Intraoperative Imaging for Porcelain Aorta
Diffuse calcification of ascending aorta which may extend down is known as “Porcelain aorta”. Intraoperative epiaortic  echocardiography along with manual palpation during surgery has been described as the most sensitive technique for detecting ascending aortic atheroma and calcification [1]. A prospective study evaluated this in hundred consecutive patients undergoing coronary bypass or valve surgery [2]. Ascending aorta was assessed by manual palpation by the operating surgeon, intraoperative transesophageal echocardiography and epiaortic ultrasound using linear and phased-array imaging. No difference was noted...
Source: Cardiophile MD - December 28, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Fujifilm Announces Asset Purchase Agreement with Inspirata, Inc. to Acquire the Company ’s Digital Pathology Business
Company to expand robust Enterprise Imaging offering with addition of Inspirata’s Digital Pathology technology and team FUJIFILM Corporation (President and CEO, Representative Director: Teiichi Goto) today announced the company has entered into an asset purchase agreement to acquire the global digital pathology business of Tampa, Florida-based Inspirata, Inc. Upon completion of this agreement, Inspirata’s Dynamyx® digital pathology technology, employees and customers will become part of Fujifilm. The addition of digital pathology will expand Fujifilm’s robust Synapse® Enterprise Imaging offering to enable th...
Source: EMR and HIPAA - December 27, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Cardiology PACS digital pathology Dynamyx FUJIFILM FUJIFILM Corporation FUJIFILM Healthcare Americas Corporation FUJIFILM Healthcare Europe FUJIFILM Medical Systems Europe Fujifilm’s Robust Synapse® E Source Type: blogs

Exciting Medtech at the Healthcare ᐩ Expo Taiwan
Medgadget was recently invited to Taiwan to cover the 2022 Healthcareᐩ Expo in Taipei. As is the case for most trade shows, the exhibit hall comprised a large portion of the expo. Consisting of over 2000 exhibitors in two massive halls, the main hall showcased the best of Taiwan’s healthcare industry. Here are some notable trends we observed while roaming the aisles. Big Tech is Invested in Healthcare At the MedTex Summit Asia that took place during the expo (see here for our coverage), speakers from ASUS, Microsoft, Intel, and Oracle shared about how each of their companies were partnering with hospitals ...
Source: Medgadget - December 21, 2022 Category: Medical Devices Authors: Scott Jung Tags: Diagnostics Exclusive Informatics Medicine Radiology Source Type: blogs

A woman in her 70s with chest pain
 Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, SmithA woman in her 70s recently diagnosed with COVID was brought in by EMS after she experienced acute onset sharp midsternal chest pain without radiation or dyspnea. She felt nauseous and lightheaded with no neurologic deficits. EMS noted prehospital vitals for heart rates in the 60s, SPO2 of 98% on room air, initially hypotensive to 66/34 with improvement to 100/70 after 800 mL of IV fluids by EMS.  Here is her ECG on arrival to the ED: What is your differential? What are your next steps?The ECG is quickly reviewed and shows si...
Source: Dr. Smith's ECG Blog - December 18, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

Endometrial cavity fluid, pyometra
Sonography of the uterus in a middle aged female shows:=Large fluid-filled endometrial cavity with particulate matter = usually caused by obstruction to outflow of fluid from the endometrial cavity = TVS scan advised to rule out carcinoma cervix = CT scan confirmation needed = ultrasound images below suggest pyometra or purulent fluid collection in endometrial cavity For more visit:Sonography of uterus (Source: cochinblogs)
Source: cochinblogs - December 6, 2022 Category: Radiology Source Type: blogs

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said " Nothing too exciting. "
This article fails to specify whether it was troponin I or T, but I contacted the institution and they used exclusively troponin I during that time period.Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. The impact of ST-segment elevation on the prognosis of patients with Takotsubo cardiomyopathy. J Electrocardiol [Internet] 2022;Available from: http://dx.doi.org/10.1016/j.jelectrocard.2022.09.009Cardiology opinion: Takotsubo Cardiomyopathy (EF 30-35%)V Fib Cardiac arrestProlonged QTCNSTEMI (Smith comment: is it NSTEMI or is it Takotsubo?  -- these are entirely different)Moderate sin...
Source: Dr. Smith's ECG Blog - November 30, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

A woman in her 20s with syncope
Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and GrauerA woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope.Her initial vital signs revealed a temp of 97.7F, HR 125, RR 20, BP 115/90, and an oxygen saturation of 95% on room air. Upon arrival, she did not appear in acute distress. She was noted to be tachycardic and her heart sounds were distant on physical exam. She had a normal respiratory effort, and her lungs were clear to...
Source: Dr. Smith's ECG Blog - November 28, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

