREB SCHOOL OF MEDCNE Plan of the course nfectious Diseases and Tropical Medicine Academic year 2015/2016 prof. dr. sc. Adriana Vince . COURSE AMS To prepare students to recognize the most
More informationENDOSCOPIC ULTRASOUND SYSTEMS
ENDOSCOPIC ULTRASOUND SYSTEMS DISCOVER HIGH-PRECISION DIAGNOSES AND PROCEDURES NEW ENDOSCOPIC ULTRASOUND Ultrasonography revolutionized the clinical approach to patients with digestive and respiratory
More informationHealth Technology Assessment of Medical Devices in Low and Middle Income countries: challenges and opportunities
Health Technology Assessment of Medical Devices in Low and Middle Income countries: challenges and opportunities Aleksandra Torbica, Carlo Federici, Rosanna Tarricone Centre for Research on Health and
More informationSU-1 EG-580UT EG-580UR ENDOSCOPIC ULTRASONOGRAPHY SYSTEM
SU-1 EG-580UT EG-580UR ENDOSCOPIC ULTRASONOGRAPHY SYSTEM DISCOVER HIGH-PRECISION DIAGNOSES AND PROCEDURES ENDOSCOPIC ULTRASONOGRAPHY SYSTEM Ultrasonography revolutionized the clinical approach to patients
More informationTitolo presentazione sottotitolo
Integration of a Virtual Reality Environment for Percutaneous Renal Puncture in the Routine Clinical Practice of a Tertiary Department of Interventional Urology: A Feasibility Study Titolo presentazione
More informationAdvancing the Art of Endoscopy
Advancing the Art of Endoscopy Advancing the Art of Endoscopy with an array of opto-digital innovations. OLYMPUS technology continues to advance the art of endoscopy. As the world leader in endoscopy,
More informationEndoscopic Ultrasonography System
Endoscopic Ultrasonic Processor SU- -H-, SU- -S- Power rating Power supply rating Current consumption(rated) Dimensions Size Weight Ultrasonography Probe types image display Scanning modes Special modes*
More informationCorrelation of 2D Reconstructed High Resolution CT Data of the Temporal Bone and Adjacent Structures to 3D Images
Correlation of 2D Reconstructed High Resolution CT Data of the Temporal Bone and Adjacent Structures to 3D Images Rodt T 1, Ratiu P 1, Becker H 2, Schmidt AM 2, Bartling S 2, O'Donnell L 3, Weber BP 2,
More informationMeasurement and Analysis of the Diameter of Appendix Based on Ultrasound Images
Measurement and Analysis of the Diameter of Appendix Based on Ultrasound Images J. Lam, C. Pahl, H. N. Abduljabbar, and E. Supriyanto Abstract One of the most common cause of emergency surgery of the abdomen
More informationHaptic Feedback in Laparoscopic and Robotic Surgery
Haptic Feedback in Laparoscopic and Robotic Surgery Dr. Warren Grundfest Professor Bioengineering, Electrical Engineering & Surgery UCLA, Los Angeles, California Acknowledgment This Presentation & Research
More information2D, 3D CT Intervention, and CT Fluoroscopy
2D, 3D CT Intervention, and CT Fluoroscopy SOMATOM Definition, Definition AS, Definition Flash Answers for life. Siemens CT Vision Siemens CT Vision The justification for the existence of the entire medical
More informationTowards malaria elimination: ADB-supported work at Myanmar FDA
Towards malaria elimination: ADB-supported work at Myanmar FDA Valerio Reggi 25 January 2018 Disclaimer: The views expressed in this paper/presentation are the views of the author and do not necessarily
More informationMichel Tousignant School of Rehabilitation, University of Sherbrooke Sherbrooke, Québec, J1H 5N4, Canada. And
In-Home Telerehabilitation as an alternative to face-to-face treatment: Feasability in post-knee arthroplasty, speech therapy and Chronic Obstructive Pulmonary Disease Michel Tousignant School of Rehabilitation,
More informationControl and confidence all around. Philips EP cockpit people focused solutions for heart rhythm care
Control and confidence all around Philips EP cockpit people focused solutions for heart rhythm care EP cockpit - brings new innovations EP cockpit simplifies your EP lab 1. Improving your EP lab working
More informationThe Trend of Medical Image Work Station
