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February 2008

February 29, 2008

Get the bigger picture straight away

From Olympus via chemeurope.com

http://www.chemeurope.com/products/e/77447/?WT.mc_id=ca0083
dotSlide - digital virtual microscope from Olympus

The Olympus dotSlide is an imaging system for 'virtual microscopy'. Instead of viewing a specimen through the eyepiece of the microscope, a virtual overview image of the entire slide is displayed in perfect quality on the monitor after the system has scanned the specimen at the required resolution.

Pathologists and researchers will find dotSlide helpful for their everyday work, when:

  • Archiving rare and valuable biological sections
  • Sharing specimen via the web for discussion, presentation or teleconferencing
  • Building online databases for students education
  • Setting up application-oriented reference databases

The individual dotSlide system components have been carefully selected to offer speed, precision and reliability of use. A smooth interaction of microscope, camera, motor stage, computer and software is guaranteed.

Three models are available:

  • dotSlide MD, manual version
  • dotSlide SL, fully automated version, with slide loader
  • dotSlide TMA, with tissue microarray module

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February 28, 2008

Pathology Visions 2008 Early Announcement

Aperio will be hosting the annual Pathology Visions conference, which will be held October 26-28 at the Manchester Grand Hyatt in downtown San Diego, CA.  The conference will serve as a platform for stimulating discussion about the uses of digital pathology in research, clinical, and veterinary pathology applications.  Attendees will have the opportunity to learn about exciting innovations in digital pathology, share best practices, and network with thought leaders and colleagues.

This year's change in venue will provide attendees new opportunities to explore beautiful downtown San Diego.  The conference will feature a special dinner event and tour aboard the historic USS Midway, docked in San Diego's scenic harbor.

The 2007 conference was a great success and attendees remarked about "candid opinions from participants and sponsors about imaging."  On his blog, Keith Kaplan noted that, "The talks and panels were provocative and addressed digital pathology on a broad spectrum of current and likely future issues."

For additional information on Pathology Visions 2008, please email info@pathologyvisions.com or visit www.pathologyvisions.com.

Virtual Microscope at University of Delaware

Interesting site at http://www.udel.edu/biology/ketcham/microscope/scope.html.

On the first day of biology lab, students begin working with microscopes, but, "You know they're probably not going to see anything," says Bob Ketcham, Laboratory Coordinator, Department of Biological Sciences.

Ketcham thought: What does it take to help someone be successful with the microscope? Could technology help?

Ketcham began working with PRESENT staff in the fall of 2002 on one aspect of a course redesign grant for BISC 104, an introduction for non-majors. The goal was to develop a simulation that would allow students to learn in the same way they do on a real microscope and improve their actual lab experience.

Skilled microscope use is essential for the 300-400 non-majors each semester. Ketcham often saw students struggling to see specimens and becoming disinterested as their frustration grew. Sometimes, they even pretended to be successful. Students must be quite comfortable with a microscope to get the most out of lab and learn basic biological concepts.

The challenge is to provide individual instruction, says Ketcham. "Students understand the lecture if they work on the microscope to see cells." However, lab instructors cannot spend a lot of time with every student needing help. Moreover, it is not possible for an instructor to share the view through the microscope while demonstrating proper use.

Today, students are first directed to a web site to use a virtual microscope. They begin with a narrated tutorial of the lab replica and are shown a checklist displaying every setup step. As a student begins using the microscope, the checklist promotes success by indicating when a step is completed or needs to be repeated.

Students see the outside of the microscope and can also look through the microscope at a specimen. These views can be switched at any time, but a student will not see a specimen unless the proper steps are followed. Students view images of actual specimens and can adjust all microscope controls including the light switch, rheostat, magnification, stage position, oculars, course and fine focus, and iris diaphragm.

Initially, Ketcham and PRESENT staff hoped to find an existing virtual microscope or similar demonstration to meet their needs. Very few simulations were available and those had limited instructional value. "The videos would demonstrate something on a microscope that didn't apply to us," says Ketcham.

Becky Kinney provided the Macromedia Flash programming expertise to create a simulation from scratch. Over several months, Ketcham and Kinney outlined microscope use, defined requirements for the virtual model, discussed technical challenges, made diagrams and storyboards, wrote the narration, selected technology, and tested prototypes. The tool was released in the spring of 2003.

