text:
|Publication number
|Publication type
|Application number
|Publication date
|Mar 12, 2002
|Filing date
|Dec 22, 1999
|Priority date
|Dec 22, 1999
|Fee status
|Also published as
|Publication number
|Paul E. Licato, Peter C. Bosch, Suriyanarayana Venkatraman, Robert Steven Stormont
|Original Assignee
|General Electric Company
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (9), Referenced by (107), Classifications (23), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
The present invention relates generally to the field of imaging systems including one or more peripheral devices, such as systems used in the medical diagnostics field. More particularly, the invention relates to a technique for managing peripheral devices in an imaging system in which certain information and functionalities are stored within circuitry of the peripheral device itself and retrieved as needed by the system.
A wide variety of imaging systems have been developed and are presently in use, particularly in the medical diagnostics field. While very simple imaging systems may comprise self-contained image acquisition and processing components and circuitry, more complex systems include various peripheral devices which may be associated with other system components as needed. In the medical imaging field, for example, systems are typically considered by imaging modality. These modalities may include magnetic resonance imaging (MRI) systems, computed tomography (CT) systems, ultrasound systems, x-ray systems, positron emission tomography (PET) systems, and so forth. Depending upon the physics involved in acquiring and reconstructing useful images, these systems call upon different control and processing circuitry, as well as peripheral devices for data acquisition, processing, storage, and output or viewing.
By way of example, in an MRI system, image data is acquired by imposing magnetic fields on a subject, including a primary magnetic field and a series of gradient fields. The fields define an imaging slice through the subject and encode positions of materials of interest in the selected slice as a function of frequency. After imposition of radio frequency pulses, transverse moments are produced in gyromagnetic material of the subject through the slice, and echo signals from the material can be sensed and processed to identify the intensity of the response at the various locations in the slice. After data processing, an image can be reconstructed based upon the acquired and processed data.
Continuing with the example of an MRI system, various peripheral devices are typically used in the image acquisition, processing, reconstruction, and output of useful images. Depending upon the system design, various types and configurations of RF coils are used to excite the gyromagnetic material, and to capture response signals. In a broad sense, subsystems of the overall imaging system may be considered peripherals, including gradient coils, a primary magnet, a table or support on which a patient is positioned, and so forth. Each of these peripheral devices or subsystems must be properly controlled to reliably produce the desired image data. Similar peripheral devices and subsystems are present in the other modality imaging equipment, particularly in x-ray systems, CT systems, ultrasound systems, and so forth.
Proper coordination of subsystems and peripheral devices in imaging systems is critical to the capture, processing and display of desired images. In particular, many subsystems and peripheral devices must be appropriately calibrated to account for device-to-device variances and tolerances, as well as for similar tolerances within individual devices. Moreover, where alternative devices are employed in a system, such as RF coils in an MRI system, the devices typically have different characteristics which must be taken into account during both the image data acquisition operation and during subsequent data processing.
At present, peripheral devices in medical diagnostic equipment are identified and selected by clinicians and radiologists, and typically identified to the imaging system via an operator input. In the specific example described above, an RF coil in an MRI system would be selected depending upon the anatomy to be imaged and the available imaging protocols of an individual system, and the operator would then identify the coil to the controller. The controller, or memory associated with the controller, may then call upon stored data representative of known or calibrated characteristics of the coil. If the operator improperly identifies the coil, or if the characteristics of the coil are erroneously referenced, appropriate image data will not be collected, or time is lost in identifying or correcting the identification and peripheral data problem.
In addition to the identification and calibration data for imaging system peripherals, various information is typically known relating to manufacturing, servicing, and other historical details of the subsystems and peripherals. This information may be extremely useful in evaluating performance of various peripheral devices, anticipating potential maintenance issues, and correcting or tracing manufacturing or servicing records. At present, this information is generally stored in cross-referenced files of imaging system control circuitry, or, more commonly, in entirely separate manufacturing and service records at diverse locations, including at a hospital or medical institution, at individual service providers, and so forth.
There is a need for an improved technique for managing data relating to imaging system peripherals and subsystems. There is a particular need at present for a technique which may be applied to a wide variety of peripheral devices, permitting more efficient identification of the devices themselves, as well as calibration, service history, and other data which may be of use in the imaging process or in the servicing and maintenance of the system.
The invention provides a technique for managing imaging system peripheral data designed to respond to these needs. The technique may be applied to a wide range of practical applications, but is particularly well suited to complex imaging systems used in the medical diagnostics field. Within that field, the technique has particular promise for managing data in MRI systems, CT systems, x-ray systems, PET systems, and so forth. In a general sense, the technique permits data to be stored within the peripheral device or subsystem itself. This data may include a minimal data set, such as the identity of the peripheral device, or more elaborate data sets, such as calibration information, service history, manufacturing history, usage information, and the like. Moreover, functional data, including programs and subroutines, may be stored within the peripheral device and made executable upon demand. Finally, the circuitry permitting the storage and access to the peripheral device data may include circuitry for encrypting and decrypting information, or for providing limited access to the data, such as by authorized service personnel.
In accordance with one aspect of the technique, memory and communications circuitry is included as an integral part of the peripheral device. Identification data is stored in the device for subsequent access by an imaging system. Upon connection of the peripheral device to the imaging system, the data may be retrieved and an imaging sequence performed based upon the retrieved information. The retrieved information may be cross-referenced to data, such as calibration data or service history data in a memory circuit external to the periphery device. However, where desired, this information may be stored directly in the circuitry of the peripheral device for direct access, loading and use by the external components. Because the information remains resident in the peripheral device, it can be freely accessed, uploaded, downloaded, modified and used whether the peripheral device is employed with the imaging system or apart from the imaging system, such as in a remote servicing location.
FIG. 1 is a diagrammatical representation of an exemplary imaging system in the form of an MRI system, including peripheral devices and subsystems capable of storing and retrieving data in accordance with aspects of the present technique;
FIG. 2 is a diagrammatical representation of certain of the logical circuitry of the system of FIG. 1;
FIG. 3 is a graphical representation of an exemplary examination sequence which may be carried out in an imaging system such as that illustrated in FIG. 1;
FIG. 4 is a diagrammatical representation of an exemplary peripheral topology in which data is stored within and accessed from various subsystems and peripheral devices;
FIG. 5 is a diagrammatical representation of the topology of various functional circuitry within a peripheral device equipped to store and access data; and
FIG. 6 is a flow chart illustrating exemplary control logic in storing and accessing data in accordance with aspects of the present technique.
Turning now to the drawings, and referring to FIG. 1, an exemplary imaging system, in the form of a magnetic resonance imaging (MRI) system 10 is illustrated diagrammatically as including a data acquisition system 12, a control system 14, and an interface system 16. Some or all of these systems include components which may store and access data for use in imagine or servicing as described more fully below. While system 10 may include any suitable scanner or detector, in the illustrated embodiment the system includes a full body scanner comprising a patient bore 18, into which a t able 20 may be positioned to place a patient 22 in a desired orientation for scanning. Data acquisition system 12 may be of any suitable rating, including ratings varying from 0.2 Tesla to 1.5 Tesla, and beyond.
Data acquisition system 12 includes a series of associated coils for producing controlled magnetic fields, and for generating radio frequency excitation pulses, and for detecting emissions from gyromagnetic material within the patient in response to such pulses. In the diagrammatical view of FIG. 1, a primary magnet 24 is provided for generating a primary magnetic field, generally aligned with the patient bore. A series of gradient coils 26, 28 and 30 are group ed in a coil assembly for generating controlled magnetic gradient fields during examination sequences. A radio frequency coil 32 is provided for generating radio frequency pulses for exciting the gyromagnetic material. In the embodiment illustrated in FIG. 1, coil 32 also serves as a receiving coil. Thus, RF coil 32 may be coupled with driving and receiving circuitry in passive and active modes for receiving emissions from gyromagnetic material and for outputting radio frequency excitation pulses, respectively. Alternatively, various configurations of receiving coils may be provided separate from RF coil 32. Such coils may include structures specifically adapted for target anatomies, such as head coil assemblies, and so forth. Moreover, receiving coils may be provided in any suitable physical configuration, including phased array coils, and so forth.
As will be appreciated by those skilled in the art, in the case of the MRI system illustrated, when gyromagnetic material, typically bound in tissues of the patient, is subjected to the primary field, individual magnetic moments of the paramagnetic nuclei in the tissue attempt to align with the field but precess in a random order at their characteristic or Larmor frequency. While a net magnetic moment is produced in the direction of the polarizing field, the randomly oriented components of the moment in a perpendicular plane generally cancel one another. During an examination sequence, an RF excitation pulse is generated at or near the Larmor frequency of the material of interest, resulting in rotation of the net aligned moment to produce a net transverse magnetic moment. Radio signals are emitted following termination of the excitation signals. This magnetic resonance signal is detected in the scanner and processed for reconstruction of the desired image.
As a basis for the present discussion of peripheral devices and subsystems equipped to store, access and manage data, a brief description of the operation of an MRI system is provided below. It should be borne in mind, however, that while the present technique is particularly well suited to MRI and similar medical diagnostic systems, it is not intended to be limited to any particular type, design, or modality system.
In the MRI system of FIG. 1, gradient coils 26, 28 and 30 serve to generate precisely controlled magnetic fields, the strength of which vary over a predefined field of view, typically with positive and negative polarity. When each coil is energized with known electric current, the resulting magnetic field gradient is superimposed over the primary field and produces a linear variation in the overall magnetic field strength across the field of view. Combinations of such fields, orthagonally disposed with respect to one another, enable the creation of a linear gradient in any direction by vector addition of the individual gradient fields.
The gradient fields may be considered to be oriented both in physical planes, as well as by logical axes. In the physical sense, the fields are mutually orthagonally oriented to form a coordinate system which can be rotated by appropriate manipulation of the pulsed current applied to the individual field coils. In a logical sense, the coordinate system defines gradients which are typically referred to as slice select gradients, frequency encoding gradients, and phase encoding gradients.
The slice select gradient determines a slab of tissue or anatomy to be imaged in the patient. The slice select gradient field may thus be applied simultaneous with a selective RF pulse to excite a known volume of spins within a desired slice that precess at the same frequency. The slice thickness is determined by the bandwidth of the RF pulse and the gradient strength across the field of view.
