Dual-Energy X-Ray And Thoracic Tomograms Are Tested In Canadian Trial On Covid-19 Pneumonia

Six hundred patients are expected to be recruited in the next six months. Study also includes development of an artificial intelligence model

WATERLOO, Ontario– Two novel technologies developed in Canada have begun testing this week at the Toronto-based Princess Margaret Cancer Centre  at University Health Network (UHN)). KA Imaging, a University of Waterloo spin-off company, has partnered with a team of researchers from the University of Toronto and UHN in a study for the early detection of COVID-19.

“We want to develop and evaluate two novel imaging techniques, specifically dual-energy X-ray and thoracic tomograms, for early and reliable detection of COVID-19 manifestation in the lung,” explained Dr. Patrik Rogalla, principal investigator of the study.

The images from both procedures will be compared with the ones obtained on a CT scan, which is currently the standard of care for confirming pneumonia. The data will allow researchers to build an artificial intelligence model for automated and nearly instant image interpretation.

“Early triaging is an essential countermeasure to prevent the spread of COVID-19 and we are confident that our technology can make a significant contribution,” said Dr. Karim S. Karim, CTO of KA Imaging.

KA Imaging’s RevealTM, a patented portable dual-energy X-ray solution, will be one of the two novel modalities to be evaluated.

“Dual-energy X-ray isn’t new, but what we did with Reveal cannot be accomplished by anyone else in the world,” explained Karim.

With one shot, Reveal produces three images: one that is a regular digital radiography, another that highlights just the bones, and a third one that removes the bones to show only the soft tissue.

“All three images are sharp and free of motion artifacts, which are like streaks or defects that are frequently seen in other dual-energy technologies.  Also, unlike other dual energy solutions or CT machines, Reveal is portable so it can be taken to the patient, minimizing the risk of spread of COVID-19 infection,” commented Dr. Karim.

The other technology to be tested, Thoracic Tomogram (TT), has been developed by Dr. Rogalla’s research group. It is a novel image post-processing technique that simplifies interpretation. The technique will be applied to exploit the complementariness between CT scans and X-ray images.

“What we propose is an innovative, multimodal, deeplearning architecture for COVID-19, with a promise to gain higher accuracy of diagnosing COVID-19 than methods based on one single image type,” said Dr. Rogalla.

The goal is to recruit 600 people with suspected pulmonary infection to participate in the study over the next six months.

About KA Imaging

A spin-off from the University of Waterloo, KA Imaging is a Canadian company that specializes in developing innovative X-ray imaging technologies and systems, providing solutions to the medical, veterinary and NDT markets. The company has successfully developed a line of innovative x-ray imaging products in the areas of phase contrast micro-computed tomography, ultra-high spatial resolution X-ray detectors and large area digital, dual-energy X-ray material separation detectors.

 

Learn more about Reveal™

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FDA Clears KA Imaging’s Portable Dual-energy X-Ray Detector

With the 510(k) clearance, practitioners can leverage dual-energy at the bedside for the first time

WATERLOO, Ontario– KA Imaging’s portable dual-energy X-ray detector have received 510(k) clearance from the U.S. Food and Drug Administration (FDA). Reveal™ enables bone and soft-tissue differentiation without motion artifacts in a single X-ray exposure. In other words, with one shot, the detector simultaneously delivers DR, bone, and tissue images.

“We are excited to announce the clearance of Reveal™, after years of dedicated work, and we will strive to apply this technology directly to help patients and medical personnel through these trying times,” said Amol Karnick, President and CEO of KA Imaging.

The different applications for this technology include providing radiologists with unobstructed views of the lungs, which can aid in the visualization of pneumonia, fractures, catheters, and masses with high sensitivity. “The soft tissue and bone images are sharp and free of motion artifacts which increases the diagnostic sensitivity,” said Dr. Karim S. Karim, CTO of KA Imaging.

Reveal is also portable, and can be taken to the bedside of patients, which is critical during these pandemic times.

Whereas fixed dual-energy systems can cost as high as half a million dollars, KA Imaging’s Reveal is highly affordable at less than ¼ of this price.

