ADVANCING SKIN DIAGNOSTICS: HIGH-RESOLUTION IMAGING FOR PRECISION AND NON-INVASIVE CARE

 By: Robert L. Bard, MD
Additional contributors: Roberta Kline, MD, Graciella Davi and Lennard Goetze, Ed.D 

Skin cancer diagnosis has long relied on visual examination and histopathological analysis via biopsy, a method that, while definitive, is often invasive, costly, and prone to unnecessary procedures. Current dermatologic standards incorporate dermoscopy as a primary tool for non-invasive assessment, improving diagnostic accuracy by allowing clinicians to visualize subsurface skin structures. However, despite its widespread adoption, dermoscopy remains limited in its ability to assess deeper tissue structures and vascular characteristics.

With advancements in high-resolution ultrasound and optical microscopy, dermatologic imaging is entering a new era. These technologies enable real-time, non-invasive evaluation of skin lesions, offering a functional perspective that extends beyond morphology to include vascular dynamics and tissue perfusion. Studies have demonstrated that high-frequency ultrasound can accurately measure tumor depth and differentiate benign from malignant lesions based on blood flow patterns and structural characteristics. Optical microscopy, in parallel, provides near-cellular resolution, enhancing diagnostic precision without the need for tissue extraction.

Quantifiable Data Capture in Visual Detection
The ability to distinguish benign from malignant skin lesions is particularly crucial in the case of moles, as only one in 33,000 suspicious lesions biopsied ultimately turns out to be melanoma. Advancements in non-invasive imaging modalities provide a means to monitor these lesions without unnecessary biopsies, which can cause scarring or persistent irritation.

Melanoma has long been studied using bio-microscopy, revealing key vascular characteristics that correlate with malignancy. Cancerous lesions exhibit distinct blood flow patterns—low blood flow often indicates less aggressive tumors, whereas high blood flow suggests a highly aggressive and potentially metastatic disease. High-resolution ultrasound not only measures tumor depth but also provides critical information regarding metastatic potential, enabling more informed clinical decision-making.

With the advent of high-resolution ultrasound and microvascular imaging, we can now achieve a level of detail approaching that of microscopy. This allows for the functional assessment of skin tissues, deeper structures like the thyroid and retina, and the detection of abnormal circulatory states, including distinguishing between inflammatory and cancerous blood vessels.

Additionally, microscopy enables visualization of capillary flow in the skin, including the movement of red blood cells and microscopic mites residing in hair follicles. These mites, while often unnoticed, play a role in cleansing dead tissue. From a physiological standpoint, an increased vascular supply in a lesion—whether due to cancer or an inflammatory condition like psoriasis—signals heightened disease activity. This provides a functional approach to not only assessing disease aggressiveness but also monitoring treatment response over time.

As a functional radiologist, my perspective on skin imaging extends beyond cellular morphology to vascular dynamics. My early investigations into optical skin imaging over a decade ago led to the discovery of microscopic movement within hair follicles—later identified as mites. These insights highlight the intricate and dynamic nature of the skin’s microenvironment.

Case Study: High-Resolution Ultrasound in the Early Detection of Melanoma
A 52-year-old male patient presented with a suspicious pigmented lesion on his forearm, initially identified during a routine dermatologic examination. Traditional dermoscopic evaluation revealed asymmetry and irregular vascular patterns, raising concern for possible melanoma. Rather than proceeding directly to biopsy, the clinician utilized high-resolution ultrasound with microvascular imaging to assess the lesion’s depth and vascular characteristics. The ultrasound revealed a well-defined lesion with increased vascular flow and a depth of 1.2 mm—features consistent with early-stage invasive melanoma.

Based on these findings, a targeted excisional biopsy was performed, confirming stage I melanoma. The use of high-resolution ultrasound allowed for precise measurement of tumor depth preoperatively, ensuring appropriate surgical margins and reducing unnecessary tissue removal. Furthermore, the patient benefited from a more streamlined diagnostic process, avoiding multiple biopsies and minimizing scarring. This case highlights the growing role of advanced imaging modalities in improving diagnostic accuracy, guiding clinical decisions, and reducing patient morbidity.

High-resolution ultrasound (HRUS) has proven to be a valuable tool in the preoperative assessment of cutaneous melanoma, enabling precise measurement of tumor thickness and aiding in surgical planning. A systematic review by Machet et al. (2009) demonstrated a strong correlation between HRUS measurements and histopathological findings, underscoring its reliability in evaluating melanoma depth .Madridge PublishersScienceDirect

Furthermore, research by Wortsman et al. (2013) highlighted the utility of HRUS in assessing locoregional metastases in melanoma patients. Their findings suggest that HRUS can significantly improve the early detection of metastatic spread, thereby facilitating timely and appropriate therapeutic interventions .ScienceDirect

These studies collectively support the integration of HRUS into the diagnostic workflow for melanoma, emphasizing its role in enhancing diagnostic accuracy and optimizing patient management strategies.

Vision for the Future
As imaging technology continues to evolve, we can anticipate a shift towards fully integrated, AI-assisted diagnostic platforms that combine multi-modal imaging techniques for enhanced accuracy and predictive analytics. The convergence of high-resolution ultrasound, optical coherence tomography, and advanced bio-microscopy will enable clinicians to diagnose and monitor skin conditions with unprecedented precision. In the near future, portable and point-of-care imaging devices may become standard practice, reducing reliance on biopsies while improving early detection rates and patient outcomes. By leveraging real-time imaging advancements, we are on the cusp of a new paradigm in dermatologic care—one that prioritizes precision, non-invasiveness, and enhanced patient monitoring.

