i-CAT Users Group

This is kind of interesting

2011-03-29T11:39:00.000-07:00

I found this today and thought it was an interesting way to compare radiation doses. Check it out at http://blog.xkcd.com/2011/03/19/radiation-chart/

Do We Own a Lemon?

2011-03-22T11:07:00.000-07:00

We purchased a classic icat in 2005, and since the beginning have had repair problems: y-rotors, mother boards, completely new computer, and finally the complete upgrade last fall. Now the beam limiter is not working (and we had a repair on that 2 years ago). To complicate matters, parts are not in stock; when we did get the parts, most of them did not work and ISI had to send more replacements. We are now waiting again for parts that are not in stock, and our downtime is seriously affecting our business. So, is eveyone with the classic icat experiencing similar problems, or do we have a lemon? (Don't get me wrong, I do like the icat--just wondering what everyone else's experiences have been!)

NY Times Article and iCAT Users

2010-12-07T07:28:00.000-08:00

You have all been made aware of this article and the Imaging Sciences response by now. We had a patient call our office the day after this article came out with questions about his scan. We have had several more since then. We are in the process of drafting a response for all of our staff, receptionists and technicians, to use when patients question the cone beam scans.

How do you handle patient radiation concerns in your office? Do you have a standardized response that all of your staff uses? Do you have a handout for your patients to answer their radiation concerns?

Vickie

Thanksgiving Card 2010

2010-11-03T10:03:00.000-07:00

Here is our 3d card for this year - thought you might enjoy it. Marcelle

i-CAT upgrade promotional opportunity

2010-10-19T20:22:00.000-07:00

This is an excellent opportunity for getting "marketing mileage" out of your investment! Upgrading your i-CAT demonstrates commitment to referring doctors by virtue that you're investing in cutting-edge diagnostics. Be sure to let them know about it.

We have been working with a few imaging centers and have developed great advertising and media content; if you prefer we can taylor the promotion to your unique needs.

Seize your opportunities when they arise, such as this upgrade.

Amos

www.imagingmarketing.com

541.556.6713

oops...same url as before: rmox.com

2010-09-07T14:54:00.001-07:00

New website for RMOX

2010-09-07T14:52:00.000-07:00

Please check out my new website - all comments (and corrections) are appreciated!

Thanks to all of you that have websites - I borrowed ideas, ok, some plagorism was involved, and concepts from all of you!

Marcelle

2010-08-27T10:54:00.000-07:00

Well...How many of you are out there discovering that you will not be getting the upgrade to a 14 bit in the near future? I am concerned that they (ISI) are not telling the whole truth about their situation of not getting the parts from the manufacturer. Any thoughts or information would be appreciated. Lost in Petaluma

iCAT Updgrade continued...

2010-07-19T15:25:00.000-07:00

Well, by Friday my machine in Northglenn was upgraded. And we love it!! Good image and really fast! Still working out a few kinks with my network and software (oops...forgot we needed the Adobe on this computer!)

The bad news is that they were not able to upgrade my other lab in Denver, after I had marked off 2 days to do it. They are being very accomodating about rescheduling. Hopefully, they have learned alot on my install and will correct the problems ( I think they will).

I'll keep you posted if any other issues come up.................

iCAT Upgrade

2010-07-14T12:47:00.000-07:00

I am upgrading from 12bit to 14bit this week. So far it is not going well because they did not send all of the proper parts. If you have not had your power supply + tubehead replaced, then they will need to do it now. Somehow, this was overlooked...oh, yea, then they overlooked sending it overnight air so we are down one more day. I will keep everyone posted...I'm afraid ISI isn't even close to the company it once was :-(

2010-06-22T21:44:00.000-07:00

I am still waiting for my upgrade to the 14 bit and the xoran software upgrade. Does anyone out there have this upgrade?
I am trying to find out how to create a report file that can be used universally by each CD that I produce for my docs. Is anyone doing this type of production?
Thanks

i-cat 3d dvt cb cone beam with extended field and panorama option for sale

2010-05-04T15:04:00.000-07:00

I am selling our i-cat 3d dvt cb cone beam (bought january 2007) with extended field and pan-option

The kavo-group (Imaging Sciences International, Soredex, Instrumentarium Dental, Gendex, kavo) was unable to get our i-cat in proper working conditions in Austria Europe. See also my post from March 28, 2010.

We also have an extended warranty till february the 5th 2012, at the moment paid till february 2011.

As this case is in my opinion a big shame for imaging sciences international and kavo, I would expect them to be very helpful delivering and installing this wonderful machine in an world area, where they have competent technicians available.

For details see www.kavo-never.com

Please send offers to kavonever@gmail.com

Johann Wochl, Maishofen, Austria, Europe

www.wochl.com

Customer Users' Meeting & 3-D Dental Imaging Congress

2010-04-20T14:34:00.000-07:00

We invite all i-CAT and GXCB-500 customers to join us at our 4th Annual 3-D Dental Imaging Congress in La Jolla, CA from June 24-26, 2010. We will be hosting a customer Users' Meeting on Thursday, June 24th from 8 am - 5 pm, covering the following topics:

Product Update Information
Patient Postioning, Scanning Protocols review
IT and Networking
Software Review
Breakout sessions for Xoran Software review & update and Invivo Software review.

We encourage you to stay on for the entire Congress as well as there will be many relevant topics such as CBCT Interpretation, Billing, and Marketing, etc. Please go to http://www.i-cat3d.com/3dimgcongress.asp for more details or contact me at liz.qualtier@imagingsciences.com if any questions.

We look forward to seeing you there.

Liz Qualtier

replacement of icat anavoidable

2010-03-28T09:31:00.000-07:00

We bought icat in february 2007 with pan-option and extended warranty till february 2012
Actually there is not even the pan-option shown on the computer. Probably due to the frequent software and acquisition computer crashes we always had networking problems (dicoms not available in all operatories). Nevertheless we were enthusiastic about the possibility to take immediate 3d-pictures.

Since the breakdown of the first x-ray tube, the kavo group (imaging sciences, kavo, gendex, instrumentarium dental, soredex) was till today unable to put our icat back in working conditions. Since July 2009 I delegated the task of getting the kavo group to honor the till february 2010 paid extended warranty by properly repairing the icat without any success.

Instead of honoring the extended warranty they use a big lawyer office trying to intimidate me.

In a couple of days I will post the link to my webpage with all the documents, so everybody can build his own opinions on facts
- not working at all at taking of evidence by court on 10th march 2010
- letters of kavo lawyers
- bills of delivery from kavo when trying to get icat working
- confirmation of payment of extended warranty
- many of my emails, mostly not answered at all
- proof that we escalated this issue up to the CEO of the kavo group henner.witte@kavo.com without any avail
- when icat hoaxed into working (many restarts), absolutely inaccceptable horrible abominable inacceptable picture quality
- inacceptable data losses of taken pictures when icat was functioning from january 2007 till may 2008 (when the hard disk of the acquisition computer was full at the end of 2007, the kavo group demanded that we place at their disposal a dedicated windows server. We complied immediately but they never teached their service personal about the icatserver)
- kavo does not obey and not honor the x-ray law

We tried everything to avoid loosing our whole investment in the icat, by trying over month to get it repaired by the kavo group (extended warranty was paid and valid). We asked during the last 2 weeks all other dental suppliers in our area for help. They all declined because as expected have no certified technicians for the icat.

So after 9 month of this ordeal we had to take the decision to replace our icat, otherwise the damage to our dental office would even be greater than the write-off of the icat.

I will in future post all relevant documents on www.kavo-never.com.

Johann Wochl

Airway Reports

2009-12-15T17:19:00.000-08:00

I need some guidance on what kind of reports people are doing for airway. I have never done one and would like the input of our group as to what software you use and how you give the report to the referring doc.

Magic material needed!

2009-10-28T13:28:00.000-07:00

A doctor's office called today to complain about the streaking along the top of the image. They wondered if there was something wrong with my printer. When I told them it was caused by the metal crowns on ALL of the patient's lower teeth, they suggested I put something over the teeth "like a rubber dam or something" that will cover the crowns so that they won't show up like this in the image.

...I'm guessing they won't be sending me any more patients because of my shoddy work.

i-CAT Vision Software Training Session

2009-10-22T08:50:00.000-07:00

Are any imaging centers attending ISI's i-CAT Vision Software Training Session in Anaheim on November 4, 2009?

i-CAT Vision Tru-Pan

2009-10-21T17:06:00.000-07:00

I got my Tru-Pan upgrade today. Very impressive!

Mr. Pumpkin Head

2009-10-14T12:51:00.000-07:00

Specials for Tru-Pan software and InVivo Dental Software

2009-09-24T10:00:00.000-07:00

Hi everyone!!

We are having some great fall specials!! Good until 12-31-09

*If you are currently under any kind of warranty, you qualify for a large discount on Tru-Pan software!!

- Basic level = 45% discount
- Bronze level = 55% discount
- Silver level (annual commitment and pre-paid) = 65% discount (Tru-Pan retails for $9,999). (www.tru-pan3d.com)

*If you purchase Tru-Pan at a 25% discount (you pay $7,500), we will give you the InVivo Dental Imaging software for free!! Please visit www.anatomage.com for details on this software. If interested please call me at 888 883 3947 x 1149 or todd.liberty@imagingsciences.com I can email you some more images of Tru-Pan to give you an idea of the detail involved. Thanks!!

i-CAT User Meeting Outline

2009-09-08T13:48:00.000-07:00

Below is a brief outline of the topics we will review at the i-CAT User Meeting next week in Portland. If you are interested in attending and have not yet registered with me, please email me at liz.qualtier@imagingsciences.com so I can sign you up. Again, the meeting is Saturday, Sept. 19 from 2:30-5:30 pm, after theAADMRT annual session adjourns.

1. We will start the meeting with a Demonstration of the beta version of the Xoran upgrade which is targeted for release in the first quarter of 2010. This demonstration will contain topics such as nerve canal mapping, configurable fonts for reports, etc.

2. Standard Resolution Scans vs. High Resolution Scans: Matt Kroona will present his findings on recent cadaver studies.

3. i-CATVision: Did you know? A review of functions that you may not have been aware of.

4. Update on New Features: Includes a demonstration of the recently released Tru-Pan (ATP) product.

i-CAT User Meeting

2009-08-06T10:54:00.000-07:00

ISI will be hosting an i-CAT User Meeting at the AADMRT Convention this year. It will be held at the same hotel as your convention, The Hilton in Portland, OR on Saturday, September 19, from 2:30-5:30 pm in The Parlors. If interested in attending, I ask that you please email me so I can send you a Registration Form with details, liz.qualtier@imagingsciences.com
Please call me if any questions, 215-997-5666, x284.

Thanks and I look forward to seeing you all there!
Liz

iCAT Users Meeting?

2009-07-21T10:21:00.000-07:00

Does anyone know when the user's meeting in Portland will be? Let us know Imaging Sciences folks! Thanks.

Tru-Pan powered by i-CAT

2009-07-20T13:48:00.000-07:00

Tru-pan is here!! Please go to the following link to see a live image being created with this remarkable software: http://www.tru-pan3d.com/ *click video*

Please call me at 888 883 3947 x 1149 if you would like to talk about upgrading to a gold level service package which carries benefits for Tru-Pan software.

Email: todd.liberty@imagingsciences.com

Thanks!! :)

HIPAA Rules on consent to email records

2009-07-14T15:11:00.000-07:00

I seem to be getting a lot of calls lately from doctors asking me to email them x-rays of patients that were originally requested by another doctor. I've always done this routinely but I'm starting to wonder if I should be getting patient's consent to do this. It seems appropriate to me that a doctor could request a patient's records without their consent, because the only way they would know we have the records is if the patient informs them, which implies (in my mind) consent.

Does anyone have any experience with this or have an opinion? I'd hate to have to contact the patient to get their permission PLUS I'd also hate to have to start keeping a paper trail of consent for all these requests.

Thanks for any ideas you all might have.

American Society of Radiologic Technologists session at RSNA

2009-07-12T06:32:00.000-07:00

Hello everyone,

I thought this may interest you guys:

RSNA (Radiological Society of North America) and ASRT (American Society of Radiologic Technologists are offering a 1.5 day education program specifically designed for radiologic technologists during the RSNA annual session in Chicago. The Program begins Wednesday afternoon (Dec 2nd) and runs all day on Thursday (Dec 3rd). Topics include radiation exposure, talking to parents about radiation safety issues, technology issues, and the changing role of the technologist. More can be found at their website http://www.rsna.org/

Dania

10% off any selected warranty until June 26th close of business

2009-06-15T12:43:00.001-07:00

Hi!

For those of you not currently participating in a service agreement (warranty), we are offering a special for 10% any program at any level (including gold). Please email me at todd.liberty@imagingsciences.com or call at 888 883 3947 x 1149 if you are interested. Thanks!

If the one year price even with discount is to much for your budget, please call or email me. We have some other options to better fit your budget if needed. Thanks!

New optional software upgrade for i-CAT

2009-06-11T10:45:00.001-07:00

Hi!

We are excited about a release of a new software upgrade in the next few months for the classic and platinum i-CAT machines!! Please also check the website for additional information on i-CAT vision updates as well.

Introduction

2009-06-11T10:39:00.000-07:00

Hi everyone! I was invited by Eric to share my experiences and get your feed back to make your experience with the i-CAT as best as possible. Here is a little bit about myself.

