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Radiographic and fluoroscopic: what's new?

par Lisa Chamoff, Contributing Reporter | November 22, 2016
From the November 2016 issue of HealthCare Business News magazine

“Grid covers are bulky and heavy,” says Rob Fabrizio, Fujifilm’s director of strategic marketing for digital X-ray. “A lot of hospitals have stopped using them. If the grid angle or source to image-receptor distance is misaligned, you’ll get a bad image. But then also, if [the technologist] is not using them, they get bad images from scatter.”

The second generation of Virtual Grid includes the ability to use the software for all body parts (the first generation was chest and abdomen only), the ability to lower dose and the ability to use it with both CR and DR. Eliminating the real grid has the potential to lower the dose by as much as 50 percent compared to the dose of a grid exam, Fabrizio says.

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The company also released a new detector, the FDR D-EVO GL, which Fabrizio says is the first long-length, single-exposure DR detector. The detector is designed for long leg X-rays as well as scoliosis exams, which are commonly done on children, where dose is a critical factor.

“Long-length imaging has been one of the last holdout areas in the transition from CR to DR,” Fabrizio says. “Before this new detector, the only way to perform long-length X-ray exams was either CR with multiple imaging plates, or DR with multiple exposures. Acquiring multiple images with DR can be fast, but it’s not as fast as one exposure, resulting in less pain for the patient in terms of time to stand still, and less patient dose.”

Fujifilm has also released two new X-ray rooms. The FDR Visionary Suite is a high-end automated room with auto stitching, dual-energy subtraction and tomosynthesis for general radiography. It comes with removable detectors for cross-table exams. The company expects to start shipping the model in early November. The company’s new FDR Clinica is a series of X-ray components to build a scalable X-ray room system, designed for the urgent care and outpatient market.

“You can build a system based on your budgetary and clinical needs,” Fabrizio says. “You would purchase a generator based on power requirements and clinical penetration needs, pick different tables based on patient sizes, or choose no table for chest X-rays. It’s a great way to customize to your needs.”

Shimadzu Medical Systems
At RSNA 2015, the company debuted its RADspeed Pro series of fixed radiographic table systems, which received 510(k) clearance in July. The RADspeed Pro also offers optional advanced applications known as the “EDGE” package, including tomosynthesis, dual-energy subtraction and speed stitching.

The company also recently released the MobileDaRt Evolution MX7 mobile X-ray system, which has an optional port to connect to a second external monitor, says Frank Serrao, marketing manager for Shimadzu. He says customers requested the option, particularly when large teams are viewing an image in the neonatal intensive care unit or in the ER. The new mobile allows hospitals to use DR panels from other manufacturers. Shimadzu became panel neutral a few years ago.

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