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Re: consultingFrom: Philippe Jeanty, MD, PhD (jeanty@TheFetus.net)Wed Aug 10 16:04:42 2005
We have been doing 3-4D for 4 years. It does not add much time to normal exams (it does not add much diagnostic info either) but they are cute and fun in normal patient. 1 minute of 4D shows a lot about the baby. From time to time 3/4D shows something that could not be seen without. In difficult cases 3/4D add info and time. The ability to review something that was either missed or not well interpreted originally is very important (see Case of the week on http://www.TheFetus.net of tomorrow). I assume just about everyone checks the number of umbilical cord vessels with color Doppler along the bladder. Who would have thought of this as a common application when color Doppler was introduced ? New tools are always clumsy at first, just persist, this is not a fad. Remember how Ken Taylor famously said that “realtime was an unnecessary gimmick”… Don’t make the same mistake with 3D. _____ From: ultrasound-history@medispecialty.com [mailto:ultrasound-history@medispecialty.com] On Behalf Of Allen Worrall Sent: Wednesday, August 10, 2005 2:53 PM To: Multiple recipients of list ULTRASOUND-HISTORY Subject: Re: consulting No, I am sure you are not wrong. I am sure it takes more time when you both do and interpret the scan, as you and I do. I am not sure how experience influences the time - I have heard that after 6 months or so one does become faster. Of course the Doctor from Boston who gave the lecture at the GE evening event may have said that it takes the sonographers less time to acquire volumes than to take separate images. Maybe she was not including the time it takes the radiologist to work with the volumes. I tried to get my colleagues here at the clinic interested in a 3D/4D machine. It went over like a lead balloon, so I will have to wait longer. Allen
>----- Original Message ----- From: ACF <mailto:evsono@pipeline.com> To: Multiple recipients of list <mailto:ultrasound-history@dns.obgyn.net> ULTRASOUND-HISTORY Sent: Wednesday, August 10, 2005 7:38 AM Subject: Re: consulting Allen I also attended that event ... and as you, I do my own scans, many involve 3D. Here's my experience to date - NO net time-savings. Actually, for some studies, it takes more time - the time normally spent with the patient AND the time manipulating volumes for additional views. Also, while I'm at it - the ultrasound manufacturers need to get together on a uniform standard for volume storage to facilitate second opinions, etc. Hopefully, these details will get ironed out ASAP - especially if the mavens insist on it. Just my opinion - I could be wrong. Art Allen Worrall wrote: Terry, I think I saw you at that lecture in Orlando, a GE supper event, in which a young woman radiologist from Boston,(I think) related that her ultrasound department was bogged down with too many cases, and one of the things that helped them was 3D ultrasound. The volumes can be obtained quickly, and looked at later by the radiologist. Has this speaker published her lecture anywhere? I thought it was very good and very thought-provoking. Allen
>----- Original Message ----- From: Terry <mailto:terrydubose@sbcglobal.net> DuBose To: Multiple recipients of list <mailto:ultrasound-history@dns.obgyn.net> ULTRASOUND-HISTORY Sent: Tuesday, August 09, 2005 6:27 PM Subject: Re: consulting Dr. De Lancer, you ask a question that many have asked. In general sonography (Abdomen and OB/GYN) usually no more than two an hour in peak rush times. It depends on how detailed the studies are, but at bottom line, two an hour average is too much if it is all day every day. This is based on my experience of 29 years and not on any scientific study. For you second question I would say anytime the sonographer is rushed enough to not be able to focus on the diagnosis, that is too many. There needs to be a bit of flexibility to allow for the unexpected twins or other detailed study. Also do not forget that over work, continuously over a period of months or years can injure the sonographer. Repeated Stress Injuries are well documented now. See: <http://www.sdms.org/msi/default.asp> http://www.sdms.org/msi/default.asp Hope this helps. Terry jose de lancer <mailto:josedelancer@yahoo.com> <josedelancer@yahoo.com> wrote: Hi, i am Dr. Jose De Lancer from Dominican Republic. I am obstetrician, gynecologist and sonologist. We have troubles in our hospital sonografy department for the "overdemand" in ultrasound studies. What is your opinion in the following isues: 1-How many studies are reasonable for each sonographer in one day? 2-How afect the excesive number of patients in the individual and department quality? Thanks for your cooperation!! "DuBose, Terry" <mailto:DuboseTerryJ@uams.edu> <DuboseTerryJ@uams.edu> escribió: Congratulations to everyone on another landmark event. Good work. Terry Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ <http://www.io.com/%7Edubose/> http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm ---------------------------------------------------------------
--------------------------------------------------------------- _____ =20 --------------------------------------------------------------- From: Dale R. Cyr [mailto:cyr@ardms.org] Sent: Tuesday, August 09, 2005 7:18 AM To: ALL STAFF; BOARD MEMBERS; All EDTF Committees Cc: Thomas Magallanes; steve_tapp@promissor.com Subject: Success in Hong Kong ARDMS Exam Delivery Hello Everyone: ARDMS began delivering examinations at the University of Hong Kong on August 8th. Two candidates sat for ARDMS examinations (Neuro and CPI), which were routinely and securely delivered with all data safely transmitted back to Promissor as per normal procedure. The ARDMS Hong Kong examinations and processes are exactly the same as here in the United States and Canada. Several other Candidates are scheduled to sit for ARDMS examinations in Hong Kong over the next couple of weeks. Congratulations everyone as ARDMS continues to increase the number of credentialed individuals to promote quality and patient safety through credentialing and continuing competency of ultrasound professionals. Also, a big thank you to Promissor who has been a great partner in assisting ARDMS in meeting our strategic initiatives, particularly in the global expansion program. Regards, Dale Dale R. Cyr, MBA, CAE Chief Executive Officer/Executive Director ARDMS and the Breast Ultrasound Foundation 51 Monroe St., Plaza East One Rockville, Maryland 20850-2400 301-738-8406, x223 cyr@ardms.org, <mailto:ardms.orgcyr@breastultrasound.org> cyr@breastultrasound.org www.ardms.org <http://www.ardms.org/> www.breastultrasound.org <http://www.breastultrasound.org/> You should always make sure. Verify the Registry status of employees – current and potential. ARDMS offers an online directory of <http://www.ardms.org/statusverification/index.htm> its Registrants. NOTICE: This e-mail may contain information that is confidential, protected, or privileged. If you are not the intended recipient, please notify us by replying to sender, and delete this message and any attachments. If you are not the intended recipient, please note that any disclosure, copying, distribution or use of this material is prohibited. Thank you. Espacio para todos tus mensajes, antivirus y antispam ¡gratis! Regístrate ya - http://correo.espanol.yahoo.com/
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