My name is Todd Liberty, and I have had the pleasure of talking to some of you already. I work with the ISI (i-CAT) and the Gendex (CB500) 3D cone beam machines and the service level agreements involved with those machines. I have been in the dental profession both business and lab/surgical assisting for about 14 years now. I spent eight of those years in the United States Navy as a Dental Technician in the United States and also in Keflavik, Iceland. I will be glad to post when software updates are available and promotions for our service agreements (extended warranty) for those who have not chosen to participate in a service plan yet. Please let me know if you have any questions pertaining to your i-CAT classic or next generation platinum or Gendex CB500 unit. I will serve you the best I can.

todd.liberty@imagingsciences.com

THANK YOU! :)

Bunny Ceph

2009-04-08T14:26:00.000-07:00

Happy Easter!

3rd International Congress on 3-D Dental Imaging

2009-03-31T13:49:00.000-07:00

Highly Anticipated 3-D Congress Features Interdisciplinary Approach to 3-D Dentistry!
The 3rd International Congress on 3-D Dental Imaging has expanded its agenda offering original and exciting content. New and returning attendees will garner insights on how to implement three-dimensional planning to expand treatment services, leading to better patient care and practice growth, through clinical teamwork of dental professionals.
The 3rd International Congress on 3-D Dental Imaging, sponsored by Imaging Sciences International and Gendex Dental Systems and held this year in Chicago, Illinois on June 19th and 20th, features a variety of dental clinicians and professionals from nearly all dental specialties. These eleven leaders in education offer their expertise on practical applications of this dynamic technology as well as an interdisciplinary teamwork approach to 3-D treatment that can benefit both patients and the practice.

For more information on the Program, Agenda, Speakers, Lecture Topics and more, please visit www.i-CAT3D.com.

i-CAT User Meeting

2009-03-25T09:19:00.000-07:00

The i-CAT User Meeting will be held on April 25, 2009 from 5pm to 7 pm at the Delta King Hotel which is just down the block from the Embassy Suites. The address is 1000 Front Street, Old Sacramento, CA 95814. We will be in the Fort Sutter Room. If any questions, please feel free to contact me at 215-997-5666, x284. I look forward to seeing you there!
Liz

AADMRT Spring Seminar & i-CAT Users Meeting

2009-03-13T18:06:00.000-07:00

I would like to take this opportunity to invite you to the AADMRT 2009 Spring meeting. This is a one day seminar and this year our theme will be Conebeam CT. If you own a CBCT, or are thinking about getting one, you do not want to miss this meeting. It is packed full of dynamic speakers who will present to you the information needed in today’s competitive market.
We will begin the day with Mr. Arun Singh and Mr. David Sebok who will share the podium to discuss the fundamentals of CBCT. You will learn to better appreciate the effects of noise, signal, artifacts and other factors that can affect the quality of your scans. Next, we will hear from Dr. Timothy Mickiewicz. He is a great and dynamic speaker who will educate you on his uses of CBCT for facial pain and sleep apnea patients. This is one speaker you will not want to miss, he is upbeat, fun, and very knowledgeable on his material. Mr. Steve McEvoy has spoken to our group before, and we are fortunate to have him back again. He will speak on some of the IT challenges that all CBCT users face and how to avoid common problems. He will also offer solutions for
backing up data, printing, and much more. Dr. Peter Worth will begin the afternoon on his perspective on CBCT and how it relates to orthodontics. I think Dr. Worth has been using CBCT for ortho longer than any orthodontist in the country. He understands its capabilities and he will share with us the orthodontic point of view of what this tool can provide, and what it is lacking. The last speaker of the day is an oral and Maxillofacial Radiologist named Dr. Shaza Mardini. She will address what is seen in CBCT scans and help us understand what constitutes variations of normal, what does not, and when a radiologist should be consulted on a case. The day is packed full of great speakers, 6 speakers in 6 hours. Make your reservations early, we do have limited space and this will sell out. I hope to see you there!

Craig Dial
2009 Spring Convention Chair

General Information

Accessibility
The Embassy Suites hotel is located about 15 minutes from Sacramento
Airport off of Interstate 5. Fees for a cab ride is about $30.00, and the
super shuttle bus is about $15.00. The address of the hotel is 100 Capitol
Mall, Sacramento, California, 95814.

Registration
The registration fee for this meeting is set at a very reasonable rate
of $125.00 per person for members and $195.00 for non members.
This fee includes the full day of AADMRT sanctioned meeting, and
lunch. Registration is due no later than April 11th, 2009, otherwise a
late fee of $50.00 will be added to your registration fee. Print the brochure (including registration information) or register online (AADMRT members only) at www.AADMRT.com.

Users Meeting
There will be a Imaging Sciences users meeting held at the same
hotel from 5:00 pm-7:00 pm. To sign up for this event, please
contact Liz Qualtier at 215-997-5666. x284 or
liz@imagingsciences.com

CE Credit
The California Board of Dental Examiners approves this course
outline as a continuing education credit. A total of 6 C.E. credits
will be awarded at the close of this meeting.

Events

About The Area
Sacramento is a cosmopolitan convergence of tall, gleaming buildings,
hearty Victorians, splendid restaurants and shops, a vibrant arts scene,
and a virtual cornucopia of state of the art meeting facilities. Sacramento
has been called a snapshot of Wild West history in a modern, world-class
city. It is also where the Sacramento River and American river meet.

Accommodations
A small block of rooms have been reserved at the elegant Embassy
Suites Hotel in Sacramento. We have reserved a few rooms for Friday,
April 24th and Saturday, April 25th. The Embassy Suites Hotel is located
right next to the historic Old Town Sacramento. Old Town has a 1850’s
feel with wooden planked side walks and it is on the river front. I highly
recommend seeing Old Town, for more information, please log onto:
www.oldsacramento.com and for more things to do and see around the
area, log onto: www.sacramentocvb.org
We have negotiated a special room rate of $169.00 single or double
occupancy, please call 916-326-5000 for reservations and mention the
AADMRT for your special rate. Rooms are equipped with wet bar,
microwave, refrigerator, 42 in flat screen TV, and internet access. Plus
the Embassy Suites has a complimentary breakfast and a manager’s
reception in the evening for guests.

Agenda
Saturday, April 25th 2009
8:00- 9:00 Registration
(coffee, tea, and small snacks available)
9:00- 10:00 Mr. Arun Singh & Mr. David Sebok
Fundamentals of 3-D Image Formation, Effects of Noise and Artifacts
10:00-11:00 Dr. Timothy Mickiewicz
Using CBCT for Airway Evaluation and Sleep Apnea
11:00-12:00 Mr. Steve McEvoy
“Solving IT challenges at Imaging Labs”
12:00-1:00 ********** Lunch *************
1:00-2:00 Dr. Peter Worth
Using CBCT in Everyday Orthodontic Diagnosis & Treatment Planning
2:00-4:00 Dr. Shaza Mardini
CtSI-Ct Scan Investigation
4:00 Meeting adjourned
Pick up C.E. Certificates from Merry Hampton
5:00-7:00 Imaging Sciences International Users Group

Me too, Matt! All Digital...

2009-03-12T13:51:00.000-07:00

Wow...it hasn't been easy either! How are folks handling magnification issues? I run everything through Dolphin so I print 1:1, but on my CBCT cephs, I add in the 9.7% magnification factor. So, it gets a little confusing. What are other people doing?

100% Digital!!!

2008-12-04T12:29:00.000-08:00

I used my last piece of x-ray film this morning. I am now 100% digital! It took a year to get here but there's no looking back now!

Camera Flash

2008-12-04T08:52:00.000-08:00

Does anyone have any recommendations for a ring flash or something similar that you may be using? I had a Nikon SB-29s speedlight, but it just gave out on me. I checked the internet but it seems like they have discontinued the product. Any recommendations would be great.

JOB OPENING?

2008-11-06T09:06:00.000-08:00

Is there any labs out there looking for a tech? Full time or part time?

Soft Tissue Filter

2008-11-05T19:45:00.000-08:00

I need a line on a soft tissue filter for cephs. For many years I've been using a cassette with a built in soft tissue filter and now I'm changing over to the Phosphor Screen (PSP) system and I need a good filter. I have a leftover one from the the old "par speed" film days but it doesn't work too well with the PSP sensor. Anyone have any good ideas for me? I'm amazed that the people who sell this stuff don't have the resources at their fingertips for things like this.

addendum to radiologist poster

2008-10-27T10:34:00.000-07:00

Because the free posters are available to ACR members only, I have been told that, as a member, I can order these posters for scanning centers on one form. They do want me to limit them to a dozen, so if you are interested, please email me at dania@3ddx.com before the 30th of october, and you will get a free one. Of course, you can always order and pay for them from the ACR website.

Dania

Radiologist "Brain" poster

2008-10-27T09:57:00.000-07:00

This is a free poster promoting radiological services for your waiting rooms, if you fill out the order form and fax it to ACR Marketing, Communications, and Public Relations Department at 703-648-0573 by Oct. 31.

http://www.acr.org/email/AnnRptPostcard.aspx

ACR "Face of Radiology" campaign

2008-10-10T10:34:00.000-07:00

Hello everyone,

I was nice to see everyone in SF last week!

I wanted to share this with you, as I think a combined effort from both OMRs and DMRTs can help in increasing awareness of the importance of having CBCT scans read by a radiologist. The American College of Radiology is trying to increase public awareness of the specialty of radiology and what radiologists can do for them. Self referral (the practice of the doctor reading his own films) is also prevalent in medicine. They've launched the "Face of Radiology" campaign last year with that objective in mind. If you go onto www.mypatientconnection.com you'll find material that the ACR is asking radiologists to distribute to their patients, and a poster that clearly illustrates the amount of training that goes into becoming a radiologist. They also suggest modifying material to fit the clinician's specific services. You can take a look at the materials and see if anything will help you in your specific practice/business settings. These may help you in your everlasting battle to convince dentists to send scans for interpretation by a radiologist by educating your patients.

Dania

NEW VERSION I-CAT VISION

2008-09-24T10:58:00.000-07:00

There is a new version of i-CAT Vision on there website! 1.6.1.10

Slow acquire and reconstruction - i-CAT Classic

2008-09-15T12:57:00.000-07:00

I updated my Xoran software several months ago to ver 3.1.77 and have been pleased with how it works. I have done only .2, .3 & .4mm scans up until today, when I performed a .25mm scan. The acquire was extremely slow (seemed like 2 minutes) and the reconstruct was over 10 minutes. Does this seem right? I immediately followed it with a .3mm scan which reconstructed in just 2 minutes. I just thought I check and see if others have this same experience.

i-CAT Users Meeting

2008-09-11T12:21:00.000-07:00

ISI will be holding an i-CAT User Meeting on Thursday, October 2nd from 8 am to noon, just before the AADMRT Annual Meeting sessions begin. It will be in the Marines Memorial Hotel in the Crystal Lounge on the 11th floor. Continental Breakfast will be served.If you plan to attend, can you please email liz.qualtier@imagingsciences.com or call 215-997-5666, x284, and let me know how many attendees.Thanks and we look forward to seeing you there!
Liz

Liz Qualtier
Director of Education & Training
Imaging Sciences International
215-997-5666, x284
liz.qualtier@imagingsciences.com
www.i-cat.com

Kodak 8500 ribbon/paper

2008-08-06T15:40:00.000-07:00

I was cleaning out an area and I found ribbon and paper for a Kodak 8500 printer. I had mine break down on me awile back and I forgot I had a supply of ribbon/paper still on hand. There is enough for, I believe, 150 printouts. So if anyone is interested let me know.

What is a "Micron"?

2008-07-22T09:01:00.001-07:00

I was at a conference yesterday and one of the doctors asked about the resolution of my i-CAT images. I told him they were .4mm. He said, "but what is the resolution??" I explained to him the voxel size was .4mm. He said, "but what is the resolution in microns???". I told him I didn't know microns, only voxel size.

Anybody out there know "microns?"

We are all in this together!

2008-07-19T18:17:00.000-07:00

This is kind of long and I apologize in advance. Don't feel obligated to read it. It's just my personal ponderings.

“In the long run, there can be no real joy for anybody until there is joy finally for us all.” Frederick Buechner

One morning last week, Dana Charter (who works for my good friend Matt Montgomery) stopped by my lab with coffee and donuts. He had a few questions about my digital camera and since it’s the one I recommended they buy, he thought I might be able to help him out. As we were chatting, my first patient arrived, so I started the photos on him while I continued my conversation with Dana. After a few minutes I felt a bit uncomfortable that I was ignoring my patient so I explained to him what was going on, and I introduced Dana to him as a “competitor”. Before I could qualify that his lab is 20 miles away so we’re really NOT competitors, Dana interrupted with the declaration, “I’m offended by that! We are not competitors, we are colleagues!” I smiled sheepishly, acknowledged my mistake, and we continued on with our “collegial” discussion.

Jump back in time with me. It’s about 30 years ago. My lab was located about 10 miles south in Newport Beach. It never really was a successful venture and eventually the owner moved it to the area around Huntington Beach, where he thought it could do better. Shortly after the move, a group of Newport Beach doctors decided to fill the void by opening a lab for their patients, but soon realized that there just wasn’t enough business in the area to support it. So they decided to offer “deep discounts” to patients who would be willing to drive the long distance to Newport Beach. I started getting calls from patients and doctors asking me to “match” the Newport price, which I declined to do. I don’t mind a little competition, I just want it to occur on a level playing field. The patients from Newport Beach won’t come to my lab to save money because their doctors refer them to the lab where they are financially invested. Since my doctors have no financial interest in my lab, they are tempted to send patients where it the cheapest.