A second logical gradient axis, the frequency encoding gradient axis is also known as the readout gradient axis, and is applied in a direction perpendicular to the slice select gradient. In general, the frequency encoding gradient is applied before and during the formation of the MR echo signal resulting from the RF excitation. Spins of the gyromagnetic material under the influence of this gradient are frequency encoded according to their spatial position across the gradient field. By Fourier transformation, acquired signals may be analyzed to identify their location in the selected slice by virtue of the frequency encoding.
Finally, the phase encode gradient is generally applied in a sequence before the readout gradient and after the slice select gradient. Localization of spins in the gyromagnetic material in the phase encode direction is accomplished by sequentially inducing variations in phase of the precessing protons of the material by using slightly different gradient amplitudes that are sequentially applied during the data acquisition sequence. Phase variations are thus linearly imposed across the field of view, and spatial position within the slice is encoded by the polarity and the degree of phase difference accumulated relative to a null position. The phase encode gradient permits phase differences to be created among the spins of the material in accordance with their position in the phase encode direction.
As will be appreciated by those skilled in the art, a great number of variations may be devised for pulse sequences employing the logical axes described above. Moreover, adaptations in the pulse sequences may be made to appropriately orient both the selected slice and the frequency and phase encoding to excite the desired material and to acquire resulting MR signals for processing.
The coils of system 12 are controlled by control system 14 to generate the desired magnetic field and radio frequency pulses. In the diagrammatical view of FIG. 1, control system 14 thus includes a control circuit 36 for commanding the pulse sequences employed during the examinations, and for processing received signals. Control circuit 36 may include any suitable programmable logic device, such as a CPU or digital signal processor of a general purpose or application-specific computer. Control circuit 36 further includes memory circuitry 38, such as volatile and non-volatile memory devices for storing physical and logical axis configuration parameters, examination pulse sequence descriptions, acquired image data, programming routines, and so forth, used during the examination sequences implemented by the scanner.
Interface between the control circuit 36 and the gradient coils of data acquisition system 12 is managed by amplification and driver circuitry 40. RF coil 32 is similarly interfaced by transmission and receive interface circuitry 42. Circuitry 40 includes amplifiers for each gradient field coil to supply drive current to the field coils in response to control signals from control circuit 36. Interface circuitry 42 includes additional power amplification circuitry for driving RF coil 32. Moreover, where the RF coil serves both to emit the radio frequency excitation pulses and to receive MR signals, circuitry 42 will typically include a switching device for toggling the RF coil between active or transmitting mode, and passive or receiving mode. A power supply, denoted generally by reference numeral 34 in FIG. 1, is provided for energizing the primary magnet 24. Finally, circuitry 14 includes interface components 44 for exchanging configuration and image data with interface system 16.
Interface system 16 may include a wide range of devices for facilitating interface between an operator or radiologist and data acquisition system 12 via control system 14. In the illustrated embodiment, for example, an operator controller 46 is provided in the form of a computer work station employing a general purpose or application-specific computer. The station also typically includes memory circuitry for storing examination pulse sequence descriptions, examination protocols, user and patient data, image data, both raw and processed, and so forth. The station may further include various interface and peripheral drivers for receiving and exchanging data with local and remote devices. In the illustrated embodiment, such devices include a conventional computer keyboard 50 and an alternative input device such as a mouse 52. A printer 54 is provided for generating hard copy output of documents and images reconstructed from the acquired data. A computer monitor 48 is provided for facilitating operator interface. In addition, system 10 may include various local and remote image access and examination control devices, represented generally by reference numeral 56 in FIG. 1. Such devices may include picture archiving and communication systems, teleradiology systems, and the like.
Depending upon the physics (i.e. the modality) of the imaging system 10, examinations will be performed to produce image data for reconstruction of a useful image. In the case of an MRI system, for example, these examinations include pulse sequences carried out by application of control signals to the gradient and RF coils, and by receiving resulting signals from the subject. In general, these pulse sequences will be defined by both logical and physical configuration sets and parameter settings stored within control system 14. FIG. 2 represents, diagrammatically, relationships between functional components of control circuit 36 and configuration components stored with memory circuitry 38. The functional components facilitate coordination of the pulse sequences to accommodate preestablished settings for both logical and physical axes of the system. In general, the axis control modules, denoted collectively by reference numeral 58, include a logical-to-physical module 60 which is typically implemented via software routines executed by control circuit 36. In particular, the conversion module is implemented through control routines which define particular pulse sequences in accordance with preestablished imaging protocols.
When called upon, code defining the conversion module references logical configuration sets 62 and physical configuration sets 64. The logical configuration sets may include parameters such as pulse amplitudes, beginning times, time delays, and so forth, for the various logical axes described above. The physical configuration sets, on the other hand, will typically include parameters related to the physical constraints of the scanner itself, including maximum and minimum allowable currents, switching times, amplification, scaling, and so forth. Conversion module 60 serves to generate the pulse sequence for driving the coils of scanner 12 in accordance with constraints defined in these configuration sets. The conversion module will also serve to define adapted pulses for each physical axis to properly orient (e.g. rotate) slices and to encode gyromagnetic material in accordance with desired rotation or reorientations of the physical axes of the image.
By way of example, FIG. 3 illustrates a typical pulse sequence which may be implemented on a system such as that illustrated in FIG. 1 and calling upon configuration and conversion components such as those shown in FIG. 2. While many different pulse sequence definitions may be implemented, depending upon the examination type, in the example of FIG. 3, a gradient recalled acquisition in steady state mode (GRASS) pulse sequence is defined by a series of pulses and gradients appropriately timed with respect to one another. The pulse sequence, indicated generally by reference numeral 66, is thus defined by pulses on a logical slice select axis 68, a frequency encoding axis 70, a phase encoding axis 72, an RF axis 74, and a data acquisition axis 76. In general, the pulse sequence description begins with a pair of gradient pulses on slice select axis 68 as represented at reference numeral 78. During a first of these gradient pulses, an RF pulse 80 is generated to excite gyromagnetic material in the subject. Phase encoding pulses 82 are then generated, followed by a frequency encoding gradient 84. A data acquisition window 86 provides for sensing signals resulting from the excitation pulses which are phase and frequency encoded. The pulse sequence description terminates with additional gradient pulses on the slice select, frequency encoding, and phase encoding axes.
As will be appreciated by those skilled in the art, the foregoing operation of an MRI system, and other procedures for obtaining image data on other modality imaging systems calls for a number of peripheral devices and subsystems operating in concert. For example, in the foregoing example, the pulse sequence description is typically stored within the control system 14, and carried out upon request. However, various pulse sequences may call for different peripheral devices, such as RF coils 32. In a typical application, a clinician or radiologist will select an examination via interface system 16, and insert the appropriate RF coil in the data acquisition system 12. Similarly, the table on which the patient is positioned will be placed in the appropriate orientation, and the gradient coils will be prepared for the examination sequence. Well before these procedures are carried out, calibration procedures are performed on all of these peripheral devices, as well as on other components of the system. When the operator selects the examination sequence, an identification of the peripheral devices associated with the system, such as RF coil 32, is input through the interface system 16. The calibration information for the coil, as well as other relevant information is, in these prior art techniques, accessed from a storage device, typically the memory circuitry 38 of the imaging system itself.
The present technique permits such information to be stored in each peripheral device or subsystem. FIG. 4 illustrates an exemplary peripheral topology 100 available through the present technique. As illustrated diagrammatically in FIG. 4, a wide variety of the peripherals and subsystems of the imaging system may include circuitry for storing and accessing identification data, calibration data, and other useful information and functional code. In the embodiment illustrated in FIG. 4, each of these devices, illustrated on the left of system controller 36, can receive and transmit data in digital form through system controller 36 for use in examination sequences and servicing. These peripherals and subsystems include the RF coils 32 and power amplification circuitry 42 for driving the coils. Each individual coil may include circuitry for storage of the data, as may the power amplification circuitry. Other such peripheral devices and subsystems may include gradient coils 26, 28 and 30, as well as driver circuitry 40 for controlling the fields produced by the gradient coils. Magnet 24, as well as its power supply 34, may be similarly equipped. In MRI systems, as well as in other medical diagnostic imaging equipment, similar peripheral devices may further include respiration monitors 102, ECG monitors 104, and contrast agent injection devices 106. In the case of MRI systems, stimulating devices for functional MRI (FMRI) examinations may be equipped for storing and accessing data, as indicated at reference numeral 108. Finally, additional components of the system, such as table 20 may be equipped with circuitry, as indicated at reference numeral 110 in FIG. 4, for providing similar information.
The information which may be stored and accessed in the various peripheral devices may vary widely depending upon the nature of the peripheral device and its use in the system. For example, in the case of gradient coils and RF coils of an MRI system, data may be stored in each device to provide an indication of the peripheral type, its identification, the manufacturing date and source, and field strength. Calibration information resulting from separate calibration sequences may also be stored in the devices. Finally, service histories, including references or code indicative of particular services performed on the devices or problems encountered in the devices in the past may be similarly stored directly on the device. Other devices may have unique information associated with them which may be similarly stored. For example, the circuitry 110 associated with the table for positioning a patient in an MRI system may include data indicative of weight limitations of the table which are accessed and used by the system during examinations. The information may serve as a basis, for example, in notifications or alarms output to clinicians when weight limits are approached or exceeded.
In addition to storing and accessing informational data, each peripheral device or subsystem may further include executable code which may be carried out in coordination with system controller 36, or other external circuitry. For example, calibration algorithms, autocalibration procedures, and so forth, may be stored in peripheral devices requiring such calibration for examination sequences. These programs may be self executing upon connection of the devices to the system, as described below, or may be accessed and executed upon an operator prompt or upon a call sequence from a routine executed by the external components.
The peripheral devices and subsystems illustrated in FIG. 4, as well as other peripheral devices which may be added or useful in the system, preferably communicate through system controller 36. As noted above, system controller may store information on each device, and access the information as desired for particular imaging needs. Moreover, system controller 36 may act as an interface for conveying certain of the information to other systems, both within an institution and outside the institution. As illustrated in FIG. 4, for example, a radiology department informational system 112 may be coupled to system controller, such as via an intranet or the like, to access information from the peripheral devices and subsystems, and to download information to each device as desired. Similar information exchange may be performed with a hospital information system, as indicated at reference numeral 114. A field engineer station 116 may similarly communicate with the peripheral devices and subsystems through system controller 36. For example, a field engineer laptop may be coupled to a system controller for accessing service records, calibration information, usage information, and so forth, from each device. Finally, in the embodiment illustrated in FIG. 4, a remote servicing facility 118 may communicate with system controller to access the data from the peripheral devices and subsystems. The service facility accessing in this manner may be entirely remote from the imaging system or institution, such as in a remote service center connected to the institution via an open wide area network, such as the Internet, a virtual proprietary network or the like.
