Meeting Notes: James A. Zagzebski, Medical Physics 11-01-11

The meeting notes and supplemental information regarding ultrasound technology, research, manuals are posted.

Meeting with
James A. Zagzebski

Tuesday, November 01, 2011

This was an initial meeting to build the relationship between the folks at Medical Physics (and Imaging) and the CELL researchers. My notes reflect the trajectories of topics that emerged from this meeting. Since my base knowledge is limited, I have tried to list as much information that will serve to jog people’s memories of the meeting as well as providing some factual context. Some information may reflect my novice understanding of the procedure, equipment, application. Apologies if I failed to capture important points of the discussions.

Cast of Characters
JZ James A. Zagzebski
ER Eric Raimy
JS JoeSalmons
TP Tom Purnell

The CELLmates
Kelly Abrams
Luke Annear
Nick Williams
Trini Stickle

JZ inquiries about the types of questions/problems we are interested in.
Some responses included the following:
Range of tongue positioning for speakers of different languages;
Range of motion occurring in the glottis
Capturing imagery to detect and measure adduction and abduction.

JZ:
1) Ultrasound technology is still not very good at capturing vocal chords; capturing speed is still an issue. The current machine can capture at ~ 150 frames/ sec, maybe as much as 200 frames/sec; when frame freezes @ 120 Hz

2) Recommends spending time playing with the machine and let it explain what it can do through experimentation getting used to shadows, landmarks, multiple moving parts;

3) Also recommends studying anatomy, to include cadaver studies;

4) Recommends using the 3D probe (located in the breast clinic).

Technical topics of the conversations while we were “looking” at talk:

Brief discussion on current transducers; JZ refers to the one he is using as curvilinear;

TP: Topics of seeing stiffening/slackening; ER: rocking of cricoid cartilage
Question of what we are seeing move: false vocal chords (ER and JZ bet a beer on whether we are seeing real or false vocal chords);

JS: Need to determine the visual reference of unenergized state.

JZ: Two types of zoom and data presentation:
1) Read = data is redisplayed
2) Write =combs down data

Clinical avenues that could lead to collaborative studies
ER: Mentions locating/using the tendons of the adenoids as landmarks.
JZ: Brings up clinical work on polyps, diagnostic and therapeutic uses of ultrasound in throat disease and injuries;
References Ken Lee, MD whose interests are in muscles and ligaments:

http://www.uwhealth.org/findadoctor/profile.jsp?provider=8048

https://www.radiology.wisc.edu/people/facultyContent.php?vaultID=403

Also mentions the work done on cleft palate repair.

To schedule more time with the ultrasound machine, contact JZ
Telephone: 608/265-4929
Fax: 608/262-2413
E-mail: jazagzeb@wisc.edu

He will put us in contact with Sara, who handles scheduling of the machines.

The ultrasound machine is made by Siemens; Tim Hall is a rep from Siemens who works with Med Physics Dept. He may be interested in software or design projects.

The machine we may have better access to is the Siemens Antares (baby brother to the machine we used at the meeting).
From the Siemens website:
The Siemens Antares ultrasound represents the complete ultrasound solution for your clinic or office. It is ready to perform any exam on any patient. The Antares delivers outstanding image quality, connectivity and scalability in a unique ergonomic design. MISA Beamfromation with High-Density Active Aperture, Combined with Patented Precision Up-Sampling, Deliver ultra fine analysis and digitization of raw signal data. Ensemble(tm) Tissue Harmonic Imaging for improved contrast resolution. MultiDimensional Image Processor resulting in a revolutionary new ultrasound workstation.
The ergonomic of the Siemens Antares are designed to enhance operator interaction and increase workflow management. 15″ high resolution, progressive scan monitor and control panel are user height adjustable for variable scanning positions. Repositional wrist-rest helps to reduce operator fatigue.
At Wave Imaging Solutions, our ultrasound systems are both cosmetically and technically to like new condition. Our certified technicians refurbish our ultrasound systems so they exceed OEM specifications – We Guarantee It.
Features:
• 2D
• Lightweight multiple frequency and Multi-D(tm) Array Transducers provide optimal slice thickness for a wide variety of applications
• Wideband MultiHertz ™ multiple frequency imaging expands versatility by covering a broader application range with each transducer
• Virtual Format Imaging steers and explains the linear image display for greater information
• Triplex mode
• Biopsy software
• Integrated read/write CD R Drive
• Includes DICOM Print And Store
• B/W SIESCAPE Software
• Color SIESCAPE ™ Software Option
• Tissue Equalization Technology
• 3-Scape Imaging
• Cadence Contrast Agent Imaging
• SIECLEAR
• CLARIFY VE Option

Diagnostic Ultrasound Imaging : Inside Out Szabó, 2004

http://ezproxy.library.wisc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=117131&site=ehost-live

Power point ultrasound technology, terms, and getting better images: