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  • «سی‌تی اسکن پرتابل زیمنس برای تصویربرداری از سر»

کمپانی آلمانی Siemens Healthineers اخیراً از سی‌تی اسکن پرتابل خود به نام SOMATOM On.site رونمایی کرده است که می‌تواند به وسیله چرخ‌هایش به راحتی به اتاق بیمار انتقال یابد.
در حال حاضر بیمارانی که به تهیه تصویر سی‌تی اسکن از سرشان نیاز دارند، ناچارند به محلی که دستگاه سی‌تی اسکن قرار دارد، منتقل شوند اما قابلیت سیار بودن بودن دستگاه SOMATOM On.site، این مشکل را برطرف کرده است.
این دستگاه برای بیمارانی که در بخش مراقبت‌های ویژه بستری هستند، مزایای بیشتری دارد؛ زیرا خطرات ناشی از جابجایی بیمار از بخش بستری را کاهش می‌دهد. علاوه بر این، برای جابجایی این دستگاه فقط یک نفر لازم است و سایر کارکنان را درگیر نمی‌کند.
یک دوربین در جلوی این سی‌تی اسکن تعبیه شده است که در هنگام جابجایی دستگاه، هر آنچه در مسیر حرکت آن قرار دارد را در نمایشگر روبروی فردی که دستگاه را جابجا می‌کند، نشان می‌دهد تا در هنگام حرکت به افراد یا اشیاء برخورد نکند.
در مواقعی که بیمار نمی‌تواند از تخت بلند شود، صفحه جلوی تخت بستری برداشته شده و سر بیمار می‌تواند داخل دستگاه سی‌تی اسکن قرار گیرد. یک نگهدارنده سر و صفحه‌ای برای قرارگیری شانه‌ها به دستگاه متصل است که کمک می‌کند تا از تراز بودن و قرارگیری صحیح سر بیمار به صورت مستقیم و دقیق، اطمینان حاصل شود.
در طول فرایند تصویربرداری با این دستگاه، کلیه لوله‌های مربوط به مدار تنفسی و کابل‌های ECG می‌توانند به بدن بیمار متصل باشند. پس از پایان فرایند تصویربرداری، تصاویر به صورت خودکار به سیستم اطلاعات رادیولوژی مرکز درمانی ارسال شده و رادیولوژیست‌ها می‌توانند بلافاصله آن‌ها را بررسی کنند.
.
🔍 منبع:
www.iranbme.ir

#مهندسی_پزشکی #مهندسی #پزشکی #رادیولوژی #رادیولوژیست #تصویربرداری_پزشکی #سی_تی_اسکن #تجهیزات_پزشکی #ویدیو #کلیپ
#iranbme #BiomedicalEngineering #MedicalEquipment #MedicalDevice #CTScan #Radiology #MedicalImaging #Siemens #SiemensHealthineers #Video #Clip
  • «سی‌تی اسکن پرتابل زیمنس برای تصویربرداری از سر»

    کمپانی آلمانی Siemens Healthineers اخیراً از سی‌تی اسکن پرتابل خود به نام SOMATOM On.site رونمایی کرده است که می‌تواند به وسیله چرخ‌هایش به راحتی به اتاق بیمار انتقال یابد.
    در حال حاضر بیمارانی که به تهیه تصویر سی‌تی اسکن از سرشان نیاز دارند، ناچارند به محلی که دستگاه سی‌تی اسکن قرار دارد، منتقل شوند اما قابلیت سیار بودن بودن دستگاه SOMATOM On.site، این مشکل را برطرف کرده است.
    این دستگاه برای بیمارانی که در بخش مراقبت‌های ویژه بستری هستند، مزایای بیشتری دارد؛ زیرا خطرات ناشی از جابجایی بیمار از بخش بستری را کاهش می‌دهد. علاوه بر این، برای جابجایی این دستگاه فقط یک نفر لازم است و سایر کارکنان را درگیر نمی‌کند.
    یک دوربین در جلوی این سی‌تی اسکن تعبیه شده است که در هنگام جابجایی دستگاه، هر آنچه در مسیر حرکت آن قرار دارد را در نمایشگر روبروی فردی که دستگاه را جابجا می‌کند، نشان می‌دهد تا در هنگام حرکت به افراد یا اشیاء برخورد نکند.
    در مواقعی که بیمار نمی‌تواند از تخت بلند شود، صفحه جلوی تخت بستری برداشته شده و سر بیمار می‌تواند داخل دستگاه سی‌تی اسکن قرار گیرد. یک نگهدارنده سر و صفحه‌ای برای قرارگیری شانه‌ها به دستگاه متصل است که کمک می‌کند تا از تراز بودن و قرارگیری صحیح سر بیمار به صورت مستقیم و دقیق، اطمینان حاصل شود.
    در طول فرایند تصویربرداری با این دستگاه، کلیه لوله‌های مربوط به مدار تنفسی و کابل‌های ECG می‌توانند به بدن بیمار متصل باشند. پس از پایان فرایند تصویربرداری، تصاویر به صورت خودکار به سیستم اطلاعات رادیولوژی مرکز درمانی ارسال شده و رادیولوژیست‌ها می‌توانند بلافاصله آن‌ها را بررسی کنند.
    .
    🔍 منبع:
    www.iranbme.ir

