When Cancer Effects One of Us, It Effects All of Us

Let’s stand up to cancer! Let’s be proactive!

 

Let’s remind our mothers, daughters, sisters and friends how much they mean to all of us! Early detection does save lives!

 


Together We’re Stronger…..No One Walks Alone!

 

Please join the Living Well Foundation/Radiology Associates of the Fox Valley team.

 Let’s help save lives from breast cancer together. Let’s go the extra mile and together we can, and will make a difference. No one fights this battle alone. We can walk together and find a cure!

The event will take place at Fox Cities Stadium.

Making Strides of the Fox Valley

Saturday October 21st, 2017

Registration: 7:30am

Walk: 9:00am

Please visit Making Strides of the Fox Valley for more details on the event:

Making Strides of the Fox Valley

 

The map of the event:


Please Join our Team for a Wonderful Lifesaving Event

This great event is almost here. We are so excited and look forward in seeing you at the Menasha Senior Center. If you are not already signed up, please call 920-967-3530.

 

The Living Well Foundation is proud to announce our next free vascular disease screening fair. 

From 1-4 p.m. Sept. 20 at Menasha Senior Center, 116 Main St. Menasha. For more information, call 920-967-3530.

Website: cityofmenasha-wi.gov

https://www.mapquest.com/us/wisconsin/business-menasha/menasha-senior-center-7075045

 


Medical Innovations that will Transform Early Detection of Breast Cancer

SoftVueTM Exam Process

Subtle recessed lighting contours the SoftVue™ system, with a rainbow of selectable colors to match décor and mood, while an integrated footstep and softly-curved arches for hand placements offer a secure and easy approach.  SoftVue™ features a padded table-top allowing for comfort during the exam.

SoftVue™ has received FDA clearance for diagnostic imaging purposes and is not intended for use as a replacement for screening mammography.

 

Step One – The technologist assists the woman onto the table and helps position her on her stomach.

Step Two – Once on her stomach, one breast is suspended into a warm water reservoir.

Step Three – A soft gel guide, the Sequr™ Breast Interface, engages with the front of the breast to center, shape and steady it during the procedure.

Step Four – The volumetric ring transducer encircles the breast, imaging from the nipple to the chest wall in 2 millimeter intervals.

Step Five – Three distinct imaging volumes are created showing reflection, speed of sound, and attenuation.

 

 

Trifecta of Sound

Introducing a singularly unique approach in transducer design, SoftVue™ incorporates over 2000 transducer elements within a uniform ring configuration featuring TriAD™ triple acoustic detection. This remarkable imaging capability gathers not only reflected echoes, but quantifies the signals transmitted through the breast. The tomographic coronal image presentation delivers an unrivaled view of the structure of breast tissue, and depicts tissue attributes of sound speed and attenuation that can assist physicians in distinguishing normal tissue from areas of concern.

  • Each transducer element emits and receives ultrasound signals in a sequenced 360° circular array surrounding the entire breast, scanning automatically from the nipple to the chest wall
  • Image acquisition is conducted in 2mm increments as the transducer moves along the breast
  • TriAD™ technology captures not only reflection echoes that define anatomic detail, but also the transmission signals passing through the tissue, quantifying sound speed and attenuation
  • A coronal cross-section image set is presented of the entire breast, displayed in three volumetric image stacks for interpretation and comparison with other breast imaging studies

 

 

Reflection                                                Sound Speed                                       Attenuation

 

 

Gentle Guidance

The Sequr™ Breast Interface is a central component of the SoftVue™ system and serves an essential function. This soft anatomically-formed guide engages with the front of the breast to center, shape and steady it during the imaging procedure. By adjusting the breast contour and stabilizing the breast tissue, this one-per-patient consumable assists with proper positioning of the breast and promotes efficiency during image acquisition.

 

 

 

 


Your Health, Our Priority

Over 40% of females in the U.S. have dense breast tissue leaving a large percentage of women at a disadvantage when it comes to breast cancer screening and detection.

 

Dense Breast Tissue Imaging

It is now widely understood that mammography alone is not sufficient to detect breast cancer for women with dense breasts.

