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-Ray Equipment



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Digital X-Ray Equipment

Conventional X-Ray Equipment

TYPES OF DIGITAL CAPTURE AND ADVANTAGES:

  • CR - COMPUTED RADIOGRAPHY

    CR - COMPUTED RADIOGRAPHY
    *CR CASSETTES (LIKE FILM CASSETTES) ARE REQUIRED

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    CR - COMPUTED RADIOGRAPHY is very similar to the procedural method of film based radiography. The Image Receptor is a cassette with special Image Phosphors mounted inside. The cassette is positioned in the very same manner as conventional x-ray, either table top or table/wall bucky. During x-ray, the phosphors will capture x-ray photons that pass through the patient. The cassette with the phosphor plate (and recorded image) is then sent through the CR Reader. Inside the reader, a laser will energize the phosphors and they will release the photon energy. The energy emitted is captured by an analog digital converter (think scanner), and sent to the computer as a "digital radiograph".

    CR is the least expensive method "to go digital" and for some time has been the preferred method for private practice physicians. The system simply replaces the processor, darkroom, and all of the costly consumables that are needed with conventional radiography. But wait… DR - DIRECT DIGITAL RADIOGRAPHY is faster, better and cost are coming down!

  • DR - DIGITAL RADIOGRAPHY

    DR - DIGITAL RADIOGRAPHY
    *NO CASSETTES ARE REQUIRED

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    DR - Digital Radiography has typically been found in large Private Practice, Orthopedic and Hospital settings... DR is usually the most expensive method of "going digital" but it also affords the highest quality image because the x-ray photons are directly producing the image. In the Digital Flat Plate Technology, there is no medium as in CR with cassettes or CCD technology with the conversion of light energy.

    The DR plate is a series of horizontal and vertical wires that compose a matrix to receive x-ray photons after they pass through the patient. The plate is mounted either in the wall or under the table (or both) to receive the image. During x-ray, the photons will penetrate through the patient and gather in the small squares or pixels. The number of photons in the square determines the darkness of the pixel on the image. The digital raidograph appears on the monitor in less that 6 seconds.

    The DR plates are expensive to make, and are frequently purchased as a single Image Receptor (in the table or wall holder). The Plate is usually tethered to a cord that is connected to the computer and must be moved from the table bucky to the wall bucky for upright imaging. Some have considered this the weakest link in Digital Flat Plate Technology. Today, manufactures are receiving FDA clearance for wireless transmission which will eliminate the cord.

  • ADVANTAGES

    CLEARLY THERE ARE MANY ADVANTAGES TO DIGITAL IMAGING

    The advent of digital imaging has created an overwhelming interest and many questions on the part of Practitioners. Just as with radiographic equipment, there are multiple choices in capturing digital images. For most, the ability to manipulate and share the image electronically along with elimination of the darkroom, processor, film, chemical and maintenance are on the top of the list of reasons to consider digital imaging. Digital imaging is quickly taking hold in the Medical, Chiropractic and Veterinary markets as costs have declined.

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    Digital radiology represents the greatest technological advancement in medical imaging over the last decade. The use of radiographic films in x ray imaging might become obsolete in a few years. An appropriate analogy that is easy to understand is the replacement of typical film cameras with digital cameras. Images can be immediately acquired, deleted, modified, and subsequently sent to a network of computers.

    The benefits from digital radiology are enormous. It can make a radiological facility or department film-less. The referring physician can view the requested image on a desktop, laptop, tablet or a smart phone and often report in just a few minutes after the examination was performed. The images are no longer held in a single location; but can be seen simultaneously by physicians who are miles apart. In addition, the patient can have the x ray images on a compact disk to take to another physician or hospital.

MOVING FROM CR TO DR

  • THE PRACTICAL PERSPECTIVE

    MOVING FROM CR TO DR - THE NEXT DIGITAL STEP…

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    Before deciding to make the switch from CR to DR, it is important to understand what the differences between the technologies mean to you and your practice. Rather than taking pages and pages answering this question from a technical approach, let’s look at what it means practically.

