Courtroom Admissibility

Quality Assurance

3D Volume Rendering is an actual clinical tool — not just a graphic aid for trial like a medical illustration. medQuest technicians create the 3D Volume Renderings on our workstation. They are available by phone or email for image customization, further consultation and testimony.

3D Volume Rendering is becoming essential for displaying CT and MRI results in a manner that non-radiology physicians and laymen can visualize and understand. These techniques have been an integral part of MRA and CAT from their inception and are now applied to virtually all body regions to enhance diagnosis and treatment planning. Highly skilled radiologists have the expertise necessary to assimilate the information contained in myriad CT or MRI slices and understanding this “slice by slice picture” remains essential. However, effectively communicating the abnormalities identified on those slices is a major challenge. 3D Volume Rendering allows professionals and laymen alike to see the body, in health and disease, as it truly is.

Admissibility & Courtroom Impact

While new to the legal community, 3D Volume Rendering has been admitted as evidence at trial on numerous occasions and has yet to be excluded. As with the introduction years ago of its predecessors — medical illustrations and animations — this technology will encounter initial objections that can be easily overcome.

Volume Renderings are generally admissible in Court once the proper foundation is laid. Click on the link below to view an ACTUAL Court transcript admitting 3D volume rendering into evidence. Typically, that would entail medical expert testimony opining that after comparison, the 3D Rendering is a fair and accurate representation of the original films(in actuality the Rendering is a more comprehensive view of the injury than the original films). When applicable in advance of trial, one should send a Rendering to the treating physician so the images become part of the client’s treatment record, and therefore, likely admissible. For added support, counsel can cite to the Court local medical facilities utilizing this FDA approved technology. While highly unlikely, you may wish to prepare the movie creator, either a technician or Radiologist to testify.

New York State Supreme Court (partial transcript) admitting our 3D Technology into evidence

In the event the Court does not admit the Volume Rendering into evidence, the movie and/or static images can still be used to educate the jury, thereby achieving your demonstrative purposes.

FDA Approval & Client List

The workstation and software medQuest, Ltd. employs has been approved by the FDA since 1999. To request the documentation and/or a list of healthcare providers who employ the same technology, contact us.

Clinical Penetration

Approximately 3-5% of American hospitals and radiology practices currently employ Volume Rendering. This percentage is growing. The technology is universal at university-level medical centers and very common at diagnostic facilities i.e. those that perform full body scanning and calcium scoring. Healthcare providers save a patient’s data 7 years according to HIPPA requirements.

In determining if old scans hold sufficient data for 3D Volume Rendering, consider these guidelines. A helical (spiral) or multi-slice scan was required. CT scanners installed since 1990 typically employed suitable slices; MRI scanners installed since the early-mid 1990′s typically employed suitable slices.

Technology Info

The AVI files play in Windows Media Player, an application found on the vast majority of PCs. For best playing and viewing results, copy the AVI file(s) from the CD to your PC or laptop. Project the movie or any static images with an LCD projector, a common laptop accessory.

In addition to a movie, medQuest, Ltd. will provide static images as JPEGs (better for emailing or use in Power Point) or BMPs (Bitmap files, better for printing).

The colors of anatomical structures are actual, based on Hounsfield Units for tissue density. CT scans are generally better suited to 3D color. MRI scans and MIP files (Maximum Intensity Projection images are MRI scans reformatted into 3D) are generally better suited for black and white enhanced 2D and 3D images.

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