Various configurations for the storage of data and code may be envisaged, which may be incorporated directly into the imaging system peripheral devices and subsystems. FIG. 5 illustrates an exemplary peripheral topology 120 in accordance with a present embodiment. In this topology, a processing circuit 122 is provided for executing any functional code, exchanging data, responding to data requests, and so forth. Processing circuit 122, which may typically include a programmed microprocessor, draws data from a memory circuit 124 where the data is stored. The memory circuit may include any suitable type of memory, but preferably includes non-volatile memory capable of retaining the data when power is removed from the peripheral device or subsystem. Processing circuit 122 may also write data to the memory circuit, such as upon initial manufacturing and testing of the device, following calibration sequences, following service events, and so forth. Where the peripheral device or subsystem includes sensors 128, these also form part of the preferred topology. Such sensors may be provided, for example, for detecting temperatures of coils, acoustical signals for cardiac monitors, flow rates for contrast agent injection devices, force or a related parameter for table weight monitoring, and so forth. Where required, interface circuitry 130 is provided for conditioning signals received from the sensors 128 before application of the signals to processing circuitry 122. It should be noted that in addition to the exchange of data in the topology of FIG. 5, power may also be transmitted between the devices such as for powering processing circuit 122 and sensors 128.
Where desired, interface circuitry 126 may be provided in each device for encrypting and decrypting stored data. As will be appreciated by those skilled in the art, such circuitry will generally translate data stored and processed within the device to an encrypted or decrypted form so as to limit access or the utility of the data to external circuits. Interface 126 may further include circuitry for verification of the identity of a requesting circuit as described below. Such identification is particularly useful in limiting access of the stored data by external circuitry, devices, and personnel.
The topology provided in the embodiment of FIG. 5 may be based upon any suitable programming code and architecture. In a preferred embodiment, a product family available from Dallas Semiconductor of Dallas, Tex., under the commercial designation Crypto iButton, serves as the platform for the topology. Such devices were installed in a quick disconnect box for a variety of RF coils of an MRI system. The devices were then programmed to contain manufacturing and calibration data specific to each coil, as well as a dynamically updated record of the total number of uses of the coil. In operation, as each RF coil was coupled to a standard coil receptacle, the coil was automatically identified by the imaging system interface and the interface was updated to reflect insertion of the coil, including an electronic image of the coil itself, provided on a monitor (see monitor 48 in FIG. 1). The system was made back-compatible for coils not equipped with the preferred data topology by prompting the user to select a coil from a list of candidate coils when the coil was not identified during the initial connection sequence. The device included a single-chip trusted microcomputer as processing circuit 122, equipped with a Java virtual machine, a 1024-bit math accelerator, and an unalterable real time clock. Memory circuit 124 included a 6 Kbyte random access memory and a 32 Kbyte read-only memory. The processing functions included RSA encryption.
More limited topographies are, of course, available in the present technique. For example, where no processing capabilities are required, or very limited capabilities are required, specific analog or digital circuitry may be provided in the topology for this purpose. Moreover, memory-only devices may be provided in which data is merely stored and accessed.
FIG. 6 illustrates exemplary control logic, designated generally by reference numeral 132, for data management through a device equipped as illustrated in FIG. 5 in accordance with the present technique. As noted above, the device is first connected to other system components, as indicated at step 134. In practice, separable peripheral devices or subsystems may be physically connected at this step, or resident peripheral devices and subsystems may be connected during installation.
While the invention may be susceptible to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and have been described in detail herein. However, it should be understood that the invention is not intended to be limited to the particular forms disclosed. Rather, the invention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the following appended claims.
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|Devices and methods for acoustic shielding
|Jul 10, 2012
|Oct 14, 2014
|Guided Therapy Systems, Llc
|Methods and systems for ultrasound treatment
|Apr 23, 2012
|Oct 21, 2014
|Ardent Sound, Inc
|Method and system for enhancing computer peripheral safety
|Mar 15, 2013
|Dec 23, 2014
|Guided Therapy Systems, Llc
|Methods for face and neck lifts
|Jan 27, 2014
|Dec 23, 2014
|Guided Therapy Systems, Llc
|Method for fat and cellulite reduction
|Oct 6, 2009
|Dec 23, 2014
|Guided Therapy Systems, Llc
|Method and system for treating stretch marks
|Feb 27, 2014
|Dec 30, 2014
|Guided Therapy Systems, Llc
|Energy based fat reduction
|Jul 25, 2013
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|Guided Therapy Systems, Llc
|Energy based hyperhidrosis treatment
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|Baxter International Inc.
|Multi-state alarm system for a medical pump
|May 7, 2008
|Apr 21, 2015
|Guided Therapy Systems, Llc
|Method and system for combined energy therapy profile
|Jul 11, 2012
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|Guided Therapy Systems, Llc
|Systems and methods for monitoring and controlling ultrasound power output and stability
|Sep 23, 2005
|Apr 28, 2015
|Kabushiki Kaisha Toshiba
|MRI system center and MRI system
|May 6, 2014
|May 26, 2015
|Guided Therapy Systems, Llc
|Methods and systems for generating thermal bubbles for improved ultrasound imaging and therapy
|Jan 31, 2014
|May 26, 2015
|Guided Therapy Systems, L.L.C.
|Methods for treating skin laxity
|Aug 13, 2013
|Aug 4, 2015
|Guided Therapy Systems, Llc
|Methods for preheating tissue for cosmetic treatment of the face and body
|Nov 10, 2011
|Aug 25, 2015
|Guided Therapy Systems, Llc
|Method and system for ultrasound treatment with a multi-directional transducer
|Aug 2, 2011
|Oct 6, 2015
|Guided Therapy Systems, Llc
|Systems and methods for ultrasound treatment
|May 7, 2008
|Dec 22, 2015
|Guided Therapy Systems, Llc
|Methods and systems for modulating medicants using acoustic energy
|Oct 4, 2006
|Jan 26, 2016
|Ardent Sound Inc.
|Ultrasound system and method for imaging and/or measuring displacement of moving tissue and fluid
|Apr 15, 2013
|Feb 16, 2016
|Ardent Sound, Inc.
|Method of making thick film transducer arrays
|Jul 8, 2013
|Mar 1, 2016
|Guided Therapy Systems, Llc
|Imaging, therapy, and temperature monitoring ultrasonic method
|Nov 21, 2014
|Mar 15, 2016
|Guided Therapy Systems, Llc
|Energy based fat reduction
|Nov 21, 2014
|Mar 15, 2016
|Guided Therapy Systems, L.L.C.
|System and method for fat and cellulite reduction
|Aug 12, 2013
|Apr 26, 2016
|Guided Therapy Systems, Llc
|Methods for noninvasive skin tightening
|Apr 6, 2015
|May 24, 2016
|Guided Therapy Systems Llc
|Methods and systems for generating thermal bubbles for improved ultrasound imaging and therapy
|Dec 16, 2014
|Aug 23, 2016
|Guided Therapy Systems, Llc
|Energy based hyperhidrosis treatment
|Apr 21, 2015
|Aug 30, 2016
|Guided Therapy Systems, L.L.C.
|Systems for treating skin laxity
|Nov 26, 2014
|Aug 30, 2016
|Guided Therapy Systems, Llc
|Methods for face and neck lifts
|Nov 26, 2014
|Sep 13, 2016
|Guided Therapy Systems, Llc
|Method and system for treating stretch marks
|Jul 10, 2012
|Sep 27, 2016
|Guided Therapy Systems, Llc
|Systems and methods for accelerating healing of implanted material and/or native tissue
|Jul 11, 2012
|Nov 29, 2016
|Guided Therapy Systems, Llc
|Systems and methods for coupling an ultrasound source to tissue
|Mar 25, 2014
|Dec 6, 2016
|Guided Therapy Systems, Llc
|Reflective ultrasound technology for dermatological treatments
|Feb 11, 2016
|Dec 20, 2016
|Guided Therapy Systems, Llc
|System and method for fat and cellulite reduction
|Feb 11, 2016
|Jan 3, 2017
|Guided Therapy Systems, Llc
|Energy based fat reduction
|Apr 23, 2007
|Feb 14, 2017
|Guided Therapy Systems, Llc
|Method and sysem for non-ablative acne treatment and prevention
|Aug 26, 2016
|Jul 4, 2017
|Guided Therapy Systems, L.L.C.
|Systems for treating skin laxity
|Sep 9, 2016
|Jul 4, 2017
|Guided Therapy Systems, Llc
|Method and system for ultrasound treatment of skin
|Jun 11, 2013
|Jul 11, 2017
|Guided Therapy Systems, Llc
|System and method for ultra-high frequency ultrasound treatment
|Dec 9, 2016
|Jul 18, 2017
|Guided Therapy Systems, Llc
|System and method for fat and cellulite reduction
|Dec 15, 2016
|Jul 25, 2017
|Guided Therapy Systems, Llc
|Energy based fat reduction
|Jun 16, 2008
|Oct 10, 2017
|Koninklijke Philips N.V.
|MRI radio frequency receiver comprising digital down converter with connector that passes analog signal being contained within radio frequency receiver coil unit
|Nov 8, 2016
|Oct 31, 2017
|Guided Therapy Systems, Llc
|Reflective ultrasound technology for dermatological treatments
|Mar 30, 2001
|Oct 3, 2002
|Bidarahalli Phani Kumar
|Method and system for event communication on a distributed scanner/workstation platform
|May 10, 2002
|Nov 14, 2002
|Hiroyuki Miyano
|Fast A/D conversion signal processor, RF receiver circuit, digital receiver front end circuit, MRI apparatus, and fast A/D conversion device
|Sep 19, 2002
|May 22, 2003
|Wolfgang Herrmann
|Process for calibration of a medical-technical device and a medical-technical device
|Oct 30, 2002
|Dec 18, 2003
|Fuji Xerox Co., Ltd.
|Image forming system and download method in the image informing system
|Jul 3, 2003
|Feb 5, 2004
|Banks Seth R.
|Multiple modality interface for imaging systems
|Apr 9, 2003
|Oct 14, 2004
|Henry Trenton B.
|Communication protocol for personal computer system human interface devices over a low bandwidth, bi-directional radio frequency link
|Apr 9, 2003
|Oct 14, 2004
|Dutton Drew J.
|Configuration and management of human interface and other attached devices through bi-directional radio frequency link
|Nov 19, 2003
|May 19, 2005
|Matthew William Turek
|Methods and apparatus for processing image data to aid in detecting disease
|Sep 28, 2004
|Jun 9, 2005
|Kabushiki Kaisha Toshiba
|Magnetic resonance imaging apparatus and image generation method therein
|Apr 7, 2005
|Oct 13, 2005
|Siemens Aktiengesellschaft
|Medical System
|Mar 9, 2005
|Nov 10, 2005
|Shigehide Kuhara
|Magnetic resonance imaging involving movement of patient's couch
|May 27, 2004
|Dec 1, 2005
|Janice Stewart
|Multi-state alarm system for a medical pump
|May 27, 2004
|Dec 15, 2005
|Janice Stewart
|Identification information recognition system for a medical device
|May 27, 2004
|Dec 15, 2005
|Janice Stewart
|Medical device configuration based on recognition of identification information
|Sep 23, 2005
|Jan 26, 2006
|Kabushiki Kaisha Toshiba
|MRI system center and MRI system
|Oct 27, 2005
|Apr 27, 2006
|E-Z-Em, Inc.
|Data collection device, system, method, and computer program product for collecting data related to the dispensing of contrast media
|Nov 23, 2005
|Jul 27, 2006
|Bruegl Aaron R
|Methods and systems for providing data across a network
|Nov 8, 2006
|Jun 28, 2007
|Kabushiki Kaisha Toshiba
|Magnetic resonance imaging involving movement of patient's couch
|Jun 11, 2007
|Oct 25, 2007
|Kabushiki Kaisha Toshiba
|Magnetic resonance imaging involving movement of patient's couch
|Apr 23, 2007
|Jan 3, 2008
|E-Z-Em, Inc.
|Data collection device, system, method, and computer program product for collecting data related to the dispensing of contrast media
|Jun 16, 2006
|Jan 3, 2008
|Henry Wurzburg
|Peripheral Sharing USB Hub for a Wireless Host
|Oct 4, 2006
|Apr 10, 2008
|Slayton Michael H
|Ultrasound system and method for imaging and/or measuring displacement of moving tissue and fluid
|Feb 6, 2009
|May 28, 2009
|The Trustees Of The University Of Pennsylvania
|Retrieval system and retrieval method for retrieving medical images
|Oct 28, 2008
|Apr 29, 2010
|Honeywell International Inc.
|Mems devices and methods of assembling micro electromechanical systems (mems)
|Jun 16, 2008
|Oct 14, 2010
|Koninklijke Philips Electronics N.V.
|Mri radio frequency receiver comprising digital down converter
|May 28, 2009
|May 5, 2011
|Koninklijke Philips Electronics N.V.
|Adaptive data rate control
|U.S. Classification
|600/407, 705/3, 600/427, 705/2, 600/409, 600/425, 600/473, 382/128, 600/476, 600/410
|International Classification
|Cooperative Classification
|European Classification
|Dec 22, 1999
Owner name: GENERAL ELECTRIC COMPANY, NEW YORK
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:LICATO, PAUL E.;BOSCH, PETER C.;VENKATRAMAN, SURIYANARAYANA;AND OTHERS;REEL/FRAME:010509/0934
Effective date: 19991217
|May 10, 2005
|Fee payment
Year of fee payment: 4
|Sep 14, 2009
|Fee payment
Year of fee payment: 8
|Sep 12, 2013
|Fee payment
Year of fee payment: 12