“Any hospital can now benefit immediately from higher sensitivity X-ray imaging by simply adding dual energy capability to any installed fixed or portable X-ray machines,” said Karnick.

Clinical trials

A new clinical trial began this week in Toronto to seek early and reliable detection of pneumonia (including COVID-19).

“Early triaging is an essential countermeasure to prevent the spread of COVID-19 infection, and we are confident that our technology can make a significant contribution,” said Karim.

Reveal is also being tested on patients with lung cancer at Grand River Hospital in Kitchener, with promising results.

About KA Imaging

A spin-off from the University of Waterloo, KA Imaging is a Canadian company that specializes in developing innovative X-ray imaging technologies and systems, providing solutions to the medical, veterinary and NDT markets. The company has successfully developed a line of innovative x-ray imaging products in the areas of phase contrast micro-computed tomography, ultra-high spatial resolution X-ray detectors and large area digital, dual-energy X-ray material separation detectors.

Reveal detector

www.kaimaging.com

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150 days of remote work

We have already passed 150 days of remote work and will continue until further notice. Our team has done an incredible job, being productive even in these uncertain times. Health is our top priority.

If you can, stay home! We are in this together.

A very special thank you to the team members who brought this video to life through their voices.

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KA Imaging’s X-ray Detector Allows Dual Energy to be Taken to the Bedside

Canadian manufacturer is getting ready to launch Reveal™, the only portable dual-energy X-ray detector on the market

 

Photo of the Reveal detector
Reveal™ flat panel detector

WATERLOO, Ontario–(BUSINESS WIRE)- For the first time, practitioners will be able to leverage dual-energy X-ray technology in a portable system. Canadian manufacturer KA Imaging is getting ready to launch Reveal, the world’s first dual-energy X-ray detector that can be taken to the bedside. “Due to infectious nature of COVID-19, bringing patients into a fixed radiology room can sometimes be risky,” explains Amol Karnick, President and CEO of KA Imaging. “Current dual-energy systems are all fixed and Reveal overcomes the limitation of a fixed room by providing a world first portable dual energy solution. Reveal provides radiologists with an unobstructed view of the lungs by removing the bones in an X-ray image,” he continues.

The FDA 510(k) pending detector works with a single exposure. Unlike fixed dual energy solutions, Reveal’s technology enables bone and soft tissue differentiation with no motion artifact. “Our patented technology also allows lateral and oblique dual energy views for the first time,” explains Dr. Karim S Karim, CTO at KA Imaging.

Whereas fixed dual-energy systems can cost as high as half a million dollars, KA Imaging’s Reveal is highly affordable at less than ¼ of this price.

“If a hospital requires dual energy X-ray for COVID-19, you can simply replace any older CR plate or digital fixed or portable detector with Reveal,” says Karnick.

Clinical trials

The company is planning clinical trials globally to demonstrate the efficacy of Reveal in triaging COVID-19 and other imaging tasks in the Emergency Room and Intensive Care Units. One of them is expected to begin in Toronto by August. “The world needs affordable and effective portable bedside diagnostics now, and Reveal is a solution that can provide tremendous value for clinicians, hospitals and government,” emphasizes Karim.

Reveal is also being tested on patients with lung cancer. Grand River Hospital (Kitchener, Ontario, Canada) was the first to test the technology. More than 20 patients have been imaged with Reveal, with promising initial results.

ECR

Radiologists globally can learn more about Reveal at the European Congress of Radiology (ECR) from July 15th to 19th. Due to the pandemic, the conference will be held online. KA Imaging is part of the virtual exhibition.

Contacts

Fernanda Fraga
ffraga@kaimaging.com
226 215 9897

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KA Imaging to participate in the 2020 DESY e-workshops on X-ray Powder Diffraction and Biomedical Imaging

Deutsches Elektronen-Synchrotron (DESY), a Research Centre of the Helmholz-Association, is promoting virtual Workshops on Powder Diffraction and  Biological & Medical Imaging. The events will be between June 22 – June 25.