Mammography demonstrates variances in the attenuation of x-radiation as it passes through tissue. The challenge with dense breast tissue is that it can have similar attenuating properties as cancer, so a sufficient level of variance may not be appreciated by mammography, particularly problematic in the dense breast. Unlike mammography, SoftVue™ is not confounded by breast density and can find masses apart from the dense tissue based on differing acoustic properties.

 Women who have dense breast tissue have a higher risk of breast cancer compared to women with less dense breast tissue. In fact, high breast density is a greater risk factor than having two first degree relatives with breast cancer. 

Gentler Option

As a 3D whole breast ultrasound system, SoftVue™ brings a safer and softer imaging solution, introducing a new approach to imaging the entire breast using sound and water. The exam is private and discreet, the breast is not openly seen during the scanning process and there is no compression and no radiation.

At Delphinus, we are working to assist physicians gain accurate information to better detect breast cancer where it can be the most challenging, in dense breast tissue. While developing better imaging science, we are striving for a better breast imaging experience for women. SoftVue has received FDA clearance for diagnostic imaging purposes and is not intended for use as a replacement for screening mammography.

 

softvue-system


Do You Have Questions about Vascular Ultrasounds?…… Let’s Answer Them!

Ultrasound – Vascular

Vascular ultrasound uses sound waves to evaluate the body’s circulatory system and help identify blockages in the arteries and veins and detect blood clots. A Doppler ultrasound study – a technique that evaluates blood flow through a blood vessel – is usually part of this exam. Ultrasound does not use ionizing radiation, has no known harmful effects, and provides images of soft tissues that don’t show up on x-ray images.

Little or no special preparation is required for this procedure. However, you may occasionally be asked to fast beforehand. Leave jewelry at home and wear loose, comfortable clothing. You may be asked to wear a gown.

What is Vascular Ultrasound?

Ultrasound is safe and painless, and produces pictures of the inside of the body using sound waves. Ultrasound imaging, also called ultrasound scanning or sonography, involves the use of a small transducer (probe) and ultrasound gel placed directly on the skin. High-frequency sound waves are transmitted from the probe through the gel into the body. The transducer collects the sounds that bounce back and a computer then uses those sound waves to create an image. Ultrasound examinations do not use ionizing radiation (as used in x-rays), thus there is no radiation exposure to the patient. Because ultrasound images are captured in real-time, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.

Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.

Vascular ultrasound provides pictures of the body’s veins and arteries.

A Doppler ultrasound study is usually part of a vascular ultrasound examination.

Doppler ultrasound, also called color Doppler ultrasonography, is a special ultrasound technique that allows the physician to see and evaluate blood flow through arteries and veins in the abdomen, arms, legs, neck and/or brain (in infants and children) or within various body organs such as the liver or kidneys.

 

What are some common uses of the procedure?

Sonography is a useful way of evaluating the body’s circulatory system. Vascular ultrasound is performed to:

  • help monitor the blood flow to organs and tissues throughout the body.
  • locate and identify blockages (stenosis) and abnormalities like plaque or emboli and help plan for their effective treatment.
  • detect blood clots (deep venous thrombosis (DVT) in the major veins of the legs or arms.
  • determine whether a patient is a good candidate for a procedure such as angioplasty.
  • evaluate the success of procedures that graft or bypass blood vessels.
  • determine if there is an enlarged artery (aneurysm).
  • evaluate varicose veins.

    Doppler ultrasound images can help the physician to see and evaluate:

    • blockages to blood flow (such as clots)
    • narrowing of vessels
    • tumors and congenital vascular malformations
    • reduced or absent blood flow to various organs
    • greater than normal blood flow to different areas, which is sometimes seen in infections

How should I prepare?

You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined.

You may be asked to wear a gown during the procedure.

What does the equipment look like?

Ultrasound scanners consist of a console containing a computer and electronics, a video display screen and a transducer that is used to do the scanning. The transducer is a small hand-held device that resembles a microphone, attached to the scanner by a cord. Some exams may use different transducers (with different capabilities) during a single exam. The transducer sends out high-frequency sound waves (that the human ear cannot hear) into the body and then listens for the returning echoes from the tissues in the body. The principles are similar to sonar used by boats and submarines.

