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From Outer Space… To Your Doctor’s Office ArterioVision ™ CIMT presented to Federal Laboratory Consortium Mid-Atlantic Region Meeting by Medical Technologies International, Inc. Gary F. Thompson, Chairman and CEO. 23 October 2007. Summary.
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From Outer Space… To Your Doctor’s Office ArterioVision™ CIMT presented to Federal Laboratory Consortium Mid-Atlantic Region Meeting by Medical Technologies International, Inc. Gary F. Thompson, Chairman and CEO 23 October 2007
Summary • We help detect and treat Heart Disease and Stroke. • We do this non-invasively, using existing ultrasound equipment. 2
The Need • Cardiovascular Disease (CVD) = #1 killer in the United States…soon to be worldwide • 1 American dies of CVD every 36 seconds • CVD claims more lives than the next 4 leading causes of death…combined • 66% of unexpected cardiac deaths occur with no prior symptoms 3
Win / Win • ArterioVision™ CIMT complements current standard of care • Clinical pathway for other exams and treatment • Patient Benefits • Improved Practice Financials 4
A Case Presentation • Male, Age 50, Caucasian • Strong family history of CVD • All males died before age 50 • Each had no prior symptoms • Lifetime of Fitness • Amateur athlete • Marathoner since 1975 • Non-smoker 5
A Case PresentationPatient Tests • Weeks before 50th birthday, tested non-invasive procedures & biomarkers • Berkeley Heart Lab Comprehensive Panel • hsCRP • Stress echo • Nuclear perfusion • Genetic testing • CT scan / CCS • Valuable/Standard of Care Tests • All Results Negative / Normal or Better 6
A Case PresentationPatient Event • At age 50, ran L.A. Marathon • Mile 15 developed back pain • Ran until mile 20 • Myocardial infarction LAD • Lost 48% of heart muscle • “It is not what happens to you in life that matters, as much as what you do about it.” –Anonymous 7
A Case Presentation HIPAA – Patient’s Permission – Full Disclosure • Business Boards at Caltech • David Baltimore • Recommendation • Beta test site University Hospital • Did not provide prior history • 15 minutes and $500 • Outcome 8
Initial CIMT Exam – 1996 AGE 50: CIMT Value of 2.043 mm 591% greater risk for heart attack or coronary death ------------------- Tot Chol = 174 HDL = 50 LDL = 101 BP = 110/65 HR = 48 9
MTI &“The Company We Keep” First-Rate Partners Cutting-edge science developed by Caltech, JPL Biomedical Research Program & USC’s Keck School of Medicine Atherosclerosis Research Program Exclusive, perpetual worldwide license 10
Image Acquisition & Analysis Co-Inventors • Robert Selzer • Howard Hodis 11
A Few Other Key MTI Team Members • Kelly Nardoni • Stephen Polly • JoAnne Thompson 12
ArterioVision™ CIMTUnique Features • FDA Clearance: Only device approved for measurement AND risk assessment • Proprietary database of CIMT values from patients asymptomatic for CVD • Works with any brand of ultrasound machine • Makes better use of existing equipment 14
ArterioVision™ CIMT Unique Features • Measures surrogate endpoint of disease • Directly measures vascular damage at the arterial wall level • Automated edge detection using subpixel interpolation • Helps monitor treatment efficacy through serial examinations 15
ArterioVision™ CIMT Unique Features • FDA-Cleared Patient Report • Behavioral Modification Tool • Chronological Age vs. Arterial Age • % Risk for Events • Gets the Patient’s Attention • Increased Patient Compliance 16
ArterioVision™ CIMTAcquisition & Analysis Flexibility Analyze images on dedicated PC loaded with analysis software (provided by MTI) Acquire patient images with any brand ultrasound equipment, using MTI’s patented protocol 17
ArterioVision™ CIMT Analysis Demonstration by Jonathan Mullane, Account Executive 18
Vascular Disease Can Be Reversed 2006 - Age 60 CIMT Value of 1.021 mm • Reduction of CIMT by 50% in 10 years. • How?: • Great MDs & RXs • Serial annual CIMT exams • Other testing continued with same Negative / Normal or better results • No red meat • 2 adult beverages / day 19
Conclusion • NASA/JPL help save lives…on Earth • MTI is growing rapidly • Tell us which doctor you want us to visit • Patient brochures, etc. • “Making a Positive Difference Every Day” 20
Q & A “It is not what happens to you in life that matters, as much as what you do about it.” –Anonymous 21
Summary Studies & Societal Guidelines Appendix 22
Studies • Over 2,700 published, peer-reviewed manuscripts consistently and conclusively link CIMT with: • Subclinical atherosclerosis • Cardiovascular risk factors and CVD; and hence • Potential for future cardiovascular events • Landmark studies showing CIMT is related to the risk of clinical cardiovascular events include: • Salonen, 1993 • Chambless, 1997 • Bots, 1997 • Hodis, 1998 • O’Leary, 1999 • Chambless, 2000 • Lorenz, 2006 • Bibliography available upon request 23