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History of Ultrasound and Technological Advances Jim Tsung, MD, MPH New York, USA

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Page 1: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

History of Ultrasound and

Technological Advances

Jim Tsung, MD, MPH

New York, USA

Page 2: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

3 Themes

• Asking a question

• Making an observation

• Solving a problem

Page 3: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1794: Lazzaro Spallanzani - PhysiologistFirst to Study Ultrasound Physics by Deducing Bats

used to ultrasound to navigate by echolocation

http://www.google.com/imgres?imgurl=http://www.33ff.com/flags/XL_flags/Italy_flag.gif&imgrefurl=http://www.33ff.com/flags/worldflags/Italy_flag.html&h=81&w=121&sz=2&tbnid=OahnjL-9J2QJ:&tbnh=81&tbnw=121&sa=X&oi=image_result&resnum=1&ct=image&cd=3
Page 4: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1826: Jean Daniel Colladon – Physicist Uses Under-Water Church Bell (early ultrasound

“transducer”) Under Water to calculate Speed of Sound through Water Prove Sound Travelled Faster through Water

than Air.

10 miles

Page 5: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1880: Pierre & Jacques Curie discover the Piezo-Electric Effect

Pierre

Jacques

http://en.wikipedia.org/wiki/File:Pierrecurie2.jpg
Page 6: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1915: Paul Langevin – PhysicistAfter Titanic Sinking (1912) Invents

Hydrophone (1st Transducer) to detect Icebergs and Submarines during WW1

Page 7: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1942: Karl Dussik, Neurologist and

Psychiatrist at the University of Vienna,

generally regarded as the first

physician to use ultrasound for medical

diagnosis (of brain tumors)

http://www.geocities.com/ob_ultrasound/dussik_paper.pdf
Page 8: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1948: George Ludwig M.D.,- Internist first described the use of ultrasound to

diagnose gallstones

Ludwig, G.D. and Struthers, F.W. Considerations underlying the use of Ultrasound to detect Gallstones and ForegnBodies in Tissue. Naval Medical Research Institute Reports, Project #004 001, Report No. 4, June 1949.

http://images.google.com/imgres?imgurl=http://wwp.greenwichmeantime.com/time-zone/usa/usa-flag.gif&imgrefurl=http://wwp.greenwichmeantime.com/time-zone/usa/usa-flag.htm&h=252&w=480&sz=7&tbnid=JUTpvrm_PhRIUM:&tbnh=66&tbnw=126&hl=en&start=1&prev=/images?q=USA+flag&svnum=10&hl=en&lr=&rls=GGLD,GGLD:2004-50,GGLD:en&sa=N
Page 9: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1958: Ian Donald Pioneers OB-GYN Ultrasound

Page 10: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1950s:Douglass Howry & Joseph Holmespioneer 2D B-mode Ultrasound at the Univ. of Colorado

http://images.google.com/imgres?imgurl=http://wwp.greenwichmeantime.com/time-zone/usa/usa-flag.gif&imgrefurl=http://wwp.greenwichmeantime.com/time-zone/usa/usa-flag.htm&h=252&w=480&sz=7&tbnid=JUTpvrm_PhRIUM:&tbnh=66&tbnw=126&hl=en&start=1&prev=/images?q=USA+flag&svnum=10&hl=en&lr=&rls=GGLD,GGLD:2004-50,GGLD:en&sa=N
http://www.ob-ultrasound.net/holmes.html
http://www.ob-ultrasound.net/panscanner.html
Page 11: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Social Networks & World Events

