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CR Digital

-Ray



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LETS START WITH A “ REFERRAL “


2016
Carestream Vita XE CR System Installation

tell-a-friend-l To - The JXR Team,
Thanks for all your help throughout the process - your direction has been hugely appreciated! Working with the team at Jones X-ray on the installation of our new x-ray suite was fantastic. From my initial phone call querying the options available to us, through to the installation itself, Jones X-ray was professional, knowledgeable and courteous. The guys even worked on my install over the weekend from Friday to Sunday to get the job finished in a timely manner AND we're delighted with the finished product!

"I Would recommend Jones X-Ray to anyone for help with their imaging needs"

Dr. Andrew Newell, D.C.
Full Life Chiropractic
Austin, Texas


COMPUTED RADIOGRAPHY - CR SYSTEMS:

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page0_3-3Directview Vita XE CR System

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Providing high-quality diagnostic imaging services to your patients is high on your list of priorities.
But there are limits to your budget and your space. That's why we are excited to offer your customers the CARESTREAM DIRECTVIEW Vita XE CR System—a reliable, compact, tabletop imaging solution with a small footprint and light weight design. It allows seamless integration into your existing work flow, and helps increase efficiency and productivity, all at an affordable price.

AFFORDABLE

  • Meets the needs of smaller hospitals, clinics and private practices with limited budgets
  • Allows end-users to offer in-house imaging without paying for features they don’t use

SIMPLE and FAST

  • 65 to 69 plates per hour ("14"x17") at standard resolution
  • Smart Erase feature yields improved productivity/speed
  • Designed for easy service
  • Smooth integration into current workflow
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DURABLE
  • Handles extreme environmental conditions in variety of applications
  • Enhanced Quality & Service Performance
  • Tested to strict military conditions

ROBUST

  • Internal dongle eliminates loss or damage
  • High-quality images
  • Dynamic Range expanded to full 40mR
  • Improved DQE and Signal to Noise ratio

VITA CR SYSTEMS ACCELERATE YOUR WORKFLOW WITH:
  • Fast and easy set up in the office or on the road
  • An intuitive interface that minimizes training time
  • Default image preferences to simplify selection
  • Quick correction of over and under exposures
  • A “smart erase” feature that reduces cycle time between scans
  • Fewer parts make maintenance a breeze and reduce downtime
Brochure
pdf_sm VITA CR SYSTEM

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page0_3-3Directview Vita XE CR System
Say goodbye to purchasing film and chemicals….





images JONES X-RAY INSTALLATION SPOTLIGHT - DALLAS, TX images-2
UNIVERSAL MEDICAL SYSTEM WITH CARESTREAM DIRECT-VIEW CR

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See More Installation Photos


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page0_3-3Dual Zone Capture

Introducing the iDR34: the only digital radiography solution capable of BOTH regional scanning and long length spinal imaging studies. With a 17”x34” field of use, the iDR34 can replace or supplement your existing RAD room environment by giving you the ability to do all anatomy regions - neck and chest, full-torso, long-length, and spine. Because the system takes a single image, you can leverage compensation filters to balance out the exposure between thicker and thinner areas of anatomy.

There is no need for multiple exposures, making the iDR34 an ideal low-dose solution for applications such as scoliosis evaluation in the pediatric segment. Our proprietary algorithm eliminates the need for image stitching software, creating a full-spine image in one exposure without having to take three separate x-rays. Low-dose, high-efficiency versatility makes the iDR34 second to none in the DR market today. It’s just another example of iCRco’s evolution in the field of DR radiography.

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Download iDR34 Brochure


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page0_3-3Full Spine Capture

One solution to address all your long-bone imaging needs. Introducing the iDR-L – a seamless, high-resolution detector that offers full spine, regional, and zone scanning capabilities. This direct capture solution revolutionizes how full-spine imaging is achieved.

iDR-L Method:
The long-bone radiography platform utilizes a 17” by 51” detector plate that eliminates the need for a cassette. Integrating phosphor plate technology, the iDR-L boasts a higher resolution than standard DR while maintaining the same workflow. This solution sends complete image information directly to the scan processor skipping lengthy image stitching processes.

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Download iDR-L Brochure

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.

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