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Equity Transactions (Detail) (USD $)
9 Months Ended
Sep. 30, 2012
Dec. 31, 2011
Sep. 30, 2012
Preferred Stock
Sep. 30, 2012
Common Stock
Sep. 30, 2012
Additional Paid-in Capital
Stockholders Equity Note [Line Items]          
Beginning Balances (in shares)     1,321,514 13,812,490  
Beginning Balances $ 11,402,761 $ 10,704,066 $ 1,322 $ 13,969 $ 59,289,516
Exercise of stock options and warrants (in shares)       179,270  
Exercise of stock options and warrants       179 64,321
Stock-based compensation (in shares)             
Stock-based compensation         1,411,672
Stock dividends to Carilion Clinic (in shares)        [1]    [1]    [1]
Stock dividends to Carilion Clinic       59 [1] 94,915 [1]
Issuance of common stock other (in shares)       14,091 [2]  
Issuance of common stock other       14 [2] 19,986 [2]
Ending Balances (in shares)     1,321,514 14,005,851  
Ending Balances $ 11,402,761 $ 10,704,066 $ 1,322 $ 14,221 $ 60,880,410
[1] The stock dividends payable in connection with Carilion Clinic's Series A Preferred Stock will be issued subsequent to September 30, 2012. For the period from January 12, 2010, the original issue date of the Series A Preferred Stock, through September 30, 2012, the Series A Preferred Stock issued to Carilion has accrued $583,070 in dividends. The accrued and unpaid dividends as of September 30, 2012 will be paid by the issuance of 215,410 shares of our common stock upon Carilion's written request.
[2] Represents shares of common stock issued to one director in lieu of cash fees for committee chairmanship.