  • READ MORE

    MOVING FROM CR TO DR - THE NEXT DIGITAL STEP…

    Before deciding to make the switch from CR to DR, it is important to understand what the differences between the technologies mean to you and your practice. Rather than taking pages and pages answering this question from a technical approach, let’s look at what it means practically.

    CR-DR-BIG

    The most valuable resource
    Let’s explore how DR can save your department one of its most precious assets: Time.

    If you currently are working with CR in your department, you have probably worn out a few pairs of shoes with the amount of steps you’ve taken between the bucky and the processor; and you’ve probably become better at shuffling cassettes than a blackjack dealer shuffling cards.

    This is where the first advantage of DR comes in. Rather than swapping cassettes between the bucky and the processor, the image transfers electronically and automatically to the workstation once the x-ray is taken. That’s right, you can just leave the cassette right where it is until the exam is done or you need to move the cassette for another view.

    Flexibility and portability
    The next advantage brings us to your portable x-ray unit. Traditionally, with both film and CR, you didn’t know what your x-ray looked like until you got back to your department. With DR, because your workstation goes with you, there is immediate knowledge on your positioning and technique.

    This is also helpful for those bedside interpretations by physicians, say, in the ICU when they are checking for placement of a line or intubation, the image is visible in seconds, as opposed to waiting for the film to be processed and sent to your PACS for them to see.

    Additionally, if a positioning change is needed, a small adjustment can be made and the image may be repeated, rather than the long walk of shame back to the patient’s room where the entire exam must begin again.

    Lowering radiation dose and achieving higher image quality
    Outside of the time savings to the department and the staff, there is also an arguably more important savings happening with DR when compared to CR, and that is radiation dose.

    Two mainstream DR panel technologies exist today, which are CsI (Cesium Iodide) and Gadox (Gadolinium Oxysulfide). Between the two, CsI requires less radiation to get an equivalent image when compared with Gadox. Depending on which type of DR panel, dose reduction can be as much as 2 to 3 times when compared to CR. Not only are CsI detectors capable of lower dose requirements, they also have the potential for the highest image quality, which will make reads faster and more accurate.

    While the CsI detector is a major part of this equation, the software of the vendor you choose has great influence on the final image, as well.

    The investment mindset
    So, is there any reason not to switch to DR? That comes down to really one thing: upfront cost.

    While cost is always a concern, it is important to consider upgrading to DR as an investment. As mentioned earlier, saved time can directly translate into money saved, usually due to the ability to perform a greater number of exams each day.

    There is also the cost of maintaining CR cassettes to consider. Because the processor disassembles and reassembles CR cassettes with each use, this results in inevitable--and not insignificant--wear and tear. Remember, the DR panel requires no manual processing.

    Avoid reimbursement reduction
    Finally, there is the upcoming Medicare reimbursement reduction slated to begin in this year for facilities that have not made the switch to DR.

    As part of an initiative to encourage U.S. healthcare providers to adopt DR, Medicare began reducing payments for analog x-ray exams in 2017. This year, even sites using CR will begin to see reimbursement fall—first by seven percent for five years, and then by ten percent.

    Changing from CR to DR is a decision every radiology department must consider, eventually, if they haven’t already. At a certain level, the question isn’t as much if, but when, and understanding the differences between CR and DR and even amongst differing DR systems is vital.


WE WILL NEVER GET TIRED OF HEARING CUSTOMER COMMENTS LIKE THIS!


tell-a-friend-l Jones X-ray did an absolute knockout job at my clinic. I had an nightmare of a job for them and every company locally refused to take it. Jones not only took the job, they drove 3 hours to install equipment they had never even seen before. On arrival, I had the x-ray unit laid out all across the floor in shambles. I said, "OK have fun!". They not only assembled, PAINTED old pieces, and tested everything, but they did it in record timing. The entire process from designing the dark room, and designing the x-ray room, to going over all of the state requirements and legalities was 100% professional and top notch. There is no other company in the country that has the experience, expertise, and most of all, the customer service that these guys do. A life time customer here, and I will forever refer my colleagues to them.

Jimmy Allgood D.C.
Allgood Chiropractic

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Allgood Chiropractic
Austin Texas

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