Needless to say, this concerned me. I have always felt “collegial” to the labs that are around me and have no problem sending a patient to lab that’s closer to their work or home. But this situation with Newport had moved us from colleagues to competitors. I looked into what I could do to “level” the playing field but discovered I had very few options. I would sigh when patient would come in with a Newport slip, or when a doctor would call about a patient’s x-rays only to discover they had gone to the Newport lab. Time went by, the doctors divested themselves and eventually the lab was sold to a gal I know and considered a colleague. Relieved, I hoped that she would see the “error” of their “dual tier” fee policy and do the right thing. Unfortunately she didn’t, she couldn’t.

Not long ago, another lab moved into her area, giving her some stiff competition. As the economy in Orange County lagged, she eventually had to relocate to another area. The new location did not solve her financial problems and yesterday was her last day of business. I stopped by her lab today to see if she had anything for sale that might be useful to me. When I left, I shook her hand and told her that I was sorry things didn’t work out for her. But I wasn’t really sorry. Inside I was happy. After all these years I was vindicated. But why did I feel bad for her? Why was it so hard to enjoy this “victory”? I remembered the scene in the movie “You’ve Got Mail” where the female character verbally rips into her competitor, then experiences the regret that often goes along with verbal outbursts. I remembered the line from that movie, “It’s not personal, it’s business!” Even though my competition had been defeated, I felt bad that a friend had failed, had been hurt, and would continue to hurt over the next weeks, months, even years.

As I write this, I’m wondering if there isn’t a way we can compete with each other and still remain colleagues. Many of us succeed in doing this. But some don’t. The rules of business don’t always mesh cleanly with the rules of collegiality. I do feel bad for my colleague, the same way I think an athlete feels bad when their arch rival forfeits an event due to an injury. It’s nice to win but it feels so much better to win in a fair fight. And when you lose in a fair fight, it motivates you to work harder, do better, come back to fight another day. In an unfair fight, there are no winners, only losers.

The quote at the beginning of this story is from my favorite author. His words ran over and over in my mind today as I drove home from my colleague’s now defunct lab. We are all in this together. In the long run….

AADMRT Annual Convention

2008-07-18T16:34:00.001-07:00

Hi All,
The annual AADMRT convention information is on www.AADMRT.com. The brochure is being mailed out this week end. The iCAT users meeting is also in the brochure agenda. Hope to see everyone at the meeting in San Francisco.

360imaging?

2008-06-24T13:26:00.000-07:00

Is anyone using 360imaging for there conversions and rad. reports? Do you have any comments about this company?

The cool gadgets just keep coming!!!

2008-06-11T15:17:00.000-07:00

Check out this cool new application for the new i-phone.

www.reykroona.com/CTScan/MIMvista_High.mov
You can view the complete new i-phone demo at the link below. The anatomy software at about 40% of the way through is worth looking at also.

http://events.apple.com.edgesuite.net/0806wdt546x/event/index.html

Insurance codes for i-CAT

2008-06-05T14:18:00.000-07:00

Dr. Trevino from Pacific Dental Imaging just called me and inquired about the proper insurance codes for the i-CAT. This is what I currently have for cone beam CT:

Current Dental Terminology (CDT) codes:

DO360 cone beam ct-craniofacial data capture:includes axial, coronal and sagittal data.

DO362 cone beam - two dimensional image reconstruction using existing data, includes multiple images.

DO363 cone beam- three dimensional image reconstruction using existing data, includes multiple images.

Notice that code DO360 is described as data capture while DO362 and DO 363 is considered reconstruction. Which procedure codes does your facility use for the i-CAT? Do you use one, two or all three of the codes for the i-CAT?

What code(s) do you use for TMJ? Do you use the cone beam code ( if so, which one?) or the DO322 tomographic code or DO321 other temporomandibular joint films, by report? DO320 is temporomandibular joint arthograms including injection, so that doesn't work.

i-CAT Vision v.1.6.0.24

2008-06-03T12:44:00.000-07:00

Bug Alert!! We downloaded the new i-CAT Vision software, and in working with it discovered a bug in the Nerve Canal estimator. If you rotate the skull in the preview screen (raise the chin up on the lateral view, straighten on the frontal view, or straighten the pano view), the nerve canal estimator does not work correctly. For example - in the preview screen, I raised the chin up and rotated the frontal view slightly. I then went into the implant screen and opened the nerve canal estimator function. When I right click on the 4 foramina, the mental foramina are way down at the border of the mandible. When I completed the nerve canal function, the pink line is drawn way out of whack, does not follow the canal at all. I spoke with technical support, and we think the nerve canal function is using the original skull, not the rotated skull, even though the rotated skull is the one that show up on the implant screen. If I use the nerve canal estimator without rotating the skull, it works just fine. This finding is being sent on the the software guru's at Imaging Sciences to fix. Just thought everyone would like to know!!!

Overall - I like alot of the new features in this new version.

Vickie

Workflowoptimization ICAT-DOLPHIN

2008-05-23T08:09:00.000-07:00

I hear so much that dolphin and icat are an optimal combination but untill now, we have the following stone age workflow: I-cat acquisition computer sends XORANFILES TO SEPERATE ICAT-SERVER. Than each scan has to be manually exported with icat vision transfer to a DICOM-FOLDER. Then we must again manually import the DICOMFILE INTO DOLPHIN.In my opinion this could l be vastly improved with small software measurements (scipting) like: When new patient is entered

1) The PraxisManagementSystem sends automatically PATIENT DATA TO ICAT-ACQUISITION COMPUTER AND DOLPHIN SERVER (only possibility to have congruent data)

2)WHEN XORAN FILES ARRIVE AT ICATSERVER, THEY ARE AUTOMATICALLY
2a) SAVED AS XORAN FILES and
2b) EXPORTED AS DICOM FILES DIRECTLY TO THE DOLPHIN SERVER

As I have the impression, that dolphinimaging and imaging sciences are completely insensitive to this workflow problem which slows our office I would very much appreciate if somebody can help with some suggestions.

3.1.77

2008-05-05T18:06:00.000-07:00

Have any of you had problems with the 3.1.77 upgrade? I have had so many problems!!! Do not up-grade, unless you must. Any Help out there??? Thanks Judy

Disclaimer on reports

2008-05-01T10:30:00.000-07:00

At the Spring Seminar one of our speakers suggested that we include a disclaimer on our printed reports stating that the report contained only a sample of the information available and that the full volume should be reviewed by a qualified radiologist. Has anyone done this? If so, can you give us a sample of your wording?

3D Symposium

2008-04-29T14:56:00.000-07:00

i-CAT dental imaging centers:
The 3d imaging symposium for orthodontists and implantologists will take place on August 1-2, 2008 at the Doubletree Hotel Anaheim in Orange County, CA. The symposium speakers include:
Dr. Aaron Molen - 3DOrthodontics. Dr. Lucia Cevidanes 3D Superimpositions. Dr. Craig Scholz -Outsourcing to a dental imaging center. Dr. David Hatcher -Recognizing pathology. Mr. Chester Wang -Dolphin3D. Dr. Scott Ganz -The Interdisciplinary issues with implantology from diagnosis to treatment. Dr. Jack Krauser-The Interdisciplinary issues with implantology from diagnosis to treatment. Dr. Tom Marcel-Cone Beam in the Orthodontic office. Mr. Chris Land -3DMd. Dr. Joe Caruso -Cone Beam of Loma Linda. Dr. James Mah -Radiation & resolution issues. Mr. Jack Choi - Going Beyond Diagnosis and Mr. Art Curley -Standard of Care: Patient Refusal.

The exhibitors include: APF NewTom, Antomage, ddi, Dolphin, GAC TechnoCenter, i-CAT, Materialize, MME Consultants, Mobile CT Imaging, Orbit Dental Imaging Centers, Ortho II, C dental, Kodak Practice Works, PreSion 3D, Sirona, & SureSmile.
For more details see http://www.3dsymposium2008.com/ Note: the registration ends April 30, 2008.
My idea is to promote dental imaging centers that specifically utilize the i-CAT by obtaining (and sharing) exhibitor space. By combining our resources for this particular event, it would be very efficient marketing since you will not have to take time off of work. This is a cost effective method for you to promote your i-CAT without having to spend two days standing at an exhibit booth. If you wish to attend the symposium, registration is $595 and closes April 30, 2008. We would provide the attendees a folder containing general information about dental imaging centers and the i-CAT. There will also be a list of the i-CAT imaging centers that sponsored the exhibit. The attendee will be asked the location of his/her practice and information (provided by you) describing your particular dental imaging center will be included in the folder.
Unfortunately, it might be too late to promote this seminar to your orthodontic and implant referrals. I am emailing the link to my orthodontic and implant referrals to help them obtain a much better understanding of 3D imaging. Of particular interest is Dr. Craig Scholz’s topic, “outsourcing to a lab”. Part of Craig’s class will cover the extensive computer workup necessary to produce the i-CAT images. Most orthodontists and dental implantologists do not realize the extensive time and expertise required to generate the necessary images.
We do not have much time! The cost for the exhibit space is $1725 for two representatives. If we get six dental imaging labs to join in this venture, the cost will be less than $300 each. Respond now!

How about THIS problem???

2008-04-24T08:48:00.001-07:00

My last problem got such a quick response so I thought I'd throw out another one. Since I upgraded to my new XP computer, when I calibrate the machine, it takes 2 full minutes before anything happens. At first I thought the program was frozen so I reset the computer. I called tech support and showed him what was happening. We sat and watched it do nothing, then suddenly it started to calibrate. His comment was, "Oh, I've heard of that." He didn't seem to concerned and didn't offer to try to troubleshoot it. So, while my old Win 2K computer calibrated instantly, this new one sits and waits for 2 minutes before going to work. Anyone else have that problem? Maybe the new Xoran CAT upgrade will fix it?

QA Phantom

2008-04-24T08:40:00.000-07:00

I must have my icat machines inspected annually in Colorado. This time the inspector informed me that I needed a QA phantom - they must do it according to the "manufacturers" instructions. I do not have this QA phantom and when I called ISI, they said I must buy it. We are waiting for the fax with the price (3 days!!) but when we called back they said it was about $1000. Also, it will not be the right one for the new machines (which I plan on getting.) This has been yet another frustrating ISI experience but....my question is, does anyone have this phantom that I could borrow, rent, etc? I would pay the shipping of course. Please let me know if you can help me out at 303-759-9445 or marcelle@rmox.com. Thanks! Marcelle

Arun, shouldn't have I gotten this with my equipment (that is what Product Bulletin #1 states). I received the platform and the water bowl but thats all.

Anyone have this problem?

2008-04-22T14:50:00.000-07:00

My Windows 2000 computer died last month so I updated my computer to a new XP model. I accidentally did a high resolution scan yesterday and rather than stop in the middle and admit my mistake, I just went ahead with it. However, after reconstruction, it wouldn't open - not enough memory. I called ISI to see what they could do for me and was told that it's a common problem and there's nothing that can be done about it. The next upgrade will fix the problem. In the mean time, I can view the scans in Vision if I want. That seems odd to me. Has anyone else had this problem?

Ordering new i-CATs

2008-04-18T07:08:00.000-07:00

Has anyone had any luck contacting ISI about ordering the upgraded i-CATs? I can't seem to get any response.............this is their new customer service????
Marcelle

i-CAT User meeting notes

2008-04-07T17:40:00.000-07:00

The i-CAT Users Meeting was held on March 16, 2008 at the Universal Hilton Hotel in Universal City, CA.

The attendees of the i-CAT users meeting were honored to have Arun Singh, the VP of Technology for Imaging Sciences International preside over the entire meeting. We were sorry that Liz Qualtier, the Director of Education for ISI was down with severe flu and was not able to attend.

Chester Wang (Director of Dolphin Imaging & Management) had Swann Liao (Dolphin's Software Engineer) demonstate the new version 11 of Dolphin Imaging software. To discover the complete details of this software, please see the Dolphin Meeting notes elsewhere on the i-CAT blog. Swann did an amazing job of explaining the imaging software and it's newest features. The new tool to measure the airway (volumetrically) will offer the orthodontists a much greater understanding of how their treatments can and will affect the airway, especially in surgical and sleep apnea patients.

With the exponential growth of ISI, understandably it may have become difficult to reach your usual contacts. Now you can contact, Alan Young (Imaging Sciences International's Client service and Special Projects Manager) at his email at alan.young@imagingsciences.com or directly on his cell at (209) 642-5878 as your "Go To" guy to answer your specific questions.

Arun Singh explained that the potential reconstruction time for the i-CAT Platinum will eventually be only 20 seconds. The mechanical platform of the new i-CAT enjoys enhanced stability since there is no vertical movement mechanism.

In three to six months, ISI will be able to offer two i-CAT Classic upgrade plans if you have the 14 bit sensor and one plan for the 12 bit sensor.

14 bit Option A: Software upgrade to reduce scan time from current 20 seconds down to 10 seconds. This is especially significant if you have the Extended Field of View (EFOV) option because it reduces the scan time down from the 2 scan total of 40 seconds to only 20 seconds (plus 20 seconds for rewind/vertical motion). Please note there is no reduction for the 40 second high resolution scan. Cost: $2,500.

14 bit Option B: Exchange your 14 bit i-CAT Classic for the new Platinum i-CAT. This option includes a new computer. Cost: $45,000

12 bit Option: Exchange your 12 bit i-CAT Classic for the new Platinum i-CAT with a new computer. Cost: $75,000

NOTE: A brand new i-CAT Platinum costs $170,000! How many other companies (dental or otherwise) do you know that will allow a trade-in on equipment?

The i-CAT Platinum uses a new reconstruction engine, but it still allows the option to produce the reconstructed volume in XSTD and/or DICOM formats. That means you have the option to use either XoranCAT or i-CATVision, or both.