text:
Who knew skull chairs were a thing? Here is a small collection of our favorite chairs that resemble the most iconic part of the human anatomy. Pictured above is the Skull Chair from the Vanitas collection by Vladi Rapaport.
Who knew skull chairs were a thing? Here is a small collection of our favorite chairs that resemble the most iconic part of the human anatomy. Pictured above is the Skull Chair from the Vanitas collection by Vladi Rapaport.
Unless you're a millionaire finding good looking speakers that blend in with your decor can be a challenge. Luckily, we have Speak-er speakers! According to guys over at engadget the sound is actually good too, though it's missing a subwoofer and rich bass. For $100/ pair they seem like a deal.
Mr. Chiizu will revolutionize the way you take photos on your iPhone. Why? Because now you can bathe every picture in the best graphics around. Mr. Chiizu is a photo app like no other because they offer artist themes for download, and the art is goood. Take Martinez & Trees for example, they made a pack for lovers of fast food, kitsch and tacos, which is pretty much everyone. table: artist's themes. The Mr. Chiizu team worked on this slick and seamless app for over a year until it was bursting at the seam with features.
In January 2011 Drew Melton got the idea to start designing user submitted words and phrases in order to practice his craft in community. In his own words, "Most design sites or blogs are merely feeds of disconnected visual stimulation. I wanted to do something that you could actually influence and invest into." He quickly purchased the domain Phraseologyproject.com and setup a very basic submission form. Receiving over 90 submissions in the first week confirmed that people were interested and fueled the project forward. Ray Brown was soon brought on to help develop the new site. Phraseology was underway.
"The Phraseology Project is meant to be a running experiment in typography. It is meant to be a framework for exercise and practice in Typography. We try our best to come up with our best work always but more importantly we value practice and healthy process. In other words, these pieces aren't perfect. But they are honest. We celebrate the process of design and creativity in all of its' outcomes." – Drew Melton
Freelance illustrative designer Andrea Berretta has a great collection of posters and designs with creative hand drawn typography.
Artist Ted Sabarese is a jack of all trades. He is a graphic designer, fiction writer, and photographer. The series pictured above is amazing!
This Stephen Cheetham character sure knows how to pack a lot of laughs into his illustrations. Nothing says cancer like a a lung with a dozen hands and a butt head!
Italian illustrator Flavio Melchiorre uses abstract patterns to create dense hypnotic images full of detail!

