News at LifeScore® - 2000
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10/26/00-
Imatron hosts year 2000 EBT symposium in San Francisco
Over 500 people from around the world
attended the symposium over the weekend of October 13-15th.
Many exciting developments using EBT were presented and discussed.
In particular, it was demostrated that sections of the coronary artery
can be analyzed for lipid content, thus revealing so called 'soft
plaques'. Several researchers discussed the use of EBT to track
coronary plaque in response to various treatment regimens. Updates
on non-invasive angiography revealed that the new generation scanners
can provide excellent resolution, with sensitivity rates between 85-90%,
and specificity rates above 90%, for detecting or ruling out coronary
narrowings. Several presentations focused on the superiority
of EBT versus MRI or spiral scanners for indentifying and quantifying
coronary plaque. Other investigators discussed EBT as a tool
for measuring perfusion of heart muscle, for doing non-invasive angiograms
of various peripheral arteries and the aorta, and for determining
the severity of aortic stenosis.
9/21/00-
The July 2000 issue of The Journal of the American College of Cardiology
reports EBT superior to stress testing with or without nuclear medicine
for predicting significant coronary artery narrowings.
The study found that those with coronary calcium
had a 4.5 fold increase in risk for a narrowing, while abnormal stress
tests only increased risk for a narrowing by 1.72 (no nuclear medicine)
and 1.96 (with nuclear medicine). This suggests that stress tests
may often underestimate the severity of a patient's coronary artery
narrowings.
8/31/00-
American Heart Association (AHA) Publishes Paper Supporting Use of
EBT Coronary Artery Scan in Determining Need for Additional Cardiac
Testing
The American Heart Association highlighted a publication
in its July 25, 2000 issue of Circulation, validating the accuracy
of Imatron's EBT scanner in the prediction of heart disease. This
important research finding clearly demonstrates significantly better
test specificity (the ability to produce a normal result in those
persons without cardiac disease) for the EBT coronary artery scan
for calcification than had previously been thought.
The study, authored by Larry Bielak, MD, and colleagues
in the Department of Epidemiology at the University of Michigan in
Ann Arbor, Michigan, included 213 patients at high risk, with symptoms
of heart disease, who underwent both coronary angiography and the
EBT coronary artery scan, together with 765 asymptomatic research
subjects who had only the EBT coronary artery scan. All clinical studies
were performed at the Mayo Clinic in Rochester, Minnesota and the
project was supported by a grant from the National Institutes of Health
in Bethesda, Maryland.
The paper, entitled, ``Probabilistic Model for Prediction
of Angiographically Defined Obstructive Coronary Artery Disease Using
Electron Beam Computed Tomography Calcium Score Strata,'' shows that
EBT coronary artery calcium scores are predictive of coronary artery
disease (CAD) in asymptomatic patients as well as those with symptoms.
By eliminating a source of bias commonly present in such research
studies, the investigators demonstrated that the specificity of the
EBT coronary artery scan for the determination of obstructive CAD
was 72.4%, significantly better than the approximately 50% reported
previously. EBT coronary artery scan sensitivity, the ability to correctly
detect the presence of obstructive disease, was a remarkable 97%.
According to senior author Dr. Patricia A. Peyser, there was ``strong
evidence'' from calcium scores in patients of either sex as to the
presence or absence of obstructive CAD. The authors further stated
that results of the EBT coronary artery scan should be combined with
everything else that physicians already know about their patients
to develop a comprehensive CAD diagnosis and treatment strategy. Moreover,
they believe that EBT is ``useful for monitoring the progression of
atherosclerosis and for identifying patients who need aggressive treatment
to lower risk factors.''
8/18/00-
Drs. Michael and Tabita Wright Interviewed on the Roger Hedgecock
Show
Roger
discussed TotalScore with Drs. Wright after reading an email from
one of his listeners who underwent TotalScore and found a lung nodule
which was cancerous. The nodule was successfully removed, and
no evidence of cancer was found anywhere else. The patient was
thus cured. Typically, lung cancer has a cure rate of only 12%.
8/15/00-
Dr. Wright Interviewed for CBS HealthWatch Article on Dick Cheney's
Heart Disease
The
link to read the article is http://cbshealthwatch.medscape.com/medscape/p/g_Library/article.asp?recid=220960&channel=0&SP=1
8/8/00-
Dr. Wright Interviewed on the KUSI Morning News
Dr.
Wright discussed stroke with reference to the recent stroke suffered
by former president Gerald Ford.
6/28/00-
LifeScore® to Participate in Major Research Project Funded by
the American Heart Association
Dr.
Elizabeth Barrett-Connor, Professor of Family and Preventive Medicine,
and Chief, Division of Epidemiology at UCSD, and member of the LifeScore®
Medical Advisory Board, has received notification that she has been
awarded a grant for a major research project utilizing electron beam
tomography. Dr. Barrett-Connor has received numerous awards
and honors for her work in cardiovascular epidemiology.