ISI is working with Codonics to resolve some printer issues.

Carbon Fiber head support is now being beta tested. This new support greatly diminishes patient movement to obtain the best scan possible.

ISI is planning to deploy a new method to formally relay information to all i-CAT users. It will be based on controlled user access with a PIN that is supplemented with email update. An announcement will be made when the new system is ready.

ADA has new codes for cone beam scans.

The latest software version for the i-CAT is 3.1.7.7. This version will almost eliminate the memory issue that required restarting the software. The problem was the software was looking for contiguous memory and the new version can now utilize scattered memory to load the data set.

For i-CAT Vision, the current version is 1.5.3.3. A new i-CAT Vision called “Tigris” will be released in April. It will require the new i-CAT transfer. The iCATransfer upgrade makes the system more reliable but is slower, however, a partial speedup is in the works.

When you use the new version of i-CAT Vision (Tigris), any old workups will not be saved. This fact may be important for some of your referring dentists. If it is necessary to save old workups, you can keep at least one stand-alone (non-networked) WorkStation with the older software and the patient database up to that point.

The i-CATVision. (Tigris upgrade) has full automatic networking capability (scans will be automatically transferred to a central server, and deleted at the scanning station after a safe period.

When viewing i-CAT Vision (implant screen), 3D height sometimes may appear cut off. To rectify, move green and red lines down and up respectively to mark the desired volume and right click to show new volume.

Nerve Canal Estimator will be in “Tigris” version and will require confirmation of 8 points. It also permits manual adjustments if the estimated location strays off course.

The window level of the axial can be adjusted separately from the panoramic and cross section.

Calibration with a special water container will allow more consistent Hounsfield Units (HU) to lessen halo and curtain effect. The physics of cone beam technology limits the ability to completely mimic the HU’s obtained from Medical CT.

A new smaller Field of View model has been introduced by Imaging Sciences under the Gendex brand. This model utilizes a smaller flat panel sensor to produce a 8cm x 8cm (cylindrical) volume, as well as an 8 x 14cm “extended diameter” scan.

Xoran work station key is now available for a nominal fee of only $300. The workstation key makes it possible for a non-acquisition computer to use the Xoran software. Remember that Xoran was a separate company that was married to ISI to develop the i-CAT. Now you have the option to provide your referrals with the i-CAT workstation key to use the acquisition software! This is a prime example of how ISI really listens to the users. Most of you probably do not realize when the i-CAT was initially introduced four years ago, there was no protocol to provide the referring dentists with the ability to volumetrically view the data. Before cone beam technology, if a dentist wanted cross sectional images, the only available option was medical CT. The dentist was not given any option to view the images volumetrically. When the first i-CAT users demonstrated the amazing software, the dentists wanted to fully utilize the ability of the software on their own computers. Xoran gave two options: Purchase the Xoran key for $3,000 or “unlock” a specific case for $100. We had only a few dentists willing to spend $3,000 and most of them opted for the additional $100 that was added to the scan fee. What happened next is a testament to ISI’s exceptional customer service. They saw the problem and developed and released i-CAT Vision! It would have been so easy for ISI to sell i-CAT Vision software for a thousand dollars or more. However, that would not have served in the best interest of the i-CAT users so ISI made i-CAT Vision free software!

When 3DVR was first released, many referring dentists loved it and wanted it! The cost was $1,500 and the dentists simply did not want to pay that much. ISI stepped up to the bat for the i-CAT users and integrated portions of 3DVR into i-CAT Vision. How much? Zero dollars! How many other cone beam units offer any viewing software, free or otherwise?

Starting with the “Tigris” release, the entire 3DVR software is now free of cost, with unlimited copies. Moreover, it would be possible to easily switch between iCATVision and 3DVR, without starting a separate program or re-loading the data.

The i-CAT is optimal for hard tissue viewing. Due to the physics of acquisition, cone beam units are unable to distinguish between different densities of soft tissue at the level of medical CT imaging while MRI is overall the best method for viewing soft tissue anatomy.

Currently, there are three orthodontic software companies that either scan the teeth or scan models to plan bracket placement and arch wires. The major products are Invisalign, SureSmile, and Insignia. For more information about SureSmile, please see last paragraph on i-CAT Blog dated 4/06/08 – Dolphin Meeting.

The 14 bit i-CAT Classic (running software version 3.1.77) has been certified by SureSmile using the .2mm voxel 8 cm height scan. ISI has generated a special scan protocol specifically for SureSmile patients. ISI is concurrently beta testing a special carbon fiber headrest that minimizes patient movement, which is critical for SureSmile scans. The patient should not be in complete occlusion because some separation is necessary for the SureSmile system. Have your referral provide a wax bite or other radiopaque device that stabilizes the position of the teeth. The .25mm full height scan can be reconstructed to .2mm for SureSmile. i-CAT Platinum (the new generation model) is expected to be certified shortly. These are the only units certified so far to have adequate quality and resolution for successful case planning and treatment.

A Research & Development (R&D) project is currently underway to detect and automatically correct for certain types of patient motions, in order to improve the scan quality and retain the necessary resolution/detail, especially for processes such as SureSmile.

User meetings, upgrade options, free i-CAT Vision viewing software with 3DVR, nerve canal estimator, new R&D projects, and the only cone beam unit certified by SureSmile. Are you glad you have an i-CAT?

Review of Dolphin Meeting

2008-04-06T23:47:00.000-07:00

The 2008 Dolphin Meeting was held in the beautiful San Diego town of Coronado, California, on March 6-8. Congratulations to the entire Dolphin team for celebrating their 20th year of excellence in serving the dental community!

The meeting opened with a personal welcome from Chester Wang, director of Dolphin Imaging & Management Solutions. In his opening remarks, he reviewed the company’s history and its enormous impact on the dental specialty community: According to Chester, more than 4,000 private practices worldwide utilize Dolphin on a daily basis! Dolphin’s presence in the academic community is just as impressive: Dolphin software is being utilized in more than 90% of university orthodontic departments, and in 50% of OMS departments. Even the American Board of Orthodontics uses Dolphin software to accept electronic case submissions.

Dr. Bill Arnett briefly discussed the new Arnett/Gunson FAB Analyses, which is part of Dolphin’s new Legend Series of software modules. He and his partner, Dr. Michael Gunson, collaborated with Dolphin developers to create FAB (Face, Airway and Bite), which is treatment planning software designed into two specific components, one each for orthodontic and surgical patients. Consideration for airway measurements will be possible with the soon-to-be-released Dolphin Imaging version 11. TMJ, skeletal and soft tissue 3D measurements, 3D photography and 3D virtual surgery are also integrated in the FAB analysis. Dr. Arnett explained that the development of FAB would not have been possible without the extensive use of i-CAT cone beam technology. Orthodontists and oral surgeons will be able to make predictions much more accurately because of the collective research that Dr. Arnett and Dr. Gunson have established into FAB.

Craig Dial (a past president of AADMRT and co-owner of ddi Imaging Centers) demonstrated how to use Dolphin 3D to create traditional 2D images from volumetric data sets. The three-day program also included sessions covering: customizing cephalometric tracing and photo layouts, AnywhereDolphin.com, Aquarium, and many Dolphin management classes. Dolphin developers, trainers, and technicians joined an impressive roster of industry experts to explain the newest upgrades, features and applications of Dolphin software.

I really enjoyed Dr. Russell Chang’s insightful lecture that demonstrated how using current technology made his office more effective and paperless. The key is to use stable platforms such as Dolphin Management, 3D, Aquarium, Televox, ISI, and other companies that truly believe in customer service. We already all know that the i-CAT is the premiere cone beam unit! My office has Dolphin Imaging, Ceph Tracing, 3D and Televox so we are well on our way to becoming a more effective office.

Dr. Ronald Roncone’s presentation explained the theories behind his own proprietary software suite called the Roncone Modules, also part of Dolphin new Legend Series. “It’s all about metrics,” he told us, and explained that his computerized management system is based upon quantifying every aspect of your practice for the purpose of analyzing and improving. Scheduling, overhead, production, marketing, and of course financials are just a few of the 17areas of his trademarked Just Short Of Perfect (JSOP) practice protocols that can also be used in the dental imaging environment. We picked up several great ideas to incorporate into our own office procedures that will allow us to monitor and track the results of these changes.

Gary Wiseman (Dolphin western regional sales manager) gave us an overview of the upcoming Dolphin Imaging version 11, which is planned to be released in time for the AAO in mid-May. The most significant change is the ability to perform volumetric measurements for the airway, which has clinical applications outside traditional dental specialties, such as sleep apnea. It has also become significantly easier to share 3D records with low-cost viewer licenses that also offer printing capabilities.

Dr. Patel from the United Kingdom gave a thoroughly engaging presentation on building a successful practice and a comfortable quality of life. Dr. Patel runs one of the largest and busiest orthodontic practices in the United Kingdom, and he was willing to share how he achieved such great success. It’s all about planning for the future, he says, and he explained in detail how to create a Vision (keyword). He stressed the importance of long-term planning and short-term goal-setting. To emphasize his message, he quoted thinkers such as Lao Tzu: “The journey of a thousand miles begins with one step!” and Yogi Berra: “If you don’t know where you’re going, you might wind up somewhere else.” Dr. Patel emphasized the importance of setting incremental goals and tasks: “Create a three-year vision, and try to achieve 10 goals every 90 days. They can be business, personal or spiritual. Adjust your plan and make progress reports.” He encouraged the importance of a balance between work, rest and play.
He also spoke on the importance of leadership, and described his own fantastic team. Did you know that in the UK that the doctor does all the work on patients? There are NO auxiliaries! It’s true, no dental assistants! Dr. Patel used a carefully designed system to customize his champion support team. “A poor team is normally due to poor leadership and poor systems.” Here are a few more of his tidbits on leadership: “Leadership is the ability to get people to do what they don’t like to do, and like it! Leaders must take responsibility, listen, delegate and know where and when to act.”

If you were to ask me what I felt was potentially the most significant session for the entire Dolphin meeting relevant to dental imaging, I would tell you it was Dr. Ed Lin’s session on SureSmile. Dr. Lin’s office incorporates Dolphin Imaging, 3D, Aquarium, E-models, Citrix, Invisalign, i-CAT, and has recently converted his orthodontic practice into a 100% SureSmile practice.

What is SureSmile? The simple explanation is that SureSmile is a digital orthodontic system that uses simulation tools to create a three dimensional model that the practitioner then uses to virtually plan and diagnose before treatment begins. Its proprietary robotic technology employs algorithms to calculate the exact bends and torque required for each case, and then bends the special Copper-Nickel Titanium alloy archwires to the exact specifications. It produces superb outcomes in less time that traditional orthodontic wires and procedures. Think Invisalign, only with archwires instead of trays!

By now you are asking, what does SureSmile have to do with dental imaging? The answer is (I feel like a contestant on Jeopardy!): SureSmile was developed with an intraoral scanner that creates a three-dimensional model of the patient’s dentition and bracket placement. As revolutionary as it was, two main issues kept it from being perfect: lack of root visualization, and a 20-30 minute scan time. That is where cone beam, or more specifically the i-CAT, becomes significant. Initial testing by SureSmile has verified that the i-CAT Classic is currently the only cone beam system that can replace the time consuming intraoral scanner! Imaging Sciences International will have the i-CAT Platinum certified very soon. One of the main problems that SureSmile has determined unacceptable is any patient movement on the scan. Apparently that is the reason other cone beam units are unable to be certified at this time. ISI is testing a specially designed carbon fiber head holder system, that if deemed acceptable will be available soon.

When Invisalign was first introduced there were plenty of skeptics, yet its ultimate success cannot be ignored. Could it be possible that consumers will drive SureSmile to the same stratosphere? Reduced treatment time, less appointments, faster results? The benefits are gained not only by the patient, but the orthodontists too! For a detailed explanation, go to www.suresmile.com

In just a few short years, cone beam imaging has proven to be a major contributor for dental implants. Now we are on the cusp of a revolution that will potentially affect orthodontics to the same degree. Aren’t you glad you have an i-CAT?

Concerned About Scatter Radiation???

2008-03-24T14:24:00.000-07:00

Concerned by the recent information from ISI on the levels of scatter radiation produced by the i-Cat, I contacted a friend of mine who is a radiation physicist and asked if my layout was safe. This is the response I received.

"Based on the info attached for the scatter measurements (20 second scan measured at 3, 6 & 9 feet from the source of scatter), as long as you stand 9 feet away, you can do up to 50 scans/week without any additional shielding and still be at the exposure level for public occupancy (100 mR/year), much less controlled occupancy."

I feel a lot less concerned now.

Letter from Dick Greenan

2008-03-14T13:53:00.000-07:00

I have copied a letter received today from Mr. Dick Greenan, who is the President of Imaging Systems, Inc. and have also posted a response from Arun Singh, VP of Technology with Imaging Sciences International.

Even though the names of the two companies are very similar, do not confuse them.

Please attend the i-CAT users meeting this Sunday, March 16 at the Universal Hilton Hotel, Universal City. CA starting at 8:30am and Arun will elaborate on this issue.

Here is the letter from Mr. Greenan:

March 6, 2008

Subject: UPDATE

Dear Customer:

The Dental industry has historically not been without its ups and downs and Imaging Systems, Inc. has not been excluded from this evolution. We have been your Imaging resource since the Qunit Sectograph Tomographic System (discontinued by the Quint Sectograph Corp in 1988), the CommCAT Tomographic System (discontinued for parts & service by Imaging Sciences Int’l after only 6 yrs!) and possible the Panorex CMT which now appears to be following the same fate!