subset: commoncrawl


text:
Altenew has just released Artist Markers set B and C. They are alcohol based markers perfect for coloring and blending and are a perfect medium for adding color to the Altenew stamps.
I created two cards. I created a background in two different hues: one red/pink and the other blue. I used some marker paper which is smooth and you can blend the colours easily. I coloured and ombre effect background.
For the card below I cut out a cover using the Leaf cover die from Altenew and placed it over my background. Then I stamped and heat embossed a feather from the Golden Feather stamp set and coloured it using the red/pink markers from set C. For the sentiment I picked a sentiment from the Happy Holiday Stamp set and embossed it with Platinum embossing powder. I also used this powder for the feathers.
For the second card I went with the blue background and added a feather at the bottom using the same techniques as for the one above.
To celebrate this release, Altenew is giving away a $50 gift certificate to SIX lucky winners! Please leave a comment on the Altenew Card Blog and Altenew Scrapbook Blog by Monday, November 27th for a chance to win. Six winners will be announced on the Altenew Card Blog and Altenew Scrapbook Blog on Wednesday, November 29th.
My Giveaway:
I'll draw a winner to receive a $30 gift certificate. All you have to do is leave a comment and tell how you use the markers. I am always looking for ways to improve my colouring techniques. I am always in awe of the other DT members coloured flowers and never seem to be able to get the same effect.
Your next stop is the FABULOUS Suzy Plantamura.
Here is the full blog hop list.


text:
San Diego, CA (PressExposure) November 09, 2011 -- One By One Storage has launched a public directory for residents to search and compare self storage solutions in San Diego area.
The site was launched because there is a lot of demands as San Diegans seem to be on the move a lot, they also seem use the internet a lot in order to find self storage in San Diego which is why One By One launched their directory site.
In addition to address and location, this online directory includes user ratings, reviews, facility images and features, and even internet coupons making it easier for customers to find a self storage near their area that addresses all their needs and concerns.
"Searching for self storage online can be really messy. Search engines tend to show results only according to their ranking rules and other sites are very biased . One By One will be a professionally maintained online directory that will have an unbiased search listing and reviews of all local San Diego storage shops and we believe it will benefit the customers" said founder of "One by One" when the site was first launched in June.
One by One San Diego self storage aims to be a premier directory complete with a comprehensive database of easily comparable and accessible self storage facility websites that feature simple online reservation systems and unlimited access to the best insider internet deals! This easy-to-use search directory gives users and customers total access to the most up-to-date information on location, contact information, available units, unit dimensions, property features and of course the best prices around. When users find just what they're looking for, they can simply reserve their unit and start storing!
Consumers seem to like the idea as one by one has grown to have hundreds of subscribers already since it was launched just a few months go.


text: After having troubles with my Eris I called up VZW about the lag. The tech didn't even waste anytime trying to trouble-shoot, he just straight up asked me if I wanted a different phone. I said I'd be fine with a Moto Droid but this nice guy didn't want me to have to buy all new accessories and chargers so he said "how would you like an Incredible". Of course I wasnt gonna argue with the guy but I knew I'd still need the chargers and stuff so they're sending those too. That tech is the epitome of customer satisfaction. And now I'll be rolling with the big boys, only problem... now I have to start waiting on Froyo with the rest of ya.


text:
Design a (HI-RES) Logo
Budget $10-30 USD
My entertainment company has (2) logo's we would like both of them re-created the same as they are now and just provided to us in all HI-RES formats. I have pictures of (1) of the log's and can explain the other...
This is a fixed project with mile stones being released only after 100% completion.
Awarded to:
Sir/ Madam I am working as a freelancer graphic designer for last 2 years and i am very efficient at my work. I do each project very passionately and have good experience in creating hi-res vector graphics. So, tru More
100 freelancers are bidding on average $29 for this job
Good day, We can do this project for you!!! Make an impact with the top notch design; we are ready to work on your project. We offer professional services of innovative graphic design at a very reasonable price. O More
I can deliver your work in less than 24 hours with professionalism. I have an Experience of many years in Graphic Designing And i am also an illustrator expert Sir kindly Give me a chance. My work is very profess More
Show me the logos ... I can deliver 100% perfect replicas within 2 hours .................................
Standout in the Crowd with grafikguru , For more details and portfolio please check PMB. If you aim for excellence, Quick turnaround times, Great customer service and 100% original designs within your budget range More
Deziner313 is specialized in Graphic Designing, Web Designing and Development. [url removed, login to view] • 100% original design concepts, unlimited revisi More
Let,s start .....can be done with in 2 hours........... final files will provide you 7 different format ready for print cdr ai pdf png tiff jpg psd
Hi, I just checked the description you have provided regarding the project and would be a pleasure to assist you on your project. I will work with full dedication to give you the best output within the desired timef More
Hi, Masta Software Welcomes you to spend few minutes from your valuable time to read the proposal. We have completed 400 projects in [url removed, login to view] and your trust will help us in our business growth. We are a tea More
Greetings, Sir can i have more details about your project, please come to chat to discuss in details. After discussion I will give my fair price with the timeline to finish the project. Thank you , Have a n More


text:
did the marines put up our flag at the end of the Falklands as in photo?
Here's a link to this photo. Just copy and paste!
Here is direct link of this photo
Copy and paste the code below (HTML):
Copy and paste the code below (BBCode):
[URL=https://www.arrse.co.uk/community/gallery/photos/falklands-25.5364/]Falklands 25[/URL] by [URL=https://www.arrse.co.uk/community/gallery/authors/ohbugger2007.27751/]ohbugger2007[/URL] on Army Rumour Service
Separate names with a comma.