The Trend of Medical Image Work Station Abstract Image Work Station has rapidly improved its efficiency and its quality along the development of biomedical engineering. The quality improvement of image
More informationTelemedicine. Erik Borälv
Telemedicine Erik Borälv Department of Information Technology Uppsala university Telemedicine Today What it is What do we as IT-experts need to know A case, example Desicion support A little about what
More informationTwenty-Thirty Health care Scenarios - exploring potential changes in health care in England over the next 20 years
Twenty-Thirty Health care Scenarios - exploring potential changes in health care in England over the next 20 years Chris Evennett & Professor James Barlow The context Demographics On-going financial constraints
More informationGoing Live with the Aquilion VISION Volume 4D CT
VISIONS 2-14 COMPUTED TOMOGRAPHY Going Live with the Aquilion VISION Volume 4D CT Interview with Dr. Rick Bhatia, Regional Clinical Chief Diagnostic Imaging Program, Eastern Health, Newfoundland What were
More informationHUMAN Robot Cooperation Techniques in Surgery
HUMAN Robot Cooperation Techniques in Surgery Alícia Casals Institute for Bioengineering of Catalonia (IBEC), Universitat Politècnica de Catalunya (UPC), Barcelona, Spain alicia.casals@upc.edu Keywords:
More informationDigital Image Fundamentals
Digital Image Fundamentals Computer Science Department The University of Western Ontario Presenter: Mahmoud El-Sakka CS2124/CS2125: Introduction to Medical Computing Fall 2012 October 31, 2012 1 Objective
More informationDigital Reality TM changes everything
F E B R U A R Y 2 0 1 8 Digital Reality TM changes everything Step into the future What are we talking about? Virtual Reality VR is an entirely digital world that completely immerses the user in an environment
More informationPágina 1 de 9 TopPage > Eye Care > Diagnostic > Wave-Front Analyzer KR-1W Wave-Front Analyzer KR-1W Perfection for Professionals : KR-1W Topcon, with its wealth of experience in designing and manufacturing
More informationUNITAID s approach to funding innovations in TB diagnosis and treatment Robert Matiru & Janet Ginnard, UNITAID Geneva, 29 April 2015
UNITAID UNITAID s approach to funding innovations in TB diagnosis and treatment Robert Matiru & Janet Ginnard, UNITAID Geneva, 29 April 2015 Page 2 UNITAID's role in the global response By connecting the
More informationOptimization of Digital Mammography Resolution Using Magnification Technique in Computed Radiography 1
Optimization of Digital Mammography Resolution Using Magnification Technique in Computed Radiography 1 Gham Hur, M.D., Yoon Joon Hwang, M.D., Soon Joo Cha, M.D., Su Young Kim, M.D., Yong Hoon Kim, M.D.
More informationQuestions. Oncologist. to ask your Ventura Boulevard Tarzana, CA Questions provided by the American Cancer Society
Questions to ask your Oncologist Questions provided by the American Cancer Society 18131 Ventura Boulevard Tarzana, CA 91356 www.ici.care Questions to Ask My Doctor About My Cancer Being told you have
More informationFDA REGULATION OF DIGITAL HEALTH
FDA REGULATION OF DIGITAL HEALTH DIGITAL HEALTH LEGAL AND REGULATORY BOOTCAMP WHAT YOU DON T KNOW YOU DON T KNOW Table of Contents DIGITAL DIGITAL HEALTH LEGAL AND HEALTH REGULATORY LEGAL BOOTCAMP AND
More informationMinistry of Justice: Call for Evidence on EU Data Protection Proposals
Ministry of Justice: Call for Evidence on EU Data Protection Proposals Response by the Wellcome Trust KEY POINTS It is essential that Article 83 and associated derogations are maintained as the Regulation
More informationComputers and Medicine
Illinois Institute of Technology Computers and Medicine Alexander M. Nicoara CS485: History of Computers Professor Charles Bauer April 10th, 2016 What is the background of the topic? Computers play an
More informationNOW. Approved for NTIOL classification from CMS Available in Quar ter Diopter Powers. Accommodating. Aberration Free. Aspheric.