We have discontinued the Imaging Sciences iCAT systems due to an increasing poor quality control experience, customer disservice, numerous false promises regarding disposition and whereabouts of your parts, etc. We can no longer tolerate such activity and for leverage, have severed our relationship with Imaging Sciences, Int’l. and Sullivan-Schein Dental. We have built an infallible reputation for installing, teaching and servicing the latest, trouble-free imaging equipment and sincerely apologize for the maladies so many of you have experienced for matters totally out of our control.

We have many customers that are very pleased with their iCATs and this phenomenal technology but we also have those frustrated few that have experienced problems to which the manufacturer, in our opinion, has not taken the necessary responsibility with a permanent fix.

We will continue to provide that service wherever we can. If you do have a problem, always call us first (800-628-1302) and there will always be a warm body answering the phone 8-5 EST (no voice mail unless after hours) and if we do require further assistance w will make the necessary call for you – I trust that this customer service and follow-up is the reason why you purchased from Imaging Systems, Inc. in the first place! We will always go the extra mile for all of our customers.

Our service reputation over the years has never been just limited to the iCAT, but the Quint Sectograph, CommCAT, Panorex CMT in addition to a multitude of ancillary imaging equipment! This is what we do, so please, let’s stay in touch! I am still taking calls on the Quint Sectograph which closed its doors back in 1988! This is what we do!

In our steadfast quest for the finest in Diagnostic Imaging Equipment, we feel honored to now welcome AFP’s NewTom’s line of cone beam CT (CBCT) to our family. The NewTom 3G supine cone beam CT has been the first and the number one CBCT on both the medical and dental market for 10 years with an exemplary track record! AFP has now just introduced their new upright 9or sit down!) NewTom VG Model (www.goodxrays.com) with a full 9.8’ sensor, Smart Beam Technology and a superior manufacturing and R&D history.

We are also pleased to announce construction of our new 10,000 sq ft Learning Center, Dental X-ray Laboratory, Dental Clinic and Home Office to be completed Fall 2008. You can tune into www.goodxrays.com to track our progress and multitude of new imaging and diagnostic courses.

Thank you for your patience, understanding and past support – it is most sincerely appreciated. And as always, we will continue to provide that necessary technical support so please do not hesitate to call us. We look forward to an even longer and lasting relationship!

Sincerely,
Dick Greenan, President
Imaging Systems, Inc.

Here is the response from Arun Singh, VP and Chief Technology Officer with Imaging Sciences International:

Since Mr. Greenan’s statements have been publicly posted, I am compelled to respond in order to dispel some of the myths and misrepresentations.

First of all, Imaging Systems did not discontinue the iCAT, rather Mr. Greenan’s distributorship was terminated by our exclusive distributor in North America , Sullivan Schein Dental, for I believe justifiable reasons. I am going to refrain from getting into further details on this particular development.

As far as Mr. Greenan’s claims of “increasing poor quality control, customer disservice, numerous false promises regarding disposition and whereabouts of our customers' parts, etc.”, he sold and installed about 15 iCATs just in the last 4-5 months, when he of course represented the iCAT’s quality and its support to be the best in the industry in order to secure these orders under fairly active competition. Obviously things did not change that drastically overnight, so at which time was he being truthful? Given the fact that he is no longer permitted to represent the iCAT, rather now needs to compete with it, the answer is quite obvious.

Dr. Highsmith just gave an example of exemplary service: “For example, last Monday we had a problem with the machine, and they diagnosed it as a motherboard problem. On
Wednesday, a new motherboard was in our office. It was pretty simple to install, and they talked an assistant thru the process on the phone, and all is well. Please note that it would not have been possible if we (Imaging Sciences) did not promptly configure, program and ship a motherboard; and didn’t meticulously design it to be simple to install.

In a more general perspective, Mr. Greenan simply wouldn’t have earned all these accolades without a superior product and a company behind it to provide all aspects of support, expertise, training & upgrades. Of course nothing can be expected to be perfect, certainly not a product of this sophistication along with the recent surging volume, and occasional mishaps would occur. However, it is extremely convenient to take the credit for all the positives, and deflect the blame to the manufacturer for anything that went wrong along the way.

Finally, on the issue of discontinued products, a rapid shift in technology and unavailability of certain parts, coupled with extremely low demand, makes it a necessary and the only practical approach in certain circumstances.

Arun Singh

Chief Technology Officer
Imaging Sciences International (i-CAT)

What version of Xoran i-Cat

2008-02-21T12:57:00.000-08:00

I am posting this because I just spoke with Don Croall and he informed me that he has version 3.1.62 of Xoran. I presently am using 2.0.21. Anyone out there using 3.1.62? I am looking to use an external hard drive to store my patients scans and he told me that his version makes it easier to move information more efficiently.

i-CAT Vision NEWS!!!!!!!!!!!!!!!!!!!!!!!!!

2008-02-07T12:15:00.000-08:00

Version 1.5.3.3 of i-Cat Vision is now on the ISI web site. Check it out!

http://www.imagingsciences.com/downloads.htm

Be sure you read and understand the "Application Notes" before you proceed with the installation/upgrade.

Wireless Digital Camera

2008-02-01T15:32:00.000-08:00

Every once in a while something amazingly wonderful (technology wise) comes around that is so cool you have to tell someone about it. This little wireless memory card is one of those things. It's called "Eye-Fi" and you need to check it out at http://www.eye.fi/. It's a 2GB SD memory card for your digital camera that connects through your wireless network to your computer, automatically downloading your photos into a specific folder that you select. No more connecting the camera with cables, no more pulling out the memory card and carrying it to the computer, no more accidentally deleting photos that haven't been saved or moved yet. It is WAY COOL!

The "Eye-Fi" card is available for around $100 from Amazon.com or Buy.com. Check it out.

But... what if (like me) your camera doesn't use a SD memory card...NO PROBLEM! Go to http://cgi.ebay.com/ws/eBayISAPI.dll?ViewItem&item=270207754777&ih=017&category
=50526&ssPageName=STORE:PROMOBOX:NEWLIST#SLIDESHOW

and pick up a SD/Compact Flash adapter for around $15. Slip the SD card into the adapter, slip the adapter into your camera, and you're ready to shoot wirelessly.

This is so cool that I bought one for my lab, one for my home, AND one for my daughter (so that it will be easier for her to send me photos of my cute grandchildren.)

Check it out. See if it might make your lab run smoother.

i-CAT users Meeting

2008-01-24T15:24:00.000-08:00

The i-CAT users meeting will be held on Sunday, March 16, 2008 (the day after the AADMRT spring seminar) at the Universal Hilton adjacent to Universal Studios. When you make your room reservation, mention the AADMRT to obtain the reduced room rate. Bob Hope/Burbank Airport is less than a 15 minute drive and only five miles from the Universal Hilton.

What's happening with i-CAT Vision and the nerve detection tool? Are you ready to upgrade your i-CAT classic? What software upgrades are now available? Do you need additional assistance with generating reports? Does ISI sponsor continuing education classes specifically for the i-CAT? Find out the answers to these questions and much more at the i-CAT users meeting!

Much appreciation must go to Imaging Sciences International because they will sponsor this all day event. The main reason the i-CAT has been so successful is primarily due to the people of Imaging Sciences International. They spent millions of dollars and thousands of hours devoted to research, design, develop, manufacture and service the i-CAT, which has truly revolutionized dental imaging. Quite often, companies that successful tend to sit back, relax and spend the money, yet you won't find that type of mentality at ISI. What is immediately different is the huge amount of money that has been poured back into the company to expand research and development (R& D). They hired more people because of ISI's intense determination to discover methods to improve the product while providing the best service possible. We already have i-CAT Vision, 14 bit sensors and even a new generation i-CAT! Attend the i-CAT users meeting to find out what Imaging Sciences International is developing right now. You already have the very best product on the market, now is the time to learn how to maximize the i-CATs tremendous potential.

Please contact Liz Qualtier, Educational Director of Imaging Sciences International at (800) 205-3570 x 284. Reserve your seat as soon as possible because we were only able to secure a small meeting room and space is truly limited.

2008 AADMRT Spring Seminar Information

2008-01-24T14:35:00.000-08:00

American Association of Dental and Maxillofacial Radiographic Technicians
Presents the
2008 Spring Seminar at the Universal Hilton Hotel on
March 15, 2008

Fallout from sub-prime loans, writers strike, sinking real estate values, rising gasoline prices… the list goes on. Happy New Year?!?! Businesses nationwide are complaining of decreased consumer spending and increasing operating costs. The dental healthcare field is not immune to these woes, directly affecting dental imaging. As consumers and business people, it’s beginning to feel like the candle is burning at both ends. Nobody wants to get burned, so what can you do????

Attend the AADMRT Spring Seminar on March 15, 2008, at the Universal Hilton in Universal Studios, California! Dr. Baldwin Marchack (restorative and implant dentist in Pasadena, California), will be on hand to explain how large corporations use “branding” to their advantage. He’ll share valuable insights that can be applied to your own business to boost your bottom line. If you’re not a business owner, you may be asking why you should care; it’s not your problem—or is it? If the business continues to slow down, where do you think cuts will be made? When the turnaround happens and you were part of the solution, who do you think will get that well-deserved raise or bonus?

There are plenty of reasons to attend this specially designed dental professional program sponsored by the AADMRT. “Cone beam,” “volumetric” or “dental” CT, it really doesn’t matter what you call it—just know that it has revolutionized dental imaging! If you feel this particular type of imaging is only good for dental implants, think again: Orthodontic programs at major dental schools are incorporating cone beam CT technology into their curriculum for 3D cephalometrics, and major third-party software companies such as Dolphin are investing heavily to meet these demands. Why? It is reasonable to predict that orthodontics will eventually embrace the significant value that cone beam technology provides. Considered the “standard of excellence,” will cone beam imaging soon become the “standard of care” across the dental field?

Find out the answer from our second speaker, Mr. George Peterson, attorney-at-law (Los Angeles). He will discuss the theory and reality of “standard of care” with particular emphasis on cone beam imaging, and review the legal aspects as they pertain to dental professionals. If pathology exists in areas not located in the dental area, is the dentist responsible to evaluate these gray areas? Would that be considered practicing medicine without a license? Mr. Peterson’s significant experience in the dental litigation arena will enlighten you and answer these questions, and many more!

We have all seen images from dental cone beam units. Tell the truth—do you really know what you are viewing??? Dr. Dania Tamimi of 3D Diagnostics (Boston, Massachusetts), will give us an oral radiologist’s perspective on CBCT images. As imaging technicians, are we providing the necessary components, such as radiographic markers, for the oral radiologist to deliver the most accurate reports for implant placement? If not, this is your golden opportunity to explain to the referring dentists the huge benefits of providing the markers before you take the scan. Show them an example to clearly demonstrate the value. When you build this type of rapport with the referral, who will they think of the next time they need dental imaging?

Should the radiologist report be done on every cone beam scan? Is it necessary to have CBCT for all dental implant cases? What scanning protocols should be used? Dr. Tamimi will answer those questions while guiding you through the complexity of sorting through the vast amounts of data that occurs for every scan she reads. You will truly gain a deeper appreciation for the valuable service provided by oral radiologists!

Stay an extra day and attend the i-CAT or the NewTom users meetings on Sunday, March 16. Those meetings will be held at the same location, the beautiful Universal Hilton. Detailed information regarding the users meetings will be provided by AFP and Imaging Sciences International. Please note that these meetings are not a part of the AADMRT Spring seminar program and may require additional fees.

We all take pride in the quality images provided by dental imaging specialists, and part of that is the ability to seek a greater understanding of our field. Now is the time to take advantage of the AADMRT continuing education Spring Seminar and take a firm step towards positioning yourself to make a difference in 2008!

We look forward to seeing you in March and read the PS at the end for a special event.

The seminar brochure will be mailed out to AADMRT members within two weeks. For non-members or more information, please contact Eric Iwamoto at (818) 506-6861.

Topic: “YOU’RE A BRAND”
Presentor: Dr. Baldwin Marchack

Take a look around you. Nike, Coke, Pepsi, Starbucks; brands are everywhere. Its time for you and me to learn a lesson from the world of big brands and find out what it takes to stand out and prosper.
This presentation will investigate companies not necessarily in dental-related industries, but which have nonetheless successfully branded themselves as great companies. What we discover, the secrets of branding, will help us transition ourselves and our businesses from good to great. We will not only focus on what to do, but will also focus on what not to do and what to stop doing.

Upon completion of this presentation, participants should be able to:
(a) Understand the concept of branding
(b) Determine what you would like your brand to be
(c) Utilize the principles of branding to create a new you

Baldwin W. Marchack, D.D.S., M.B.A.

Baldwin Marchack is a 1971 graduate of the University of Southern California, School of Dentistry. In 1989 he received his MBA from the Anderson Graduate School of Management at UCLA.
Dr Marchack belongs to numerous professional organizations including the American Prosthodontic Society, the Academy of Prosthodontics, the Pacific Coast Society for Prosthodontics, the International College of Prosthodontists, the Academy of Osseointegration and the American Academy of Esthetic Dentistry.
He is a Fellow of the American College of Dentists, a Fellow of the International College of Dentists, a Fellow of the Pierre Fauchard Academy, and a Fellow of the Academy of General Dentistry.
Dr Marchack is the author of numerous articles and has presented over 300 lectures on practice management and on esthetic and restorative implant dentistry nationally and internationally. He is the current president of the Pacific Coast Society for Prosthodontics, president-elect of the American Prosthodontic Society, and the past president of the American Academy of Esthetic Dentistry. He serves on the Board of Councilors for the University of Southern California School of Dentistry and is Adjunct Professor of Clinical Dentistry at the University of Southern California School of Dentistry. Dr Marchack is the Vice-Chair of the Editorial Council for the Journal of Prosthetic Dentistry, and maintains a private practice with a focus on esthetic, restorative and implant dentistry in Pasadena, California.

