Carestream Health has introduced a new optional advanced metal artifact reduction software for its OnSight 3D Extremity System which captures high-quality, low-dose 3D extremity exams. This second generation of software provides enhanced flexibility depending on the metal content present and reduces the visual distortion caused by screws, implants, rods and other metal objects to create improved visibility. Image processing can be adjusted and optimized according to the amount of metal present. The software uses information from the original scan to eliminate the need for additional imaging studies, which reduces costs and lowers radiation exposure for patients. An intuitive touch screen interface allows technologists to adjust for either moderate or complex metal content. The metal artifact reduction software can be activated prior to the scan or it can be applied after the original reconstruction is complete. Both the original and corrected images are always available to view and compare. The OnSight 3D Extremity System also assists surgeons in detecting occult and non-union bone fractures. Unlike traditional CT systems, this cone beam CT system has a large-area detector that captures a 3D image of the extremity in a single rotation, which takes only 25 seconds. A patient simply places the injured extremity into a donut-shaped opening in the system. Since the patient’s head and body are not confined, patients do not experience the claustrophobia that often occurs with traditional CT systems. Dose is significantly reduced because only the affected body part is imaged. The compact extremity system can be installed in an exam room and plugs into a standard wall outlet.
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Two studies have been published that successfully evaluate the use of its Yumizen H500 hematology analyser for point-of-care testing (POCT) to enhance the care of oncology patients. With near-patient, full blood count results, patients undergoing chemotherapy can receive treatment without delay and greatly reduce their hospital/clinic exposure times. Both UK-based studies were presented at the recent ISLH 2018 (International Symposium on Technical Innovations in Laboratory Hematology) in Brussels.
The evaluation studies were performed by the Cardiff and Vale Health Board (CAVHB), University Hospital of Wales [1] and the Spire Bushey Laboratory, London [2] and can be viewed on the HORIBA Medical global website. Both studies demonstrated that the compact, easy-to-use analyser delivered at the POC clinically key parameters that showed exceptional correlation with larger laboratory-based hematology analysers. Blood samples from oncology patients may be abnormal, having low counts and atypical blood cells, therefore it is essential that near-patient testing does not compromise the clinical integrity of results.
The studies both found that in addition to speed and ease of use, the Yumizen H500’s functionality and audit systems fully adhere to ISO standards (both 15189:2012 and 22870:2016) with the same internal quality controls as larger analysers. This in turn ensured detailed, accurate results for timely and sound clinical decision making.
For example, the Cardiff study concluded that by using the Yumizen H500, “In CAVHB the potential for clinical improvement is potentially vast, average TAT (vein to report) for FBC is ~4 hours, this could be reduced to <15 minutes. This would mean that in certain patient groups (thrombocytopenic and anemic) they can request blood components earlier and be transfused more quickly, this in turn would reduce hospital stays. In neutropenic patients their treatment options could be considered more readily and reduce hospital/clinic exposure time in those that would not be appropriate for chemotherapy.”  With just three reagents and an intuitive touch screen user interface, HORIBA Medical’s Yumizen H500 compact hematology analyser is designed for ease of use; yet it offers a range of clinically key parameters, including: 5-population WBC differential, red blood cell parameters and platelet count. This makes the Yumizen H500 most suitable for rapid blood counting for use in POC settings for pediatric care and chemotherapy patients, as well as from emergency care to the routine laboratory.
The two POCT studies presented at ISLH 2018 can be viewed at:
https://www.horiba.com/en_en/products/by-segment/medical/

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Medtronic received CE Marking of its MiniMed™ 780G system, a next generation closed loop insulin pump system for the treatment of type 1 diabetes in people age 7 to 80 years.Leveraging the company’s advanced SmartGuard™ algorithm, the system automates the delivery of both basal insulin and correction boluses every five minutes to help people with diabetes avoid highs and lows with greater ease.
The MiniMed 780G system enables the personalization of glucose goals with an adjustable target setting as low as 100 mg/dL (5.5 mmol/L) – lower than any other advanced hybrid closed loop system – and is designed to help stabilize blood sugar levels and further improve glucose control.
“We wanted to design a system that further simplifies diabetes management and adapts to people’s life with the goal of enhancing their experience in a seamless way,” said Sean Salmon, Executive Vice President and President of the Diabetes Group at Medtronic. “We know it can be challenging to have to calculate carbohydrate intake before every snack or meal on a daily basis to ensure the right amount of insulin is dosed. With this system, users will have an extra layer of coverage for those times they miscalculate their carbs or forget to pre-bolus with an algorithm that automatically corrects for high glucose when needed. We want to help people spend more time living their life and less time worrying about their diabetes management – we’re confident this system delivers on that important goal.”
In addition to the automated algorithm which includes technology from DreaMed Diabetes, the MiniMed 780G system is easy to use with little input from the user. With the addition of Bluetooth connectivity, the MiniMed 780G system will enable users and their care partners to see real-time glucose data and trends on compatible iOS and Android smartphones via apps. Additionally, healthcare providers will find that managing patients on the system is simple as there are only a few settings that need adjustment to enable optimal use of the technology.
The system is expected to begin shipping this Autumn in select countries in Europe. In the United States, the MiniMed 780G system is investigational use only and not approved for sale.
For more information, visit: www.medtronicdiabetes.com
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St Mary’s Hospital is one of London’s four major trauma centres and uses point-of-care ultrasound extensively in the assessment of patients visiting its extremely busy A&E department. Dr Ehsan Hassan, a consultant in emergency medicine with a special interest in ultrasound, explained: “Our normal practice with trauma patients is to perform a FAST scan during the primary survey. This can make a significant difference to the care of unstable patients – for example, stab wounds to the heart – giving you a diagnosis straight away. This approach has enabled some patients to be fast-tracked into theatre.” The department’s SonoSite X-Porte ultrasound system is based in resuscitation, although its portability means it can be easily moved to other areas of A&E as required. Dr Hassan continued: “The Royal College of Emergency Medicine requires that all A&E consultants are trained to perform FAST (Focused Assessment with Sonography in Trauma), aortic scans, IV access and basic echo. However, once you are familiar with the techniques, it has a role in assessing so many different conditions – shock patients, abdominal pain, query ectopic pregnancies, pneumothoraces or hemothoraces, and numerous musculoskeletal complaints – as well as for draining pleural effusions and placing central or difficult-to-access IV lines. It is a very versatile technique.”
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FCT Speedia and FCT Speedia HD represent the finalization of Fujifilm maturation process in the medical systems field: the wide market vision and the unceasing efforts to provide a comprehensive solution to the customers have brought to the implementation of CT technology aside of the well-known room and mobile digital solutions. 64-slice system will be shown at the booth, together with an empowered CT console that embeds Synapse 3D reconstruction modules, pride and flagship of FUJIFILM Medical Informatics portfolio. An advanced AI-based solution, FCT Pixel Shine, will be highlighted to appreciate the advantages of FCT images processing at extremely low dose.
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