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Rs. 100

October, 2013

Complimentary with Color Doppler October 2013. Not for individual sale

USCON XXII Special Edition, Pages 12

India's First Complete Medical Imaging Magazine


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Message from the President Through organizing constant events, academic programs and conferences at various parts of India, Indian Federation of Ultrasound in Medicine and Biology successfully remains committed to its mission. I am also proud to organize ISPR 2013, the 11th National Annual Conference of the Indian Society of Pediatric Radiology on October 5th and 6th, 2013 at the Ahmedabad Management Association, Ahmedabad

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From the Conference Secretariat We are pleased to invite you to USCON XXII, 2013. With the concept of perfection in imaging, interpretation and diagnosis in mind, we have chosen this year's theme to be "Beyond Ultrasound - Providing Solutions". USCON is an interactive session for sonologists and sonographers who perform ultrasound and will also provide value for medical professional who utilize scan reports to plan treatment strategies

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Know Pondy Situated on the Coromandel Coast, about 160 kms at the South of Chennai, lies this beautiful Union Territory, Pondicherry. Known for its vast cosmopolitan, Pondicherry is one of the most sought after tourist destinations with stunning beaches, exotic sightseeing opportunities and tantalizing French cuisines

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Message from the President

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t is my honor and privilege to serve as the President of Indian Federation of Ultrasound in Medicine and Biology (IFUMB). Being the head of a family of 2109 members is not an easy task, yet it is a great opportunity to encourage the ultrasound community in India to enlarge and embark their knowledge base. Since the founding of India Federation of Ultrasound in Medicine and Biology (IFUMB) in 1978, the federation stays committed towards advancing the safe and effective use of ultrasound in medicine through professional and public education and research. The organization successfully unites the ultrasound users in all medical specialties and provides them a platform to discuss and impart training in the use of ultrasound. Through organizing constant events, academic programs and conferences at various parts of India, the organization successfully remains committed to its mission. Towards streamlining the activities of IFUMB, the committee has revised its Constitution this year. With renewed guidelines, we hope to make the activities seamless, yet systematic in the future. IFUMB and its academic wing ICMU are actively involved in arranging two midterm teaching seminars every year which are well attended. The annual congress USCON is held at new exciting destinations to reach out academically to remote areas and also to provide leisure time for the busy ultrasonologists working throughout the year USCONXXII the forthcoming National Conference of IFUMB is all set to happen from the beautiful Puducherry from 25th to 27thOctober 2013. Through these events, we intend to reach out to plenty of people, offering light to new researches in ultrasound and also and help to collaborate the segment with industry needs. We have just launched our much awaited IFUMB journal with the help of the editorial team of COLOR DOPPLER magazine and I am sure this will become a ready reckoner for all practicing sonologists in future. Before concluding, I once again thank you all for entrusting me the responsibility of President of IFUMB and I assure you all to offer the best service during the tenure. I also extend thanks to my colleagues for their extensive support and encouragement in performing my duties as president. Dr. Chander Lulla President, IFUMB

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'From the Conference Secretariat'

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The 22nd Annual Conference of Indian Federation of Ultrasound in Medicine and Biology– USCON XXII -sets a unique platform for knowledge sharing and community building among ultrasonographers and radiologists in the country

e are pleased to invite you to USCON XXII, 2013. With the concept of perfection in imaging, interpretation and diagnosis in mind, we have chosen this year's theme to be "Beyond Ultrasound - Providing Solutions". USCON is an interactive session for sonologists and sonographers who perform ultrasound and will also provide value for medical professional who utilize scan reports to plan treatment strategies. USCON aspires to showcase the latest technological advancements in ultrasound and implement recent trends into clinical practice; It has been extremely successful in this endeavor, growing by leaps and bounds over the years. This year, USCON XXII will be conducted for a period of three days, including workshops that focus on day to day issues in Women's Imaging, Doppler in Obstetrics, First Trimester Screening, Fetal Anatomy, Muskulosketal Ultrasound and Techniques of Intervention. We have taken utmost care to nominate faculty who will deliver while conforming to national and international guidelines. The conference is being held in Puducherry, a popular weekend destination close to Chennai, with its beautiful beacher’s, Puducherry brings together an electric mix of French colonial remnants, spirituality and Tamil culture in a simple yet cosmopolitan setting. We welcome you to share your thoughts, learn and interact at USCON XXII. Together, let us take a giant step forward in crossing barriers in ultrasonography and ultimately contribute to the welfare of mankind.

Prof. S. Suresh Organizing Chairman

About USCON The Madras Chapter of Indian Federation of Ultrasound in Medicine and Biology organizes the 22nd annual conference of the federation at Puducherry from 25th to 27th of October, 2013. The conference is based on the theme of, ‘Beyond Ultrasound- Providing Solutions.’