Bonus Features – November 20, 2022 – 90% of healthcare buyers prioritize virtual care but want a clear roadmap, wearable data helped predict COVID-19 infections 12 days before the CDC, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News and Studies A joint study by Omada Health, Rock Health, and the Digital Medicine Society, based on a survey of employers, payers and benefit consultants, found that 90% of purchasers view virtual care as a high priority, an...
Source: EMR and HIPAA - November 20, 2022 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Abbott Artera Ascension Avel eCare Axuall Biotech Breakthrough Awards Caption Health CareCloud CareEvolution CDC CelerisTx Cerner Change Healthcare Connect America Digital Medicine Society Elation Health Emp Source Type: blogs

The Food That Makes Babies In The Womb Smile (M)
Fascinating ultrasound scans show how babies in the womb respond to the flavours of carrots and kale. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - November 13, 2022 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Child Psychology subscribers-only Source Type: blogs

Global Digital Health 100 – The Medical Futurist ’ s Top Choices in 2022
We first published the list of the Top 100 Digital Health Companies in 2017, highlighting the mindblowing growth the sector registered in the previous year. “Global digital health investments totalled more than 8 billion USD in 2016” – we wrote. Looking at the latest data, we better keep our seatbelts fastened: this figure was USD 57.2 billion in 2021, with a year-on-year growth of 79%. Digital health is booming, with dozens, hundreds of startups and scale-ups entering the realm each year. While their spectacular promises are loud, failure is silent – unless it happens to one of the tech giants ...
Source: The Medical Futurist - November 7, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF bioprinting digital health Healthcare wearables top 100 telemedicine digital health companies remote care digital therapeutics Source Type: blogs

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?
ConclusionsSTE-aVR with multilead ST depression was associated with acutely thrombotic coronary occlusion in only 10% of patients. Routine STEMI activation in STE-aVR for emergent revascularization is not warranted, although urgent, rather than emergent, catheterization appears to be important.===================================MY Comment, by KEN GRAUER, MD (11/5/2022):===================================Our thanks to Drs. El-Baba and McLaren — for their presentation in today’s post about an important topic worthy of our periodic reminders. We’ve presented many variations on this theme on...
Source: Dr. Smith's ECG Blog - November 4, 2022 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

What is myocardial contrast echocardiography?
Myocardial contrast echocardiography (MCE) is used for the assessment of myocardial microcirculation and endocardial demarcation. MCE uses gas-filled microbubbles that are inert and remain wholly within the vascular space. These microbubbles have an intravascular rheology similar to that of red blood cells [1]. A continuous intravenous infusion of microbubbles is given to achieve a steady state. These microbubbles are destroyed by high energy ultrasound. The rate of microbubble replenishment within the ultrasound beam is measured and represents the mean red blood cell velocity [2]. Normally, the ultrasound beam fills with...
Source: Cardiophile MD - November 1, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

10+1 Commandments For Companies Developing Wearable Health Trackers
Throughout the last couple of years, I have tested and used about 150 devices and gadgets that measure health parameters or vital signs. From the very first Fitbit to A.I.-driven portable ultrasounds, the evolution is real, and I am delighted to have had the opportunity to watch it first-hand. I also use a dozen health trackers to live healthily on a daily basis. Even before the wearable revolution started to unfold – just as I described in The Guide to the Future of Medicine -, I used data in an Excel spreadsheet to know more about my health and boost my motivation. Nowadays, it is unimaginable for me to go out...
Source: The Medical Futurist - October 25, 2022 Category: Information Technology Authors: berci.mesko Tags: Health Sensors & Trackers future Medicine smartwatch technology wearable gc2 Kardia fitness tracker Apple Watch digital health device withings scanwatch Source Type: blogs

30 yo woman with trapezius pain. HEART Pathway = 0. Computer " Normal " ECG. Reality: ECG is Diagnostic of LAD Occlusion.
This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG told the story.A completely healthy 30-something year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her throat. It resolved after about 5 minutes, but then recurred and was sustained for over an hour. She called 911.EMS recorded these prehospital ECGs:Time 0:In V2-V4, there is ST elevation that does not meet STEMI " criteria, " of 1.5 mm at the J-point, relative to the PQ junction. But there are also u...
Source: Dr. Smith's ECG Blog - October 23, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

Total thyroidectomy with fibrosis
This patient has had a total thyroidectomy for thyroid malignancy. Following extensive radiotherapy, there ' s fibrosis in the thyroid bed.Ultrasound images show empty thyroid fossa with extensive fibrosis.   (Source: cochinblogs)
Source: cochinblogs - October 20, 2022 Category: Radiology Source Type: blogs