Since its launch, Ketcham reports success. Students are having fewer troubles with the lab microscopes and the lab received a very high rating in an end-of-semester survey. "We're not getting stuck at the level of using the microscope, and can discuss, for example, the properties of bacteria and how they relate."

The microscope simulation is beginning to get national exposure. In the spring of 2003, Ketcham shared the web site through a posting on a Biolab listserv for college and high school-level instructors, and that fall, it appeared in the online version of Cell Biology Education . The project is also included in the MERLOT educational resource directory.

"What we know about cells is extraordinary," says Ketcham. With the success of the virtual microscope, students will be able to comprehend and appreciate more of these discoveries.

February 27, 2008

Gold nanoparticle probes may allow earlier cancer detection

Using tiny gold particles embedded with dyes, researchers have shown that they can identify tumors under the skin of a living animal. These tools may allow doctors to detect and diagnose cancer earlier and less invasively

Studded with antibody fragments called ScFv peptides that bind cancer cells, the gold particles grab onto tumors after their injection into a mouse. When illuminated with a laser beam, the tumor-bound particles send back a signal that is specific to the dye, scientists at Emory University and the Georgia Institute of Technology report.

The results appear online Dec. 23 in the journal Nature Biotechnology and are scheduled for publication in the Jan. 1, 2008 print edition.

"This is a new class of nanotechnology agents for tumor targeting and imaging," says senior author Shuming Nie, PhD, a professor in the Wallace H. Coulter Department of Biomedical Engineering at Georgia Tech and Emory University.

Dr. Nie and his collaborators at the Emory/Georgia Tech Cancer Nanotechnology Center of Excellence have been developing light-emitting semiconductor crystals called "quantum dots" into tools for cancer detection and treatment for several years. However, colloidal gold, or gold particles in suspension, offers advantages compared with quantum dots in that the gold appears to be non-toxic and the particles produce a brighter, sharper signal, Dr. Nie says.

"The detail is like a fingerprint, and because of the enhancement provided by the gold surface, the signal from the dye tags is very bright," he says, adding that the distinct peaks in the dye signal mean several different probes could be used at the same time.

"The tags' rich spectroscopic signatures provide the capability of using several probes at once, but that will require more sophisticated computational tools," says May Dongmei Wang, PhD, assistant professor of biomedical engineering and director of biocomputing and bioinformatics in the cancer nanotechnology center. "We are developing data processing tools and making them available to the National Cancer Institute's caBIG (cancer biomedical informatics grid) so that the research community can use them."

While colloidal gold has been used to safely treat people with rheumatoid arthritis for several decades, the toxicity of quantum dots, which contain the heavy metal cadmium, and their long-term fate in the body are still being studied, Dr. Nie notes.

Compared with quantum dots, the gold particles are more than 200 times brighter on a particle-to-particle basis, although they are about 60 times larger by volume. Covered with a non-toxic polymer, the gold particles are about 60-80 nanometers in diameter. That's 150 times smaller than a typical human cell and thousands of times smaller than a human hair.

"I expect that with these probes, it will be possible to detect cancer much earlier, at the microscopic level," says Dong Moon Shin, MD, associate director of Emory's Winship Cancer Institute and professor of hematology, oncology and otolaryngology. Dr. Shin's laboratory is working with Dr. Nie's to refine the gold particles' use in living animals.

"Even a half-centimeter-wide nodule contains millions of cancer cells, but with this technology we can detect many fewer cells at a time," says Dr. Shin.

In the Nature Biotechnology study, the researchers report that they are able to detect human cancer cells injected into a mouse at a depth of 1-2 centimeters. That makes the gold particles especially appropriate tools for gathering information about head or neck tumors, which tend to be more accessible, Dr. Shin says. The technology will need further adaptation for use with abdominal or lung cancers deep within the body.

The particles described in the study were linked with "single chain variable fragment" (ScFv) antibodies that recognize epidermal growth factor receptor, which is present on the surfaces of many human tumors including head and neck and lung carcinomas.

In the study, antibody-linked particles accumulate in tumors ten times more than particles without antibodies. However, both kinds of nanoparticles tended to accumulate in the liver and spleen over several days, the researchers found.