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Dr. Indrani Suresh Organizing Secretary

Event Workshop (Day 1 | 25-10-2013) 1. Women’s Imaging 2. Doppler in Obstetrics 3. Musculoskeletal Ultrasound 4. Techniques of Intervention 5. Peripheral Vascular Conference Days (Day 2 | 26-10-2013 & Day 3 | 27-10-2013) 1. Conference Days- Parallel Sessions 2. OBGYN Ultrasound 3. Ultrasound in General, Vascular, Breast & Small Parts

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How to Register Registration to USCON can be done via online at www.usconxxii.in/registration.php (Please note Registration is compulsory) Who can participate?

• IFUMB Members • Non-Members Trade • PG Students • International delegates

Venue Details Hotel Anandha Inn, S V Patel Road, Puducherry Known for its luxury and style, Anandha Inn has stunning architecture and the breathtaking interiors. The hotel is located on S V Patel Road in Pondicherry, is a popular weekend destination and lies amidst many worth exploring beaches, temples, colonial buildings and statues. The hotel is in proximity to many interesting places like Church of the Sacred Heart of Jesus (approximately 2 kms) and Pondicherry Museum (approximately 2kms). The distance from Pondicherry Airport is approximately 5kms and distance from Pondicherry Railway Station is approximately 3kms.

Registration Details Registration fee is payable. For registration enquiries, mail to reguscon2013@gmail.com

Payment Details DELEGATE CATEGORY IFUMB Members Non-Members Trade PG Students Accompanying Person Foreign Delegate

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Please Note: September Onwards (INR) 5800 6500 5400 5400 US $250

Spot (INR) 6500 7150 6100 6100 US$250

• Post Graduates need to provide proof of PG Status. • Conference fee includes Refreshments, Lunch & Delegate Kit. • Delegate kit subjected to availability for spot registrations. • Cancellation has to be intimated in writing/ e-mail on or before 15th October 2013. • 60 percent of the Registration fee will be refunded if cancellation is done before above mentioned date. Refunds will be issued only after the conference on or before 30th November, 2013.

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How to Reach Pondicherry? By Air: Chennai Airport (162 kms) is the nearest major airport from Pondicherry and is very well connected with the key states and cities of the country. The other airports which are nearby are the airports of Bangalore (296 kms) and Madhurai (324 kms).

By Rail: The traveler can get down at Pondicherry railway station. The venue is approximately 3 kms away from Pondicherry railway station.

By Road: Pondicherry is well connected by road with all major cities in the neighbouring states of Tamil Nadu, Kerala, Karnataka and Andhra Pradesh. From Chennai: If you are travelling from Chennai to Pondicherry, there are two roads to reach Pondicherry; NH 45 (National Highway) or ECR (East Coast Road) From Bangalore: If you’re travelling from Bangalore to Pondicherry, there are private and state transportation buses. K.S.R.T.C operates two semi-luxury volvo coaches daily from Bangalore to Pondicherry which departs from Kempegowda Bus Station.

Pondicherry, the Must-See City Situated on the Coromandel Coast, about 160 kms at the South of Chennai, lies this beautiful Union Territory, Pondicherry. Known for its vast cosmopolitan, Pondicherry is one of the most sought after tourist destinations with stunning beaches, exotic sightseeing and tantalizing French cuisines. This French ruled territory for 300 years today stands as a living monument of French Culture in India. Pondy is also famous for its small, calm and quiet enclave off Tamil Nadu and an ideal abode of peace and resplendence. Being close to Tamil Nadu it has imbibed the Tamilian culture and language. If you never visited this happening city before, then get set ready to enjoy the charm of Pondicherry.

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1 Places to Visit 1 Shri Aurobindo Ashram 2 Pondicherry Beach 3 Eglise de Notre Dame des Anges 4 Immaculate Conception Cathedral Church 5 Botanical Garden

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Interview

Point-of-Care Ultrasound Improves Patient Safety

Point-of-Care ultrasound provided revolutionary feasibility in the treatment of critically ill-patients. Here, Dr. Deepak Govil, Associate Director, Institute of Critical Care, Medanta - The Medicity, Gurgaon shares how point-of-care ultrasounds have proved beneficial to the medical care