Conclusion & Claim
Advancements in high-resolution ultrasound and optical microscopy have revolutionized the way we assess skin lesions, offering a non-invasive alternative to unnecessary biopsies. The ability to visualize vascular flow, tissue structure, and disease activity in real time enhances diagnostic precision and allows for continuous monitoring of treatment response. This shift parallels the historical impact of dermoscopy, which, since its development in the 1980s, has significantly improved melanoma detection by enabling the visualization of subsurface skin structures without the need for invasive procedures (Argenziano et al., 1998). Similarly, studies have demonstrated that high-frequency ultrasound can accurately assess tumor depth and vascular characteristics, aiding in the early detection and management of malignant skin lesions (Wortsman et al., 2013). Just as dermoscopy transformed early skin cancer diagnosis, modern high-resolution imaging is now redefining dermatologic and oncologic care.

Claim: High-resolution ultrasound and optical microscopy represent the next major evolution in skin diagnostics, providing a functional, non-invasive, and highly accurate alternative to traditional biopsy methods—ultimately improving patient outcomes and reducing unnecessary procedures.

References

1. Argenziano, G., Soyer, H. P., Chimenti, S., et al. (1998). "Dermoscopy: A Tutorial." Cancer, 85(1), 69-76.

2. Wortsman, X., Wortsman, J., Matsuoka, L. Y., et al. (2013). "High-resolution ultrasound applications in dermatology." Journal of the American Academy of Dermatology, 69(1), 105.e1-105.e11.

THYROID HEALTH: WHY ULTRASOUND MATTERS

3-25-2025   By: Dr. Leslie Valle-Montoya

Have you ever had your thyroid checked? If not, now is the time! While standard thyroid function tests measure hormone levels in the blood to detect disorders like hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid), they don’t tell the whole story. That’s where modern ultrasound technology steps in.

Unlike blood tests, which focus on hormone production, ultrasound provides a real-time, detailed view of the thyroid gland itself. This imaging technique uses sound waves to assess the gland’s size, shape, and structure—offering insights that hormone tests simply can’t provide.

Advanced ultrasound methods, such as 3D Doppler Blood Flow and Elastography, enhance diagnostic accuracy by measuring blood flow and tissue stiffness. These features help differentiate between benign and potentially malignant nodules, offering a clearer picture of thyroid health. By identifying whether nodules are solid or fluid-filled, ultrasound aids in assessing cancer risk and guiding further evaluation.

If you've never had a thyroid ultrasound, consider it an essential step in understanding your thyroid health beyond just hormone levels. A complete evaluation means looking at both function and structure—because when it comes to your health, knowledge is power.

Prologue:

LEARNING FROM THE ULTRASOUND GURU - (Day One)

Since COVID, I’ve connected with countless health professionals over Zoom. Even today, virtual meetings remain the norm for work engagements, often replacing in-person visits and hands-on collaborations.

But today, we broke that mold. I had the privilege of finally meeting Dr. Robert Bard in person—a true pioneer in diagnostic imaging! After five years of remote referrals, I traveled from Santa Barbara, CA, to New York City for a firsthand look at his cutting-edge arsenal of medical technology. More than just a tour, I also received an intensive crash course in ultrasound operation. Dr. Bard had previously mailed me a hospital-grade Terason T-3200 for my practice, and now, under his guidance, I was able to put it to use.

This marks the beginning of our TelemedScan remote overreading collaboration, and learning from "The Cancer Detective" himself was an incredible honor—an opportunity few get to experience from the front row.

"The best way to learn ultrasound is to be a patient," Dr. Bard explained. "Its real-time scanning ability lets you see as you scan—the screen tells all, right on the spot!"

With that in mind, we decided to scan my thyroid, a first for me. Given our collaboration on a perimenopause project, I knew it was time to practice what I’m about to preach. Having access to one of the best thyroid imaging experts in the field was an unexpected luxury—one I wasn’t about to pass up. During the session, I was introduced to the concept of sonology—where the radiologist directly controls the probe, eliminating the middle step of a technician. This hands-on approach allows for immediate interpretation, deeper exploration, and a more interactive learning experience between doctor and patient.

ABOUT THE AUTHOR

LESLIE VALLE-MONTOYA, MD is the Founder of Biomed Life and the Santa Barbara Longevity Center. After medical school, Dr. Valle focused on managing chronic disease starting with its links to poor nutrition and then introducing them into the world of energy frequencies.  She explores and includes non-invasive modalities such as: frequency therapies (including biofeedback), PEMF, proper detoxification, nutritional guidance and binaural beats as needed. - visit: www.biomedlifesb.com

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The Essentials of Thyroid Imaging (part 2)

By: Dr. Robert Bard

When imaging detects a suspicious area, it can guide selective biopsies to obtain small tissue samples for further laboratory analysis (pathology). Combining imaging with pathology provides the most accurate information about the size, location, and aggressiveness of any issue detected.  In the case of thyroid imaging, use of an ultrasound uses sound waves to create images of the thyroid gland in the neck. It is often used for this organ because it is a non-invasive procedure that does not use ionizing radiation. It’s commonly used to evaluate lumps or nodules detected during a physical exam or other imaging tests and requires minimal preparation.