Dr. Nie says his lab plans to modify the coatings of the nanoparticles to improve tumor targeting. Eventually, he says, the gold particles could also be used to selectively deliver drugs to cancer cells.

The Nature Biotechnology report is a collaboration between first author Ximei Qian, PhD and graduate student Dominic Ansari in Dr. Nie's laboratory, Xiang-Hong Peng, MD PhD in Dr. Shin's laboratory and research specialist Qiqin Yin-Goen in the laboratory of Andrew Young, MD PhD, assistant professor of pathology and laboratory medicine.

Other Emory faculty investigators included Georgia Chen, PhD, associate professor of hematology and oncology and Lily Yang, MD, associate professor of surgery.

"The joint Department of Biomedical Engineering at Georgia Tech and Emory University provides an excellent environment for translating new biotechnologies into biomedical applications and clinical practice," Dr. Wang says.

"This work on cancer nanotechnology illustrates a significant collaboration involving five academic departments and four Georgia Cancer Coalition Scholars," Dr. Nie says. "It is also a product of inter-programmatic collaboration between two NIH-funded centers at Emory and Georgia Tech, one for cancer nanotechnology and one for studying head and neck cancer."

###

The research was funded by the National Cancer Institute, the US Air Force Office Multi-University Research Initiative, the Georgia Cancer Coalition and the Georgia Research Alliance.

February 26, 2008

The following message was sent to you by a physician colleague on Sermo:

Dear Colleague:

I would like to bring your attention to a very important campaign currently underway on
Sermo.

The Sermo physician community is working on drafting an "open letter to the people of the United States" reflecting our concerns and frustrations about the current trends in healthcare. Our goal is to get thousands of signatures on this letter and distribute it widely via the internet, national newspapers, and downloadable educational tools to be handed out to patients. Sermo has pledged significant support to facilitate the process.

A volunteer writing committee comprised of seven Sermo physician members is currently in the process of drafting the open letter. The writing committee is regularly interacting with other Sermo members to ensure that the content of the letter captures the concerns of a broad group of physicians. Please visit the posting I'm sending below to contribute your ideas and engage with other Sermo members and the writing committee about this important campaign. You can also view the letter as it's being developed via a link in this posting.

This is a unique opportunity for us to tell our side of the story to the public. We have been silent for too long and it's time to speak out. This is a grassroots effort that can serve as a catalyst for unity among physicians and pave the way for our direct involvement in a new wave of healthcare reform. Please take the time to check out the posting and start contributing by sharing your ideas with the physician community on Sermo. You may also want to reach out to your colleagues to join Sermo so they can participate in this important campaign.

To a better tomorrow for all American physicians and the patients that we serve,

Sean Khozin, MD, MPH
Sermo Open Letter Committee
Member of the Sermo Community - 55,000 strong


Your colleague on Sermo has sent you the following posting:

I am forwarding a question from Sermo and would appreciate your insights on this issue. Or if you know another physician that can help, please do not hesitate to send it along.

Just go to https://md.sermo.com/medical/ticket/details?id=17464 to see if you can help.

--Sean Khozin

New microscope can color-code atoms

ITHACA, N.Y., Feb. 25 (UPI) -- A new electron microscope at Cornell University is enabling scientists for the first time to form color-coded images of individual atoms.

"The current generation of electron microscopes can be thought of as expensive black-and-white cameras where different atoms appear as different shades of gray," said Cornell Associate Professor David Muller. "This microscope takes color pictures -- where each colored atom represents a uniquely identified chemical species."

The instrument is a new type of scanning transmission electron microscope built by the Nion Co. of Kirkland, Wash., under an instrument-development award to Cornell from the National Science Foundation. Professor John Silcox and Ondrej Krivanek of Nion are the project's co-principal investigators.

The microscope incorporates new aberration-correction technology that focuses a beam of electrons on a spot smaller than a single atom and does it more sharply and with greater intensity than previously possible. That, the scientists said, allows information previously hidden in the background to be seen. It also provides up to a hundredfold increase in imaging speed.

The capabilities of the new instrument are described in the journal Science.
Published: Feb. 25, 2008 at 3:07 PM

KLAS ranks digital mammography players

KLAS has published its Digital Mammography Report, an inaugural study that investigates the successes and challenges providers have had incorporating digital mammography into their hospital or clinic. The study focused on the digital mammography market as a result of provider demand for user feedback.

