Transcript radiology without dark room presentation

INTRODUCTION
Coscharis medical is a fully medical consultancy,
pharmaceutical and diagnostic company.
We are dedicated in our service to humanity
through sourcing and providing of basic health
amenities for the total populace at affordable prices
for best customer's satisfaction.
In furtherance of our services, we present to you
our RADIOLOGY SOLUTION WITHOUT DARK
ROOM.
The use of modern radio-diagnostic services to enhance
and optimized patient diagnostic management cannot
be over emphasized.
In Nigeria, 97% of healthcare radio-diagnostic facilities
are being run on a traditional old system. About 3% run
on semi-digital procedure , while about 1% are on
computed radiology. 0.01% of the 3% that run semidigital are with the practice of a fixed direct digital
radiography.
In view of this, there is need to update the level of
practice in our country and especially the tertiary
institutions in Nigeria as we believe this will improve a
lot of patient care.
BENEFITS
Patient will benefit as follows;
 Quick release of result in less than one hour.
 Improved image resolution devoid of artifacts will help
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Optimize result in diagnosis.
The chances of false report by the radiologist are
reduced to the lowest minimum (1.5%-3%).
Availability of services without film.
Online management of data and free distribution of
online optimized information technology management.
Easy auditing for financial realizations.
Report can be captured
There are so many other advantages as you would see on
the course of this presentation.
The teaching hospitals are the tertiary institutions, this
means they are the last hope for an average Nigerian sick
patient meaning that any unresolved case that is brought
to the services of the teaching hospital means death to
the patient.
In other to reduce these incidence caused as a result of
the disadvantages in accurate results and diagnosis being
pointed unresolved, we bring this presentation on
radiology diagnosis without dark room.
WHAT IS RADIOLOGY SOLUTION WITHOUT DARK ROOM
It is the use of a Computed Radiography. This is a term
used to describe a system that electronically records a
radiographic image. Computed
Radiographic systems use unique image receptors to
capture an analog image and sophisticated readers to
process the image and convert the information into a
digital format. Since Computed Radiography (CR)
utilizes digital technology, images may be electronically
manipulated to adjust contrast and density. The
computer-generated images obtained with CR can be
displayed electronically and/or on film.
OR
A DR (Digital radiography) system which uses a flat digital
panel that can send image to the pc faster on exposure to
x-ray imaging. It has a battery backup and reads in 3sec to
get the image and can easily convert analogue to digital
image to save or to print and this makes the processing of
the image faster.
NOTE: these solutions are green because they are not
harmful to our environment like the chemical used for
traditional radiology.
RADIOLOGY WITH DARK ROOM
 Radiology has to do with imaging and most people get
this imaging using an X-ray (Analogue) machine
which works with the film processor and a dark room
where the film is being developed to get an image,
otherwise called traditional radiology. These processes
have been in use for long even till now.
 These processes (Traditional Radiology) cause delay in
the workflow manner and the chemicals are toxic to
our environment and also the radiologist because they
are not green.
There are four key players in the provision of this services,
they are:
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Agfa
Carestream
Konica
Fujifilm
Coscharis medical took a special time to study the
products of all this other companies and came up with the
decision in choosing for a representation Fujifilm products
for the Nigerian environment.
FUJIFILM
Fujifilm is a Japanese company that was
established in 1974. Fuji film started with film
business (photography) but now diversified into
the medical solutions.
FUJIFILM CORE TECHNOLOGY
HIGH QUALITY IMAGE
(IMAGE PROCESSING)
RELIABLE
PRODUCTS
(PRODUCTION
PROCESS)
FUJIFILM RADIOLOGY PRODUCTS
 CR (computed radiology)
 DR panel (digital radiography)
 Printer
 Film
 FDR D-EVO smart x-ray
 FDR D-EVO flex
COMPUTED RADIOLOGY
Computed radiology has to do with the use of a cassette reader (CR) to
digitize an analogue image.
A complete CR system comprises of the following;
CR machine  PC + Workstation (software)  Cassette with imaging plate
(IP)  Printer.
For Fuji film, they have seven types of CR systems:
PRIMA T
PRIMA T2
CAPSULA X
XG-5000
CAPSULA X II
PROFECT ONE
PROFECT CS
PRIMA T2
PRIMA T2 SPECIFICATION
 It is used for general radiology in small centers
 It uses all the cassette sizes.
