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Clinical Integration of Tomographic Physiological Imaging and Multimodal Monitoring - Present and Future

Hilton Thunder Ranch

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We are pleased to announce the Clinical Integration of Tomographic Physiological Imaging and Multimodal Monitoring- Present and Future which is scheduled to be held at the Hilton Buffalo Thunder in Santa Fe, New Mexico Thursday through Saturday, August 26-28, 2010.

In the past few decades, we have seen many initiatives focused upon improving the outcome of the brain injured patients. New insights about the nature of traumatic, ischemic and hemorrhagic injuries have been provided by computerized tomography, magnetic resonance as well as positron tomographic imaging. While these modalities provide valuable momentary insights into the physiology and pathophysiology of brain injury, we also need continuous information. The latter type of information is provided by both invasive and none invasive technologies. Invasive "probe" technologies provide continuous information from a very small region of the brain. Today, focal information about brain oxygen and cerebral blood flow is available as well as every 30-60 minute microdialysis sampling of vital nutrients, metabolites and a spectrum of markers of injury. None invasive continuous data of brain oxygen is provided by near infra red technology and neuophysiological information is provided by electroencephalography. During the same interval, we have seen the rapid growth of groups of physicians that are increasingly focused on providing the best of medical and surgical care by gaining more timely and relevant physiological insights into brain injury.

While many meetings have involved what we have learned from either tomographic or continuous physiological studies, there has not been a meeting that sought to bring together both groups of clinicians and scientists. Because all of the technologies are recording parameters that are related and because various groups are recording one or more variables from each category, it would be timely and clinically relevant to share the experiences of different groups in order to provide insights into the best combinations of technologies that are available to address clinically significant questions. The goal would be to reach a consensus about optimum monitoring systems from which multi centered trials could be based.

Prominent clinician leaders from neurocritical care, neurology, neurosurgery and neuroradiology from many countries have agreed that a meeting of this type is warranted and timely. Members of the organizing committee are on our faculty page.

The meeting will include one day of presentations focused upon the technologies that are available for episodic as well as continuous data acquisition. One and 1/2 days will be directed toward how various combinations of technologies are being utilized to provide insights relevant to clinical decision making. Please review our preliminary program on our web site.

We hope to see you at our conference in August 2010!

Sincerely,

Howard Yonas, MD
Course Director