The ultrasound image is immediately visible on a video display screen that looks like a computer or television monitor. The image is created based on the amplitude (loudness), frequency (pitch) and time it takes for the ultrasound signal to return from the area within the patient that is being examined to the transducer (the device placed on the patient’s skin to send and receive the returning sound waves), as well as the type of body structure and composition of body tissue through which the sound travels. A small amount of gel is put on the skin to allow the sound waves to travel from the transducer to the examined area within the body and then back again. Ultrasound is an excellent modality for some areas of the body while other areas, especially air-filled lungs, are poorly suited for ultrasound.

How does the procedure work?

Ultrasound imaging is based on the same principles involved in the sonar used by bats, ships and fishermen. When a sound wave strikes an object, it bounces back, or echoes. By measuring these echo waves, it is possible to determine how far away the object is as well as the object’s size, shape and consistency (whether the object is solid or filled with fluid).

In medicine, ultrasound is used to detect changes in appearance, size or contour of organs, tissues, and vessels or to detect abnormal masses, such as tumors.

In an ultrasound examination, a transducer both sends the sound waves into the body and receives the echoing waves. When the transducer is pressed against the skin, it directs small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off internal organs, fluids and tissues, the sensitive receiver in the transducer records tiny changes in the sound’s pitch and direction. These signature waves are instantly measured and displayed by a computer, which in turn creates a real-time picture on the monitor. One or more frames of the moving pictures are typically captured as still images. Short video loops of the images may also be saved.

Doppler ultrasound, a special application of ultrasound, measures the direction and speed of blood cells as they move through vessels. The movement of blood cells causes a change in pitch of the reflected sound waves (called the Doppler effect). A computer collects and processes the sounds and creates graphs or color pictures that represent the flow of blood through the blood vessels.

How is the procedure performed?

For most ultrasound exams, you will be positioned lying face-up on an examination table that can be tilted or moved. Patients may be turned to either side to improve the quality of the images.

A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body and eliminate air pockets between the transducer and the skin that can block the sound waves from passing into your body. The sonographer (ultrasound technologist) or radiologist then places the transducer on the skin in various locations, sweeping over the area of interest or angling the sound beam from a different location to better see an area of concern.

Doppler sonography is performed using the same transducer.

When the examination is complete, you may be asked to dress and wait while the ultrasound images are reviewed.

This ultrasound examination is usually completed within 30 to 45 minutes. Occasionally, complex examinations may take longer.

What will I experience during and after the procedure?

Ultrasound examinations are painless and easily tolerated by most patients.

After you are positioned on the examination table, the radiologist or sonographer will apply some warm water-based gel on your skin and then place the transducer firmly against your body, moving it back and forth over the area of interest until the desired images are captured. There is usually no discomfort from pressure as the transducer is pressed against the area being examined.

If scanning is performed over an area of tenderness, you may feel pressure or minor pain from the transducer.

If a Doppler ultrasound study is performed, you may actually hear pulse-like sounds that change in pitch as the blood flow is monitored and measured.

Once the imaging is complete, the clear ultrasound gel will be wiped off your skin. Any portions that are not wiped off will dry quickly. The ultrasound gel does not usually stain or discolor clothing.

After an ultrasound examination, you should be able to resume your normal activities immediately.

Who interprets the results and how do I get them?

A radiologist, a physician specifically trained to supervise and interpret radiology examinations, will analyze the images and send a signed report to your primary care physician, or to the physician or other healthcare provider who requested the exam. Usually, the referring physician or health care provider will share the results with you. In some cases, the radiologist may discuss results with you at the conclusion of your examination.

Follow-up examinations may be necessary. Your doctor will explain the exact reason why another exam is requested. Sometimes a follow-up exam is done because a potential abnormality needs further evaluation with additional views or a special imaging technique. A follow-up examination may also be necessary so that any change in a known abnormality can be monitored over time. Follow-up examinations are sometimes the best way to see if treatment is working or if a finding is stable or changed over time.


It is Here, And We Cannot Wait to Share this Exciting News……..


Announcing Soon…Our next Vascular Screening Fair

The Living Well Foundation’s vascular screening program is excited to announce our next no cost vascular fair soon in the Fox Cities.

If you have any of the contributing factors regarding vascular disease, please consider attending. Previous or current tobacco use, family history, high blood pressure, diabetes or diet.

Please check back for more details in the upcoming weeks regarding the event.