KA Imaging is part of both programmes:

X-ray Powder Diffraction at DESY 
Talk 7: Micron Scale Pixel Hybrid Detector for Hard X-rays
Speaker: Prof. Dr. Karim S. Karim, CTO of KA Imaging
Time: 03:05 PM – 03:25 PM – Europe/Berlin timezone – 9:05 AM – 09:25 AM Eastern Time
Register now:  https://indico.desy.de/indico/event/26187/

Biomedical Imaging at PETRA III and PETRA IV
Talk:
 8 micron pixel pitch direct conversion X-ray detector for phase contrast X-ray imaging in biomedical applications
Speaker: Chris Scott, engineer at KA Imaging
Time: 02:10 PM – 02:30 PM – Europe/Berlin timezone – 08:10 AM – 08:30 AM Eastern Time
Register now: https://indico.desy.de/indico/event/25334/

 

About the workshops:

X-ray Powder Diffraction at DESY
In order to identify current and future scientific and industrial demands in X-ray powder diffraction applications a virtual workshop will be held on June 22th – 25th 2020. This workshop will gather the input from the user community on how to evolve and enhance the methods and techniques provided within the existing PETRA III diffraction stations as well as beyond. The workshop is meant to serve as a melting pot for new ideas from science and industry. The aim is to identify key aspects and provide DESY with a community backed concept for current and future developments (e.g. development of new beamlines at PETRA III / PETRA IV). 

Biomedical Imaging at PETRA III and PETRA IV
The scope of the workshop is to bring together current and future users of Biomedical Imaging facilities to exchange ideas and trends as well as identify beamline parameters which could help enable the envisaged imaging projects at PETRA III and PETRA IV. This will also help in gathering information on the evolution and enhancement of methods and techniques provided at the existing PETRA III imaging stations as well as for envisaged stations at PETRA III and PETRA IV. The workshop is expected to cover a broad range of applications from molecular crystallography to possible in vivo studies on animals.

 

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Reveal: Frequently Asked Questions

Welcome to the Reveal FAQ video series. Do you have any questions? Get in touch!

1. What is dual-energy X-ray?

2. Why is KA Imaging’s dual-energy X-ray technology better?

3. Has Reveal been tested in a clinical environment?

4. What is DQE?

5. What does retrofittable mean?

6. Dual energy in a single exposure… how is it possible?

 

1. What is dual-energy X-ray?

Professor Karim S Karim explains dual-energy X-ray and how it improves visualization of tissue and bones.

2. Why is KA Imaging’s dual-energy X-ray technology better?

Dual-energy X-ray has been around for 30 years. However, the old dual-energy technology has some flaws that cannot be ignored: motion artifacts are relatively common, and the technology is not portable. Reveal, on the other hand, is motion artifact free and portable. Learn more in this short video.

3. Has Reveal been tested in a clinical environment?

Our president and CEO Amol Karnick presents the first clinical trial from KA Imaging.

4. What is DQE?

Our president and CEO Amol Karnick explains the importance of DQE – Detective Quantum Efficiency.

5. What does retrofittable mean?

Do you have to invest in a full new system to get dual-energy x-ray? Short answer is… NO! A retrofittable detector can upgrade your regular X-ray system.

6. Dual energy in a single exposure… how is it possible?

This looks like the one million dollar question. How did we do it? It’s an amazing engineering feat.

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8 Features That Make Reveal Able To Join The Fight against COVID-19

Canadian manufacturer KA Imaging is seeking clinical and government partners for trials

With numbers still climbing, the novel Coronavirus has reached more than 2 million confirmed cases worldwide. As the number of infections gets higher, experts from different fields are trying to find ways to help stop the disease from spreading. In the article “How Reveal’s Technology Can Help Screen For COVID-19”, KA Imaging’s CTO Karim S. Karim says that “recent experiences have shown that testing for viral RNA may not suffice as the only test to confirm or rule out the infection. This is where we can help, as radiological imaging, in some cases, has indicated presence of pulmonary disease even days earlier than PCR testing1. Moreover, radiological imaging can follow the progress of COVID induced pneumonia over time enabling timely decision making about treatment efficacy or need for ventilators”.

The company is in late stage discussions to start clinical trials on the efficacy of Reveal in triaging COVID-19, and actively seeking clinical and government partners to obtain the necessary clinical evidence to determine deployment conditions and to accelerate adoption.