According to the report, despite tremendous market growth, there are currently relatively few full-field digital mammography (FFDM) vendors with FDA approval, but several more are poised for entry, pending FDA approval. Current FFDM vendors ranked in the report are GE Healthcare, Hologic and Siemens Medical Solutions, with early trending data on Fujifilm Medical Systems USA.

Of the survey respondents, the top users surveyed were: radiology directors/managers (29 percent); chief technicians (20 percent); mammography directors/managers (19 percent).

Each vendor was assigned an overall performance score based on their performance in each of the following areas: product/technology, service, success and business.

GE received the first place ranking in this study, and Hologic was a close second. These two vendors comprise the top tier for overall client satisfaction in areas of sales/contracting, implementation, post sales support, and product quality. Siemens scored below both GE and Hologic, according to the report.

Areas of concern from users surrounding the top two vendors centered on their need to scale to the growing demand. “Clients for both vendors are beginning to report missed installation deadlines. The supply chain is being stretched, and providers are taking notice,” the report said.

Much of the reason for the disparity in performance scoring is due to initial product quality issues. For Siemens, there have been reports of multiple detector failures which have caused unmet expectations as well as missed implementation deadlines, according to the report.

However, the results showed that providers believe that Siemens, as a service organization, has worked diligently to resolve these issues and has not abandoned its clients. Siemens’ clients also exhibited the highest degree of workflow improvement, with approximately 93 percent of respondents reporting some level of improvement.

According to the report, most mammography departments have started to realize that merely installing an FFDM device does “not translate into greater efficiency, as there are ‘no significant’ issues to be addressed.” The primary goal for digital mammography implementation, clinical outcomes aside, is to “increase throughput and workflow efficiency and gain revenue enhancements.”

Based on the results from the survey, the report projects that the “rapid growth of the digital mammography market is poised to continue for the next several years.” The FDA reported in July 2007 that 21 percent of the approximately 9,000 Mammography Quality Standard Act sites in the United States had gone digital with at least one mammography system. The report said this growth will be enhanced by new developments but the DRA will “force more facilities to make the decision between closing their mammography departments and upgrading to digital to achieve higher efficiencies.”

More information about the report is available at http://healthcomputing.com/Klas/Site/Store/ReportDetail.aspx?ProductID=466 and through the website www.healthcomputing.com.

February 25, 2008

Harris Corporation Demonstrates Remote Digital Imagery Display and Manipulation for Pathology Applications

Technology Originally Developed for Intelligence Applications Enables Transition to Digital Pathology

ORLANDO, Fla., Feb. 25 /PRNewswire-FirstCall/ -- HIMSS, Booth #1841 -- Revolutionary technology to enable pathologists and other medical professionals to view, collaborate and rapidly manipulate multi-gigabyte digital images in a virtual environment is being demonstrated publicly for the first time by Harris Corporation at the Healthcare Information and Management Systems Society (HIMSS) annual conference and exhibition, February 24-28, 2008 in Orlando, Florida.

The Harris imaging technology, originally designed for the U.S. Intelligence Community and civilian agencies, enables a pathologist workflow in a digital and collaborative context. By simply accessing local or wide- area networks, multiple pathologists can view, pan across and zoom into digital images as if they were looking through a microscope at the actual slides.

As opposed to radiology, where most diagnostic data today is collected digitally, pathology still uses glass slides with tissue samples that are examined under a microscope. If a second opinion is needed, the tissue samples must be physically shipped to other locations. The unique capability of the Harris technology to move very large images -- some tens of gigabytes in size -- transmit those images, and manipulate them without delay or latency, speeds the diagnostic process for patients and eliminates the possibility that the one-of-a-kind pathology samples will be lost or damaged.

During HIMSS, visitors to the Harris booth will be able to experience a 'pathology cockpit' to view and manipulate remote digital pathology images, annotate the images with digital notes, and delineate special areas of interest on the sample, such as a cluster of tumor cells. This experience and the associated notes and annotations can be automatically shared for collaboration with other pathologists and specialists any where in the world.