 It is a table top CR
 4,500 exams can be stored and reviewed on the pc.
 It has a trolley though optional
 It has DICOM and PAC systems which is compactible to
enable a work flow manner.
 Made with their core technologies which are multifrequency processing (MFN), flexible noise control (FNC),
grid pattern removal (GPR) focusing on quality image.
A COPLETE SET OF PRIMA T2 COMPRISES THE FOLLOWING
Product #
Product name
Description
PRIMA T (Digitizer)
16187721
Console
MEHW-1067
MEHW-1064
CR IR 392 RU PNTM = : E
CR PRIMA T - Table top general CR
Console Advance Smart
BARCO 19" touch panel LCD
Console Advance full option (OPTIPLEX 7010 DT)
BARCO 19" LCD touch (MDRC 1119TS)
IP-6 ST 35.4X43CM 1 E
IP-6 ST 24X30CM 1 E
Imaging plate 35x43cm for General X-Ray (All CR)
Imaging plate 24x30cm for General X-Ray (All CR)
IP CASS-CC BW-PB 35.4X43CM1 :E
IP CASS-CC BW-PB 24X30CM 1 :E
Cassette 35x43cm for General X-Ray (All CR)
Cassette 24x30cm for General X-Ray (All CR)
IP
15189368
15188596
Cassette
16251625
16251663
Drypix Smart (Dry Printer)
16313643
Dry Films
16174346
16174358
16103397
DRYPIX SMART 200V : E
Drypix Smart 2Tray (35x43 & 26x36 or 20x25)
DI-HL 35X43
DI-HL 26X36
DI-HL 20X25
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
With Radiology software (RIS, PACS, etc.
CAPSULA XL II
SPECIFICATION (CAPSULA XLII)
 It is used for general x-ray and mammography.
 The imaging plate is made with the H6’’ technology
(which has the function of reducing the dosage of
the x-ray)
 The MFN, FCN and GPR technology was used for it.
 4,500 exams can be stored and reviewed on the PC.
 It has full function DICOM, CD burning and
printing
A COMPLETE SET OF CAPSULA XL II COMPRISES THE FOLLOWING
15779084
CR IR 359 RU E
CR CapsulaXL2 - all in one complete CR Digitizer
15779096
IR 359 50MICRON UPGRADE KIT E
Mammo up grade kit for XL2
MEHW-1067
Console Advance Smart
Console Advance full option (OPTIPLEX 7010 DT)
MEHW-1064
BARCO 19" touch panel LCD
BARCO 19" LCD touch (MDRC 1119TS)
15189368
IP-6 ST 35.4X43CM 1 E
Imaging plate 35x43cm for General X-Ray (All CR)
15188596
IP-6 ST 24X30CM 1 E
Imaging plate 24x30cm for General X-Ray (All CR)
16163684
16163696
IP-6 HR 18x24CM 2 M E
IP-6 HR 24x30CM 2 M E
Imaging plate 18x24cm for Mammo (XL2)
Imaging plate 24x30cm for Mammo (XL2)
IP CASS-CC BW-PB 35.4X43CM1 :E
IP CASS-CC BW-PB 24X30CM 1 :E
IP CASS-CH BW 18X24CM 1 E
IP CASS-CH BW 24X30CM 1 E
ADP FOR CASS-CH 24X30CM 1 E
Cassette 35x43cm for General X-Ray (All CR)
Cassette 24x30cm for General X-Ray (All CR)
Cassette 18x24cm for Mammo (XL2)
Cassette 24x30cm for Mammo (XL2)
Cassette adapter for CH CASS 24x30 (XL2)
Console
IP
Cassette
16251625
16251663
15779058
15779060
15779072
Drypix Smart (Dry Printer)
16313643
Dry Films
16174346
16174358
16103397
DRYPIX SMART 200V : E
Drypix Smart 2Tray (35x43 & 26x36 or 20x25)
DI-HL 35X43
DI-HL 26X36
DI-HL 20X25
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
PROFECT CS
SPECIFICATION (PROFECT CS)
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It is used for general x-ray and mammography
It has four insertions.
It covers long spine examination
It has the dual side reading(front and back) which
improves the quality of the image,
It is specially strong for mammography and pediatric
exam.
It accommodates all the cassette sizes.
It has the line scanning technology, which can read the
IP smoothly and speedy.