Topic: 3D Maxillofacial Imaging; Cutting Edge or Requirement

Presentor: Mr. Peterson

I. Brief History

II. Benefits of Three Dimensional X-rays vs. Traditional Images

III. Numbers Game: How Many CBCT Scanning Centers are There?

IV. Costs Involved: Is It Worth It?
.
V. Standard of Care
a. In Theory:
i. Three Dimensional X-rays are Not Required, Yet!
ii. No Harm No Foul
b. In Reality:
i. Defense Complicated
ii. Jury Appeal
iii. Settlement Recommended
iv. Case in Point

Mr. Peterson is one of Los Angeles’ best known trial lawyers, acknowledged both by judges and by his peers for his abilities in the courtroom in defending complex, high damage jury trials. Mr. Peterson’s impressive trial experience over the last thirty years has ranged from defending the individual clinician in medical or dental malpractice involving catastrophic injury or wrongful death, to representing major medical centers and public entities in multi-party trials lasting weeks to months. His track record for success is one of the best in the state, both for bringing in the verdict in favor of his client or in “containing the damage” in cases that are high risk but simply cannot be settled prior to trial. He is a Fellow of the American College of Trial Lawyers, a Diplomate of the American Board of Trial Advocates, and a member of the California Medico-Legal Committee, all organizations limited to attorneys with established credentials for integrity, knowledge, and skilled advocacy.

Mr. Peterson also represents both individuals and employers in jury trials involving emotionally charged employment issues, including sexual harassment, hostile work environment, failure to accommodate for employee disability and wrongful termination or discrimination. His abilities and reputation enable him to intercept cases before trial, if that is desired, or to take even the most difficult cases to trial rather than submit to excessive settlement demands.

Mr. Peterson is equally well-known for his meticulous preparation as well as for his ability to coax the best courtroom performance out of the most inexperienced and anxious witness. Clients who have been unable to work effectively with other counsel or who simply are unfamiliar with the judicial process work with Mr. Peterson to overcome the barriers that otherwise would prevent them from effectively communicating their position to the jury. Mr. Peterson frequently lectures at medical schools and physician conventions on how to overcome the fear of the courtroom, how to communicate effectively with jurors, and how to frame the issues in terms that will be most persuasive. He has often lectured to lawyer audiences on techniques for jury selection.

Mr. Peterson also represents health care professionals in disciplinary proceedings before licensing boards. His professional experience includes as well the extensive representation of other attorneys in legal malpractice litigation. He is a graduate of Loyola University of Los Angeles (B.A.) and of Loyola University of Los Angeles School of Law (J.D.). Mr. Peterson served as a Marine Corps officer before commencing his private practice of law.

TOPIC: Through My Eyes: How a Radiologist Reads Images.
Presentor: Dr. Dania Tamimi

The purpose of this talk is to familiarize the radiation technician with the systematic approach that the radiologist takes to view and interpret CBCT images. As we go through the images, the technician will get a sense for what the radiologist needs to see in order to make an accurate interpretation. FOV limitation and slice thickness will be covered as well as inappropriate prescription of radiographic studies, especially CBCT.

Dania Tamimi, BDS, DMSc, Diplomate, ABOMR

Dania graduated from Harvard School of Dental Medicine in 2005 with a certificate in Oral and Maxillofacial Radiology and a Doctorate of Medical Science (DMSc). She is a diplomate of the American Board of Oral and Maxillofacial Radiology. She is currently a consultant for 3D Diagnostix.

PS As a further enticement to attend this continuing education opportunity, I have a special surprise: Early Sunday morning, before the i-CAT users meeting, I am organizing a wonderful “roadside” tour of the Los Angeles country side. Departing from the Universal Hilton, we’ll drive through canyons, back roads, agricultural areas, and even the famous Pacific Coast Highway to offer a view of Los Angeles that you just can’t buy from any commercial tour guide. It doesn’t matter if you have a vintage car, high performance muscle car, lean European street racer, a rental vehicle, or just your daily driver –all are welcome!

You will be provided with a binder of detailed maps of the entire route so you may drive at your own pace. This is not a race! While some may wish to test the limits of tire adhesion, others can simply enjoy the beautiful scenery. If you like automobiles or simply wish to see Los Angeles at its very best, be there! The best part is it’s free!

2008-01-11T09:01:00.000-08:00

I want everyone who uses 3DD to know how responsive they are to emergency situations. I had a case that I neglected to send an email request and they sent it out in less than an hour to my doctor. They are really terrific in normal circumstances and are a wonderful team.
Devery

Slice thicknes 0.3mm or 0.4mm?

2007-12-13T16:16:00.000-08:00

Hello everyone,
I was wondering; what slice thickness do you use on you Icat machine?
For implant planning software 0.4 is the optimal slice thickness. For radiographic interpretation purposes do you find 0.4 mm adequate or do you or the Oral Radiologist you work with prefer 0.3mm slice thickness?
We find the 0.4 mm way more portable when transfering them over the internet.
Thank you

Computer Problems!!

2007-12-10T08:54:00.000-08:00

Ok - our i-CAT computer is dying. Our morning patients are cancelled, our IT guy is here right now trying to resurrect the computer - again! This the original computer from our 2004 i-CAT installation, running on Windows 2000 Professional. Obviously, we are replacing it.

We have 5 computers in our office all networked to a server. We are spending a fortune on IT support. It seems we have constant computer headaches - one computer suddenly not sharing, another one is too slow today, backup issues, printer issues, etc, etc. What we really need is some regularly checks our system - not just reacts to our panic phone calls.

What are all of you doing about IT? Do you have a company, or a "guy", or YOU? How much are you spending? Do you have a contract or are you paying hourly?

Any ideas?

We love all of our technology - but it is driving us crazy!

Do you use Costco paper???

2007-11-14T11:28:00.000-08:00

My office utilizes the Canon R2400 inkjet printer to print the i-CAT and digital (Planmeca) panoramic images. After testing various photographic paper (and from the suggestion of Diane at Yamamoto Radiography in Beverly Hills) , we discovered the Costco glossy photo paper to be the best value based on gray scale, contrast and low cost at only $17.99 for 150 sheets.

This morning I went to my local Costco to pick up the photo paper and could not find it. When I asked the clerk, he told me that they were out of stock. That was weird, that store always had the photo paper in stock. I then drove to the next closest Costco and discovered there was only 11 cases on the shelf (each case contains five boxes of 150 sheets), so I purchased the remaining cases. Normally, the stores are stocked with pallets full of paper. Maybe it was coincidental that those two particular stores were low or perhaps not. The holidays are fast approaching so that might have something to do with it, I really don't know. If you use Costco photo paper, it might be a good idea to stock up now. Post a comment if your local Costoco store has tons of paper or is out of stock, it will be interesting to find out if it was just a local or national shortage.
If you are considering a new printer, please contact me as I have updated information that could prove useful.

i-CAT Users Meeting 10/11/2007

2007-11-05T10:22:00.000-08:00

The i-CAT Users Group Meeting was held October 11, 2207 at the historic Sheraton –Gunter Hotel in San Antonio. VP of Imaging Sciences International (ISI), Arun Singh opened the meeting with some ISI historical facts:

1992 Imaging Sciences International founded

2003 i-CAT prototype introduced at AADMRT annual convention held in Pennsylvania.

2004 First i-CAT installed less than six months after prototype introduction

2006 Schein became exclusive distributor

2007 Danaher acquires ISI

2007 over 1000 i-CAT systems installed

Arun made note that cone beam technology has caused an evolving standard of care. More automation in treatment planning & delivery. Quickly multiplying manufacturers of CBCT. More patient awareness. CBCT has caused an evolving truly global marketplace.

ISI business philosophy has not changed:
Quality and value in products
Pride in support and service
Close attention to customer feedback
Continuous innovation and improvement
Commitment to education and training. Want proof? Arun Sing, VP of ISI has attended every single AADMRT annual convention for fifteen continuous years. There are only a handful of AADMRT members who can attest to that feat.

************************************************************

New generation i-CAT has been introduced with:

Scan time of 5, 8.5, or 25 seconds
Reconstruction time less than 30 seconds
Frames per scan 160 (5 seconds)
300 (8.5 seconds)
600 (25 seconds)

Extended field of view is 17 cm height with 23 cm diameter
Standard 4,6,8,10,13 cm height with 16cm diameter.

8.5 second scan time down from 20 seconds
40 second scan reduced to 26 seconds
10 seconds scan down to 5 seconds

New adjustable sensor orientation allows capture of portrait and landscape.

Portrait captures extended field of view in 8.5 seconds with less radiation to patient than i-CAT Classic because it requires only one scan.

Increased diameter, low noise and better soft tissue resolution

Landscape full resolution and detail for smaller volumes.

**************************************************

Expanding applications with integration with 3rd party software.

Work in progress:
Camera for 3D skin surface
Image quality
Integration with PACS / practice management software
Expansion of training/education/support
Substantial addition to ISI R& D team

***************************************************

The upgrade path for the i-CAT Classic will hopefully be defined in early 2008

Option to utilize either or both Xoran CAT and i-CAT Vision
Nerve canal estimation/marking tool will be available for XoranCAT and i-CAT Vision
i-CAT Vision report feature
Gradual integration of 3D renderings in XoranCAT and i-CAT Vision
Exchange 12 bit to 14 bit flat panel, which might require a new tube head too. In the future, a 16 bit software upgrade will become available and will require the 14 bit panel.

For the current i-CAT Classic owners who want the features of the new generation i-CAT, the possibility and practicality of the i-CAT Classic being exchanged for the new generation i-CAT is being seriously considered. Think of it this way: it really is not much different than trading in your used car for a brand new vehicle. Answer this question: Is your current vehicle generating daily income for you? Your i-CAT does! In fact, your i-CAT can generate sufficient profits for you to purchase or lease that new car you have always wanted!

*************************************************************

The guest speaker was Amnon Leitner, who has three Maxillofacial Imaging Centers in Israel. He demonstrated the importance of proper volume rotation and tilt. According to Amnon, you want to create cross sectional images that display the shortest distance between lingual and buccal cortical bone for accurate portrayal of anatomy. We need to see the anatomical truth.

Amnon recommends that for the full height scan to keep the occlusal plane horizontal.

The limited height mandibular scan should have the base of the mandible horizontal so premolars are vertical.

For the maxillary scan, tip the patient up insuring sufficient space to tilt down in MPR.

For 3rd molars, to avoid the metal shadow have the patient raise their chin up to avoid metal restorations in region of interest (ROI).

While waiting for reconstruction on high resolution scans, uncheck the display picture for faster time.

****************************************************************

The remainder of the i-CAT users meeting was dedicated to a round table (open questions) discussion with a complementary box lunch provided by Imaging Sciences International. In fact the i-CAT Users Meeting room expenses was entirely covered by ISI.

*****************************************************************

With the ever changing environment of cone beam technology, it is critical that i-CAT users keep up to date with the latest technological information. With that in mind, the next i-CAT users meeting will be scheduled in March 2008. Please check back soon for more details.

Imaging Sciences International has been heavily investing in research so you can expect continuous major software and hardware developments, including an i- CAT Vision software update very soon!

Printer Article

2007-09-30T16:33:00.000-07:00

If you would like to read a juicy, mouth watering article about various printers including due sublimation, ink jet and laser jets, look in the latest Dolphin Echoes Newsletter. To access, go to www.dolphinimaging.com , check on the Echoes newsletter tab in the left column, scroll down to Tips and Tricks and click on CAMERA ADVICE. Bon apetit!

Let's Get Some Buzz Going!!!

2007-09-25T11:47:00.000-07:00

Hey! Let's get some buzz going on the new version of the i-CAT that I recently heard about. What are some of the features? I heard that it doesn't need the 2 hour warm up. Is the image receptor larger? Is it an upgrade for older machines? If so, how much for the upgrade? I'm sure ISI will have lots of details in San Antonio but somebody must have some information they can "leak" out early. Come on you guys!!! Spill!!!

i-CAT Users Meeting

2007-08-23T15:47:00.000-07:00

Prior to the start of the American Association of Dental Maxillofacial Radiographic Technicians (AAMDRT) annual convention in San Antonio, ISI will be hosting an i-CAT Users meeting from 8am. – 12:30pm on Thursday, October 11, 2007 at the Sheraton – Gunter Hotel in San Antonio. The address is 205 East Houston Street, San Antonio, TX 78205 and the direct hotel telephone number is (210) 227-3241.

Imaging Sciences International will provide a continental breakfast and have several presentations regarding the i-CAT. The unexpected phenomenal growth of cone beam imaging has changed the field of dental radiography and Imaging Sciences International’s evolving efforts regarding research and development ensures that the i-CAT remain the leader of the field. Do not miss this educational opportunity to advance your i-CAT knowledge! To attend this salubrious meeting, please notify Liz Qualtier, ISI’s Director of Education and Training at: liz.qualtier@imagingsciences.com or call her at (215) 997-5666 x 284.

2007-07-05T22:00:00.000-07:00

I am having some serious hic-cups with my acquisition computer. I have about 32GB of free space. I find that the 3DVR is not up loading as quick, the mouse gets stuck when I am trying to rotate the image, I was getting error messages when I tried to do a scan. It is just acting squirrelly. Anyone out there seeing these problems?