 Thyroid nodule (tumor) - doppler ultrasound

The ultrasound helps doctors visualize the thyroid's size, shape, and potential abnormalities like nodules, cysts, or inflammation, aiding in diagnosis and treatment planning. It’s typically performed when physical exams show:

 - A growth on the thyroid, known as a thyroid nodule (image - R).

- An enlarged or irregular thyroid (goiter).

- Abnormal lymph nodes near the thyroid.

THE ROLE OF THE THYROID GLAND: The thyroid is a butterfly-shaped organ in the endocrine system that regulates hormones influencing various bodily functions. These hormones affect both physical and mental performance, so unexplained symptoms may indicate a thyroid issue.

HYPERTHYROIDISM AND THYROID DISORDERS: Thyroid disorders can stem from various causes and affect the balance of hormones in the body. A range of treatments is available for managing thyroid issues, from medication to non-invasive procedures.

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Part3:

THYROID CANCER:
Thyroid tumors are common but can be hard to diagnose by touch alone. Sonography is the primary method for detecting and monitoring suspicious nodules. Areas with calcium deposits are especially concerning and often require biopsy under ultrasound guidance. Parathyroid masses, which can cause significant health issues like bone loss in women or kidney stones in men, may also be detected. Ultrasound can also identify cancer spread to nearby lymph nodes, which can be biopsied with imaging guidance.

THYROID CANCER FAQ's

Q: Why is a sonogram important if I visit my doctor annually?
Blood tests often miss thyroid tumors, which can be difficult to detect through physical examination, especially if they are deep within the gland.

Q: What happens if a tumor is found?
Many benign conditions, like cysts, can be differentiated from cancer without a biopsy. Ultrasound can assess calcium content, which may indicate cancer, requiring further tests.

Q: Does every suspicious area require a biopsy?
Ultrasound screening and other tests can reduce unnecessary biopsies. Small suspicious areas are typically monitored for growth every 3-6 months before considering a biopsy.

Q: How far can thyroid cancer spread?
Most thyroid cancers grow slowly and spread locally. Metastasis is rare and can be evaluated using MRI scans.

Q: Can ultrasound detect parathyroid tumors that cause osteoporosis?
Parathyroid adenomas are typically benign but can lead to significant physical effects due to hormonal imbalances. These tumors can often be diagnosed with 3-D Power Doppler Histogram .

In summary, ultrasound imaging plays a crucial role in evaluating thyroid health by providing a safe, non-invasive, and highly detailed view of the gland. When combined with pathology, it enhances diagnostic accuracy, guiding appropriate treatment decisions. This synergy between imaging and laboratory analysis ensures a comprehensive approach to identifying and managing thyroid conditions effectively.

 

ABOUT THE AUTHOR-

ROBERT L. BARD, MD, PC, DABR, FASLMS - Advanced Imaging & Diagnostic Specialist

Having paved the way for the study of various cancers both clinically and academically, Dr. Robert Bard co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital Imaging technology has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. Imaging solutions such as high-powered Sonograms, Spectral Doppler, sonofluoroscopy, 3D/4D Image Reconstruction and the Spectral Doppler are safe, noninvasive, and does not use ionizing radiation. It is used as a complement to find anomalies and help diagnose the causes of pain, swelling and infection in the body’s internal organs while allowing the diagnostician the ability to zoom and ‘travel’ deep into the body for maximum exploration.

THE ESSENTIALS OF THYROID IMAGING (Extra: Thyroid CancerScanning)

By: Dr. Robert Bard

When imaging detects a suspicious area, it can guide selective biopsies to obtain small tissue samples for further laboratory analysis (pathology). Combining imaging with pathology provides the most accurate information about the size, location, and aggressiveness of any issue detected.  In the case of thyroid imaging, use of an ultrasound uses sound waves to create images of the thyroid gland in the neck. It is often used for this organ because it is a non-invasive procedure that does not use ionizing radiation. It’s commonly used to evaluate lumps or nodules detected during a physical exam or other imaging tests and requires minimal preparation.

 Thyroid nodule (tumor) - doppler ultrasound

The ultrasound helps doctors visualize the thyroid's size, shape, and potential abnormalities like nodules, cysts, or inflammation, aiding in diagnosis and treatment planning. It’s typically performed when physical exams show:

 - A growth on the thyroid, known as a thyroid nodule (image - R).

- An enlarged or irregular thyroid (goiter).

- Abnormal lymph nodes near the thyroid.

THE ROLE OF THE THYROID GLAND: The thyroid is a butterfly-shaped organ in the endocrine system that regulates hormones influencing various bodily functions. These hormones affect both physical and mental performance, so unexplained symptoms may indicate a thyroid issue.

HYPERTHYROIDISM AND THYROID DISORDERS: Thyroid disorders can stem from various causes and affect the balance of hormones in the body. A range of treatments is available for managing thyroid issues, from medication to non-invasive procedures.