    #مهندسی_پزشکی #مهندسی #پزشکی #رادیولوژی #رادیولوژیست #تصویربرداری_پزشکی #سی_تی_اسکن #تجهیزات_پزشکی #ویدیو #کلیپ
    #iranbme #BiomedicalEngineering #MedicalEquipment #MedicalDevice #CTScan #Radiology #MedicalImaging #Siemens #SiemensHealthineers #Video #Clip

  •  121  0  1 hour ago
  • I have now been the vomiting undigested food 12-16 hours after I eat it for 15 days. I have lost more than 17 pounds. I feel incredibly exhausted and weak... and not only does that get worse every day 😩
And despite being downright exhausted, I am having a lot of difficulty falling asleep and staying asleep...which is not normally a problem for me. 
I am also noticing that my brain is firing on even less cylinders than it normally does... I am not sure if that is because of the vomiting (and therefore lack of nutrients and dehydration) or if that is the lack of sleep... or maybe both. 
I have been in contact with my GI @ Rush in Chicago and he ordered a CT with & without contrast of my abdomen and pelvis... HOLY. CRAP. ON. A. CRACKER. 
getting that CT done has been a NIGHTMARE. 
at first the order i received appeared to be a shorted version of the order they enter in their system and for some reason showed that the priority was “routine” despite the fact that in their system they show it has been ordered STAT. And because the order I had showed it was ordered as a routine CT, instead of a STAT CT, insurance had to approve to the CT before we scheduled it... and then once insurance approved it and we could schedule it, it would likely be scheduled for 2-3 weeks out because it was marked as a routine (non-emergent) issue... or at least it appeared that way on the part of the order I received. 
So I had to get in contact with my GI’s office again and requests the STAT order (turns out I just needed a full copy of the order because they had already ordered it STAT)... But once I finally got the right order, I called every. single. imaging center in my city and no one could get me in until the end of next week... when I would be in Toledo for a Cardiology appointment. 
So I was told to go in to the Emergency Room and explain what is going on and that I am already seeing a specialist who would like a CT of my abdomen and pelvis done with and without contrast but I’m not having any luck getting it schedule outpatient... So that’s how my Friday night went. I hope yours was a lot better than mine...
  • I have now been the vomiting undigested food 12-16 hours after I eat it for 15 days. I have lost more than 17 pounds. I feel incredibly exhausted and weak... and not only does that get worse every day 😩
    And despite being downright exhausted, I am having a lot of difficulty falling asleep and staying asleep...which is not normally a problem for me.
    I am also noticing that my brain is firing on even less cylinders than it normally does... I am not sure if that is because of the vomiting (and therefore lack of nutrients and dehydration) or if that is the lack of sleep... or maybe both.
    I have been in contact with my GI @ Rush in Chicago and he ordered a CT with & without contrast of my abdomen and pelvis... HOLY. CRAP. ON. A. CRACKER.
    getting that CT done has been a NIGHTMARE.
    at first the order i received appeared to be a shorted version of the order they enter in their system and for some reason showed that the priority was “routine” despite the fact that in their system they show it has been ordered STAT. And because the order I had showed it was ordered as a routine CT, instead of a STAT CT, insurance had to approve to the CT before we scheduled it... and then once insurance approved it and we could schedule it, it would likely be scheduled for 2-3 weeks out because it was marked as a routine (non-emergent) issue... or at least it appeared that way on the part of the order I received.
    So I had to get in contact with my GI’s office again and requests the STAT order (turns out I just needed a full copy of the order because they had already ordered it STAT)... But once I finally got the right order, I called every. single. imaging center in my city and no one could get me in until the end of next week... when I would be in Toledo for a Cardiology appointment.
    So I was told to go in to the Emergency Room and explain what is going on and that I am already seeing a specialist who would like a CT of my abdomen and pelvis done with and without contrast but I’m not having any luck getting it schedule outpatient... So that’s how my Friday night went. I hope yours was a lot better than mine...