NOW Approved for NTIOL classification from CMS Available in Quar ter Diopter Powers Accommodating. Aberration Free. Aspheric. Accommodation Meets Asphericity in AO Merging Innovation & Proven Design The
More informationVirtual and Augmented Reality Applications
Department of Engineering for Innovation University of Salento Lecce, Italy Augmented and Virtual Reality Laboratory (AVR Lab) Keynote Speech: Augmented and Virtual Reality Laboratory (AVR Lab) Keynote
More informationNHS Blackpool Clinical Commissioning Group (CCG) Policies for the Commissioning of Healthcare
NHS Blackpool Clinical Commissioning Group (CCG) Policies for the Commissioning of Healthcare Policy for the management of otitis media with effusion (OME) using grommets Introduction This document is
More informationInformation Technology for
for the Health Professions Fourth Edition Lillian Burke Barbara Weill PEARSON Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich
More informationDifferentiation of Malignant and Benign Masses on Mammograms Using Radial Local Ternary Pattern
Differentiation of Malignant and Benign Masses on Mammograms Using Radial Local Ternary Pattern Chisako Muramatsu 1, Min Zhang 1, Takeshi Hara 1, Tokiko Endo 2,3, and Hiroshi Fujita 1 1 Department of Intelligent
More informationSecond EVF Hands On Workshop on Venous Disease Eventhotel Pyramide, Vösendorf, Vienna, Austria October 2011
Second EVF Hands On Workshop on Venous Disease Eventhotel Pyramide, Vösendorf, Vienna, Austria 20-22 October 2011 We invite you to participate in the 2 nd EVF Hands-on workshop in Vienna. The first workshop
More informationSoftware as a Medical Device (SaMD)
Software as a Medical Device () Working Group Status Application of Clinical Evaluation Working Group Chair: Bakul Patel Center for Devices and Radiological Health US Food and Drug Administration NWIE
More informationDICOM Conformance. DICOM Detailed Specification for Diagnostic Labs and Radiology Center Connectivity
DICOM Detailed Specification for Diagnostic Labs and Radiology Center Connectivity Authored by Global Engineering Team, Health Gorilla April 10, 2014 Table of Contents About Health Gorilla s Online Healthcare
More informationStatistics Laboratory 7
Pass the Pigs TM Statistics 104 - Laboratory 7 On last weeks lab we looked at probabilities associated with outcomes of the game Pass the Pigs TM. This week we will look at random variables associated
More informationLudlum Medical Physics
Ludlum Medical Physics Medical Imaging Radiology QA Test Tools NEW LUDLUM PRODUCT LINE Medical Physics Products Medical Physics Products What are they? Products used to measure radiation output and to
More informationBoundaryless Hospital - Rethink and Redefine Health Care Management. New Chains of Value Creation
Boundaryless Hospital - Rethink and Redefine Health Care Management New Chains of Value Creation Sören T. Eichhorst, MD PhD Partner and Head of McKinsey Hospital Institute Cologne, Germany PROPRIETARY
More informationPromoting Patient and Researcher Engagement with Distributed Data Research Networks through Hurdle Free Tools
Promoting Patient and Researcher Engagement with Distributed Data Research Networks through Hurdle Free Tools pscanner All Hands Symposium 2016 Kari A. Stephens, PhD Psychiatry & Behavioral Sciences Biomedical
More informationScalable Data Storage Analysis and Solution for Picture Archiving and Communication Systems (PACS)
Scalable Data Storage Analysis and Solution for Picture Archiving and Communication Systems (PACS) Ayhan Akbal and Erhan Akbal II. PIURE ARCHIVING AND COMMUNICATION SYSTEM Abstract Information technologies