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Part2: 3-25-2025

THYROID HEALTH: WHY ULTRASOUND MATTERS

By: Dr. Leslie Valle-Montoya

Have you ever had your thyroid checked? If not, now is the time! While standard thyroid function tests measure hormone levels in the blood to detect disorders like hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid), they don’t tell the whole story. That’s where modern ultrasound technology steps in.

Unlike blood tests, which focus on hormone production, ultrasound provides a real-time, detailed view of the thyroid gland itself. This imaging technique uses sound waves to assess the gland’s size, shape, and structure—offering insights that hormone tests simply can’t provide.

Advanced ultrasound methods, such as 3D Doppler Blood Flow and Elastography, enhance diagnostic accuracy by measuring blood flow and tissue stiffness. These features help differentiate between benign and potentially malignant nodules, offering a clearer picture of thyroid health. By identifying whether nodules are solid or fluid-filled, ultrasound aids in assessing cancer risk and guiding further evaluation.

If you've never had a thyroid ultrasound, consider it an essential step in understanding your thyroid health beyond just hormone levels. A complete evaluation means looking at both function and structure—because when it comes to your health, knowledge is power.

Prologue:

LEARNING FROM THE ULTRASOUND GURU - DAY ONE!

Since COVID, I’ve connected with countless health professionals over Zoom. Even today, virtual meetings remain the norm for work engagements, often replacing in-person visits and hands-on collaborations.

But today, we broke that mold. I had the privilege of finally meeting Dr. Robert Bard in person—a true pioneer in diagnostic imaging! After five years of remote referrals, I traveled from Santa Barbara, CA, to New York City for a firsthand look at his cutting-edge arsenal of medical technology. More than just a tour, I also received an intensive crash course in ultrasound operation. Dr. Bard had previously mailed me a hospital-grade Terason T-3200 for my practice, and now, under his guidance, I was able to put it to use.

This marks the beginning of our TelemedScan remote overreading collaboration, and learning from "The Cancer Detective" himself was an incredible honor—an opportunity few get to experience from the front row.

"The best way to learn ultrasound is to be a patient," Dr. Bard explained. "Its real-time scanning ability lets you see as you scan—the screen tells all, right on the spot!"

With that in mind, we decided to scan my thyroid, a first for me. Given our collaboration on a perimenopause project, I knew it was time to practice what I’m about to preach. Having access to one of the best thyroid imaging experts in the field was an unexpected luxury—one I wasn’t about to pass up. During the session, I was introduced to the concept of sonology—where the radiologist directly controls the probe, eliminating the middle step of a technician. This hands-on approach allows for immediate interpretation, deeper exploration, and a more interactive learning experience between doctor and patient.

TBC

---

Part3:

THYROID CANCER:
Thyroid tumors are common but can be hard to diagnose by touch alone. Sonography is the primary method for detecting and monitoring suspicious nodules. Areas with calcium deposits are especially concerning and often require biopsy under ultrasound guidance. Parathyroid masses, which can cause significant health issues like bone loss in women or kidney stones in men, may also be detected. Ultrasound can also identify cancer spread to nearby lymph nodes, which can be biopsied with imaging guidance.

THYROID CANCER FAQ's

Q: Why is a sonogram important if I visit my doctor annually?
Blood tests often miss thyroid tumors, which can be difficult to detect through physical examination, especially if they are deep within the gland.

Q: What happens if a tumor is found?
Many benign conditions, like cysts, can be differentiated from cancer without a biopsy. Ultrasound can assess calcium content, which may indicate cancer, requiring further tests.

Q: Does every suspicious area require a biopsy?
Ultrasound screening and other tests can reduce unnecessary biopsies. Small suspicious areas are typically monitored for growth every 3-6 months before considering a biopsy.

Q: How far can thyroid cancer spread?
Most thyroid cancers grow slowly and spread locally. Metastasis is rare and can be evaluated using MRI scans.

Q: Can ultrasound detect parathyroid tumors that cause osteoporosis?
Parathyroid adenomas are typically benign but can lead to significant physical effects due to hormonal imbalances. These tumors can often be diagnosed with 3-D Power Doppler Histogram .

In summary, ultrasound imaging plays a crucial role in evaluating thyroid health by providing a safe, non-invasive, and highly detailed view of the gland. When combined with pathology, it enhances diagnostic accuracy, guiding appropriate treatment decisions. This synergy between imaging and laboratory analysis ensures a comprehensive approach to identifying and managing thyroid conditions effectively.

 

ABOUT THE AUTHOR-

ROBERT L. BARD, MD, PC, DABR, FASLMS - Advanced Imaging & Diagnostic Specialist

Having paved the way for the study of various cancers both clinically and academically, Dr. Robert Bard co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital Imaging technology has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. Imaging solutions such as high-powered Sonograms, Spectral Doppler, sonofluoroscopy, 3D/4D Image Reconstruction and the Spectral Doppler are safe, noninvasive, and does not use ionizing radiation. It is used as a complement to find anomalies and help diagnose the causes of pain, swelling and infection in the body’s internal organs while allowing the diagnostician the ability to zoom and ‘travel’ deep into the body for maximum exploration.

A LEGACY OF HOPE

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Introduction: 

Captain Harry Schwartzbard

Family heirlooms may sometimes carry hidden treasures- the kind that could be a significant part of world history.  In the case of a unique news clipping from World War II, a unique feature interest story about a Jewish American Soldier received a major honor from battle at a time when Jews were at the height of persecution in Europe.