text:
The British man missing following a fatal speedboat accident in Thailand was celebrating his first wedding anniversary with his wife.
Jason Parnell, 46, was visiting the country with his wife Puja when a huge wave capsized their boat off the coast of a paradise island.
Divers are still searching for the missing tourist, but Mrs Parnell escaped the crash unharmed.
In pictures shared on social media, the couple are seen enjoying beaches, meals and dances together in the days before the boat trip.
One post from earlier this week read: "Happy 1st anniversary to my wonderful wife."
At least three other people, including Briton Monica Cozma, 28, were killed when the boat went below the waves.
Rough waters and strong winds contributed to the Angthong Discovery Tour vessel being overturned with 32 tourists and four crew members on board near the popular destination of Koh Samui.
A German man and a woman from Hong Kong were also among the dead, Koh Samui authorities said.
Travel agent Amm Pontfuk, who has worked with Angthong Discovery for a number of years, said the boat had not left shore in the days preceding the accident due to rough conditions.
She told the Press Association: "This company is the number one for my travel agency, I have sent the manager customers for years, I have known him a long time.
"He is very concerned and professional, normally in bad weather he doesn't go out - he did not go out for three days already - and yesterday he thought the weather was OK and that was why he went out.
"The wind blew very, very strong and it made the boat go under the waves and flip."
When the vessel capsized, some passengers were thrown overboard while others became trapped beneath the boat, according to a port official.
At least one person had to be pulled from the hull after rescuers used a small axe to smash through it, and another woman was pictured lying on a stretcher on nearby rocks.
The boat's captain, Sanan Seekakiaw, said he had asked all tourists to wear a life vest but that some had taken them off during the journey.
The Foreign and Commonwealth Office said: "We are supporting the family of a British woman who has sadly died following a boat accident near Koh Samui, Thailand.
"We are also supporting the family of a British man who is missing following the same incident. We remain in contact with local authorities in Thailand for further information."
It is believed there were other British people on board the boat but they are understood to have been released from hospital following treatment for injuries.
Four people remained in hospital on Friday - one with a broken shoulder and another with a skull fracture. The other two suffered from a lack of oxygen and were being monitored for lung infections.
Koh Samui is among the most popular Thai island destinations for backpackers and luxury holidaymakers alike, and is known for its beautiful beaches, coconut plantations and waterfalls.
Following the crash, Mr Seekakiaw was taken into police custody and faces a possible charge of reckless endangerment causing death, which comes with a prison sentence of up to 10 years.
The tragedy is the latest in a long list involving tourists in Thailand.
Last December, two Burmese migrant workers were sentenced to death for the 2014 murder of Hannah Witheridge, 23, and leeds student David Miller, 24, who were brutally beaten and killed while holidaying on the island of Koh Tao.
Also last December, a Leeds man fell to his death from a fourth-floor window in a street in Pattaya, a city on the east coast which is popular with partygoers. Naami Keyghobadi, 28, had arrived in Thailand for a holiday on December 4 and was due to return home on December 30.
Last month, a British family vowed never to return to Thailand after being punched and kicked unconscious in an unprovoked attack by a gang in the tourist resort of Hua Hi. Lewis and Rosemary Owen, 68 and 65, and their son were knocked out cold during the Thai New Year celebrations - with the vicious attack captured on CCTV. The holidaymakers needed hospital treatment after the assault.
And in February, British holidaymaker Gareth Crowe was killed after being thrown from his elephant during a trek on Koh Samui.


text:
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text:
Title: Segments of Time
Author: WolfPilot06
Warnings: Randomness, shonen ai, slightly AU, maybe some spoilers
Pairing: SasuNaru, one-sided GaaNaru if you take a magnifying glass to the fic.
Notes: This isn't really new material. I posted this on the sasuxnaru LJ community back in November 2005, but never got around to posting it here.
I've sort of reached a plateau in writing – I have neither the time nor inspiration to write or read any fic, and this lack of inspiration has inevitably led to the delays in any new material coming from my corner of the internet. I'm hoping to peck out a new chapter of my multiparters in the next month, but can't really guarantee any sort of regular updates anymore. I apologize to my readers for this. Thank you for sticking with me for so long. I really appreciate your support.
Twenty four hours later, he still can't stop smiling. There's no emotion behind the expression, but he still can't stop himself.
"It's the promise of a lifetime."
Belatedly, he wonders if Sakura-chan realizes if the promise itself might take his life. Would she still hold him to it if she knew?
Still, he gave her his word, and he'll keep it. That's his way of the ninja.
Three years later, he is taller – taller even than Sakura-chan, and that's enough of a surprise that he has to prove it to himself by comparing their heights with his hands, and as inaccurate as that method of measurement is, it's quite true: he's no longer the shortest of the rookie nine – and broader across the shoulders, and he's traded in his eye-smarting orange jumpsuit for a toned-down version half in black.
Unlike the rest of Konoha, he's had a chance to grow into this new him, so it's a little funny to see the surprise on Sakura-chan's face when she turns at the call of his voice, almost as if she was expecting to see the twelve-year-old him running up the street behind her.
It's nice to see the honest pleasure in her face when she recognizes him, though. Three years ago, her pretty face would've expressed irritation instead of pleasure.
Naruto can understand. Three years ago, she had someone else to smile at.
Less than ten hours later, before he can really settle down and take in the changes that Konoha's undergone during his absence, he finds himself on the road again. He feels an odd kind of déjà vu to find himself bounding alongside Kakashi-sensei and Sakura-chan again instead of Ero-sennin, but something's missing. It's not until he finds himself turning to taunt Sasuke about being slower when he realizes what that something is.
He has no time to think about his wayward teammate now, though. Gaara's in trouble, and so he focuses on his goal, focuses all his anger and impatience and rage and guilt into getting his one-time enemy back.
He couldn't save Sasuke, but maybe he can save Gaara. He certainly hopes so.
Naruto's getting a little sick of losing his friends.
A day – maybe two, or even three; it's kind of hard to tell at this point – later, he finds himself lying on his back, exhausted, the midday sun burning into his retinas until he's forced to close his eyes, unable to summon the energy to even turn his head. Gaara's lying somewhere near him, just as exhausted, no doubt, his armor of sand stained red by his own blood and burnt black in some places by chakra.
He tries to urge himself to his feet, tries to open his eyes and call out to see if the others are okay, but the world's spinning around him relentlessly and won't let him get his balance.
As it is, it takes him quite a while to realize that Sakura-chan's at his side, holding his hand – he can't feel hers, but he imagines that it's soft and warm, with a few calluses along her palm and fingertips from holding kunai and medical needles – and calling his name. She sounds desperate, and Naruto wants to assure her that he's fine, that she's not going to lose another teammate.
Before he can say more than her name, though, the darkness comes sweeping up around him.
His last thought before he passes out is filled with more than a little irritation at himself. Really, he sighs, you'd think the future Hokage'd be stronger than this.
He doesn't know how long it's been since he's passed out, but as the first thing he sees when he cracks his eyes open is Gaara's inscrutable face, he knows it's probably been a few days. The Kazekage doesn't bother saying something trite like, "you're awake" when it's obvious Naruto's returned to the waking world from the way he's groaning and complaining croakily about the pain that seems to permeate his every limb. The only thing he says is a surprisingly gentle chiding remark when Naruto drinks too greedily from the glass of water he presses to Naruto's lips after helping him sit up slightly and dribbles water all down his front.
There's something resembling relief in Gaara's eyes, though, as he lays Naruto back down again and cleans up the mess. Much to Naruto's dismay, he finds himself yawning and slipping rapidly back into slumber, despite the fact that he just woke up. He's indignant that his body's failed him now after so many years of faithful service, but it's hard to fight the soothing timbre of Gaara's voice as he urges Naruto to sleep again.
When Naruto dreams, it is of sand and cool green eyes that watch him through the night.
An uncountable number of hours later, Naruto finds himself jolted back to awareness by loud voices.
Well, one loud voice and one quiet, calm one. Despite the fact that back when they were both thirteen-year-old genin, conversation with Gaara had comprised of a steady stream of "I'll kill you" and "I exist to kill others", Naruto has no trouble recognizing the other jinchuuriki's voice.
It takes a while to place the other voice as Sakura-chan's, though Naruto groggily wonders how Sakura ever made it this far as a medic nin if she didn't even realize that patients need peace and quiet to recover. She sounds agitated, though, and Naruto struggles to translate sound into language just so he can figure out why she's upset.
Apparently, Sasuke's been spotted lurking about the outskirts of Konoha. Nobody has successfully cornered the renegade Uchiha long enough to question him as to why he's there, but it's fairly evident that it has something to do with Naruto, seeing as how two ANBU intercepted him as he was infiltrating the hospital earlier this afternoon.
Naruto realizes that, of course, his former teammate wants to talk about Itachi. What with his weird inferiority and brother complex, it's no surprise to find that Sasuke might want to discuss how Naruto nearly killed the genocidal Uchiha for him in their recent fight against Akatsuki. Really, Naruto thinks sourly, it was nothing but pure chance that one of the airborne Rasengans – a trick he'd figured out while traveling with Jiraiya – he'd been hurling at the Akatsuki members had found its way into Itachi's chest. The man had been busy facing off with Kakashi-sensei at the time, and the look of surprise that had come over his otherwise impassive face as the Rasengan burrowed its way into his gut had almost been comical.
Itachi had escaped with the rest of his twisted cult, but most likely, Sasuke had taken offense to Naruto almost getting his revenge for him. He has this entire thing about needing to carve out Itachi's guts with his own bare hands, and even though Naruto thinks it's more than a little morbid and undoubtedly the stupidest thing he's ever heard of, he kind of understands where Sasuke is coming from. After all, the man had become inexplicably homicidal one day and killed his entire family for reasons known only to himself.
Still, Naruto decides as he slips into unconsciousness again, it's time he and Sasuke had a little heart-to-heart about priorities. Maybe a few well-placed Rasengans will get his point across where they haven't before.
Four days after Sakura-chan finally deems him well enough to walk out of the hospital on his own – it's only after he stops falling asleep mid-conversation that she decides this, though – Sasuke turns up on his doorstep. Naruto's been expecting this; hell, he even has a pot of tea ready for his former rival and a few tomatoes sliced up for the man. God knows he wouldn't even touch a tomato if he wasn't trying to placate the apparently hereditary homicidal urges that run in the Uchiha blood.
Their conversation is surprisingly polite, onyx eyes staring into sky-blue ones impassively as the two boys discuss such mundane things like why Naruto tried to kill Sasuke's brother when he knows Sasuke wants to be the one to drive a Chidori through the man's chest and why Sasuke tried to do the same to Naruto a few years back. Naruto didn't bother putting on a shirt before answering the door, so the faint, fist-sized scar in his upper chest isn't hard to see.
Secretly, Naruto is delighted by how Sasuke's eyes keep drifting to the scar before jerking away elsewhere. If he really wants, he can convince himself that his actions are due to Sasuke's guilt for trying to kill Naruto, but part of him thinks that maybe it's because Sasuke is disappointed that he couldn't. Naruto's the chink in his armor, and both of them know this. Sasuke's lucky, though, because Naruto doesn't press that issue past a jibe at how Sasuke literally had Naruto's life in his hands and gave up the chance to prove which one of them was stronger once and for all.
Neither of them needs to say out loud that Naruto would've won.
Four more years later, and Naruto can't see past the blood in his eyes. Something's thundering in his ears, and it takes him a few dizzying, burning breaths to realize that it's his heartbeat, frantic and pounding in tandem with his fear.
He's afraid.
His fear has nothing to do with the fact that he can't feel his chakra or hands, bound as they are with the jutsu-laced manacles chaining him to the wall; it has little to do with the fact that he's lost all sensation below his waist, that he distinctly remembers hearing - feeling – something snap and slither in his spine when Shark-face threw him against that boulder earlier. No, his fear doesn't stem from his injuries, or the fact that he may never walk again, that he might not live past this hour.
Sasuke is fighting Itachi.
Fate has a cruel sense of humor, Naruto decides, gritting his teeth as he systematically breaks the bones in his left hand against the wall. Figures that the first time he sees Sasuke in years is when he's bound to a wall and fucking helpless as Sasuke throws himself time and time again at his implacable brother. Helpless does not apply to Naruto under normal circumstances, but Itachi lied. Sasuke's why Naruto came to Akatsuki and gave himself up; Sasuke's why Naruto let Itachi do things to him that nobody had ever done before – but Itachi lied. Sasuke wasn't here.
Naruto gave himself up for nothing.
Naruto can't decide if he's glad that he can feel the horrible agony in his mangled left hand or not – for now, he settles on being grateful as he extricates his hand from the shackle and draws a lock-pick from the carefully woven packet of hair at the base of his neck. He concentrates on maneuvering his nearly-useless left hand towards the manacle clasped about his wrist and tries to pick the lock, painstakingly listening for the subtle click to warn him before he collapses to the ground. There's a sound like the chirping of a thousand birds in the background, but Naruto ignores it and feverishly picks at the lock, trying not to pass out from the pain.
Something that feels suspiciously wet trickles down his face as he clumsily drops the lock-pick, something that feels like tears – but Naruto hasn't cried for years, he can't –
Aw, fuck no.
He's crying.
An interminable number of hours – or perhaps minutes – later, Naruto has given up.
It's gone quiet.
Naruto doesn't look up when he hears quiet footsteps approaching. There's a cold hand at his cheek, and it's lifting his face up with deceptive gentleness, tracing chilled fingertips against tense jaw muscles as slowly, reluctantly, his eyes lift to meet with a swirling crimson gaze.
He can't breathe.
"Worthless idiot," says the man before him, and his eyes are still blood-red, cut by the violent black points of the Mangekyou Sharingan. Naruto can't look away. "Can't even escape from chains properly."
"Fucking bastard," Naruto replies, and his voice is shaking; he's on the verge of crying again. He takes a deep breath and grins – just a faint little quirk of his lips, and it's been so long since he last smiled like this – slowly exhaling as an answering smirk touches pale lips. "You're late. I've been waiting for you."
Sasuke says nothing and reaches up, and when he releases Naruto from the chains and catches him as he begins to fall, Naruto feels everything come to a stop. It's been a long, long time, but Naruto can finally rest.
He's come home.
The End


