About Digital Motion X-Ray
(DMX)
Universal X-Ray presents:
The Evolution of Radiology
The History of Medical Imaging
History of X-Ray
Invented in 1895
Wilhelm Roentgen
The First X-Ray - 1895
Invented in 1895
Wilhelm Roentgen
Fluoroscopic History
In 1896 Thomas Edison developed the first Fluoroscopic Screen.
History of the Image Intensifier
In the 1950’s, Physicist John W. Coltman developed the first X-Ray image amplifier.
The First Image Amplifier
“I was impressed with the DMX images. It is a real contribution to medical imaging”
– Dr. John W. Coltman
X-Ray, CT, and MRI diagnose Structure Not Function
Most patients hurt more when they move.
Therefore, static tests commonly do not detect the true cause of their pain or the full extent of their injuries.
Radiology today consist of 3 standards imaging procedures that are commonly used for the diagnosing of whiplash injury (head, neck, shoulder and upper back pain)
X – Ray
CT – Scan
MRI
X-Ray (1895)
- Rule out fractures
- Rule out dislocations
- Rule out tumors
X-Ray Interpretation
Most cervical X-Ray reports read:
- There is straightening or reversal of the usual cervical lordosis, due to patient positioning or muscle spasm
- No fractures
- No gross dislocation
- No pathology
- 9 out of 10 cervical spine x-rays are unremarkable
Lateral Flexion - Extension Static X-Ray
Two static films are taken at extreme end points, expecting to capture ligamentous instability.
Flexion - Extension X-Ray
Truth is:
- We try to surmise from two non-moving x-rays which bones are moving too much.
- The patient doesn’t always get injured at extreme end points. That’s why most flexion-extension xray’s don’t show signs of ligamentous instability.
- Even if the findings are positive, only 2 of the 22 major ligaments in the cervical spine are evaluated.
Computer Tomography - CT Scan (1971)
The patient is instructed to lay still on a motorized table that is moved inside the scanner during the exam.
When should you order a CT?
- Diagnose bone disorders, such as bone tumors and fractures
- Pinpoint the location of a tumor, infection or blood clot
- Guide procedures such as surgery, biopsy and radiation therapy
- Detect and monitor diseases and conditions such as cancer, heart disease, lung nodules and liver masses
- Detect internal injuries and internal bleeding
Computer Tomography - CT Image
Magnetic Resonance Imaging - MRI (1974)
When should you order a MRI?
- To detect disc injuries
- To detect spinal cord injuries
- Radiculopathy, numbness and tingling radiating into the upper extremities with possible muscle weakness
- Nerve root compression
Magnetic Resonance Imaging - MRI
MRI Interpretation
Most Cervical MRI reports read:
• No disc herniations
• No spinal stenosis
• No pathology
Truth is:
The MRI report should be unremarkable. My patient suffers from headaches and posterior neck pain. These are connective tissue injuries – not disc or spinal cord injuries.
Positive MRI:
Even if the findings are positive the Insurance Companies position is:
• 83% of population has the same bulging discs
• The disc commonly reabsorbs in 12 to 24 months.
• A disc bulge can be repaired surgically or removed completely and fused.
• Not considered a permanent injury because it can be surgically corrected.
Motion MRI?
Motion MRI does not exist. However, there is animated MRI. Animated MRI consists of a series of non-moving MRI views, positioning the patient at different angles.
Animated MRI Positioning
Ligament Injuries
Most ligamentous injuries are a result of some sort of trauma, such as, auto accident, sports or work-related injuries.
Ligaments hold bones together.
They are the hinges of the body.
It’s really that simple.
When ligaments fail, the bony structures are allowed to move beyond their normal physiologic barriers. The result may be neck pain, back pain, headache, hypermobility, and accelerated degeneration of the motion segment.
In certain circumstances, ligamentous injuries can also predispose the person to disc herniation.
Ligament Injuries
Now, get ready to experience the evolution of medical imaging
Digital Motion X-Ray - DMX (1994)
Digital Motion X-Ray
Symptomatology for DMX
• Posterior neck pain
• Headaches
• Shoulder – upper back pain
• Chronic subluxation
• Pain increases with movement
The eyes of medicine in motion
Digital Motion X-Ray (DMX)
Digital Motion X-Ray (DMX)
Transverse Ligament Damage
Broken Wires
Odontoid Fracture
Odontoid Fracture
Humeral Head Dislocation
Wrist Instability
Knee Fracture
The Evolution of Radiology Digital Motion X-Ray
Increase the level of patient recovery with accurate diagnosis that is easily observable by lay people and physicians alike.
With specific diagnosis, treatment can be more effective and reduce patient recovery time, thus reducing cost of treatment.
Reduce the number of repeated diagnostic tests which offers the same unremarkable results.
Finally, objective evidence that explains the
persistent head, neck, shoulder and upper
back pain that too often continues to plague
the patient after a cervical spine injury.
IT JUST MAKES SENSE
“Digital video fluoroscopy, also known as Digital Motion X-ray (DMX), and Computer-Aided Radiographic Mesuration Analysis (CRMA) are scientific tools developed to aid in the diagnosis and treatment of permanent torn spinal ligament injuries.”
“These tools pinpoint the damages, provide a more accurate diagnosis so the best treatment plan can be developed, and give us objective medical evidence to quantify the extent of permanent injuries.”
“motion x-rays can be saved in a computer file. You can freeze frame, slow motion, and capture specific motion X-ray images.”
“Remember, to find the specific damage, you must run the specific test designed to look for that damage.”
Phone
(305) 559-0003
SMilo@UniversalXRays.com
Location
175 Fontainebleau Blvd,
Suite #1K, Miami, FL 33172