  •  16  2  11 hours ago
  • Communicating hydrocephalus
A 60 years old female patient who was unsteady and forgetful.
The ventricular system is disproportionately enlarged. No obstruction to CSF flow out of the ventricles is evident.
The corpus callosum is elevated and thinned with fenestration of the septum pellucidum.

You can see axial CTscan, T2, FLAIR and coronal T1 views.

Follow @mri_diagnosis to see more!

#Brain  #brainMRI # brainCtscan #MRI #CTscan  #xray #hydrocephalus #radiology #medical
  • Communicating hydrocephalus
    A 60 years old female patient who was unsteady and forgetful.
    The ventricular system is disproportionately enlarged. No obstruction to CSF flow out of the ventricles is evident.
    The corpus callosum is elevated and thinned with fenestration of the septum pellucidum.

    You can see axial CTscan, T2, FLAIR and coronal T1 views.

    Follow @mri_diagnosis to see more!

    #Brain #brainMRI # brainCtscan #MRI #CTscan #xray #hydrocephalus #radiology #medical

  •  49  0  14 hours ago
  • We recently got the chance to explore the anatomy of the fastest known life form—the peregrine falcon—reliably clocked at over 240 mph! Undergrad Lydia Giesige did a fantastic job preparing the long pointed wings, the #dermestids did their job on the skull, and the #OUµCT set us up for the next phase of the project.
•1• Here's the skull of the #peregrine #falcon after it came out of the dermestid beetle colony. Notice the "tomial tooth" on the upper bill that fits in a notch on the lower bill. It's thought that this arrangement helps the falcon bite through the necks of the birds they prey upon (not sure if that natural history nugget has been studied). Also note TWO sets of eye bones: the scleral ring that surrounds the iris and the little known os opticum that forms in the sclera at the back part of the eye; the optic nerve passes through that U in the os opticum.
•2• Lydia @lydsgies did her typically awesome job of prepping out the wings, removing all the bones and then pinning and drying the #wings. Falcons are incredibly fast flyers and those long pointed wings are key elements of their #flight style.
•3• Here's lab undergrad Lydia Giesige dissecting the peregrine falcon. The inset of the feet shows the two supposed hunting tactics. On the right, the toes are extended like normal to grasp, puncture, and kill their avian prey. On the left is the "foot fist." This is more controversial, but it's thought that they often attack their  prey at such high speeds that engaging their claws would destabilize the falcon and potentially risk injuring itself. The idea of the "foot fist" is that the peregrine would zoom down on its prey and hit it with its fist, injuring or even killing its prey. Both tactics are pretty badass!
•4• An OUµCT scan of the peregrine falcon reveals that the "tomial tooth" on the upper jaw is expressed in the bone as well as the #rhamphotheca. The corresponding notch on the lower jaw, however, is not mirrored in the #bone. Also, the scan show the scleral ring and the os opticum in place, the latter being visible in the lower part of the back of the orbit.
#peregrinefalcon #dissection #anatomy #birdskull #bird #ctscan #microCT #3dvisualization
  • We recently got the chance to explore the anatomy of the fastest known life form—the peregrine falcon—reliably clocked at over 240 mph! Undergrad Lydia Giesige did a fantastic job preparing the long pointed wings, the #dermestids did their job on the skull, and the #OUµCT set us up for the next phase of the project.
    •1• Here's the skull of the #peregrine #falcon after it came out of the dermestid beetle colony. Notice the "tomial tooth" on the upper bill that fits in a notch on the lower bill. It's thought that this arrangement helps the falcon bite through the necks of the birds they prey upon (not sure if that natural history nugget has been studied). Also note TWO sets of eye bones: the scleral ring that surrounds the iris and the little known os opticum that forms in the sclera at the back part of the eye; the optic nerve passes through that U in the os opticum.
    •2• Lydia @lydsgies did her typically awesome job of prepping out the wings, removing all the bones and then pinning and drying the #wings. Falcons are incredibly fast flyers and those long pointed wings are key elements of their #flight style.
    •3• Here's lab undergrad Lydia Giesige dissecting the peregrine falcon. The inset of the feet shows the two supposed hunting tactics. On the right, the toes are extended like normal to grasp, puncture, and kill their avian prey. On the left is the "foot fist." This is more controversial, but it's thought that they often attack their prey at such high speeds that engaging their claws would destabilize the falcon and potentially risk injuring itself. The idea of the "foot fist" is that the peregrine would zoom down on its prey and hit it with its fist, injuring or even killing its prey. Both tactics are pretty badass!
    •4• An OUµCT scan of the peregrine falcon reveals that the "tomial tooth" on the upper jaw is expressed in the bone as well as the #rhamphotheca. The corresponding notch on the lower jaw, however, is not mirrored in the #bone. Also, the scan show the scleral ring and the os opticum in place, the latter being visible in the lower part of the back of the orbit.
    #peregrinefalcon #dissection #anatomy #birdskull #bird #ctscan #microCT #3dvisualization