Reveal is undergoing IEC testing and will be submitted to the FDA for US 510K regulatory clearance in 2020.

The following list presents Reveal’s most important features, which could be helpful in the current crisis.

1. Dual-energy subtraction radiography

KA Imaging’s portable Reveal X-ray detector uses dual-energy subtraction radiography, a digital X-ray technique that is widely known for classifying lung nodules for diseases like lung cancer, pneumonia and tuberculosis.

2. One exposure, three images

With one shot, Reveal provides high-quality traditional X-ray, bone subtracted (which is ideal for pulmonary disease diagnosis), and tissue subtracted.

 

3. Motion artifact free

Motion artifacts are streaks due to breathing motion that invalidate images and mislead radiologists. The flaw is possible when using conventional dual-energy X-ray systems

4. High DQE = less radiation

Ability to acquire an image with 50X less radiation than CT.

5. Portable

The Reveal detector can be moved to a patient’s bedside or used in the field.

6. Retrofittable

Reveal can be retrofitted into existing X-ray equipment within a few hours. There are 500,000 conventional X-ray systems globally with more than 10,000 installed in Canada even in remote areas.

7. Cost-effective

Conventional dual exposure dual-energy systems can cost as much as half a million dollars and require dedicated rooms. Reveal, on the other hand, has a list price of $125,000 USD.

8. Promising initial results in clinical trial

In October 2018, KA Imaging started a clinical trial at Grand River Hospital in Kitchener, Ontario, Canada to image lung cancer patients with Reveal. The initial results are promising. Watch some of them in the short video below.


 Click here to learn more about Reveal.

References:

