OB-GYN-L Messages for April, 2005: Re: ExAblate

Re: ExAblate
From: Terrence.Jones@kp.org
Wed Apr 13 16:39:36 2005

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The MR not only allows proper focus, but allows measurement of thermal affect to insure coagulative necrosis. Unlike UFE, the (mild) pain occurs only with the procedure, and not afterwards. The Europeans have been using this for prostate ablation for 5-6 years (without the MR guidance) and their technology is being implemented by urologists in the midwest. The Chinese have been treating thousands for hepatocellular carcinoma. The folks at Yale are doing feasability studies, as Larry Platt has mentioned a few months back, on CNS tumor ablation. Imagine, for a minute, an A-V anastamosis on the placental surface of monochorionic twins causing TTTS. Why stick a radiofrequency ablation device into the uterine cavity, when You can focus high energy US from outside? Anyway, wait a couple of years, it will become more apparent with time... tj
"Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> Sent by: ob-gyn-l@obgyn.net 04/13/2005 07:04 AM Please respond to ob-gyn-l
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> cc: Subject: RE: ExAblate
MRI mapping of soft tissue masses, then using the 3-D image to focus ultrasound on the mass to ablate the tissue. Really quite impressive to see. Patient I saw yesterday had 70% of her myoma ablated in 2.5 hours, walked off the table to get lunch and go shopping.
http://www.insightec.com/. She paid cash for the procedure
Richard Chudacoff, MD
[IMAGE]
From:ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael Haciski Sent: Tuesday, April 12, 2005 7:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: ExAblate
Who and where are these patients who are willing to pay for this? Can you describe the procedure in detail (or did I miss this)?
Rafael C. Haciski MD FACOG BradentonFL
On Apr 12, 2005, at 19:03, Richard Chudacoff, MD wrote:
Cash pay?no insurance company is covering this yet, so it is 100% collection of charges. This is what is being charged to the patient
Richard Chudacoff, MD
<image.tiff>
From:ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent:Monday, April 11, 2005 4:35 PM To:Multiple recipients of list OB-GYN-L Subject: Re: ExAblate
In a message dated 4/11/2005 5:29:59 PM Eastern Standard Time, rchudacoff@mylinuxisp.com writes:
Current reimbursement is $10000 to the facility, and $2000 to the operator. We are training the gynecologist to do the procedure, too
Richard Chudacoff, MD
Yeah, I can see Aetnapaying that! ;+) Where do you get those reimbursement figures from, seeing this is a brand-new procedure?
Robert Modugno MD MBA FACOG
Marietta, GA
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 The MR not only allows proper focus, but allows measurement of thermal affect to insure coagulative necrosis. Unlike UFE, the (mild) pain occurs only with the procedure, and not afterwards. The Europeans have been using this for prostate ablation for 5-6 years (without the MR guidance) and their technology is being implemented by urologists in the midwest. The Chinese have been treating thousands for hepatocellular carcinoma. The folks at Yale are doing feasability studies, as Larry Platt has mentioned a few months back, on CNS tumor ablation. Imagine, for a minute, an A-V anastamosis on the placental surface of monochorionic twins causing TTTS. Why stick a radiofrequency ablation device into the uterine cavity, when You can focus high energy US from outside? Anyway, wait a couple of years, it will become more apparent with time... tj <table width0%> <tr valign=top> <td> <td>"Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> Sent by: ob-gyn-l@obgyn.net 04/13/2005 07:04 AM Please respond to ob-gyn-l <td>                To:        Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>         cc:                 Subject:        RE: ExAblate</table> MRI mapping of soft tissue masses, then using the 3-D image to focus ultrasound on the mass to ablate the tissue. Really quite impressive to see. Patient I saw yesterday had 70% of her myoma ablated in 2.5 hours, walked off the table to get lunch and go shopping.   <a href=http://www.insightec.com/>http://www.insightec.com/</a>.  She paid cash for the procedure   Richard Chudacoff, MD   [IMAGE]   <div alignÎnter> <hr> </div> From:ob-gyn-l@obgyn.net [mail to:ob-gyn-l@obgyn.net] On Behalf Of Rafael Haciski Sent: Tuesday, April 12, 2005 7:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: ExAblate   Who and where are these patients who are willing to pay for this? Can you describe the procedure in detail (or did I miss this)? Rafael C. Haciski MD FACOG BradentonFL On Apr 12, 2005, at 19:03, Richard Chudacoff, MD wrote: Cash pay…no insurance company is covering this yet, so it is 100% collection of charges. This is what is being charged to the patient   Richard Chudacoff, MD   <image.tiff>  From:ob-gyn-l@obgyn.net [mail to:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent:Monday, April 11, 2005 4:35 PM To:Multiple recipients of list OB-GYN-L Subject:Re: ExAblate   In a message dated 4/11/2005 5:29:59 PM Eastern Standard Time, rchudacoff@mylinuxisp.com writes: Current reimbursement is $10000 to the facility, and $2000 to the operator. We are training the gynecologist to do the procedure, too   Richard Chudacoff, MD   Yeah, I can see Aetnapaying that! ;+)   Where do you get those reimbursement figures from, seeing this is a brand-new procedure?   Robert Modugno MD MBA FACOG Marietta, GA <tt>------ Attachment(s) have been removed ------</tt> 

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Maybe in reply to: Richard Chudacoff, MD: "ExAblate"
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