Published and written in the Yiddish language (often known to be an "old people's" language), the beneficiary held this special news clipping for over 80 years without any idea of its contents. Until recently, the beholder of this news excerpt had very little interest in getting the news piece translated due to the limited popularity of Yiddish-speaking/reading people around. Decades later, the news clip made its way to several historians who found significant value in the military success story.  It also spoke of cases and events of what would eventually become the future Jewish national Home (Israel).

Translated by: Shimmy Schwartz

An excerpt from the former YIDISHES ṬAGEBLAṬṬ (יידישעס טאגעבלאט = Jewish Daily News)

BROOKLYN JEWISH DOCTOR PRAISED FOR HIS HEROISM ON THE MARSHALL ISLANDS

1944 - Captain Harry Schwartzbard, a young Jewish doctor from Brooklyn, received widespread acclaim from the Associated Press for his heroic actions during the invasion of the Marshall Islands. Amidst the chaos of war, with people burning and bullets flying in all directions, Dr. Schwartzbard remained steadfast in his duty, tending to the injured and saving numerous lives. His bravery and selflessness in the face of extreme danger earned him well-deserved recognition. 

Mrs. Schwartzbard, residing at 1211 Avenue I in Brooklyn, recently gave birth to a baby two months ago. In a heartwarming moment on Christmas, her husband, Dr. Henry Schwartzbard, called from Honolulu and was able to hear their infant son cry for the first time over the telephone. Although he had yet to see a photo of their child, this moment brought joy to the new father. Mrs. Schwartzbard expressed her pride and happiness regarding the recognition her husband has received for his heroic actions. Dr. Schwartzbard, a graduate of City College and the University of Basel's medical program, was previously affiliated with Lincoln Hospital.

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LEGACIES OF COURAGE:  ENTERING A NEW WORLD IN BATTLE

Family heirlooms may sometimes carry surprise hidden treasures- the kind that may hold a landmark in world history. A treasure trove of letters by the late Captain Harry Schwartzbard recently surfaced, passionately journaling life and times in the front lines of World War II to his recently-born and only son Robert between 1944-1945.  

Between the recklessly stored stack of letters was a mysterious news clipping that ignited the inspiring foundation behind “LEGACIES OF COURAGE”.  At a time when Jews in America were a small and underserved community, a local Brooklyn newspaper reported (in Yiddish) about our Jewish American Soldier who received a major military honor from battle- highlighting his unusual and courageous contribution during the height of Jewish persecution in Europe.  Such an award was a milestone for Jews at a time when prosperity in the new world for its people was most uncertain. After 80 years, the news clipping finally gained the attention of translators and several historians who found significant value as a military success story.

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ARCHIVING 80-YEAR OLD LETTERS FROM THE WAR: PRESERVING HISTORICAL TREASURES

Dr. Bard recently brought to light a treasure trove of vintage photographs, news clippings and private letters from the front lines of WW2. These fragile reflections of world history are all that's left of the expressions of one Capt. Harry Schwartzbard to his baby son Robert (Bard) in the United States.  According to the archivalists at the AngioInstitute, such prints are so brittle and easily crumbled from the mere human touch.  Light and durable papers such as Moleskin and Crane were commonly used for air mailed letters back then- and are found to break apart under constant daylight and repeated photo flash after decades of being entoombed in storage.  The very oils of one's fingers and exposure to sunlight and incandescent light are enough to add to the deterioration process of these papers.  But thanks to current archival management techniques and storage tools, such articles and documents may stand to survive their next journey which involves scanners, photography and general handling from transcribers and publishers.

HISTORICAL SIGNIFICANCE OF MARSHALL ISLANDS Invasion of the Marshall Islands (Operation Flintlock):  Jan. 31-Feb. 23, 1944  Following the Gilbert Islands Campaign, the Marshall Islands Campaign consisted of two separate invasions of the Kwajalein and Eniwetok Atoll Groups.  Beginning on January 31, 1944 with the landings at Kwajalein, the campaign was declared secure at Eniwetok on February 22.  The landing forces met with light, but determined resistance, on both atolls.  The forces captured flight bases on the atolls which were crucial to the Mariana Islands Campaign.   (Source 1: US NAVY | Source 2: US ARMY) After WWII, Nuclear testing at Bikini Atoll consisted of the detonation of 23 (or 24) thermonuclear weapons by the United States between 1946 and 1958 on Bikini Atoll in the Marshall Islands. Tests occurred at 7 test sites on the reef itself, on the sea, in the air, and underwater. The test weapons produced a combined yield of about 77 Mt of TNT in explosive power. After the inhabitants agreed to a temporary evacuation, to allow nuclear testing on Bikini, which they were told was of great importance to humankind, two nuclear weapons were detonated in 1946. About ten years later, additional tests with thermonuclear weapons in the late 1950s were also conducted. The first thermonuclear explosion was much more powerful than expected, and created a number of issues, but did demonstrate the dangers of such devices. (Source, Wikipedia)

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EPILOGUE

In the post-war era of global migration to the US, it was common to “Americanize” lengthy or challenging names for easier social connectivity and community integration. By the next generation, the Schwartzbard family name was streamlined for this reason.  The infant in this story whose name is recognized as one of the most honored figures in diagnostic medicine and cancer imaging is Dr. Robert Bard.