"This Harris technology is potentially disruptive and will create enterprise intelligence through digital pathology. We are breaking through previous limits in computing and image processing to enable collaborative viewing, archival, and retrieval of large data volumes in a virtual environment with no latency in the viewing experience," said Dr. Bart Harmon, MD, pathologist, and chief medical officer of Harris Healthcare Solutions. "Using this breakthrough Harris technology in the diagnostic setting gives pathologists the ability to have the traditional you-are-there, microscope experience in a digital world."

The digitizing of pathology samples is made possible by the development of new, highly advanced scanners that allow whole-slide imaging. BioImagene, Inc., a leading provider of total digital pathology imaging solutions including the new iScan system for pathologists, researchers and drug developers, is supplying the pathology slides used in the Harris demo. Harris also is collaborating with researchers and pathologists at the University of South Florida in Tampa, Florida, to further the technology and application of digital imagery use in the clinical setting.

Harris Healthcare Solutions provides enterprise intelligence solutions and services for commercial and government customers, including systems integration, intelligent infrastructure, advanced visualization and display, and enterprise digital content management solutions. Harris products, systems, and services improve health outcomes by assuring that critical medical information is delivered with security and privacy to the right person, on the right device, at the point of care.

About Harris Corporation

Harris is an international communications and information technology company serving government and commercial markets in more than 150 countries. Headquartered in Melbourne, Florida, the company has annual revenue of almost $5 billion and 16,000 employees -- including nearly 7,000 engineers and scientists. Harris is dedicated to developing best-in-class assured communications(TM) products, systems, and services. Additional information about Harris Corporation is available at www.harris.com.

AF General Discusses Telehealth

According to Lieutenant General James G. Roudebush, MD., Air Force Surgeon General, appearing before the House Committee on Armed Services, using telehealth technologies to link radiologists has moved into the forefront with the development of the Air Force Radiology Network (RADNET) Project.

The project provides Dynamic Workload Allocation by linking the military radiologists via a global enterprise system. RADNET will provide access to studies across every radiology department throughout the AFMS on a continuous basis. The goal is to maximize physician availability to address workload regardless of location. The Air Force is aggressively targeting deployment of this capability in FY 2009 to all Air Force sites.

Lieutenant General Roudebush reported that the Telemental Health Project is scheduled to be operational in FY 2009. This project will provide video teleconference units at every Mental Health clinic for live patient consultations. Virtual Reality equipment will also be installed at six Air Force sites to use in a pilot project to help treat patients with PTSD. Using this equipment will enable desensitization therapy to be used by recreating sight, sound, and smell in a controlled environment.

He also mentioned that the joint electronic health record known as Theater Medical Information Program (TMIP) is now visible to all medical providers. Clinicians are now able access the data at every military and VA medical center world-wide using the joint Bidirectional Health Information Exchange (BHIE).

Introducing a Volume That Shows How Flow Cytometry is Integrated into Modern Biotechnology

Research and Markets (http://www.researchandmarkets.com/reports/c81431) has announced the addition of Flow Cytometry for Biotechnology to their offering.

Flow cytometry is a sensitive and quantitative platform for the measurement of particle fluorescence. In flow cytometry, the particles in a sample flow in single file through a focused laser beam at rates of hundreds to thousands of particles per second. During the time each particle is in the laser beam, on the order of ten microseconds, one or more fluorescent dyes associated with that particle are excited. The fluorescence emitted from each particle is collected through a microscope objective, spectrally filtered, and detected with photomultiplier tubes.

Flow cytometry is uniquely capable of the precise and quantitative molecular analysis of genomic sequence information, interactions between purified biomolecules and cellular function. Combined with automated sample handling for increased sample throughput, these features make flow cytometry a versatile platform with applications at many stages of drug discovery. Traditionally, the particles studied are cells, especially blood cells; flow cytometry is used extensively in immunology.

This volume shows how flow cytometry is integrated into modern biotechnology, dealing with issues of throughput, content, sensitivity, and high throughput informatics with applications in genomics, proteomics and protein-protein interactions, drug discovery, vaccine development, plant and reproductive biology, pharmacology and toxicology, cell-cell interactions and protein engineering.

About the Author

Larry Sklar is Regents Professor of Pathology at the University of New Mexico. He is also Director of Basic Research at the University of New Mexico Cancer Research and Treatment Center.

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