2007-07-02T13:41:00.000-07:00

Hello all, I have a question for all of you out there using 3DVR. What little tweaks to do you make in the VRT parameters to get the really thin bone of the maxilla to show up on the rendering? Often I get a scan with the maxilla onion thin and I cannot get the bone to show up when I make the model.Which ones of the 4 choices do you adjust and what way...up or down....to get the thin bone to show? I have started to use this more and would appreciate some advise. Thanks, Kathleen Cox

1st Int'l Congress on 3D Dental Imaging

2007-06-22T09:57:00.000-07:00

Is anyone going to this meeting 7/13-14? It sounds good but I'm not sure I need to go. Well, I am looking for an excuse to go to New York...............Marcelle

Imaging Marketing

2007-06-14T13:37:00.000-07:00

Hello i-CAT Family,

My name is Amos Nadler and I am thankful for the opportunity to join your blog. I had the pleasure of meeting many of you in Monterey last fall when I presented a talk on "Inside Out Marketing & Branding". While at the conference I learned about the challenges radiography centers face, heard about the incredible developments in the field, and even saw whales and dolphins. I'll never forget it.

I am the President and Chief Creative Officer of Imaging Marketing, a company dedicated to supporting i-CAT owners by providing effective marketing tools and strategies to help grow their practices. Fresh concepts and ideas are constantly being developed and it's always great to hear what your needs are so we can offer you more focused, creative, and effective solutions.

Please email me at amos@imagingmarketing.com , or call 541.556.6713 with questions about marketing strategy, ROI analysis or anything else marketing and branding related. I love this field and appreciate the opportunity to serve you.

Best,

Amos

Storage & Backups

2007-06-13T10:28:00.000-07:00

How long is everyone storing their images for immediate retrieval? How are you archiving for long term? What are you doing to extend the computer storage capacity? My computer tech wants to know how everyone is backing up their images, redundancy, and what your disaster recovery plan is if your server goes down. Obviously, ours is pretty well maxed out and are looking to plan a better system. Any ideas?

Notes from i-CAT Users Meeting, April 29, 2007

2007-05-16T08:36:00.000-07:00

Liz Qualtier from Imaging Sciences International gave a brief overview of the upcoming release of the newest version of i-CAT Vision that will include 3DVR! This significant upgrade will have a reports function as well as the nerve canal detection tool. The detection software actually detects the size, shape and route of the nerve by utilizing artificial intelligence and special algorithms.

The ability to delete patient names from within i-CAT Vision will be performed by right clicking on the specific name. Note: the case can not be open to do this.

You will have the option to create a CD with DICOM data and i-CAT Vision or to create a working folder with DICOM and vision. If you want to add pdf reports or avi files to the CD, it can now be included.

The basic 3DVR volume will display in the implant window and tmj window.

Three new slicing tools in the MPR screen- well, two new and one somewhat new:

1) Right click on a,c,s (axial, coronal, sagittal) window to pull up explore menu- its a thin slice tool that can be used to rotate 360 around any point- slice thickness is determined by scan resolution, or instead of rotation around object of interest, you can move through the tooth or object, buccal-lingual or mesial-distal, similar to a single slice periapical. This tool can be used to help with root fractures or for endo.

2) Irregular Tool- this is a free hand slicing tool. Use the mouse to draw any cuts at any angle on any of the three MPR windows. Very cool tool.

3) Line Tool- like the name implies, this is just a straight line slicing tool.

A newly designed chin cup and head positioning support will be soon be available that will further reduce patient movement. The price for this upgrade has yet to be determined.

If you have the i-pan option on your i-CAT, there will be a significant upgrade that will require the 14 bit sensor upgrade. ISI is also working on a 16 bit software upgrade that will require the 14 bit hardware sensor. Contact www.imagingsciences.com for more details.

**********************************************************

Craig Dial from ddi started his presentation about the history of cone beam technology and how it has rapidly evolved into the current huge field of manufacturers.

The second part of Craig’s lecture was about the ddi educational center in Sacramento. This facility was specifically designed for advanced training for dental professionals including: dentists, surgeons, support staff and imaging techs. ddi offers a plethora of classes that include 2D and 3D digital photography, digital panoramic and cephalometric training, PowerPoint, CBCT, radiographic interpretation and customized courses. All classes are hand-on and limited in size to maximize the learning curve. California continuing education credits are issued.

The most applicable class offered for i-CAT users is the CBCT course. It starts with a two day advanced “out of the box” class that explains patient positioning, addresses common issues and questions, reviews the software, create reports (pan, TMJ, cross sectional) and templates, exporting DICOM, saving and printing. Various ddi staff also discuss signal to noise ratio and how to improve the images. Choosing the best image protocols to meet the imaging goals is also explained. Insurance codes (correct codes, billing and fees) and marketing ides are also presented. The next class is the one day Expert class that reveals cone beam technology, bit depth, volume averaging, flat panel versus CCD characteristics, and 3rd party software. The last class is the radiographic interpretation given by Dr. David Hatcher. Even though this class is designed for the doctor, the cone beam imaging technician will learn a lot of pertinent information. For more details, http://www.ddicentral.com/

******************************************************

Chester Wang from Dolphin Imaging & Management was our next speaker. After reviewing the history of Dolphin, Chester explained that Dolphin is in 90 percent of accredited orthodontic programs and 50% of Oral maxillofacial surgery schools. Dolphin has also been working with the American Board of Orthodontists to develop digital board case presentations.

Chester reviewed the premium version of Dolphin Imaging 10.5, including the ability to easily customize fields. The new mandibular nerve marking tool is very intuitive and even displays in 3D!

Creating avi movie files is simple in Dolphin Imaging and results in a fast yet professional presentation. The movie files can be saved in the premium version of Dolphin Imaging 10.5 and eventually will be transferable in Anywhere Dolphin. Dolphin allows the easy importation of DICOM files from medical CT, cone beam and even MRI!

For detailed information, see previous post regarding Dolphin Meeting in Destin, Florida or contact http://www.dolphinimaging.com/

*****************************************************

Zach Dalmau is VP of nSequence Center for Advanced Dentistry in Reno, Nevada.
The nSequence Implant and Esthetics Laboratory specializes in implant cases. nSequence provides full support, from the diagnostic wax-up and fabrication of the Radiographic Scan Appliance (needed for Simplant, Implant Logic-VIP, iDent and NobelGuide software applications) to the final restorations for implant cases. nSequence is an iDent Master Site and can convert data. They also offer technical support for these implant planning software systems. nSequence is happy to provide technical support to imaging centers regarding the various scanning procedures for these four implant planning systems.

nSequence has a Clinical Integration department to provide support and training on the operation of implant planning software to clinicians, to enable them to integrate this new technology into their practice, through personalized instruction, both on-site and via phone/web conferences.

The nSequence Education Center for Advanced Dentistry is a state-of-the-art, hands-on facility to hold events in which attendees can learn new technology and techniques though hands-on continuing education by world renowned lecturers. The classroom has 20 student PC workstations for software training and workshops. nSequence is hoping to host events for AADMRT and the iCAT user group in the future. These events and services will help build stronger relationships between dental imaging centers and their referring dentists.

We hope that Daniel Llop, CDT and president of n-Sequence will make a presentation at the AADMRT annual meeting in San Antonio later this year.

For more information: http://www.n-sequence.com/

**********************************************************

Khaled Elsaid from 3DDX in Boston, Massachusetts, discussed sterolithography models generated by BMI. They also make the scanning guide with markers. 3ddx is a SimPlant Master site and will make conversions for as little as $100. If you (or your referral) purchase SimPlant Planner software from 3DDX (approximately $3,775), you will received two free conversions! Custom colorized conversions are available for only $150. 3ddx is an internet based company and also offers extremely fast complete radiologic interpretations from Dr. Dania Tamimi that are often done in less than one day!

Khaled started his presentation by discussing how BMI’s Stereolithography models can be used by clinicians for hands-on implant planning without using software. Models are a powerful tool for safe and accurate hands-on surgical planning, reduce OR time, and are used for patient education. The models are also used to fabricate surgical stents based on the plan performed on the model.

3D Diagnostix (3DDX) was founded 3 years ago and is specialized in servicing the Dento-Maxillofacial imaging industry. They have clients all over the globe, including Canada, Brazil, UK, Germany and Spain. Their services are focused on providing high quality Simplant conversions at very affordable prices. Khaled showed a number of examples of their quality custom reconstructions including cases with sinus grafts, residual roots, impacted canines and a residual root surrounding a mandibular nerve.
The two sample radiology reports presented demonstrated how comprehensive their radiology reporting service is. Reports cost only $70 with 24-48 hour delivery, or you could order emergency reports for $100 for guaranteed same day delivery. The reports include; TMJ evaluation, sinus evaluation, ruling out pathology, implant planning and more.

3DDX electronic data transfer is very user friendly and their team could guide you through the process. Such electronic service allows them to return their converted cases within hours. 3DDX provides the complete set of services and tools to complete the loop between the dentist, the center and the patient.

The presentation ended by mentioning www.conebeam.com, the educational website about CBCT managed by 3DDX. The website has all the information dentists and patients need to learn about CBCT. The website also sends a monthly newsletter that features interesting case studies and news related to the industry. The website also features a Blog spot for a general discussion about Dental Radiology.

For more information http://www.3ddx.com/

************************************************

Many thanks to Imaging Sciences International for hosting the i-CAT users meeting and to Liz Qualtier for flying all the way from Chicago to personally represent ISI. The next time you have the opportunity to talk with ISI, make sure to mention your appreciation we all feel for their unparalleled support of the i-CAT cone beam scanner.

We will see ya’all later this year at the AADMRT annual convention and the next i-CAT users meeting in San Antonio!

10 scans in 2 hours

2007-05-09T08:52:00.000-07:00

I am scheduled to do 10 scans over a period of about 2 hours on Friday. Should I recalibrate at any point during these scans or can I just blast through them? Any widsom on this?

lawsuit

2007-05-08T14:09:00.000-07:00

When Marcelle was in Oakland she heard about a lawsuit concerning a doctor in California doing dental implants without a ct scan. We would like more details about the case if anyone knows anything. (Name, date, etc...)

Thanks!
Laura

Do you need a radiologist?

2007-03-20T18:55:00.000-07:00

Hello,

My name is Dania Tamimi. Eric was kind enough to invite me to this blog and introduce me to your group through my comment on the mid-line calcification. I am an American board-certified Oral and Maxillofacial Radiologist. I formed a strong interest in the technicians' world and AADMRT when I attended the Monterey meeting last September. I was impressed by what I saw, and look forward to attending future meetings.

I currently work for 3D Diagnostix as an oral radiology consultant. The fellows at 3DDx send me the images, and I view and interpret them as well as write a report with images in PDF form, all within 24-48 hours.

The states that I can provide this service to are: California, Massachusetts, Missouri, New Hampshire, North Dakota, and Oregon. I am in the process of collecting information on licensure requirements for the practice of teleradiology for the rest of the states so more may come later.

For more information, email me at dania@3ddx.com, or Khaled ElSaid, the president of 3DDx, at khaled@3ddx.com

I look forward to hearing from you.

2007 Dolphin Meeting held in Destin Florida

2007-03-15T14:22:00.000-07:00

The 2007 Dolphin Meeting was held in Destin Florida on March 1-3, 2007

Understandably, the Dolphin Meeting is geared specifically for the orthodontist and his or her staff, yet there was plenty of pertinent information for the imaging center. Here is an outline of the program that applied to dental imaging:

TECH SUPPORT: Dolphin technical support has been drastically revamped to improve customer service. The support calls are now routed directly to a live support technician. In the first month since the new system was implemented, two thirds of the calls were being resolved immediately by the first available support team member, and wait times overall were reduced dramatically.

DOLPHIN AQUARIUM was introduced. (Ships June 2007). Aquarium is Dolphin’s slick new education and case presentation library which includes full 3D graphic animation for explaining common and complex clinical topics. The comprehensive library contains detailed movies and stills to visually demonstrate various procedures, Invisalign, TADs, TMD, hygiene, teeth eruption and more. The system allows dual monitor support: show movies on one monitor while the patient’s own images display simultaneously on another. Aquarium integrates with Dolphin Imaging and Management.

Dolphin meets Mac: Imaging 10.5 has been verified to run on Intel-based Mac computers using either Apple’s Boot Camp software or Parallels Desktop software.

NEW in 3D: The Dolphin Team introduced some neat new features to its 3D module. The Nerve Marking tool lets you easily locate and isolate the mandibular nerve canal in the panoramic projection, and then view in the corresponding cross sections to detect position of the nerve.
The TMJ Viewing System allows visualization in the sagittal, coronal and new (patent pending) circular view. Easily change thickness, width, direction and number of cuts viewed.
Dolphin 3D is now a fully integrated feature of Dolphin 10.1 and supports DICOM data from most cone beam, medical and even MRI systems! Dolphin 3D stores all the volumetric data in the central Dolphin database. This means all your data is now in one place, making it easier to search, archive, collate, etc. Dolphin 3D also supports scripting, previewing, generating and saving of 3D movie clips that animate Dolphin 3D data.
Any scripted sequence of views can be saved to use for future patients.

AnywhereDolphin.com is officially out of the free trial period and allows the sharing of specified images with referrals and patients. The system uses 128 bit encryption through SSL, which means secure transmissions that are HIPAA-compliant. There is no cost or hardware requirements for your referral or patient to access and view the shared records. However, they must have Dolphin Imaging Premier or Dolphin Viewer to download the images.