She is the founder and lead researcher
of the Ranch Bernardo Study (RBS), which tested an intitial cohort
of 4,373 adults in Rancho Bernardo, Califonia in 1974, and has tracked
the cohort since then, measuring over 30 physiologic, biologic, and
behavioral variables. Dr. Barrett-Connor and LifeScore®
will study 800 of the RBS participants with coronary artery calcium
scoring and measurements of visceral fat done with the scanner.
We will correlate the scan data with other variables that have been
collected and determine the influence of various parameters on the
development of coronary atherosclerosis.
We will study 200 Filipina women, 200
African American women, 200 white men and 200 white women of Northern
European ancestry. In particular, we will try to identify those
parameters which are most closely associated with atherosclerosis
in these genetically different groups of men and women.
6/10/00-
Huge German Study to Study EBT as a Predictor of Heart Disease Risk
A
$5 million German study of 4,500 men and women from a random sample
of the general population in the Ruhr district of Germany will compare
the direct detection of atherosclerosis with EBT to standard risk
factor analysis and visualization of the carotids and peripheral vessels,
as well as newer risk factors, to determine the best way to prevent
symptomatic heart disease.
6/8/00-
European Heart Journal Review Article on EBT
An
article in the European Heart Journal entitled "Electron Beam
Computed Tomography for Detection of Early Signs od Coronary Atherosclerosis"
describes EBT as the technique of choice for the assessment of calcified
lesions and states EBT measurement of plaque is superior to intravascular
ultrasound as it is not limited to segments of the coronary artery
tree that can be reached by the ultrasound catheter.
6/1/00-
New England Journal of Medicine Article Tracks Coronary Artery Calcification
in Dialysis Patients
EBT
was used to screen 39 young patients with end-stage renal disease
undergoing dialysis (mean age 19 years), and 60 normal subjects 20-30
years of age. Coronary calcification was present in none of
the patients under 20, and in 88% of the patients between 20 and 30
years of age. In contrast, only 3/60 normal subjects had calcification.
The mean score in the group with calcification was 1157, and the median
was 297. Among 10 patients with calcification who underwent
follow-up scans, the calcification score nearly doubled over a mean
period of 20 months.
5/26/00-
LifeScore® in the News
LifeScore®
was featured on the KSWB-TV nightly news on 5/26/00. The segment
followed a patient through the TotalScore examination. The patient
had a prior history of thyroid cancer and was interested in making
sure that no signs were present of recurrent disease.
5/25/00-
June Men's Health Magazine Article
Men's
Health has an article entitled '10 New Ways to Protect Your Heart'.
EBCT is described, and readers are referred to the LifeScore®
website for further information. Also, see the link www.menshealth.com/health/cardio.html.
2/29/00-
EBCT Highly Predictive of Future Cardiac Events
A
research article in the February 29th issue of Circulation demonstrated
that EBCT was able to define a 59-fold increase in risk of coronary
events based on the coronary artery calcium score. Traditional
risk factors such as cholesterol and blood pressure could only define
a 12-fold increase in risk. The predictive power of EBCT is
unprecendented in a non-invasive screening tool.
2/15/00-
LifeScore® Featured on KUSI News
Steve
Bosch, newscaster for KUSI news (channel 9) visited LifeScore®
and prepared a story including interviews with Dr. Michael Wright
and a HeartScore patient, as well as images from a HeartScore test.
The story appeared on the 7 pm and 10 pm news on 2/15 and the am news
on 2/16.
2/7/00-
Electron Beam CT Research Paper
The
1/25/00 issue of Circulation (American Heart Association journal)
includes an article which studied the ability of EBCT to predict silent
myocardial ischemia (ischemia is the medical term for inadequate blood
flow to an organ). 3,895 subjects were studied over 2.5 years.
The results showed that a coronary artery calcium score greater
than 400 was highly predictive of an abnormal stress test using thallium
or another radionuclide substance. 46% of those with scores
over 400 had stress perfusion abnormalities (P<0.0001).
All the patients were asymptomatic (no history of chest pain).
The authors finish their report by stating:
"Our
results support the role of EBCT as the initial screening tool for
identifying individuals at various stages of CAD development for whom
therapeutic decision making may differ considerably."
1/11/00-
LifeScore® is the Featured Story of the Day on HealthSurfing.com
Using
streaming video technology, anyone can see a description of the LifeScore®
EBCT scanning program by going to http://www.healthsurfing.com/health/2000/01/11/.
HealthSurfing.com is an innovative website which creates health stories
that can be viewed on the web or downloaded by local network TV stations
for use on their news shows.
The HealthSurfing Report and HealthSurfing.com are created by and
are trademarks of InterNetworkNews (INN), a division of WebFeeds,
Inc.
Copyright © 1999 INN/WebFeeds
1/6/00-
Electron Beam CT Named as Top Ten Research Advance of 1999 by the
American Heart Association
The
American Heart Association year end report listed the top ten research
advances in heart disease and stroke for 1999. Electron Beam
CT was listed for its ability to non-invasively diagnose both the
atherosclerotic plaque burden, using calcium scoring, and the extent
of artery narrowing using electron beam angiography. The combination
of these two tests permits physicians to perform a complete and powerful
non-invasive assessment of the status of the coronary arteries, thus
providing a powerful tool for preventing the onset of symptoms through
early risk management techniques.
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