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04/1999
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Research and Innovation Drive Success at South Florida Medical Imaging

by Jodi Paradise ~ M.D. News Ft. Lauderdale/Broward County, Vol. 2 No. 3, 04/1999

Albert Brooks knew that the U.S. Food and Drug Administration (FDA)    funded clinical research at the country's leading university hospitals.       What Brooks didn't know was that when he suffered a stroke, he would     not have to travel far to receive the cutting-edge care that ultimately   saved his life.

Brooks, 64, is among a growing number of South Florida residents  participating in clinical trials conducted locally at South Florida            Medical Imaging (SFMI).

Expanding the Role of Radiology

South Florida Medical Imaging was established in 1989 by Michael Rush,   M.D., to provide state-of-the-art quality care 24 hours a day, seven days a week in the community hospital setting.
At the time, Rush was contracted to operate the radiology department        at North Ridge Medical Center. For the first four years, non-          diagnostic  patient procedures at North Ridge increased 25 percent.          In   1995, the practice expanded to Palmetto General Hospital in Miami-   Dade County, and again to Hollywood Medical Center in 1997.
The growth of the practice has been fueled by active participation in      FDA-approved clinical research in nuclear medicine and interventional radiology. "The research we do is unique to a community hospital setting," explained Dr. Rush. "The studies involve procedures and techniques that    are not commonly known or widely available. Yet, they provide benefits       to patients like Mr. Brooks and his family."

Interventional Radiology: The Wave of the Future

Interventional Radiology (IR) grew in the mid-1970s as advancements in    CT, MRI and ultrasound made it easier for physicians to see inside the    body. Using radiological imaging, interventional radiologists steer guide     wires and catheters throughout the body to diagnose and treat disease.   The procedures are performed percutaneously, through a one- to           two-millimeter incision, and are less traumatic than surgical incisions.  Because IR procedures are routinely performed on an outpatient basis,     they offer patients limited risk, lower cost and quicker recovery than         the surgical alternative.
For Pompano Beach resident Fred Lachoff, innovations in the field               of interventional radiology saved him from a lifetime of dialysis        treatment. According to the 67-year-old retiree, doctors           recommended dialysis when one kidney failed and the other presented     signs of renal artery stenosis. After two dialysis treatments, Lachoff         was referred to Bush, who developed a stent to prop open Lachoff's        renal artery to its full diameter and allow blood to flow properly.
"Since the stent procedure, I have not had to return to dialysis and           my kidneys are saved," Lachoff said.

The Group

South Florida Medical Imaging is not an "ordinary" radiology practice.         The number of clinical research trials in which its physicians participate over a two-county region allow the group to offer the most innovative,        minimally invasive techniques to a broad base of patients.
"We provide research procedures at three facilities, 24 hours a day,       seven days a week," said Rush, who has been called to other hospitals         to lend his expertise on an emergency basis.
SFMI also holds the distinction of being the only radiology practice           with admitting privileges in Broward County. Dr. Rush had over 50    admissions in the last year. This, combined with the group's commitment      to clinical research, attracts patients across the state and even the nation   to one of the three community hospitals where SFMI is based.
But, Rush concedes, the allure of his practice would not be possible     without the support of a highly trained staff.
In addition to 14 radiologists, which include the upper three to four     percent from the nation's most distinguished research hospitals, SFMI's    team also includes technologists, nurses, anesthesiologists and the   committed support of administration from Palmetto General Hospital and    North Ridge and Hollywood Medical centers.

Practicing on the Cutting Edge

Arterial disease is the leading cause of death in the United States. It        can cause heart disease and kidney failure. Major surgery has been           the traditionally accepted, preferred course of treatment of these patients. However, clinical research has allowed interventional radiology to step       into this domain with promising, minimally invasive techniques.
"Research continues to drive the growth of this field," said Rush.               "By participating in FDA-approved clinical trials, groups such as ours are    able to push the envelope and offer the latest, most advanced      treatments available to our patients."
Dr. Rush began participating in FDA research to treat vascular insufficiency in 1987. In May of 1995, he and his SFMI associates were first in the state     of Florida to successfully place a stent in a patient's carotid artery.      Today, SFMI, which is fourth in the nation for recruitment in this       protocol, continues to attract patients such as Albert Brooks for the    carotid stent procedure.
Currently,  SFMI is third in the nation in the Cordis ASPIRE trial,             which evaluates renal artery stenting to relieve narrowing in the             renal arteries. Rush is also the principle investigators in the Cordis     Hydrolyzer trial, which measures the efficacy of a catheter to remove     blood clots from thrombosed dialysis grafts more effectively than surgery     or drug therapy.
"Our relationships with the country's leading pharmaceutical and          medical device manufacturers help raise our levels of expertise and allow     us to bring innovation and qualify care to patients experiencing          vascular insufficiency," Rush said. Fort Lauderdale physician                  Leslie  Crescimano agrees. "Rush practices on the cutting edge of his field    and is well respected for his expertise. If I ever needed an interventional procedure, I wouldn't hesitate to turn to him and his team."
"We're building our reputation, not only with patients, but with physicians    as well," explained Rush, who works closely with internists, vascular      surgeons and other physicians to provide patients with the highest level      of care to meet patients' individual needs.

The Future

Research continues to bring innovation to the field of medicine and SFMI is helping to bring these advancements to benefit patients and              medical professionals in the South Florida region.
"Advancements in medical research have become readily available to a      large audience of potential patients via the Internet," Rush continues.     "Many of these patients walk into their physicians' offices with articles in hand, requesting more information.

"For Albert Brooks, a former city of Sunrise employee, Dr. Rush inserted a catheter into a two-millimeter incision in Brooks' thigh. Using radiological imaging, Rush guided the catheter to the carotid artery where a stent      was deployed to remodel the plaque that stopped blood flow to Brooks'    brain.

"It was miraculous," Brooks exclaimed. "I had friends who suffered stroked    and underwent extensive operations, lengthy recovery and were left        with battle scars across their necks. I was home the same day and    returned to normal activities that same week."
South Florida Medical Imaging continues to pursue research contracts and    to stay on the cutting edge in their field. As a result, South Florida      patients can benefit and receive the innovative medical care that             has traditionally been confined to the nation's leading research facilities.
 

For More Information Contact:

MD News Fort Lauderdale
5479 Pine Cir
Coral Springs, FL 33067
Tel: 954-227-0553
FAX: 954-227-0554


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