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Ultrasound � a soundtrack to life: The BIR and BMUS have collaborated to celebrate ultrasound innovation. This interactive jam - packed journey marks the centenary of the birth of Professor Ian Donald, who pioneered the use of diagnostic ultrasound in medicine.

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Ultrasound &...

LAUNCH DAY - Monday 13 December 2010

...History Tom Brown (Lead Consultant, Kinghorn Project within the Fetal Anomaly Screening Programme (FASP)) will reveal Ian Donald - the man. Recollections of a larger than life personality, will be followed by some personal observations on how medical ultrasound has developed over the past half a century. Dr Adrian Thomas (Clinical Director for Radiology, South London Healthcare, NHS Trust) will join the discussion highlighting his pilgrimage to Paglesham near Burnham on Crouch the final resting place of Ian Donald. ...the Battlefield Derek Adrian-Harris (University of Portsmouth) will introduce the audience to the role of F.A.S.T. (Focused Abdominal Sonography in Trauma) and explain how its use can inform clinical decision making and the management of surgical resources - to the benefit of both individual patients and the organisation. ...the Patient Dr Margaret O’Hara (Medical Physicist) will discuss what it is like being on the other side of the scanning equipment. Is technical knowledge of any benefit in coming to terms with the results of scans when those results are not straightforward? Dr O’Hara will share what it is really like being on a conveyer belt of testing when each scan or test throws up some other anomaly that requires further monitoring.

1949 - Ultrasound first used in the UK to assess the thickness of bowel tissue by John Wild

Julie Walton, US President BM

Tom Brown, Fetal Anomaly Screening Programme

1957 Dr Donald (pictured) and Tom Brown, an engineer at Kelvin Hughes, constructed a contact- compound scanner A Celebration of Ultrasound broc2 2

Dr Adrian Thomas, South London Healthcare NHS Trust

Dr Margaret O’Hara , University of Birmin gham

1958 - Investigation of Abdominal Masses by Pulsed Ultrasound by Donald , MacVicar and Brown published in the Lancet 07/12/2010 12:23:12

...the Antarctic Peter Marquis & Sam Crimmin (British Antarctic Survey Medical Unit ) will explain how the ability to transmit images and data from remote locations for expert medical opinion has transformed the ability of isolated communities to provide high quality health care and avoid the need for potentially dangerous medical evacuations. ...the Zoo Pete Mantis (The Royal Veterinary College, Hatfield) will transport us into the wonderful world of animal ultrasound and talk about the trials, tribulations and rewards in dealing with patients who can’t vocalize their ailments. He will be doing a live scan on one of our furry friends. ...Technology Bob Jarman (Queen Elizabeth Hospital, Gateshead) will talk about the increasing use of focused ultrasound to answer specific questions at the patients’ side or to perform a specific procedure - often in the emergency department, critical care or ward. This type of focused ultrasound has been termed Point-of-Care (PoC) ultrasound. Bob will explain the benefits of using cutting edge technology in using ultrasound as an adjunct to clinical assessment and treatment of sick patients in the resuscitation room.


- Automatic scanner in operation

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Peter Marquis, tic British Antarc Survey Unit

Pete Mantis, The Royal Veterinary College, Hatfield

Dr Bob Jarman, Queen Elizabeth Hospita l, Gateshead

Anthony Roberts, RCOG

Dr Stephen Davies, BIR Presiden t

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in collaboration with

SCIENTIFIC MEETING PROGRAMME - Tuesday 14 December 2010 Meeting chaired by Darryl Maxwell 0900 0930 1000 1030 1100 1130 1200

Kindly supported by

1300 1400 1430 1530 1600 1630 1700

Registration Opens FASP 18-20 Week Anomaly Scan Dr Trish Chudleigh, Addenbrooke’s Hospital The Combined Test in Clinical Practice: Or What to do with the Raised NT with a Normal Karyotype Dr Chrissie Yu, King’s College Hospital Seeing Through the Fog: Obesity, Repeat Scans and Repetitive Strain Injury Mrs Kathryn Ford, St Helens and Knowsley NHS Trust Refreshments What are our Targets in Screening for CHD? Dr Helena Gardiner, Royal Brompton & Harefield NHS Foundation Trust A Pyramid of Care Professor Kypros Nicolaides, Fetal Medicine Foundation Lunch The Impact of the NICE Guidelines on Routine Pregnancy Scans Dr Tim Overton, St Michael’s Hospital Prematurity, Ultrasound and Fibronectin Professor Andrew Shennan, King’s College Hospital Refreshments Death of the Soft Marker Dr Pam Loughna, Nottingham City Hospital How Safe is Modern Obstetric Ultrasound? The Use of Harmonics in Routine Exams Dr Nick Dudley, United Lincolnshire Hospitals NHS Trust Close

1962 - Manual scanner delivered to Bertil Sunden, Lund, Sweden. (Became, in modified form, prototype for the Diasonograph). A Celebration of Ultrasound broc4 4

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Hu hardDia

well, Darryl Max at Guy ’s t ni U e in ic l Fetal Med as Hospita and St Thom

Professor Kypros Nicolaides, Fetal Medicine Foundation

Dr Trish Chudleigh, Addenbrooke’s Hospital, Cambridge

Dr Tim Overton, St Michael’s Hospital

Dr Chrissie Yu, King’s College Hospital

Professor Andrew Shennan, King’s College Hospital

Dr Helen Brompto a Gardiner, Royal n&H Foundati arefield NHS on Trust

Mrs Kathryn Ford, St Helens and Knowsley NHS Trust

Dr Pam Loughna, Nottingham City Ho spital

Dr Nick Dudley, United Lincolnshire Hospitals NHS Trust

Tom Brown on 3D

1964 - First Kelvin and Hughes/Smiths hard-valve-operated Diasonographs

1967 - Nuclear Enterprises acquires ultrasound business

1969 - Nuclear Enterprises release new, solid-state version of Diasonograph 1973-1979 Development and

The Multiplanar scanner in use. The operator is viewing the stereoscopic image pair on the screen, via the prism stereoscope mounted in front of it. Note also the View Control Unit on the console desktop to his left.

manufacture of Sonicaid threedimensional scanner in Livingston

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SCHOOLS DAY - Wednesday 15 December 2010 Ultrasound FACT... NASA uses ultrasound to diagnose many of the health issues that face astronauts allowing them to continue their missions! Ultrasound FACT... 3D ultrasound for medical diagnosis is used in the Antarctic. An Antarctic Station in winter is more cut off than the International Space Station. Scientists use ultrasound in the study of Krill digestion systems.

Circa 1975 - First commercial versions (ADR) of real time scanners appear

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Ultrasound FICTION... You can’t do ultrasound on a Polar Bear in the Antarctic (they don’t live there, they are at the other end of the globe)!

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Ultrasound FACT... Bats use a variety of ultrasonic ranging (echolocation) techniques to detect their prey.

2010 - An ultrasound scanner the size of a large mobile phone is launched in Europe and North America

Ultrasound FACT... Ultrasound FICTION... The common phrase as ‘blind as a bat’ is infact untrue. Bats can see perfectly well, although not in colour.

Circa 2000 - 3D/4D Kretz/GEC scanners appear

Circa 1990 - Computers integrated into ultrasound scanners

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Ultrasound scans allow expectant mothers to see how many babies they are carrying. How many can you see?

Circa 2006 - Ultrasound by then accounts for 20% or ALL physics-based investigations in the NHS, 62% still conventional Radiology, and all the “clever stuff” like CT, MRI etc., together making up the 18% remainder

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