More informationCapsule Endoscopy. Andy Dion Ryan Tirtariyadi
Capsule Endoscopy Andy Dion Ryan Tirtariyadi Outline Anatomy of the GI tract Diseases Conventional Endoscopy Capsule Endoscopy Current Technology Future Concepts/Developements The G.I. Tract 7.5 meters
More informationMinimally Invasive Therapies Group
Minimally Invasive Therapies Group Usage Guidelines Updated March 30, 2015 Our Narrative and Businesses We aspire to enable earlier diagnosis, better treatment, faster complication-free recovery and enhanced
More informationOptimized CT metal artifact reduction using the Metal Deletion Technique (MDT)
Optimized CT metal artifact reduction using the Metal Deletion Technique (MDT) F Edward Boas, Roland Bammer, and Dominik Fleischmann Extended abstract for RSNA 2012 Purpose CT metal streak artifacts are
More informationData Presentation. Esra Akdeniz. February 12th, 2016
Data Presentation Esra Akdeniz February 12th, 2016 HOW TO DO RESEARCH? Question. Literature research. Hypothesis. Collect data. Analyze data. Interpret and present results. HOW TO DO RESEARCH? Analyze
More informationVNS Therapy System Overview and Dosing
Course Outline VNS Therapy System Overview and Dosing Product Overview Basic parameters and dosing Programming System set up Model 102/102R Dosing Diagnostics End of Service Common error messages Model
More informationAssessment element tables
1 of 36 20.10.2011 17:13 Assessment element tables The EUnetHTA Joint Action is supported by a grant from the European Commission 1 Health Problem and Current Use of the Technology 2 Description and technical
More informationUsing Simulation to Design Control Strategies for Robotic No-Scar Surgery
Using Simulation to Design Control Strategies for Robotic No-Scar Surgery Antonio DE DONNO 1, Florent NAGEOTTE, Philippe ZANNE, Laurent GOFFIN and Michel de MATHELIN LSIIT, University of Strasbourg/CNRS,
More informationPhysician Experience With Viewing Digital Radiographs in an Intensive Care Unit Environment
Physician Experience With Viewing Digital Radiographs in an Intensive Care Unit Environment Louis M. Humphrey, Kevin Fitzpatrick, Susan S. Paine, and Carl E. Ravin After several years of continuous operation,
More informationStephanie. This has given me my life back.
Stephanie This has given me my life back. My name is Stephanie. I m a patient with an ostomy. I have a unique story because I've had an ostomy twice. I was originally diagnosed in 2000. I was just finishing
More informationPROJECT TIPIRX (integration of teleradiology using Lowcost digitalization of X-ray films): a Brazilian solution
PROJECT TIPIRX (integration of teleradiology using Lowcost digitalization of X-ray films): a Brazilian solution Poster No.: C-1280 Congress: ECR 2011 Type: Educational Exhibit Authors: A. Monteiro, A.
More informationBRINGING DEEP LEARNING TO ENTERPRISE IMAGING CLINICAL PRACTICE
BRINGING DEEP LEARNING TO ENTERPRISE IMAGING CLINICAL PRACTICE Esteban Rubens Global Enterprise Imaging Principal Pure Storage @pureesteban AI IN HEALTHCARE What is Artificial Intelligence (AI)? How is
More informationInternet Based Artificial Neural Networks for the Interpretation of Medical Images
Internet Based Artificial Neural Networks for the Interpretation of Medical Images Andreas Järund, Lars Edenbrandt Department of Clinical Physiology, Lund University, Lund, Sweden andreas.järund@klinfys.lu.se
More informationDiagnostic Imaging Dataset: Standardised CCG rates 2016/17
Diagnostic Imaging Dataset: Standardised CCG rates 2016/17 Diagnostic Imaging Dataset: Standardised CCG rates 2016/17 Version number: 1.0 First published: 11 th December 2017 Prepared by: Operational Information
More information