It has full function for DICOM storage, CD burning
and printing.
TABLE OF CLASSIFICATION FOR THE CR MACHINE
S/N
PICTURE OF CR
FUJI
MODEL&NAME
GENERA
L X-RAY
USE
MAMMOGRAPHY
USE
OUTPUT
PER
HOUR
RESOLUTION
CENTERS
WHERE
SUITABLE
NO OF
CASSETTE
INSERTION
1
Prima T
Yes
No
57Ip/hr.
100µm
Small
center
1
2
Prima T2
Yes
No
70Ip/hr.
100µm
1
3
Capsula X
Yes
No
90Ip/hr.
100µm
4
XG-5000
Yes
No
165Ip/hr. 100µm
5
Capsula-X II
Yes
Yes
92Ip/hr.
Small
center
Small
center
Large
center
Small
center
6
Profect one
Yes
Yes
100Ip/hr. 50µm
1
7
Profect CS
Yes
Yes
165Ip/hr. 50µm
Small
center
Large
center
50µm
1
4
1
4
ADVANTAGES OF COMPUTED RADIOLOGY
• For their CR cassette, the imaging plate (IP) is made with phosphor
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and its reusable up to 5,000 times. While the analogue is only one
single use of the film. Thus for the IP being reusable, it is a very
good innovation for the radiographer to minimize cost.
Less file space: image and patients data can be stored by creating a
file space on the pc for easy recall or print out.
For one imaging, it can store up to 5,000 times.
It replaces the dark room without touching the X-ray.
No need for the use of chemicals (Cost effective) and less harm for
the radiographer.
It is a closed system, meaning for each hospital that purchases the
FCR, it’s only the Fuji film that they will be using.
Teleradiology, because of the DICOM connectivity, it promotes the
work flow manner in the form of information sharing among the
radiology sections (MRI SUITE, CT-SCAN) etc.
Improved diagnostic accuracy.
Images can be edited.
DIGITAL RADIOLOGY(DR)
This is used to convert an analogue x-ray into a digital
image. It has a digital cassette (DR) or otherwise called a
flat panel detector (FDR).
In this case, there is no need for CR; the image is being
transferred directly to the pc. I will use this simple
illustration:
Analogue x-ray table +DR cassette+ printer = digital Xray.
FUJIFILM D-EVO(FLAT DIGITAL PANEL)
DEVO is designed with image intelligence
technology and the smart switch technology with
panel integrated with all x-ray systems. The panel
size is 3.3kg.
A COMPLETE SET OF FDR-DEVO(FLAT DIGITAL PANEL)
DR FPD (D-EVO)
16176368
DR-ID 601 SE * E
FDR D-EVO OPTION DR601 SE-CBL
16169042
10M E
FDR D-EVO OPTION DR601 SE
16169030
BATTERY CHAGER E
FDR D-EVO OPTION DR601 SE
16169028
BATTERY E
16166129
DR-ID 600/601 MP E
16091623
FDR D-EVO OPTION DR600 MP CBL E
MEHW- xx
Access point
MEHW- xx
MOXA board
D-EVO G35i wireless/wired (35x43 GOS)
Panel connection cable
Battery charger kit
Battery kit
Power supply unit
AC cable for MP
Access point D-Link (DAP-2553)
X-Con serial port for Console Adv
Console
MEHW-1067
Console Advance Smart
MEHW-1064
BARCO 19" touch panel LCD
Drypix Smart (Dry Printer)
16313643
DRYPIX SMART 200V : E
Dry Films
16174346
DI-HL 35X43
16174358
DI-HL 26X36
16103397
DI-HL 20X25
With Radiology software (RIS, PACS, etc.)
Console Advance full option (OPTIPLEX 7010 DT)
BARCO 19" LCD touch (MDRC 1119TS)
Drypix Smart 2Tray (35x43 & 26x36 or 20x25)
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
SPECIAL PANEL FOR PEADIATRIS AND LONG SPINE
EXAMINATION
Fuji film has a special DR panel for Pediatric
which allows a low dosage of x-ray.
The connection can be between the computer and the cassette can
either be by wire or wireless connection. The wire mode has charger
while the wireless used Wi-Fi connection.
DP has the highest speed than the CR and it is good for Emergency
room and large centers. It is not used for Mammography but can be
used for general X-ray. The DP wireless can be detached and used for
the chest bulky table or the X-ray table.