New Breast Cancer Screening Technology Being Investigated by Radiology Associates of the Fox Valley

Standard mammography has made a significant impact in the early detection of breast cancer. However, it does not serve all women equally. Finding cancers in women with dense breast can be difficult using mammography alone. Cancer and dense breast tissue both appear white using x-ray technology, which means that cancers can be hidden within dense breast tissue on mammograms. In addition, almost half of women say they do not get regular screening mammograms due to discomfort and radiation. This indicates there are challenges to overcome with standard mammography.

To address these challenges, Delphinus Medical Technologies, Inc. invented SoftVue™, a 3D whole breast ultrasound system. SoftVue™ introduces a new approach to imaging the entire breast using sound and water. Using a 360-degree imaging ring that transmits soundwaves, SoftVue™ scans the entire breast while it is immersed in warm water to create full-volumetric images of the breast. Ultrasound is not confounded by breast density, unlike mammography, which allows doctors to see cancers that may have been hidden on standard mammography. In addition, the exam is comfortable as there is no compression or radiation. Women simply lie on their stomachs with one breast at a time submerged in water. The imaging ring scans from the nipple to the chest wall without making contact with the breast to generate a full image of the breast.

Delphinus Medical Technologies, Inc. is sponsoring a large, nationwide project investigating the SoftVue™ system’s ability to detect cancer in women with dense breasts. The Radiology Associates of the Fox Valley, in partnership with the Living Well Foundation and St Elizabeth Hospital, part of Ascension, is one of eight sites across the nation participating in this research project. The goal of the project is to enroll 10,000 women with dense breasts to receive a SoftVue™ exam in order to evaluate the effectiveness of finding cancers using SoftVue™ compared to mammography.  To learn more about the SoftVue™ technology visit delphinusmt.com . To learn more about the nationwide research project visit discoversoftvue.com. 

 

Calming environment

3D Whole Breast Ultrasound System , SoftVue

Women simply lie on their stomachs with one breast at a time submerged in water

Using a 360-degree imaging ring that transmits soundwaves


Knowing the Signs of a Stroke, Evaluation and Treatment

 Stroke

 

A stroke occurs when blood flow to a part of the brain is interrupted as a result of a broken or blocked blood vessel. Stroke may be hemorrhagic or ischemic. A hemorrhagic stroke occurs when a blood vessel in the brain ruptures or breaks, allowing blood to leak into the brain. An ischemic stroke occurs when a blood vessel carrying blood to the brain is blocked or restricted by severely narrowed arteries or a blood clot.

Because treatment depends on the type of stroke, your doctor may use head CT or head MRI to help diagnose your condition. Other tests may include blood tests, electrocardiogram (ECG or EKG), carotid ultrasound, echocardiography or cerebral angiography. Immediate stroke treatment can help save lives and reduce disability by restoring blood flow for an ischemic stroke or controlling bleeding and reducing pressure on the brain in the case of a hemorrhagic stroke.

What is a stroke?

 A stroke happens when blood flow to a part of the brain is interrupted as a result of a ruptured or blocked blood vessel. Brain cells that do not receive a constant supply of oxygenated blood may die, causing permanent   damage to the brain.

 There are two types of strokes: hemorrhagic and ischemic.

 A hemorrhagic stroke occurs when a blood vessel in the brain ruptures or breaks, allowing blood to leak into the brain.

 An ischemic stroke occurs when a blood vessel carrying blood to the brain is blocked or restricted by severely narrowed arteries or a thickened mass of blood called a blood clot.

  • Clogged arteries: Fat, cholesterol and other substances can collect on the walls of blood vessels. Over time, these substances harden and form structures called plaque. The build-up of fat deposits and plaque clog arteries, narrowing the passageway for blood.
  • Blood clots: When a clot forms in a cerebral blood vessel that is already very narrow, it is called a thrombotic stroke. When a blood clot that has formed elsewhere in the body breaks away and travels to a blood vessel in the brain, the result is an embolic stroke, or cerebral embolism. An embolic stroke may also result from an air bubble or other foreign substance in the blood that moves into and blocks a cerebral blood vessel.

 A short episode of stroke-like symptoms is called a transient ischemic attack (TIA) or mini-stroke. Most often, no permanent damage results from a TIA; however, a TIA is often a warning sign that a stroke will occur.   Symptoms of a TIA may last from a few minutes to up to 24 hours.

