Synopsys Simpleware Software

UGH! It occurred to me that I never posted Part 3 of the Tetralogy of Fallot series! Better late than never. Tetralogy of Fallot Part 3 Ventricular Septal Defect Externally, there is no indication of developmental issues with the ventricular septum. As we enter the right ventricle, we again see the trabeculae carnae, and the leaflets of the tricuspid valve with the attached chordae tendinae. As we approach the ‘overriding’ aortic valve, note that we can suddenly enter into the left ventricle through a large defect in the intraventricular septum, just below the aortic valve. Within the left ventricle, we again see the papillary muscles and associated chordae tendinae.  Note that what appeared to be the lateral edge of the aortic valve, is in fact the inferior edge of the ventricular septal defect itself; the aortic valve sits almost perfectly astride the intraventricular septum. The developmental defect of the aortic root and the VSD are intimately related. Welcome to the era of Human Digital Twins Your medical imaging as you have never seen it before with INTRAVISION XR from DICOM Director. Viewed with the Apple Vision Pro; Segmentation by Synopsys Simpleware Software. #humandigitaltwin #arvr #xr #medicalimaging

Case of the Week from DICOM Director: Right Ventricular Assist Device A right ventricular assist device does just what it claims, assisting the right heart in pumping blood from the venous system into the lungs. In this video, we first see the external view with right and left chest tubes seen in blue, cardiac pacing wires in purple and the RVAD itself entering the patient’s left chest wall in green. With the skin removed, we see more clearly the sternal closure wires in light blue, the right chest tube, placed laterally and coursing  superiorly and posteriorly in the pleural space and the left tube placed anterolaterally, running posteriorly and inferiorly. If we enter the right chest directly, we are able to see the both chest tubes in their full orientation within the pleural spaces. Isolating all the foreign bodies with our Cutting Plane, we are able to clearly see the sternal wires, both thoracostomy tubes, a nasogastric tube running posteriorly, two cardiac pacing wires anteriorly in purple and the three components of the RVAD in green. Finally, we focus on just the RVAD itself, with pump input catheters in the superior and inferior vena cavae and the pump output catheter, punctured directly into the pulmonary artery. Note the shape of the collapsed balloon on the SVC and PA catheters, indicating that the image was taken during diastole. Segmentation by Synopsys Simpleware Software; viewed with the Apple Vision Pro Step into the era of #HumanDigitalTwins and experience your imaging as never before with INTRAVISION XR from DICOM Director. #ARVR #XR #medicalimaging

Case of the Week: Stabilization of C1-C2 subluxation with preservation of vertebral artery flow. A dangerous shift in the uppermost cervical vertebrae was threatening the blood flow to the patient's brain. Dr. Julio Sampaio used INTRAVISION XR from DICOM Director to plan and navigate this delicate procedure and preserve cerebral blood flow. Segmentation by Synopsys Simpleware Software; viewed with the Apple Vision Pro. See your imaging as never before with INTRAVISION XR from DICOM Director, leading the era of #HumanDigitalTwins

Case of the week: A dramatic case of a crush injury to the chest…the transverse ‘lines’ seen are not artifact, but actual tissue imprint from the impact. In the first segment, we see the shattered sternum, with the cortical bone in white and the medullary bone fragments in blue. We then see the massive subcutaneous emphysema in black and a large posterior hemothorax in dark red. Segmentation by Synopsys Simpleware Software; viewed through the Apple Vision Pro. See your imaging as never before and plan your procedures in the era of HUMAN DIGITAL TWINS with INTRAVISON XR from DICOM Director. #ARVR #HumanDigitalTwin #medicalimaging