“Prelude Scientia Chiropractic”
Rochester
Spine Care , 493 37th St. NE., Rochester, Mn.
55906
(All Mail
to Data Center Please @ )
Conservative
Care Quality Assurance Services, P.O.Box 1116,
Hayfield, Mn.
55927
Dr.
John D. Reid,
D.C. By agreement
of all contributors to this project this first release and possibly many
more will be free to professionals seeking more information relating to
ultrasound spine scan;
Date:
03/12/07
The
day after valentine’s day the 3 D ultrasound spine scan system was
delivered. After 6 hours of
temperature & humidity acclimation it was unpacked and gleefully set
up in Rm.#2. I suspected it
might be stressful learning a new and very advanced system so I decided to
sequester it in room two so I could wrestle with it as I desired, and ignore
it if I needed to. I was determined
to keep my stress levels reasonable, and reading the manual that came with
it I discovered a sometimes
rough translated text that promised to be
challenging.
I
now call the system the “little BIG machine” since though physically
small its capabilities are greater than my original Picker B arm research
unit which was 6 feet high and weighed in at a bit over 800
Lbs. I once calculated that
the Picker unit had a potential for over one billion tuning
combinations. This little 27
Lb. Miracle 3D system has at least the same potential, and possibly
greater. It was definitely not
a “turn it on and go” type
system.
I
won’t bore everyone with the gory details of learning this magnificent
system while battling for life with the two huge snow storms that hit shortly
after the system arrived, but suffice it to say I lost a whole week of learning
time since I was so exhausted from keeping home and commercial property secure
and heated despite power failures.
I just had to let everything go easy for a week after the snow
storms. Thus I just practiced
my usual 12 hour days and enjoyed the familiarity of my old Shimadzu ultrasound
spine scan high resolution 3.5 Megahertz two dimensional pictures
system. For one week after the
blizzards room two and the little BIG machine saw little
action.
But
it was good because I then came back with gusto and had the first three
dimensional spine section on screen two hours after I first turned the system
on again. Definitely neat
stuff.
YES
the ligament signs from 2 D are obviously ligaments when a 3 D section is
run.
YES
patients who are feeling good often have heavier fibrous repair signs in
the region of former trouble than in other
regions. The fibrous strengthening
becoming suddenly more dense is obvious on 3D section captures as the spine
is swept along.
YES
the inflammation (more white) signs along the spine are obviously micro lymphatic
dilations servicing the nerve roots, facet capsules, and vertebral (periosteum)
surfaces. The lymphatic “beads
on a string” nature of the dilated (more white fatty reflective) structures
is obvious in 5 megahertz, 6.2 megahertz, 7.5 megahertz, and 8.2 megahertz,
and 10 megahertz, with 3D sections showing the superficial continuum nature
of the regional lymph structures.
The
adventure continues, but I can see the five different frequencies high resolution
nature of the little BIG machine is going to be much more difficult to teach
to other doctors. The low frequency
lower resolution machines often shifted into a scattered dashes pattern that
signified lymphatic dilations and inflammation. The resolution was better
horizontally compared to vertically, so little lymph spheres expanding looked
like dashes. It was easy to
teach via “look for the dashed
textures”. This new system
is much closer to MRI resolution and thus no more analogies are
possible. I will have to teach
it via “look at the little lymph spheroids getting bigger” and
that is simply that.
The
new system also has a mere 50mm wide transducer for linear
work. The whole situation from
teaching to survey work would ideally benefit from a 100mm wide transducer
that
#1.
Captured more anatomy:
#2.
Captured more gross (lower resolution) features: in 4.0
megahertz:
(Maybe
even it could employ spacers between crystals to gain the 100 mm
width)
#3.
Was strictly designated “orthopedic joint survey
work”:
#4.
Was restricted to sale ONLY in conjunction with the 50mm
(5.0,
6.0, 7.5. 8.2, 10 MgHrtz) high resolution transducer
probe.
The
protocol would then be possible as:
First survey the spine in wide anatomy (100mm) lower
res.
Then take detailed views (50mm hi Res) in areas of inflammation and high degree of diagnostic interest.
Enabling that protocol would be excellent:
Further concept is to be able to label the three D directly via a video over ride keyboard:
Presently the 3 D must either be anticipated with a title page first and/or receive a post label using another
title page and then the label page(s) and the three D need to never be separated by slicing apart physically.
One page with everything or at least titles over-laid on the original I think would give a stronger legal
record.