In May of 2022, Dr. Robert Bard receives one of the highest national achievement awards commemorating his life's work in cancer imaging research and clinical care. The Ellis Island Medal of Honor is presented to those who advocate understanding, tolerance, and unity among Americans, transcending cultural, ethnic, and religious differences.  For almost four decades, Dr. Bard's commitment to the study of diagnostic imaging contributed to the advancement of non-invasive medical scanning technologies.  As a second generation medical professional and military veteran, Dr. Bard's pursuit to battle disease through research and patient care is a dedication to the life-saving legacy and worldly philosophies as that of his father, Dr. Schwartzbard during and after WWII.

Dr. Bard continues to run his active practice in NYC today. He maintains a pre/postop imaging facility for his cancer patients and others suffering from chronic disorders.  Dr. Bard is also the clinical director for Firefighters Against Cancer & Exposures, a national foundation in support of first responders health.  Moreover, as of August, 2024, his office has been confirmed to be the first official diagnostic  center, an early detection screening facility and recurrence detection site for the American Breast Cancer Foundation and the Male Breast Cancer Global Alliance.

PAVING MEDICAL HISTORY FROM THE FRONT LINES (Reprise from Jul 2021)

THE ULTRASOUND MOVEMENT- A CAREER RETROSPECTIVE 

By: Dr. Robert Bard

I attribute my career in radiology to the US Air Force, having served in military hospitals in Thailand and Laos in the early ‘70’s.  There, I  witnessed the critical demands for immediate response and real-time diagnostic technology where time and accuracy are of the ultimate essence. I attribute my critical eye of  many medical imaging devices to the 'battle hardened' challenges of a military hospital setting, easily paralleled to our emergency responders and the ICU facilities of today

Moving on to civilian life (back in the US), I watched diagnostic imaging history unfold throughout my career and marveled at the inspired evolution of the ultrasound protocol.  Its remarkable growth in engineering, its data-gathering (quantifiable) milestones and breakthrough features conquered the arena of patient scanning while forging a safe, non-invasive and high-performance paradigm to physicians and health responders alike. From the high-powered large format hospital scanners to the latest in hand-held portable designs (aka. the digital stethoscope),  ultrasound technology holds a solid place in the ever-shaping future of medicine and ancillary disciplines it supports.  In 1974, my residency program director told me not to waste my time learning, ultrasound. I went to the Armed Forces Institute of Pathology in D.C. and then to Europe to advance my training. 50 years later, ultrasound has replaced many other invasive imaging technologies.

A GAME CHANGER IN PATIENT CARE

The point of care ultrasound unit practically reinvented the doctors' visit.  By generating instantaneous scan results, the ultrasound completely supports the interactive collaboration between doctor & patient.  Unlike any other scanning solution, the ultrasound is the only device that allows the patient to steer the probe to the exact area of pain or concern. The dynamics of its real-time output sets the stage for future tech designs.

In the United States, imaging is mostly performed by a technician where the patient holds no interactive part in the scanning process. In Europe, it is standard procedure for the medical team to perform the imaging directly on the patient - creating a more efficient diagnostic experience overall. Patient and physician can see what's going on and discuss treatment options at the same time. This real-time assessment comes direct from the doctor without any potential misinterpretation from secondary parties like the technician.  

EARLY ADVANTAGES IN CANCER-SCANNING: AN HISTORICAL BOOST TO THE MAMMOGRAM
In 1976, during my early days as a young radiologist, I was approached by Dr. Henry Leis Jr., the pioneer doctor who wrote the very first text on breast cancer and developed mammography 18- a means of early diagnosis and instrumental in the use of many of the less invasive procedures used in the treatment of breast cancer today. He confessed with great concern that he had all these patients with lumpy or cystic breasts developing tumors that he could clearly feel but the mammogram kept missing it.  Seeking my help through sonogram technology, we worked on his patients together and the sonogram clearly identified and quickly diagnosed a mass as either a cancer or a benign cyst, in a dense, lumpy breast.  Since then we've incorporated the sonogram in high-risk patients’ regimen every six months religiously because it finds tumors while they're small and “lumpectomy” surgery is curative if the mass is less than 1 cm.  This is alongside doing mammograms once a year in women over 50 or unless they have a history of cancer- at which case, we do it starting at age 45.

9/11 & DISASTER RESPONSE HEALTH ISSUES

A decade after the disaster, health reports continue to show thousands of new and aggressive cancer claims 15 years after the 9/11 attacks. By June, 2016, the Centers for Disease Control and the WTC Health Program enrolled more than 5,400 people who have been diagnosed with cancer within a two-year period (4,692 were first responders, recovery and cleanup workers and volunteers). Experts state that cancers from "burning asbestos and the entire toxic cauldron of Ground Zero" carries a latency period of 15-20 years after exposure, and a major spike in advanced cancer cases is expected within the next 10 years. With my practice centralized in midtown, Manhattan, first responders and civilians alike have received additional screening and monitoring for 9/11 related disorders as an alternative to standardized diagnostic protocols.  The advantages of the 4D Doppler Technology helps to identify, detect and analyze many tumors from pre-malignant areas to advanced cancerous cases. The regular sonogram shows a malignant disorder while the 4D scan displays a mass filled with cancerous arteries and veins meaning this is highly aggressive requiring immediate attention.