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Sushi comes in many forms—the grab n' go package, the dodgy half price buffet and, of course, the classy over-priced restaurant with the open kitchen so you can admire the chef's handy work. Out of my experience in all three types of establishments, I always come away with utter admiration for the sushi chef. Even […]Continue reading
The Importance of Being Earnest Review
The play has been resurrected many times in the past century since Oscar Wilde's first writing in 1895, but few renditions match the perfect execution of the Roundabout Theatre Company's performance at the American Airlines Theatre. I remember first reading The Importance of Being Earnest for an English class in high school and fell in […]Continue reading
A Journey Through the American Museum of Natural History
In the spirit of January I made resolutions for the New Year and revisited last year's failures. The word failure is so dramatic, isn't it? Well, I'm not here to get all Dear Abby on you, just to say that I reexamined the Bucket List from last summer and am proud to report that I […]Continue reading
Guest Post: NYC's Best Game Bars
If your Fantasy Football team is performing as horribly as mine this year, you may need some other ways to validate yourself in competition—with a beer in hand, of course. Look no further than your nearest New York game bar! I just wrote my first post for EuroCheapo featuring various game bars around town where you […]Continue reading
CMJ Week: The List of Bad Band Names 2010 Edition
The third week in October is a loud one in NYC. It marks the annual CMJ Music Marathon where thousands of musicians, critics, producers and fans (of course!) gather to share ideas about the industry and check out rising artists. The CMJ schedule is nothing short of an organizational masterpiece. Various bands play simultaneously at […]Continue reading
Miike Snow, a New Rooftop and a Light Show
Just as summer ends, I discover another great Manhattan rooftop: Terminal 5. This is a popular venue for rising musical acts, and one I have been to many times, yet somehow my friends and I always missed the rooftop. Last night my friend and I promptly showed up as doors opened (a rarity for sure), […]Continue reading
The Magic of Arthur Ashe Stadium and the U.S. Open
Today marks Day 12 of the U.S. Open and the finest tennis athletes in the world will continue onto the semi-finials in this Grand Slam competition. Growing up I strayed from the country club sports so I am surprised at how much I have grown to adore this sporting event. I would consider myself more […]Continue reading
Play New York a Song, You're the Piano Man!
New York is home to many aspiring musicians and now they, along with the normal passersby, will have the opportunity to play their tunes on one of 60 public pianos set up across the city. The news has been abuzz with photos from the latest public art installation, Play Me I'm Yours, which peppered each […]Continue reading
Finding KC Love at the Upright Citizens Brigade
The Upright Citizens Brigade Theatre is one of a few raw and unpretentious places where you can see stellar improv comedy on the cheap. By raw I mean you might be sitting on an old theater seat propped up by a milk crate and fastened together by Duck Tape, but for $5 or $10 you […]Continue reading
Here's the Deal with Memphis the Musical
So Memphis won the prestigious Tony Award for Best Musical yet many people have still never heard of it. Granted, the people I have been talking to might not keep pace with the ever-changing Broadway scene, though they would have ignored quite a few city bus posters and cab videos to completely miss Memphis' debut […]Continue reading


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gomymobiBSB is a web-based site builder PHP script that runs on your own host, both shared host or VPS/server to build an online business site hosting platform.
CodeCanyon - gomymobiBSB: Drag-n-Drop Business Webite Builder & Host Platform - Business+ - 18985391
Author Review:
- Each site may have 1 store with custom slug: store, shop, mall, marketplace, etc.
- Stores can be used to sell both digital & physical products, even subscriptions.
- Users may change many different themes for their stores
- Stores support widgets, users may add unlimited widgets to their stores.
- Users may upload store themes to marketplace to sell for other users
- Stores may works with user's custom domain or sub-domain
- Administrators can control in each plan:
- How many stores users can create
- How many products users may add
gomymobiBSB – Business Website Builder & Host Platform
gomymobiBSB is a web-based site builder PHP script that runs on your own host, both shared host or VPS/server to build an online business site hosting platform.
gomymobiBSB is an advanced automated platform that allows your clients to create unlimited sites and present their business/company sites easily and rapidly without any skills of web design, coding or programming.
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Gail Kelly video: Gender equity and Women of Influence
Gail began her banking career in 1980, and by 2001 she had held various senior management roles in a broad range of areas including retail and commercial banking, strategy, marketing and human resources. Gail has spent the last ten years as Chief Executive Officer of two Australian banks, St.George Bank from 2002 to 2007, and Westpac from 1 February 2008 to date.
Gail holds a Bachelor of Arts degree and Higher Diploma of Education from Cape Town University, an MBA with Distinction from the University of Witwatersrand, and an Honorary Doctorate of Business from Charles Sturt University.
Gail is a non-executive director of the Business Council of Australia, the Australian Bankers' Association and the Financial Markets Foundation for Children. She sits on the Global Board of Advisors at the US Council on Foreign Relations and is a member of the Sydney Cricket and Sports Ground Trust. Gail is also Care Australia's Ambassador for Women's Empowerment.
Here, she chats to us about gender equity - a topic she is extremely passionate about - and how Westpac addresses this important issue.