  •  232  0  17 hours ago
  • The patient shown here, sustained a large left orbital floor “blowout” fracture following an altercation 🥊. The orbital bones are egg shell thin, and when fractured, they usually shatter into several small pieces.  Not all of these fractures require operative intervention, however, when the fractured bone is significantly displaced, repair is recommended.
.
Surgical repair involves reducing the intraorbital contents back into their pre injury position, and replacing the shattered floor with a .4mm titanium plate @strykercmf. I typically trim and contour this plate to custom fit the defect.
.
The incision is designed just below the lower eyelid lashes (same location as in cosmetic blepharoplasty) and is barely visible 4-6 weeks after surgery.
.
Patients can be discharged home after they undergo a CT scan post-op to confirm accurate placement of the plate. Total surgical time ⏰ averages 30 minutes.
.

These images are the property of Dr. Rachel A. Ruotolo and LIPSG and are not authorized for use by any other party.
.
 #facialfracturefriday #FFF #brokenbones #titanium #fight #craniofacialsurgeon #preop #postop #ctscan #skull #fracture #facialfracture #stryker #beforeandafter #skull #blepharoplasty #eyelidsurgery #eyesurgery #globe #orbitalfracture #trauma #fixingbones #orif
  • The patient shown here, sustained a large left orbital floor “blowout” fracture following an altercation 🥊. The orbital bones are egg shell thin, and when fractured, they usually shatter into several small pieces. Not all of these fractures require operative intervention, however, when the fractured bone is significantly displaced, repair is recommended.
    .
    Surgical repair involves reducing the intraorbital contents back into their pre injury position, and replacing the shattered floor with a .4mm titanium plate @strykercmf. I typically trim and contour this plate to custom fit the defect.
    .
    The incision is designed just below the lower eyelid lashes (same location as in cosmetic blepharoplasty) and is barely visible 4-6 weeks after surgery.
    .
    Patients can be discharged home after they undergo a CT scan post-op to confirm accurate placement of the plate. Total surgical time ⏰ averages 30 minutes.
    .

    These images are the property of Dr. Rachel A. Ruotolo and LIPSG and are not authorized for use by any other party.
    .
    #facialfracturefriday #FFF #brokenbones #titanium #fight #craniofacialsurgeon #preop #postop #ctscan #skull #fracture #facialfracture #stryker #beforeandafter #skull #blepharoplasty #eyelidsurgery #eyesurgery #globe #orbitalfracture #trauma #fixingbones #orif

  •  46  3  20 hours ago
  • I am reposting this case to add new xrays and photos after removing the osteosnthesis plate.

Series 1 _ Xrays

I treated this patient almost a year ago. The huge cavity was found during a routine examination at the dentist, and he was referred to me for further treatment. The inferior alveolar nerve was partially involved with the lesion in the anterior region. The lesion was surrounded with bone almost completely that is why I removed a bony window, performed a cystectomy with neurolysis of the inferior alveolar nerve and reattached the bony door with a micro-plate. The cavity was filled with mutiple collagen fleeces to stabilize the blood clot and reduce the chances of having a serium gap around the clot. The lesion was removed completely in one 5 cm piece which is very import to avoid recurrence. The operation was done under sedation as such procedure can be painful even with local anesthesia. The x-rays show the progress in the last year. The cavity has generated very nicely, and the plate was removed last week with great healing at the site.