For the DP, 3sec, it reads the first preview on changing the patient
position, 9sec with wire and 12sec with wireless to get the full image.
Image send to the pc read
Panel sizes are as follows;
 35x 43cm
 24x30cm (used for pediatric)
 43x43cm.
FEATURES OF FDR-DVO(FLAT DIGITAL PANEL)
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It is used for general x-ray with 150µm resolution.
Gray size 16bits
Preview in 3 sec
Panel weight 3.3kg (35x43cm) and 3.9 (43x43cm)
150kg for the whole panel and 100kg for spot (10mm)
Rechargeable battery on 750 exposure or 3.5 hours
Resolution is 2816x2816 (43x43cm) and 2880x2340
(35x43cm)
Free connect or detachable no waiting.
It can cover the long spine examination
4,500 exam can be stored in the console advanced
Has PACS and synapse technology
ADVANTAGES OF FLAT DIGITAL PANEL
It makes the work flow very easy for the
radiographer.
FUJIFILM PRINTERS
Fuji film has printer for the FCR machine, Some are
thermal printer while some are laser printer.
Printer
Smart
Thermal
Laser
Table
Top
Laser
Stand
Alone
Laser
FUJIFILM PRINTER SUITABLE FOR CR OR DR
For each CR, we have the printer suitable for it while
for the DR, any of the printer can be used.
FIND BELOW THE TABLE OF CLASSIFICATION FOR THE
FUJI FILM PRINTERS AND THEIR FEATURES
S/N
PICTURE OF
FUJI
PRINTER
MODEL
1
Drypix lite
DESIGN
AND TYPE
OF
PRINTER
GENERAL MAMMOGRAPHY
USE
USE
OPERATION
SPEED
NO OF
TRAY
CENTERS
WHERE
SUITABLE
Table top
Yes
and it’s a
thermal
printer
Drypix smart Table top
Yes
and it’s a
laser printer
No
90sh/hr.
1 or 2
trays
Small
center
Yes
70sh/hr.
2 trays
3
Drypix plus
Yes
Yes
160sh/hr.
1,2,or 3
trays
Small
center that
has
mammo.
For large
centers.
4
Drypix
essential
Yes
Yes
240sh/hr.
3 trays
2
Stand
model and
it’s a laser
printer.
Stand
model and
it’s a laser
printer.
For large
center.
SCALABILITY
FOCUS ON QUALITY IMAGE
DUAL SIDE READING
LINE SCANNING TECHNOLOGY
CASSETTE /IMAGING PLATE/FILM SIZES
Fujifilm cassettes, imaging plate and films are of
universal sizes which fits into all types of X-ray
machine.
FDR- DEVO SMART X-RAY SUITE
 The FDR-DEVO SMART X-RAY comprises the
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following;
X-ray table
Chest bulky table
X-ray tube
Generators
FDR DEVO SMART X-RAY MOVEMENT
FDR-DEVO FLEX (MOBILE X-RAY WITH FLAT DIGITAL PANEL)
It is used for mobile x-ray machine and it comprises the
following:
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DR cassette
Utility box(touch screen)
It could be wire or wireless
It enables greater flexibility.
NOTE: the FDP cannot be used for mammography
because of it resolution.