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Okay, Milton, here is where I agree with you! I think with this case and the one in regards with Westboro Church were both bad decisions.
Freedom of speech is not as slippery of a slope as everyone wants to believe. At one time smut was sold in bookstores and or convenience stores in plastic bags with the key parts covered and they required proof of age to purchase. Now, with the internet there are no plastic bags, no covers, no proof of age, and no one to pay.
Violent videos are the same way….why not have a rating system and keep the "R" rated ones behind a counter? We are allowing the government to spy on us and delve deeper into our private lives all over the desire to fight terrorism.
So when kids get crazy ideas from violent videos, or learn to build bombs on the internet and go to school and kill their school mates…we look toward the parents and wonder how they could let this happen.
Protesting at funerals may occur on public property but they occur to disrupt a private event…..thats not speech but rather intrusion. Westboro can protest gays in the military all day long in the public square, or in Washington…but when someone dies and are being buried the cemetary is no longer a public facility but rather a private one. Cemetaries are share public facilities set aside for private use. Kind of like renting a space in the city park for a family reunion…..
Do those under the age of 18 have rights? Under the constitution? If we believe that they do, then at what age do they become responsible for their actions? You cannot claim that children under 18 have a right to violent videos and then when they kill someone one claim that they are a child who was influenced by said videos.


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Welcome to Window Cleaning Perth. To order our window cleaning service, call us NOW on (049088037... »12/6/2017 - Perth, Australia
Do you want your car to look like a new car. Don't worry; Eco amigo will take care of your car. We are using most advanced equipment to detailing your car. We have well Experienced in Car Detailing in Perth. Give us a call now and we will reach at ... »29/12/2016 - Perth, Australia
Do you want your caravan to look great and fetch the maximum price when you sell it out? If yes, contact EcoAmigo today to hire the best caravan detailing services in Perth. We use advanced technologies and high-quality cleaning products to make sure that your vehicle looks like new. We ... »23/12/2016 - Perth, Australia
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Be it the technology, quality of cleaning materials or experience of the team, Eco Amigo assures its customers to offer everything of top quality. This is the top car cleaning company in Perth known for outstanding services at affordable prices. Call us now to book a cleaning schedule for your ... »13/12/2016 - Perth, Australia


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Home Services - Mac Computer Services - Data Backup & Recovery - Back IT Up
Back IT Up - Mac Automated Data Backup
It's unavoidable... at some point your hard drive will die or your computer will get a virus. That's why it's a good idea to backup all your important files to an external hard drive. The I.T. Guys will set you up with an automated data backup so you never have to worry about losing anything.
Chat with a Tech without leaving you chair!
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We don't want you to lose your photos, music, videos and documents. Backups make sure that those memories stay safe.
What is included in the Back IT Up service?
The I.T. Guys install FREE backup software and show you how to use it. If require an automated scheduled backup this will incur additional charges. External hard drives are sold separtely.
My computer won't turn on, can The I.T. Guys backup the data?
We can definitely help. If your Mac won't power on you may need to have a data recovery performed. Contact us for assistance.
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NordicTrack A2750 Pro
Read Other Treadmills
The NordicTrack A2750 Pro
Hello Hello Hello!
The machine on stage today is going to be the NordicTrack A2750 Pro treadmill. One of the most popular treadmills of the year. The thing that draws people to this treadmill is first, the price, and then the specs, features, warranty, and quality. Then they take a double-take at the price to make sure it's correct. At the current price of under $1000, this machine is a big player in that price class. Seldom to we see treadmills that offer so much, priced so low.
Runners World Magazine in their February 2010 issue named this treadmill the "Biggest Bang For The Buck." I agree with them. There is a lot of quality in the components that most treadmills at this price just don't have. As well as some great features. The 2.75 HP DURX Commercial Plus Motor is strong and quiet and has a lifetime warranty slapped on it, the deck is strong enough to hold 350lbs, the treadbelt is a full-length 20″ x 60″, and fully cushioned, and the console has a vibrant touch-screen display.
it also has:
- 12% Incline
- Fold-up design
- Ipod Port
- Intermix Acoustics 3.0 speakers
- Workout Fat
- 22 various workouts
The warranty covers the frame and motor for life, parts for 3 years, and labor for 1 year. So, to sum this up, if you want a really good treadmill for under $1000 this is a great choice. There are much more quality treadmills out there, for much higher prices, but for the majority of runners, this treadmill will suffice for their needs. It's a great budget treadmill in every aspect. Definitely consider it if you're looking in this price range.
Hope this helps! Thanks for reading.


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Facebook rolls out same-sex icons for gay marriageMon Jul 2, 2012
- Gay or straight, rights should be equal in all things. These are not special rights, just rights that sections of humanity have been fighting for throughout history. Interracial marriage in the 60's; the suffrage movement in the 20's, segregation (again in the 60's), and that's only this past centur …
Do you really want to know what your doc is writing about you?Mon Dec 19, 2011
- Like many posters here, I once was waiting for the doctor to arrive and noticed my record file was left in the room. Bored, nosy, curious, whatever you want to call it I decided to flip through it. Imagine my surprise to discover that I had broken my left leg once! Curious... Oh, wait... this page i …
In Israel, diggers unearth the Bible's bad guysSat Jul 9, 2011
Pregnant woman waits to see if pill harmed embryoTue Feb 8, 2011
- I once received a bag of medication addressed TO ME which contained not my antidepression medication, but rather a heart medication which I do not take. I did not take it because it looked wrong, was not the same name as the medication I usually take, and because I always read the inserts. I immedia …
Should I buy my kid a smart phone?Tue Feb 1, 2011
- I am with most of you guys. There is no need for any child to have such an expensive phone. The data plans are outrageous, the phones themselves are way too expensive, and chances are, no matter what the argument she is telling you for getting an iphone or other smart phone, 95% of her time will be …
Bieber fans go on Grammy-fueled Wikipedia rampageMon Feb 14, 2011
Seven-year-old boy buys fighter jet on eBayWed Feb 9, 2011
'19 Kids and Counting' family explains gun photoThu Jan 27, 2011
Stop singing before you make me sickMon Jan 10, 2011
Giant Noah's Ark likely landing in KentuckyWed Dec 1, 2010


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On Mon, Apr 26, 2004 at 02:56:50PM -0500, Manoj Srivastava wrote: > Well, in my eyes, you were already doing the former (since I > thought that it was obvious that the SC applied to everything on the > CD). I realize now that what was obvious to me was not so for > everyone else. For comparison, here's some quotes from a post to -devel in 1998: I think not. I think the DFSG has been designed for software; and there is a reason for wanting free software -- when we start talking about books and novels and graphic novels and standards and opinions, I think the old criterion (and certainly the reasons for the old criterion) do not fit anymore. I seem to see people having a knee jerk reaction about this -- we strongly advocate the DFSG for software, so it must be good for everything else -- but I think if you examine *why* we advocate free software, and what that says about community building, that the same conditions do not apply here. I think we are not yet ready to name them. I have pointed out a few cases where the DFSG may be too limited because it was designed to cover software issues. If we are trying to define acceptable document licences, I think we may have to rethink the issues involved. http://lists.debian.org/debian-policy/1998/debian-policy-199808/msg00109.html Cheers, aj -- Anthony Towns <email@example.com> <http://azure.humbug.org.au/~aj/> Don't assume I speak for anyone but myself. GPG signed mail preferred. Protect Open Source in Australia from over-reaching changes to IP law http://www.petitiononline.com/auftaip/ & http://www.linux.org.au/fta/
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