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oint-of-care ultrasound is the use of portable ultrasound at a patient’s bedside for diagnostic and therapeutic purposes. Its invention has highly revolutionized the patient care in the medical world. Beyond the factor of cost-effectiveness, point-of-care has improved the efficiency of workflow by its compact size and simple-to-use features. The compact size enables the physicians to save space in the patient’s room and the features give a quick evaluation of the patient’s condition. Here, Dr. Deepak Govil, Associate Director of the Institute of Critical Care Medicine at Medanta – The Medicity, Gurgaon shares the assets of point-ofcare ultrasound systems, on how it has improved his work efficiency. Dr. Deepak Govil is the Vice President of the Indian Society of Critical Care Medicine, an Examiner and Teacher for Indian Diploma in Critical Care Medicine, and a Board Member of WINFOCUS. Dr. Govil has a keen interest in using ultrasound in Critical Care and in teaching the usage of bedside ultrasound to medical fellows. Excerpts from the interview: When did you start using portable point-of-care—or what some call "bedside"—ultrasound? And how long have you been using handcarried ultrasound systems in your

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practice? I started using hand-carried, point-ofcare ultrasound in the year 2006 but not on a regular basis. During the last two years, I have been using it extensively in almost every procedure in the Intensive Care Unit (ICU). Technological advancements—such as Multi-Frequency Probes and Color Doppler, as well as the introduction of new clinical applications of ultrasonography in critical care—have enabled greater usage of point-of-care ultrasound in ICUs. How has the point-of-care ultrasound proven useful with critical care patients? Its portability and accurate imaging can be very beneficial in improving the care of critically ill patients. Hand-carried ultrasound supports procedural guidance, pulmonary assessment, and focused echocardiography. This expedites my diagnostic procedure and helps to save patients from unnecessary exposure to harmful radiation through other types of diagnostic imaging tests. I think it is through the impact of advanced technology that the SonoSite system, a machine as small as a laptop, is able to aid me in making an accurate diagnosis. It allows me to perform focused point-of-care ultrasound scans on critically ill patients around the clock in the ICU.

What do you find most useful about portable ultrasound systems? We use the SonoSite M-Turbo system in our ICU, and its easy portability is its key distinguishing feature. Soon after purchasing the first system, I started noticing the impact it made on patient safety. Owing to its light weight, it can be carried directly to the patients [literally to the point of care]. This enables my medical team to make quicker and more informed diagnostic decisions and to perform safe and efficient interventional procedures. Are these hand-carried, point-of-care ultrasound systems user-friendly? The SonoSite ultrasound system is easy to understand. It is lightweight, boots up very quickly, and has good battery backup. These are some of the top features that healthcare specialists seek in an ultrasound machine. How do point-of-care ultrasound systems fair in training doctors? The portable ultrasound systems have proven to be valuable tools in the handson training of doctors for the myriad uses of ultrasound in an ICU setup. The compact, lightweight design of the handcarried machine with its high-resolution screen and easy-to-use features allows me to train my students in point-of-care ultrasound usage quickly and efficiently.

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Featured Product

First-ever Ultrasound Kiosk:

X-Porte

SonoSite's X-Porte Ultrasound Kiosk integrates advanced signal processing for high-resolution imaging, 3D animated clinical guides, and a cutting-edge multi-gesture user interface—all first-ever innovations in point-of-care ultrasound

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UJIFILM SonoSite, Inc., the specialists in designing cuttingedge ultrasound tools and a world-leading manufacturer and innovator of bedside ultrasound systems as well as an industry leader in ultra highfrequency micro-ultrasound technology recently launched their newest generation of point-of-care ultrasound, the X-Porte Ultrasound Kiosk. The X-Porte kiosk is an important landmark in SonoSite’s ongoing effort to improve access to point-of-care ultrasound visualization. The kiosk has been created to serve a broad spectrum of users, from novice to advanced, and represents an entirely new design and use paradigm for ultrasound. The foundational advancement behind X-Porte is a new imaging technology never before used in ultrasound systems: SonoSite's proprietary Extreme Definition Imaging (XDI) technology. XDI Technology XDI was created following 35 years of applied ultrasound research by the company’s Chief Technology Officer, JJ Hwang. XDI significantly reduces visual clutter from side-lobe artifacts that affect all ultrasound imaging regardless of system size. To maximize the utility of the XDI technology, X-Porte delivers optimum usability and interoperability through its groundbreaking visual learning guides. The kiosk integrates high-resolution ultrasound imaging synchronously with

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3D animations that enable ‘any user, any time of day’ to make the most of the operating the technology. These learning modules can be used simultaneously with live scanning to optimize in-the-moment performance and user consistency. SonoSite partnered with world-leading product designers and experts in advanced automotive animation modeling and distance medical learning. To ensure maximized clinical efficacy, a consortium of expert physician educators contributed their expertise for each 3D application module. The team was led by Henry Ford Hospital Chair of Surgery Scott Dulchavsky, MD, PhD, who has pioneered medical training tutorials for astronauts. SonoSite’s User-Experience Design Team also designed a unique, multitouch, gesture-driven user interface comparable to those found in the consumer world. With personalization capability by any user, controls can be repositioned with the glide of a hand and without keys or buttons. The highly cleanable, sealed user interface was designed with minimal crevices to facilitate optimal infection control. The glass surface has been tested against incidental spills and allows cleaning with a wide range of disinfectants without deteriorating the surface over time.