#oralsurgery #zahnmedizin #omfs #bonegraft #medizin #medicine #bone #dentistry #cyst #cyste #dentist #implant #pathology #gbr #dentalstudent #odontology #estomatologia #dentalschool #periodontist #maxillofacialsurgeon #maxfax #osteosynthesis #ustomed #fracture #trauma #tumor #cbct #blood #ctscan
  • I am reposting this case to add new xrays and photos after removing the osteosnthesis plate.

    Series 1 _ Xrays

    I treated this patient almost a year ago. The huge cavity was found during a routine examination at the dentist, and he was referred to me for further treatment. The inferior alveolar nerve was partially involved with the lesion in the anterior region. The lesion was surrounded with bone almost completely that is why I removed a bony window, performed a cystectomy with neurolysis of the inferior alveolar nerve and reattached the bony door with a micro-plate. The cavity was filled with mutiple collagen fleeces to stabilize the blood clot and reduce the chances of having a serium gap around the clot. The lesion was removed completely in one 5 cm piece which is very import to avoid recurrence. The operation was done under sedation as such procedure can be painful even with local anesthesia. The x-rays show the progress in the last year. The cavity has generated very nicely, and the plate was removed last week with great healing at the site.

    #oralsurgery #zahnmedizin #omfs #bonegraft #medizin #medicine #bone #dentistry #cyst #cyste #dentist #implant #pathology #gbr #dentalstudent #odontology #estomatologia #dentalschool #periodontist #maxillofacialsurgeon #maxfax #osteosynthesis #ustomed #fracture #trauma #tumor #cbct #blood #ctscan

  •  42  6  22 hours ago
  •  2  1  13 December, 2019

Top #CTSCAN Posts

  • COMPUTED TOMOGRAPHY
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
👩🏽‍⚕️You’ll hear about CT scans all the time while on the floor, but what exactly does the scan show? What’s the process like for the patient? Is there any prep for the scan?
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
👩🏽‍⚕️What is a CT scan?
It’s an X-ray based imaging procedure 📸that produces multiple cross-sectional images of the body. Depending on the indication, the scan can be performed with or without contrast 💉 injection
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
👩🏽‍⚕️What should your patient know?
The scan is painless, usually noninvasive, and generally accurate ✅ The process is fairly quick too - the patient just needs to remember to lay as still as possible for clearest images (if you have anxious or agitated patients, have the medical provider order an appropriate medication 💊 pre-imaging)
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
👩🏽‍⚕️Are there any contraindications?
There are no absolute contraindications, however, pregnant women 🤰🏼 (particularly those in their 1st trimester) should be cautious - risk vs benefit should be considered. Repeated X-ray exposure can ⬆️increase⬆️ the pt’s risk for cancer, however the risk from a single scan is small (benefit outweighs the risk)
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
👩🏽‍⚕️Random notes:
• Contrast media is avoided in pt’s with kidney disease
• Typically, pt’s will be NPO for a few hours before, especially if contrast media will be used
• Any metallic object worn by the pt should be removed pre-imaging because it can result in image artifact

Photo cred: @scansandscalpels
  • COMPUTED TOMOGRAPHY
    ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
    👩🏽‍⚕️You’ll hear about CT scans all the time while on the floor, but what exactly does the scan show? What’s the process like for the patient? Is there any prep for the scan?
    ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
    👩🏽‍⚕️What is a CT scan?
    It’s an X-ray based imaging procedure 📸that produces multiple cross-sectional images of the body. Depending on the indication, the scan can be performed with or without contrast 💉 injection
    ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
    👩🏽‍⚕️What should your patient know?
    The scan is painless, usually noninvasive, and generally accurate ✅ The process is fairly quick too - the patient just needs to remember to lay as still as possible for clearest images (if you have anxious or agitated patients, have the medical provider order an appropriate medication 💊 pre-imaging)
    ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
    👩🏽‍⚕️Are there any contraindications?
    There are no absolute contraindications, however, pregnant women 🤰🏼 (particularly those in their 1st trimester) should be cautious - risk vs benefit should be considered. Repeated X-ray exposure can ⬆️increase⬆️ the pt’s risk for cancer, however the risk from a single scan is small (benefit outweighs the risk)
    ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
    👩🏽‍⚕️Random notes:
    • Contrast media is avoided in pt’s with kidney disease
    • Typically, pt’s will be NPO for a few hours before, especially if contrast media will be used
    • Any metallic object worn by the pt should be removed pre-imaging because it can result in image artifact

    Photo cred: @scansandscalpels

  •  1,625  34  1 October, 2019