Unit constitution for the different models of CR and DR
PRIMA T (DIGITIZER)
Product #
Product name
Description
Qty
PRIMA T (Digitizer)
16187721
CR IR 392 RU PNTM = : E
Console
MEHW-1067 Console Advance Smart
MEHW-1064 BARCO 19" touch panel LCD
CR PRIMA T - Table top general CR
1
Console Advance full option (OPTIPLEX 7010 DT)
BARCO 19" LCD touch (MDRC 1119TS)
1
1
IP-6 ST 35.4X43CM 1 E
IP-6 ST 24X30CM 1 E
Imaging plate 35x43cm for General X-Ray (All CR)
Imaging plate 24x30cm for General X-Ray (All CR)
1
1
IP CASS-CC BW-PB 35.4X43CM1 :E
IP CASS-CC BW-PB 24X30CM 1 :E
Cassette 35x43cm for General X-Ray (All CR)
Cassette 24x30cm for General X-Ray (All CR)
1
1
DRYPIX SMART 200V : E
Drypix Smart 2Tray (35x43 & 26x36 or 20x25)
1
DI-HL 35X43
DI-HL 26X36
DI-HL 20X25
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
1
1
1
IP
15189368
15188596
Cassette
16251625
16251663
Drypix Smart (Dry Printer)
16313643
Dry Films
16174346
16174358
16103397
With Radiology software (RIS, PACS, etc)
CAPSULA XL2 (DIGITIZER)
15779084
15779096
CR IR 359 RU E
IR 359 50MICRON UPGRADE KIT E
CR CapsulaXL2 - all in one complete CR Digitizer
Mammo up grade kit for XL2
1
1
Console Advance Smart
BARCO 19" touch panel LCD
Console Advance full option (OPTIPLEX 7010 DT)
BARCO 19" LCD touch (MDRC 1119TS)
1
1
IP-6 ST 35.4X43CM 1 E
IP-6 ST 24X30CM 1 E
IP-6 HR 18x24CM 2 M E
IP-6 HR 24x30CM 2 M E
Imaging plate 35x43cm for General X-Ray (All CR)
Imaging plate 24x30cm for General X-Ray (All CR)
Imaging plate 18x24cm for Mammo (XL2)
Imaging plate 24x30cm for Mammo (XL2)
2
2
1
1
IP CASS-CC BW-PB 35.4X43CM1 :E
IP CASS-CC BW-PB 24X30CM 1 :E
IP CASS-CH BW 18X24CM 1 E
IP CASS-CH BW 24X30CM 1 E
ADP FOR CASS-CH 24X30CM 1 E
Cassette 35x43cm for General X-Ray (All CR)
Cassette 24x30cm for General X-Ray (All CR)
Cassette 18x24cm for Mammo (XL2)
Cassette 24x30cm for Mammo (XL2)
Cassette adapter for CH CASS 24x30 (XL2)
2
2
2
2
1
Drypix Smart 2Tray (35x43 & 26x36 or 20x25)
1
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
1
1
1
Console
MEHW-1067
MEHW-1064
IP
15189368
15188596
16163684
16163696
Cassette
16251625
16251663
15779058
15779060
15779072
Drypix Smart (Dry Printer)
16313643
DRYPIX SMART 200V : E
Dry Films
16174346
DI-HL 35X43
16174358
DI-HL 26X36
16103397
20X25
With RadiologyDI-HL
software
(RIS, PACS, etc)
DR FPD (D-EVO )
DR FPD (D-EVO)
16176368
DR-ID 601 SE * E
16169042
FDR D-EVO OPTION DR601 SE-CBL 10M E
FDR D-EVO OPTION DR601 SE BATTERY
16169030
CHAGER E
16169028
FDR D-EVO OPTION DR601 SE BATTERY E
16166129
DR-ID 600/601 MP E
16091623
FDR D-EVO OPTION DR600 MP CBL E
MEHW- xx
Access point
MEHW- xx
MOXA board
Console
D-EVO G35i wireless/wired (35x43 GOS)
Panel connection cable
1
1
Battery charger kit
1
Battery kit
Power supply unit
AC cable for MP
Access point D-Link (DAP-2553)
X-Con serial port for Console Adv
1
1
1
1
1
MEHW-1067
Console Advance Smart
Console Advance full option (OPTIPLEX 7010 DT)
1
MEHW-1064
BARCO 19" touch panel LCD
BARCO 19" LCD touch (MDRC 1119TS)
1
Drypix Smart 2Tray (35x43 & 26x36 or 20x25)
1
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
Drylaser film for DPX4000,7000,Plus,Essential
1
1
1
Drypix Smart (Dry Printer)
16313643
DRYPIX SMART 200V : E
Dry Films
16174346
DI-HL 35X43
16174358
DI-HL 26X36
16103397
DI-HL 20X25
With Radiology software (RIS, PACS, etc)
CONCLUSION
 With this our radiology solution, there is no need
for dark room , no need to change your Analogue
X-ray machine as our film are of universal sizes
and there is less time spent and maximum ease of
workflow for the radiologist.
 Our prices are quite affordable.
PRICE REQUEST
It is recommendable you contact our price team for best
negotiated price quote.
In line with this, please contact us through the following:
[email protected]
[email protected]
[email protected]
[email protected]
Tel: 08029433376, 08131093000, 08057542258
08065299905
THANK YOU