Product Features X-Porte has been designed for optimizing user workflow and varied environments, with adjustable height and gesture-driven touchpad for use in a standing or sitting position. The kiosk's slender profile lends itself to easy navigation down corridors and alongside patient beds; It has a detachable use option for low-footprint environments. The X-Porte ultrasound core can be easily detached from the kiosk as well as simply upgraded though straightforward software updates or an engine exchange. As with all SonoSite ultrasound systems, X-Porte comes standard with an industryleading five-year warranty. X-Porte has been developed from the ground up to incorporate a breakthrough, proprietary beam-forming technology: XDI (Extreme Definition Imaging). This signal analysis algorithm shapes X-Porte’s ultrasound beam to pinpoint precision. Artifact clutter is substantially reduced while contrast resolution is significantly enhanced. Though it is easily customizable touch-screen interface, X-Porte puts at your fingertips leading-edge capabilities and onboard educational resources, such as step-by-step tutorials viewable simultaneously with live scans. X-Porte’s slender profile makes it easy to maneuver alongside beds and exam tables for point-of-care imaging. For portability and durability during transport, its screen folds down and its stand lowers making X-Porte even more compact for navigating busy corridors.

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History

Past, Present and Future of CT Scan

Four decades ago, in an October, Computed Tomography was born. In the occasion, we talk to Bob Senzig, Chief Engineer for GE’s global CT group, in detail on the past, present and future of CT scan

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n October 1, 1971, computed tomography (CT) imaging produced the first scan at the Atkinson Morley Hospital in Wimbledon, London, United Kingdom. The image, performed on a cerebral cyst patient, proved it was possible to produce non superimposed images of an object slice. Godfrey N. Hounsfield’s development of CT is still as relevant 40 years on as the technique has evolved to become one of the most essential methods of radiological diagnosis. Its ability to provide non-superimposed, cross-sectional body images that are able to highlight contrast differences clearer than X-ray images is its main advantage. GE Healthcare’s Bob Senzig has been a witness to the milestones CT has achieved throughout his 31 years at the organization. In 2001 he was named Chief Engineer for GE’s global CT group. “The first CT scanners used to scan extremely slowly. Now CT scanners scan a lot faster. The image quality has made leaps and bounds over the years with higher resolution and clarity,” he recalled. “CT scanners have evolved to image the heart —one of the most difficult organs to scan—as a routine procedure.”

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Advancements in speed, slice count, and image clarity have benefited cardiac imaging the most. These scanners now produce higher resolution images that allow physicians to diagnose patients and carry out medical procedures with greater confidence. It is this ability of CT technology to constantly adapt and evolve to ever-changing needs that has allowed it to be applied in other fields. Nowadays it is not uncommon for CT to be used for dental CT scans, scans that are focused on extremities, industrial inspection scans, or baggage scanning at the airport. The CT scanner uses X-rays to make digital images of objects in 3D. “CT imaging has been used to ‘virtually dissect’ specimens such as Egyptian mummies without damaging them. The images allow scientists to find out the age of the mummified remains, check for signs of disease and examine the internal structures of the body,” said Senzig CT’s ability to evolve and adapt indicates that it is a well versed technology to address current challenges posed by recent Healthcare-related Laws; the global

recession; radiation dose management; and an incredible growth in healthcare data in which clinical imaging has been highlighted as a contributor. One way that we can deal with all that data is to optimize the way it is reviewed and presented. Network speed also ensures that multiple scans can be quickly brought up for review. I think we’re also going to see more of an automated analysis, intelligence and assistance in the understanding of CT images to help reduce the amount of data needed to be analyzed by clinicians. Today, CT is an example of imaging innovation being at the cutting edge, where we are now seeing high-end scanners offering up to 320 slices, dual-source and dual-energy x-ray sources and iterative reconstruction techniques such as 3D visualization that have proven popular by providing additional clinical insights. What we’ve been able to do so effectively at GE Healthcare is to line up the technological capabilities and user needs,” said Senzig. “I think this has helped us to be a lot more impactful in the market by not being a company driven solely by technology, but rather a company whose technology is being driven by clinical needs.”

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Uscon UTSAV-Supplement to celebrate the USCON 2013

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