Dr. Arnett showcased the latest from Dolphin, including a form and treatment document software designed to use on a Tablet PC. Medical history, patient motivation, dental exam, periodontal exam, bite exam, TMJ exam, facial analysis, cephalometric analysis, airway analysis are now all easy to input, access, generate reports and print out. He also demonstrated usage of Dolphin 3D in his oral surgery practice. Further discussions on TMD stabilization medication, post-operative medication and other surgical and planning techniques were presented.

Robert Maurer, PhD, gave an insightful presentation titled “How Successful People Succeed,” in which he discussed the essential skills and strategies required to sustain excellence and enthusiasm in health, relationships and work. During his presentation, Dr. Maurer had the audience participate in verbal exercises which allowed us to truly comprehend his perspective. Fear, depression, risk, support, awareness, types of attention, appreciation, visions, goals, and expectations were topics that he explained with a systematic approach. Dan Halpert, Judy Hurt, Marie Martinez and I came away with a clear sense of purpose that emphasizes the emotional state one is striving for, in the pursuit of goals.

Ellen Grady presented on “10 Keys to Practice Success.” This presentation applied to any business, including imaging centers. According to Ms. Grady, success is 90 percent behavioral skills and 10 percent clinical savvy. Ms Grady had a wonderful explanation about the differences between the various generations that coexist and interact within our current business world: traditional (1900-1945), baby boomers (1946-1964), Generation X (1965-1980) and Millennial (1981-1999). Did you know that Generation X has the best dental health ever recorded? The Millennial kids are very tech savvy and skeptical which requires high technology to keep the youth interested. In her presentation, Ms. Grady explained in great detail the keys to success as she categorizes them: Leadership, Team Morale, Systems & Training, Scheduling, Facility and Décor, Communication, Patient Cooperation, Marketing, Financial Performance and Statistical Benchmarks. Included in the presentation was a Practice Assessment Review which will be utilized in my next staff meeting.

Ken Gladstone discussed what is new in Dolphin Imaging 10.5 Premium versus standard Dolphin. There are several new “finder” features that include a “Basic vs. Advanced” mode, and a new page layout option that lets you choose from “single image vs. no image.” The “Records” tab allows searching for 3D data by either demographics or diagnostics, in addition to finding specific patients who had a particular record (ceph, pan etc). Dolphin 10.5 adds a “Show More” button that instantly surrounds the current patient with a list of the handful of alphabetically prior and following patients. There are now more search options. Dolphin Premium Securities Utilities has a non-intrusive Pre-Backup system that allows the user to backup the SQL database WITHOUT shutting down the SQL server, so you no longer need to exit Dolphin at all machines on the network prior to running a Pre-Backup.

Dr. Paul Thomas presented on Overlay Digitizing and Custom Analyses. The ability to superimpose is dependent on identical magnification, exact landmark recognition, adjusting for different x-ray machines, target/object/film variables, and landmark recognition errors. Dr. Thomas demonstrated the steps necessary to perform a beautiful overlay and he explained that Dolphin Version 10 digitizing features include: tracing scaling/overlays, landmark/structure transfer and PowerPoint integration.

The Computer Lab was open the entire three days of the conference. Both the Support Team and the Development Team were available to solve any issues, give detailed explanations, and assist with advanced training of any Dolphin products. This alone made the trip worth the attendance fee. The lab allowed Dolphin users to work one-on-one with the technical support team in a relaxed, personal environment.

The Hilton Sandestin Hotel Gold Resort & Spa in Destin, Florida, was a superb location for the 2007 Dolphin Meeting. Imagine where emerald water and sugary white sand meet as the setting sun dips below the horizon. The landscape colors and lighting are unique to Destin because of its geography: the sand is made up of ground quartz crystal washed from the Appalachians more than 10,000 years ago!

The meetings ended at 4:30 p.m., allowing sufficient time to take a long walk on the beach and build up an appetite for the festive Dolphin party on Friday night. Think platefuls of crab claws and gulf shrimp as a first course, followed by a choice of exquisitely prepared beef, chicken and grouper (a local specialty) for a main course. Key Lime pie and decadent chocolate cake finished the feast. On the other nights, some of us dined at the four star Seagars restaurant located right in the hotel, where we had succulent aged prime bone-in rib eye steak that was cooked to perfection, and huge lobsters which were steamed then barely kissed on the grill for a truly distinctive flavor. The chocolate soufflé and banana foster (prepared table-side) made our palates sing with delight. There was a shuttle that crossed the highway to the northern portion of the resort where we discovered a quaint New Orleans town with a beautiful lake, shops and restaurants. There, I dined on oysters on the half shell and two pounds of Dungeness crab! For the shopaholics, the SilverSands Factory outlets were only just a few miles away and had over 100 stores! The people at Dolphin go to great lengths to find these unique meeting locations, booked with wonderful speakers filled who impart pertinent information to our businesses. Start planning now for next year in San Diego, as it’s bound to sell out!

Mid line Calcification

2007-03-08T17:44:00.000-08:00

Craig, here are some more pics of the calcification with the reference frames. Wide end of triangle is field of view.

i-CAT Vision Transfer Tidbit

2007-03-08T12:36:00.000-08:00

I recently upgraded the 100GB hard drive on my i-CAT computer to a 300GB drive, and renamed this new "C" drive to "300GB". When I started i-CAT Vision Transfer, it asked for a new "key", which ISI was very quick to provide. I'm just posting this to let you know that if you rename your hard drive, your i-CAT Vision Transfer will not work until you get a new "key" from ISI.

2007-03-08T10:38:00.000-08:00

Opinions?
i-CAT Cone Beam taken for
Ortho, mid line calcification. Images
are with CyberMed's On Demand 3-D

Any radiologists out there?

2007-02-21T14:45:00.000-08:00

This is a 3DVR sinus/teeth view looking down into the sinus of 79 year old male patient. I am curious what the 2 "bulb" like masses are in the right sinus. Anyone have an idea?

Mobile CBCT

2007-01-18T15:04:00.000-08:00

Has anyone seen this before? I got this in an e-mail. I think this is from an office in Wisconsin, but I am not sure. I find it very interesting having a mobile CBCT unit. Any thoughts on this?

BTW, if anyone is interested in the go-kart class that Eric mentioned, but have questions about it, please e-mail me and I will be happy to answer.

Craig

i-CAT Users Meeting

2007-01-16T13:50:00.000-08:00

Since most of you will be at the AADMRT seminar at the Oakland Hilton Hotel on Saturday, April 28th, it also seems like a logical location for the i-CAT users meeting. A representative from Imaging Sciences International (ISI) will present on the latest development of i-CAT news. Chester Wang, the Director of Dolphin Imaging and Management will also make a presentation. The format will be the usual round table discussion that has worked well in past meetings. The hotel has a conference room that is available on April 29, Sunday from 8am -4pm. Note that this room had a capacity of ONLY 28 seats. Please indicate (in the comments section of this blog) if you are interested in attending the i-CAT users meeting. The Oakland Hilton has rooms available on Saturday night for $109.00 and is located approximately 15 minutes from the Oakland airport. There will be a charge based on the cost of the conference room/continental breakfast/lunch/beverages/AV equipment rental.

Go-Karting Event

Craig Dial and his son have been racing professional go-karts for many years and would like to see if we would be interested in doing a ½ day of go-karting at the Davis track (located 30 minutes from Sacramento). This offer is through a company named Rocket Motor Sports, and they will provide all the necessary equipment to go out and drive these karts - no previous experience necessary. Please indicate in the comments section if you would like to attend the Friday karting event. For those people who plan to fly in, if you arrange your flight early (before 8am) into Sacramento Airport, some of us can pick you up at the airport, drive you to the track event and then to Oakland for the AADMRT seminar so you will not have to rent a vehicle. If you are attending the i-CAT users meeting on Sunday, plan your flight out of Oakland airport too.

The karts are simple open wheeled scaled down race cars that have a top speed of 75-90mph, but they are geared to the track for a maximum speed of 55mph in order to take advantage of the low speed turns. You can drive as fast or slow as you feel comfortable, but no bumping is allowed, remember, these are NOT the carnival type cars you may have driven in the past.
The class would start promptly at 9:00am and will last till early afternoon. No food is provided, but there will be bottled water. Rocket Motor Sports charges $200.00 per driver and for that fee you will get a brief introduction of the kart, track, and rules, then he will let us out on the track with up to 10 karts at a time. We will break the group into half so one group can rest and watch while the other is on the track. Throughout the morning, Rocket will give lessons about the driving line, braking and acceleration, and other helpful hints to help improve your driving performance.

The equipment provided by Rocket will be the go-kart, gas, helmet, jacket, gloves, and neck brace. You will need long pants (preferably jeans) closed end shoes, and a short or long sleeve shirt. You may bring any of your own equipment as long as it meets IKF standards (International Karting Federation).

The go -kart class size will be limited to only 15 people. If you want to bring any of your own family with you to drive, then please add an additional $200 fee for each person and they will need to be at least 16 years old to participate. This is a very exciting and fun activity. For those of you living in snow country, this karting experience will be a welcome break to enjoy the warm sunny California sunshine and will also teach you valuable techniques that are applicable in everyday driving situations. Please indicate in the comments section if you would like to participate in the karting event.

Job Swap Opportunity

2007-01-09T07:30:00.000-08:00

4 Highly qualified technicians in Colorado (Marcelle, Vickie, Peggy and Laura) and one excellent receptionist ( Renee) are interested in working in labs in warm, snow-free climates. Arizona and Southern California preferred. Interested applicants to work here must have reliable 4-wheel drive tranportation, snowmobiles or dog sled and team. Please bring your own snow shovel - there are no more available for purchase in the Denver metro area. You must be able to perform heavy physical labor - such as SHOVELING ALL THIS DARN SNOW!!! Lab hours vary with the snow forecast - no pay for snow days, however. All interested parties please reply on this blog, and arrangements can be made for flights through Denver International Airport - if it is open. Please reply soon - more snow and cold temperatures are forecasted for this weekend - and we want to get the heck out of here!!

ISI inducted into Major League

2007-01-04T16:19:00.000-08:00

It is with great pleasure and excitement that we announce that Imaging Sciences has been Acquired by Danaher Corporation, a Fortune 100 company based in Washington, DC; with operations all around the world. Danaher ventured into the dental market with the acquisition of Gendex a few years ago, which followed other significant acquisions including DEXIS, Pelton & Crane, KaVo Dental, Ormco, SybronEndo and Dentrix Imaging. 3-D imaging was the only missing link to round out their dental portfolio, until now.

Danaher’s overall business activities encompass three reporting segments and are comprised of six strategic platforms: Professional Instrumentation (Environmental, Medical Technology, Electronic Test), Industrial Technologies (Motion, Product ID) and Tools & Components (Mechanic’s Hand Tools). Most of you are perhaps familiar with Craftsman tools and Fluke Instruments, both manufactured by Danaher divisions. The company had over $10 Billion in sales in 2006.

The most exciting part of this transaction is that the dental portion of Xoran Technlogies has also been acquired to be a part of Imaging Sciences.

Imaging Sciences will operate as a stand alone division, and all current team memberes will retain their responsibilites. Very little should change to our look, feel and business philosophy. At the same time, we are now bigger, stronger and better positioned to advanced our goals and strategy in a challnging global environment.

As always, we sincerely appreciate the support and confidence we have enjoyed from our customers! We could not have done it without you!! We look forward to a continuing constructive and stimulating relationship with all of you!

Arun

Renew your AADMRT membership-NOW!

2006-12-28T10:08:00.000-08:00

You only have a few days left to join or renew your AADMRT membership application at the lowest rate of $75. Beginning January 2007, the membership fee will increase to $90. The American Association of Dental and Maxillofacial Radiographic Technicians (AADMRT) is an organization dedicated to the profession of dental and maxillofacial imaging. Membership includes the Currents Newsletter, which is a quarterly publication packed with information and interesting articles. The AADMRT also provides various educational opportunities catering specifically to the dental x-ray technician. The next seminar will be held on April 28, 2007 in Oakland CA that will cover the subjects of Sleep Apnea and Forensic Dentistry. For more information, log on at: www.aaadmrt.com

i-CAT Users Group

2006-12-13T15:24:00.000-08:00

i-CAT Users Group

Season Greetings i-Cat community! I need some advice....I need to replace the printer at my i-CAT....any suggestions? Kathleen Cox

i-CAT Users Group

2006-11-28T11:11:00.000-08:00

i-CAT Users Group
New CDT codes

Effective January 2007 new CDT codes will be in place for cone beam scans.

D0360: CBCT craniofacial data capture
D0362: CBCT 2D image reconstruction existing data
D0363: CBCT 3D image reconstruction existing data

TMJ profile

2006-11-13T21:38:00.000-08:00

I tried to create an iCAT vision CD which includes the patients closed/open/orthodic volumes. I saw that the three volumes were on the CD but only the open and orthodic were in the patient file when the CD opened up in iCAT vision. Any thoughts.

From: i-CAT User in Brazil

2006-11-13T11:05:00.000-08:00

This is a relayed message from Dr. Emilson Barros de Oliveira Junior in Brazil:

Good night!

Excuse, I do not write the English well.

I saw some postagens its in blogger I-cat.
I taste future to enter i-cat blog!

We use the I-cat in Fortaleza/Ceará/Brazil. We are printing reports in film (no paper) in the Dryview8150 printer of the Kodak. However, I have problems with no Dicomprint on software, have that to print in pdf and later transforming into JPG or Dicom, the printer one only recognizes dicom.

Mr. knows somebody that prints dicomprint? Or as to export the obliquos cuts (trans axial)?

Thank you verry much.

"Obrigado"

Emilson Junior, CD