INTERNATIONAL IMAGING ALLIANCE: UPGRADES FOR THE COVID FRONT LINES

2020- Thanks to its digital format, the ultrasound imaging protocol became the ideal medical collaboration platform, making electronic file sharing and remote/real-time scanning a complete reality. My international alliance comprised of research pioneers including Dr. Danilo Buonsenso (Rome, Italy) who published reports about "ultrasound equipment as an effective replacement of the stethoscope.”  Dr. Buonsenso's review presents the valid uses and benefits of Lung Ultrasound in identifying respiratory disorders that may be associated with Covid-19.  

Front line physicians in Italy and Spain are reportedly triaging with portable (hand-held) ultrasound units that reduce logistical problems of a chaotic environment and healthcare worker exposure. Since imaging with CT or ultrasound is not diagnostic, determining who needs hospitalization is essential in a pandemic overwhelming medical providers.  Dr. Buonsenso, at the viral epicenter in Rome, uses sonograms to decide who requires a CT scan. With the current pandemic, clinicians worldwide have been earmarking how identifying issues in the lungs (and the cardiopulmonary area) through the use of ultrasound equipment can be quite helpful in monitoring, screening, scanning and tracking pulmonary vulnerabilities and infections that may require follow-up testing for Coronavirus.

A SUSTAINABLE WORK PRACTICE

 Burnout is a huge problem for the radiologic community. Imaging readers usually handle thousands upon thousands of images whereby interaction is only with a screen, not with the patient.  Ultrasound scanning puts the radiologist in direct interactive contact with the patient each time.  Here, the dynamics of patient care brings gratifying engagement in communicating diagnoses and CLOSURE with each patient's case. This work cycle is a significant upgrade in occupational endurance and consistent performance.

2025 EmPowermeet Launches the WHN Menopause Coalition

3/7/2025- The Women's Health Network (sponsored by the AngioInstitute) launches its first EmPowermeeting of the year. Originally kickstarted in 2021 as the Cancer Powermeet, producer Lennard Gettz and medical supporter Dr. Robert Bard took to the road, using the Zoom platform (made famous by the Pandemic) to bring people together from any part of the world.  The success of this virtual 'round table' collaborative venue became a regular event format for other AngioInstitute groups including the Pain Healers Alliance, Firefighters Aganist Cancers & Exposures, the EndoSpot (endometriosis network) and the Integrative Cancer Resource Society.

In 2023, the Women's Health network became the latest AngioInstitute group co-produced by a handful of women's health practitioners including Dr. Roberta Kline (ObGyn), Dr. Leslie Valle-Montoya and Dr. Noelle Cutter.  It drew major audiences and members from areas like breast and ovarian cancer, endometriosis, pelvic floor issues, mental health and menopause.  This EmPowermeet event became the official celebratory launchpad for this national initiative, bringing in some of what Dr. Kline considers the A-Team of this generation of health advocates.

The MENOPAUSE COALITION
This 1-hour event is an historical landmark for the invited members.  It started with an honorary speech by the founder of the AngioInstitute (main supporter of the Women's Health Network) Dr. Robert Bard.  Next, each member was introduced and was hand-selected based on their background in support of women's health and women's aging issues. "There remains so many others to cover for the underdiagnosed woman",  states Dr. Bard. "This is why I remain vigilant in my practice to support patients and clinicians with my diagnostic research. I am proud to continue supporting the Women's Health Network and its public projects including the expansion of a national education and professional alliances of advocates & collaborators in the name of women's health."

Executives were honored for their recent appointments: Dr. Roberta Kline is inducted as the new President of the Women's Professional committee and continues her role as editor of "Balance & Longevity" newsletter.  Gina Adams (rehabilitation advocate and Meno-News co-editor) is now this year's Assoc. Director of Communications and the new manager for IPHA (Integrative Pain Healers Alliance). Dr. Barbara Bartlik was also honored with an advisory role in the mental health panel and the launch of the new WHN mental health newslettter "INSIGHTS".

"After a 15 year OBGYN career, I set out on a different path to explore health and healing", says Dr. Kline. "Thanks in part to collaborating with fellow visionaries like you all- and my lifelong support of women's health, I work with multiple modalities. I'm always curious about what makes people tick and I'm passionate about empowering women with knowledge about their health. Today, I run the functional Genomics and Predisposition programs with Dr. Bard and in my own virtual practice, I integrate functional medicine, genomics, mind, body, and human design to help midlife women connect with who they are from the inside out." 

OUTREACH is a major part of the WHN's community. Ms. Gina Adams introduced her program (Pain Healers group) alongside her post with the Meno-news project. "I see the advantages of a community outreach and better resources for mid menopausal women. I'm both interested in the collaboration and the research around it, as well as for my own personal growth. And so this year we're really excited to bring and build support around these issues.  Thanks to experts like those in this room, we can bridge these gaps to build a better awareness program so that women aren't going through this alone, as well as through some research and being able to publish and support the mission overall". 

BUILDING THE VILLAGE
The second half of the event was moderated by Dr. Kline, who kicked off the spirit of a round-table collaboration with a discussion on "Networking and how to build a Supportive professional community in Women's Health".  This brought all hands raised to contribute, ask questions and share their insights. As a Linkedin-powered organization, this alliance clearly appreciates the value of building "a village" of caregivers, educators and clinical care professionals through networking and partner-building.