  1. Wong, H. Y. F., Lam, H. Y. S., Fong, A. H.-T., Leung, S. T., Chin, T. W.-Y., Lo, C. S. Y., … Ng, M.-Y. (2020, March 27). Frequency and Distribution of Chest Radiographic Findings in COVID-19 Positive Patients. Retrieved from https://pubs.rsna.org/doi/10.1148/radiol.2020201160
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Amol Karnick, CEO (M.Eng, BASc)
Amol is a seasoned executive in the medical device industry. His experience covers the whole spectrum; from start-ups (Ultrasonix, Sentinelle Medical, Ventripoint) to large OEMs (GE Healthcare). Entering into the profession with a Bachelors in Engineering from UW and a Masters in Electrical Engineering from McGill, Amol spent 20 years in the medical imaging space to become a leader of multidisciplinary teams (sales, engineering and operations). Amol is now poised to steer KA Imaging into a position of global leadership.
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Karim S. Karim, CTO
(PhD, PEng, MBA)
A professor of Electrical and Computer Engineering at the University of Waterloo, Dr.Karim is a distinguished academician known for pioneering and commercializing large area current mode active pixel sensor technology that is now used in bio-metric fingerprint readers for mobile phones. With 20 years of experience in designing and prototyping large area digital imagers, Dr.Karim has been instrumental in raising over $12 million in research funding. A full member of the American Association of Physicists in Medicine (AAPM), Dr.Karim is also an IEEE distinguished lecturer.
Ken Green, CFO (CPA, MBA)
Ken has a strong background in finance, accounting and strategic business operations developed from several years of work experience in the financial services industry. Ken gained valuable experience working for a number of major Canadian and global firms such as PricewaterhouseCoopers, Royal bank of Canada, Bank of Montreal and Scotia Bank. However, his most valuable learning experiences come from working with many small businesses including start-ups and established businesses helping them manage their accounting and finance operations. Ken is a Chartered Professional Accountant and has an MBA from the Schulich Business School.
Sina Ghanbarzadeh, Co-Founder
(MSc, PhD*)
Sina is the co-founder and the lead of the design team at KA Imaging Inc. He brings over 7 years of experience in design and characterization of imaging detectors to the KA Imaging Inc. He has designed the state of the art imaging detector prototype and currently leading the design team at both device and system level. Sina holds a Masters in Science degree in Electrical Engineering from the University of Waterloo and is also working towards his PhD at University of Waterloo.
Joan Medley, Quality Regulatory Expert (ISO 13485)
Joan began her career as a Medical Radiation Technologist at Sunnybrook Health Sciences, specializing in general and trauma radiography, CT scanning, angiography, heart catheterizations and fulfilled the role of clinical instructor. She has co-authored a Quality & Regulatory college course providing outline, course content and learning objectives. With over 2 decades of experience as a Quality Assurance (QA) Manager and Director, Joan has led medical device manufacturers through ISO registration and managing Quality Management systems. Certified as an ISO 13485 Lead Auditor, Joan currently provides contract services for a certification body.
Jill Zappitelli, Human Resources Consultant (CHRL)
An experienced and accredited Human Resource Professional and Program/Project Manager, Jill’s rich expertise and national and international experience in every facet of Human Resources affords her the distinction of being one of the most sought-after HR professionals in the region. As a member of the HRPA Board of Directors, her CHRL designation combined with a Business Administration Management Diploma from Conestoga College – Jill brings a genuine level of confidence to any organization that finds itself without some HR guidance. Creating and implementing authentic and effective HR solutions to solve an array of employee challenges have been Jill’s signature for several years with companies ranging from SunLife Financial to Blackberry, to non-profits such as Trellis Mental Health. Now, as a consultant to Waterloo’s emerging businesses and tech community, Jill has been delivering relevant and meaningful solutions to scale – be it program level or simply getting the right advice.
Ako S. Williams, Vice President
Ako Williams is Vice President, General Counsel and Corporate Secretary of Ushio America, Inc., which is a U.S. subsidiary of Ushio Inc. in Tokyo, Japan. Ushio is a leading provider of light sources and solutions for a wide variety of applications, including medical imaging and illumination, scientific, semiconductor, entertainment, horticulture, and architectural applications. A seasoned global enterprise executive with a strategic problem solving approach, Ako oversees Ushio America’s legal, regulatory compliance, risk management, and corporate governance matters. Previously, she was an Assistant General Counsel and Compliance Officer of Christie Digital Systems USA, Inc. (an Ushio group company) and an Assistant General Counsel of a leading home healthcare provider in the U.S. She holds a B.S. (highest distinction) from Northwestern University and a J.D. from Loyola University Chicago School of Law.
(B.S, J.D)
Ian Cunningham (BSc, MSc, PhD)
Dr. Ian Cunningham is a professor and scientist at the Robarts Research Institute at The University of Western Ontario and physicist at London Health Sciences Centre. He directs a research team of graduate students and post-doctoral fellows that are investigating new ways of acquiring and displaying medical images using digital radiography and computed tomography for improved health care.
James Wei (VP, Business Development )
James earned an M.Sc. at UW Canada and a Ph.D. at INSA Lyon France in RF engineering before starting his career in mixed signal development for the telecom industry. An Executive MBA degree from the University of Zurich in Switzerland charted his course into leadership roles in business development, where his specialty lies in international sales and marketing for tech start-ups. James brings a decade of experience to KA Imaging in new product market entry, global distribution channel management, and Asian subsidiary setups. It is James who will take KA Imaging to the forefront of the overseas marketplace.
Susan Horton (BA, MA, PhD)
Working for the World Bank got Susan interested in health and economics. Dr. Horton then proceeded to work at the International Centre for Diarrheal Disease Research in Bangladesh while writing her thesis. She has worked or taught in about 25 low and middle income countries, on topics ranging from labour markets, women's participation, benefits and costs of micronutrient interventions, and currently costs and benefits of breastfeeding, cost and cost-effectiveness of cancer interventions, and disease control priorities in low and middle income countries. Currently, Dr.Horton is working on the Disease Control Priorities project and in the past, worked on research projects with the World Bank, FAO, WHO, UNICEF, Copenhagen Consensus, etc.
Ruben Romero (CPA, CMA)
Ruben has a strong background in finance, accounting and strategic business operations from several years of work experience in various industries. Prior to joining KA Imaging's team, Ruben gained valuable experience working for Canadian and Global firms such as Class 1 Inc. and Bimbo Bakeries. Ruben has been a Chartered Professional Accountant and Certified Management Accountant for over ten years.