 The symptoms of stroke depend on which part of the brain is affected. In some cases, a person may not know that he or she has had a stroke. Symptoms, which usually develop suddenly and without warning, include:

  • severe headache with no known cause
  • numbness or weakness of the face, arm or leg (especially on one side of the body)
  • confusion and trouble speaking or understanding speech
  • trouble seeing in one or both eyes
  • dizziness, loss of balance or coordination.

How is a stroke evaluated?

  • The first step in assessing a stroke patient is to determine whether the patient is experiencing an ischemic or hemorrhagic stroke so that the correct treatment can begin. A CT scan or MRI of the head is typically the first test performed.

    • Computed tomography of the head: CT scanning combines special x-ray equipment with sophisticated computers to produce multiple images or pictures of the inside of the body. Physicians use CT of the head to detect a stroke from a blood clot or bleeding within the brain. To improve the detection and characterization of stroke, CT angiography (CTA) may be performed. In CTA, a contrast material may be injected intravenously and images are obtained of the cerebral blood vessels. Images that detect blood flow, called CT perfusion (CTP), may be obtained at the same time. The combination of CT, CTA and CTP can help physicians decide on the best therapy for a patient experiencing a stroke.
    • MRI of the head: MRI uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures. MR is also used to image the cerebral vessels, a procedure called MR angiography (MRA). Images of blood flow are produced with a procedure called MR perfusion (MRP). Physicians use MRI of the head to assess brain damage from a stroke.

    To help determine the type, location, and cause of a stroke and to rule out other disorders, physicians may use:

    • Blood tests.
    • Electrocardiogram (ECG,EKG): An electrocardiogram, which checks the hearts’ electrical activity, can help determine whether heart problems caused the stroke.
    • Carotid ultrasound/Doppler ultrasound: Ultrasound imaging involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Physicians use a special ultrasound technique called Doppler ultrasound to check for narrowing and blockages in the body’s two carotid arteries, which are located on each side of the neck and carry blood from the heart to the brain. Doppler ultrasound produces detailed pictures of these blood vessels and information on blood flow.
    • Cerebral angiography. Angiography is a medical test that is performed with one of three imaging technologies—x-rays, CT or MRI, and in some cases a contrast material, to produce pictures of major blood vessels in the brain. Cerebral angiography helps physicians detect or confirm abnormalities such as a blood clot or narrowing of the arteries.

How is a stroke treated?

A stroke is a medical emergency. Immediate treatment can save lives and reduce disability. Treatment depends on the severity and type of stroke. Treatment will focus on restoring blood flow for an ischemic stroke and on controlling bleeding and reducing pressure on the brain in a hemorrhagic stroke.

If a stroke is caused by a blood clot, the patient may be able to receive a clot-busting drug such as tissue plasminogen activator (t-PA) to dissolve the clot and help restore blood flow to the damaged area of the brain. Clot-busting drugs, which can only be given within the first few hours of stroke onset, are typically delivered intravenously by emergency medical personnel or in the hospital emergency department.

Patients may also receive blood-thinning drugs such as aspirin or warfarin (also called by the brand name, Coumadin®), heparin or clopidogrel (also called by the brand name Plavix®).

Other stroke treatments include:

  • Surgery to remove blood from around the brain and repair damaged blood vessels.
  • Intracranial vascular treatments: Endovascular therapy is a minimally invasive procedure used to improve blood flow in the brain’s arteries and veins. In endovascular therapy, an image-guided catheter is navigated through the body’s blood vessels to the brain to deliver:
    • medications to dissolve blood clots.
    • mechanical retrievers and aspiration systems that help remove blood clots or debris in cerebral arteries.
    • devices such as balloons, which are used to open markedly narrowed blood vessels, and stents, small tubes used to keep blood vessels open. In this procedure, which is used to improve blood flow in the carotid arteries that supply blood to the brain, a balloon-tipped catheter is guided to where the artery is narrow or blocked and inflated to open the vessel. A small wire mesh tube called a stent may be placed in the artery to help keep it open.
    • tiny metal coils to repair a ruptured aneurysm in a cerebral artery.

Following a stroke, many patients will receive post-stroke rehabilitation to overcome disabilities that may occur as a result of the stroke. Post-stroke treatment may also include efforts to prevent another stroke by controlling or eliminating risk factors such as high blood pressure, high cholesterol and diabetes.