GOING INTEGRATIVE
According to association architect, Dr. Lennard Gettz, one of the driving forces of this organization is its openness to teamwork, collaboration and the exponential presence of INTEGRATIVE HEALTH. This was made widely recognized by original member Dr. Jess Stoff (Integrative OncoImmunologist) who defined this paradigm as "an approach to healthcare that integrates conventional medical treatments with complementary and alternative therapies that have been shown to be safe and effective... considering the whole person, not just the physical symptoms, by addressing the physical, emotional, social, spiritual, and environmental factors that can affect a person's health and well-being." 

DR. LESLIE VALLE-MONTOYA (Sta Barbara, CA) was appointed the advocate for Integrative Health Biosciences.  "I started my practice working with chronic immune patients- focusing on cellular regeneration-- another word of anti-aging. The vast majority of my patients are very curious about how to improve or reverse their age with regard to their biological age. I invested in a wide range of screening devices and diagnostics to measure this- including electromagnetic field therapy, red light therapy, hyperbaric therapy, a full spectrum infrared sauna, cold plunge etc. I am dedicated to finding more answers for patients in a more natural way- and this very much includes the taxing symptoms of menopause!"

 Refs

https://cancerresourcealliance.blogspot.com/2021/04/the-2021-cancer-powermeet-series.html

https://drrobertbard.com/PDF2023/WOMENS-CANCERS.pdf

Archive:

WHO IS THE CANCER DETECTIVE?

 A 2025 Special Spotlight on Dr. Robert L. Bard for PinkSmart News
Written by: Graciella Davi

Dr. Robert Bard, a leading cancer diagnostic imaging specialist and advocate for non-invasive research in treatment validation, has launched the next phase of his "SCAN & TREAT" paradigm. Through a joint partnership with the AngioInstitute (501c3), the F.A.C.E.S. Foundation (Firefighters Against Cancers & Exposures), and the Women's Professional Health Alliance, Dr. Bard aims to provide evidence-based reporting using advanced ultrasound imaging technologies. His work with ELASTOGRAPHY and 3D DOPPLER BLOOD FLOW IMAGING has significantly enhanced the ability to detect and confirm cancer tumors in the prostate, breast, and other organs.

Since 1972, early detection has been at the forefront of Dr. Bard's mission. His commitment to researching and developing semi-portable imaging continues to advance his reputation as a trusted "cancer detective," offering diagnostic alternatives and second-opinion scanning for patients.

Screening dense breast tissue with ultrasound as a complement to mammography and using ultrasound for regular prostate monitoring as part of active surveillance are just two of the applications that distinguish Dr. Bard’s interpretive imaging. "If saving lives means providing greater access to point-of-care screening, then using the latest in real-time scanning also brings an added layer of safety and affordability. Patients should have access to regular imaging that reduces the risk of cancer malignancy," states Dr. Bard.

FUNCTIONAL DIAGNOSTICS
Since the COVID-19 pandemic in 2021, Dr. Bard launched BardDiagnostics, an evolution of his original practice. This expanded approach to functional and personalized detection integrates over 18 key testing and diagnostic services, including:

• ProstateScan
• DermalScan
• Comprehensive Breast Cancer Screening
• Wound Healing Imaging
• Sexual Health Scan
• Recurrence Monitoring
• Genetic Predisposition Testing

Through strategic alliances and clinical partnerships, Dr. Bard continues to drive innovation in diagnostic care, making collaborative medicine a reality.

Dr. Bard’s pursuit of clinical advancements also includes the recent use of medical thermology, the study of heat patterns using infrared imaging to detect subdermal issues. Also known as Digital Infrared Thermal Imaging (DITI), this technology offers significant benefits for breast cancer screening. Through a recent partnership with Therma-Scan Reference Labs (AZ), Dr. Bard recognizes thermology’s potential as a powerful adjunct to mammography, MRI, and physical exams. "Thermology provides diagnostic insights that can enhance early cancer detection," states Therma-Scan CEO Dr. Philip Hoekstra. "When combined with ultrasound, it offers a next-generation screening strategy that is finally coming into its own."

CLINICAL LEADERSHIP AND ADVOCACY
On May 21, 2024, key members of the NY Cancer Resource Alliance (NYCRA) met with State Senator Patricia Canzoneri-Fitzpatrick (Senate District 9) to address pressing issues in women's cancer care. This discussion covered current cancer statistics, diagnostic trends, and the ongoing struggle with restrictive insurance coverage. Dr. Bard contributed insights on NYCRA’s Women’s Health Initiatives, which include:

• A Public Dense Breast Screening Project
• Earlier Detection Programs for younger women ages 20-39
• Advocacy for Statewide Genetic Predisposition Testing

The conversation also highlighted the troubling phenomenon of “cancer plumes”—clusters of breast cancer cases in specific geographic regions. "Physicians have a duty to go beyond traditional care for their patients," says Dr. Bard. "Senator Canzoneri-Fitzpatrick’s dedication to the cancer community strengthens my own commitment to empowering patients through education, early detection, and second-opinion diagnostics."

For more information on Dr. Bard’s cancer detection initiatives, visit: www.thecancerdetective.org.

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