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Stock incentive plan and share-based compensation (Details Textual)
In Thousands, except Share data, unless otherwise specified
1 Months Ended 3 Months Ended 9 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended 9 Months Ended
Aug. 31, 2012
Sep. 30, 2012
USD ($)
Sep. 30, 2011
USD ($)
Sep. 30, 2012
USD ($)
Sep. 30, 2011
USD ($)
Sep. 30, 2012
GBP (£)
Dec. 31, 2011
Sep. 30, 2012
Noncontrolling Interest [Member]
USD ($)
Sep. 30, 2011
Noncontrolling Interest [Member]
USD ($)
Aug. 09, 2012
Each Current Independent Director Of Board [Member]
Aug. 09, 2012
Officers and Certain Employees [Member]
Sep. 30, 2012
Restricted Stock [Member]
USD ($)
Sep. 30, 2012
Restricted Stock [Member]
USD ($)
Sep. 30, 2012
Former Director [Member]
USD ($)
Sep. 30, 2012
Former Director [Member]
USD ($)
Aug. 10, 2012
Former Director [Member]
Sep. 30, 2012
Medicsights [Member]
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Outstanding Options, Weighted Average Remaining Contractual Term       7 years                          
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Exercisable Options, Weighted Average Remaining Contractual Term       5 years                          
Number Of Shares Holding By Stockholders, Result Of Reverse Stock Split       500                         325,000
Par Value Per Share Of Existing Ordinary Shares           £ 0.05                      
Stock-based compensation expense   $ 220 $ (77) $ 449 $ 144     $ 15 $ 39     $ 220 $ 232 $ 0 $ 185    
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized   415,000   415,000                          
Percentage Of Stockholder Incentive Stock Option Granted On Date Of Grant       10.00%                          
Share Based Compensation Arrangement By Share Based Payment Restricted Shares Issued   232,000   232,000           21,000 190,000         33,000  
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized   1,100   1,100                          
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Period for Recognition       1 year 2 months 12 days                          
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term       6 years 7 months 6 days                          
Stockholders' Equity, Reverse Stock Split       1 for 500                         1 for 325,000
Number of Outstanding options   6   6     6                    
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross 6,000                                
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value   $ 0 $ 0 $ 0 $ 0                        
Number Of Options Granted Under Stock Option Plan J       24