Paul Langevin

WW1

Pierre Curie

Jean-Daniel Colladon

Lazzaro Spallanzani

Reginald Fessenden

Gabriel Lippman Alexander Belm

Constantin Chilowsky

Karl Dussik

Heinrich Netheler

W Guttner Theodore Hueter

George LudwigH Thomas Ballantine

Richard Bolt

Kenji Tanaka Toshio Wagai

Inge Edler

Carl Hertz

Ink Jet Printing

John Wild John Reid

Douglas Howry

Joseph Holmes

Sergei Sokolov

Wolf-Dieter Keidel

Chih-Chang Hsu

Ian Donald

Bertil Sunden

N Selesneva

http://images.google.com/imgres?imgurl=http://wwp.greenwichmeantime.com/time-zone/usa/usa-flag.gif&imgrefurl=http://wwp.greenwichmeantime.com/time-zone/usa/usa-flag.htm&h=252&w=480&sz=7&tbnid=JUTpvrm_PhRIUM:&tbnh=66&tbnw=126&hl=en&start=1&prev=/images?q=USA+flag&svnum=10&hl=en&lr=&rls=GGLD,GGLD:2004-50,GGLD:en&sa=N
http://www.google.com/imgres?imgurl=http://www.33ff.com/flags/XL_flags/Italy_flag.gif&imgrefurl=http://www.33ff.com/flags/worldflags/Italy_flag.html&h=81&w=121&sz=2&tbnid=OahnjL-9J2QJ:&tbnh=81&tbnw=121&sa=X&oi=image_result&resnum=1&ct=image&cd=3
http://www.mikesjournal.com/Canada Flag.jpg
Page 12: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate
Page 13: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate
Page 14: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Courtesy Dr. David Zar

Page 15: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate
Page 16: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Cardiology

OB-GYN

Surgery

Emergency MedicinePeds Emerg Med

Critical Care

AnesthesiologyInternal Medicine

Sports Medicine

General Pediatrics

Diffusion of Ultrasound Through Medical Specialties

Physiatry/PMR

http://upload.wikimedia.org/wikipedia/commons/0/0f/Diffusionofideas.PNG
Page 17: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate
Page 18: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1816-1819: Rene T. H. LaennecInvents the Stethoscope and Publishes “De L’Auscultation

Mediate”

1781-1826

Page 19: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

J. Forbes, 1823

Preface to the First English Edition of Laennec’s “Treatise”

Page 20: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1924: Lewis A. Connor M.D.Founding President of the American Heart

Association

• “Cornell’s Osler”

• Cornell Chair of Medicine 1916-1932

• Founding President of the New York Heart Association in 1915

1867 - 1950

Page 21: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

NEJM Feb 2006; 354(6); 548-551

Point-of-Care Ultrasound as a stethoscope replacement?

R.I.P.?

Physical Exam Vs. CXR as Gold Standard:N=52; Sensitivity 47-69% /Specificity 58-75%

Wipf et al. Diagnosing Pneumonia by Physical Exam: Relevant or Relic?Arch Intern Med 1999

Page 22: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

1989: Daniel Lichtenstein pioneers point-of-care lung ultrasound in the ICU

“Ultrasound is the real stethoscope”

http://www.amazon.com/gp/reader/3540736239/ref=sib_dp_pt
Page 23: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

The WHO Estimates that Up to 75% of the world’s population has no access

to any diagnostic imaging

Page 24: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

J Ultrasound Med 2008

Critical US J 2010

Page 25: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

2004: Tom: 'I Bought a Sonogram Machine' for Katie

“A fool with a stethoscope will be a fool with an ultrasound machine”

-Dr. Justin Bowra

Page 26: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Solutions: Freely Available Internet Resources

www.sonoguide.com

www.hqmeded.com

bringing technology to the bedside for improved patient care

www.SinaiEM.US

Page 27: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Solutions: Telesonography

J Trauma 2010

Page 28: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate
Page 29: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Solutions: Simulation• Technology:

– Enable pattern recognition training by intensive video learning and simulation.

http://www.vimedix.com/photos/videos/Gain_Contrast_DOF.wmv
http://www.vimedix.com/photos/photoshoot/20090722-DSC_7984.jpg
Page 30: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

Public Access Defibrillator Model

Page 31: History of Ultrasound - World Congress on Ultrasound … Jean Daniel Colladon –Physicist Uses Under-Water Church Bell (early ultrasound “transducer”) Under Water to calculate

• Ask a question

• Make an observation

• Solve a problem

Thank You!


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