Gwinnett Medical Center & the DRX-Revolution

Gwinnett Medical Center in Georgia shoots over 100 portable X-rays each day. With this volume, they not only needed one reliable mobile X-ray system, but multiple. Since the installation of the DRX-Revolutions in their facilities, the results have been positive.

Karen Kubik, Imaging Director at Gwinnett Medical Center shares their story.

Combating the Challenges of Portable Imaging

Rafael Fernandez, DMS Product Specialist, Spain, Carestream

Rafael Fernandez, DMS Product Specialist, Spain, Carestream

The Spanish translation of this post can be found after the English version.

For a period of time, portable imaging had been mostly forgotten, the least evolved of medical imaging trends. A few years ago, it was common seeing radiographers pushing a contraption that looked like a wheelchair through the corridors completely loaded while another technician would push a piece of analog equipment that tended to be at least 10-years-old. Interestingly, these devices were used with the most critical patients (ICU, Pediatrics), who needed a better diagnostic quality due to injury or critical life situations

Portable imaging continues to face three key challenges: mobility, image quality and productivity. To address these challenges, Carestream designed the DRX-Revolution System:

  1. Mobility: ICUs are filled with appliances, tubes, cables, etc. that leave little space available in the room that tripping over any cables can disconnect some vital equipment. For this, the DRX-Revolution system has the first column and retractable (up to 135 cm), allowing technicians to see any obstacle in front of them and can capture a quality image with limited patient mobilization. This along with a volume of only 0.89 m3, this makes the DRX-Revolution an ideal team member for their work in the ICU
  2. Image quality: the great power of the generator (32 kW), the use of wireless sensor DRX-1/DRX-1 C/DRX 25x30C with cesium iodide scintillator result in improved image quality and in reduced dose. In addition to being wireless, we can use sterile bags in clean environment without causing contamination. The ability to retrieve patients’ previous images was done via the hospital’s PACS and copy radiographic technique with which it became the latest study. The images are made with quality unknown to date and under the same boundary conditions, which makes tracking the evolution of a disease such as pneumothorax easily.
  3. Productivity: instead of bringing the patient to the X-ray, the X-ray room can now be taken to the patient. The DRX-Revolution design gives the ability to maximize a radiology department’s investment, as it is the first mobile X-ray system with two screens (19 “screen and a secondary 8″ tube). User identification via QR code cards have been designed by and for diagnostic imaging technicians. In the end, this serves as an ideal system in the portable imaging revolution.

I enjoyed giving a speech on October 4, 2013, at the Congress of the Association of South Radiologists in Cadiz, sharing and explaining scientific advances in the field. This is a time when Carestream is embracing the opportunity to lead through the challenges and changes in the portable radiology sector.

SPANISH TRANSLATION

Los Retos de la Imagen Portátil

Históricamente, la imagen portátil ha sido la gran olvidada, la que menos ha evolucionado en el tiempo. Hace unos años, era muy común ver por los pasillos a técnicos de radiodiagnóstico empujando una silla de ruedas (o algún artilugio similar) cargado  de chasis junto con otro técnico que empujada un equipo analógico con una edad media de más de 10 años. Curiosamente, los pacientes en los que se usaban estos equipos eran los enfermos más críticos (UCI, Pediatría) y los que necesitaría una mejor calidad diagnóstica debido a lesiones o situaciones vitales críticas.

La imagen portátil se sigue enfrentando a tres retos fundamentales: movilidad, calidad de imagen y productividad. Para  hacer frente a estos retos Carestream Health ha diseñado el sistema DRX-Revolution que cambia radicalmente la imagen portátil y soluciona totalmente dichos retos.

  1. Movilidad, las unidades de cuidados intensivos (UCI) se encuentran llenas de aparatos, tubos, cables, etc. que hacen que se disponga de muy poco espacio útil y que cualquier tropiezo con un cable pueda desconectar algún aparato vital (respiradores, etc.…), para ello, el sistema DRX- Revolution tiene la primera columna retráctil del mercado y la que mayor alcance tiene (hasta 135 cm), lo que hace que el técnico pueda ver siempre el obstáculo que tiene delante y puede alcanzar mejor al paciente sin necesidad de su movilización. Esto junto con un volumen de sólo 0,89 m3 hace del DRX-Revolution un equipo ideal para su trabajo en UCI, incubadoras, etc.…
  2. Calidad de imagen, la gran potencia del generador (32 Kw), el uso del detector wireless DRX-1/DRX-1 C/DRX 25x30C con centelleador y yoduro de cesio, hace que la calidad de imagen y la reducción de dosis deje de ser una quimera. Además al ser wireless, podemos usar bolsas estériles sin dejar cables no esterilizados en entornos limpios y sin que se produzcan enganchones. La posibilidad de recuperar las imágenes previas que el paciente tenía en el PACS del hospital y copiar la técnica radiográfica con la que se hizo el último estudio, hace que las imágenes se realicen con un calidad desconocida hasta la fecha y en las mismas condiciones de contorno, lo que hace que ver la evolución de una patología como el Neumotórax, sea muy fácil.
  3. Productividad, en vez de llevar el paciente a la sala de R-X, llevamos la sala de R-X al paciente. El diseño del DRX-Revolution hace que maximicemos nuestra inversión, ya que es el primer equipo con dos pantallas (19” de pantalla principal y una secundaria de 8” en el tubo), identificación del usuario mediante tarjetas con códigos BIDI y diseñado por y para técnicos en diagnóstico por imagen, hace que sea el sistema idóneo y revolucionario para la imagen portátil.

Me encantó dar el discurso el pasado 4 de octubre de 2013, en el congreso de la Asociación de Radiólogos del Sur en Cádiz, para compartir los avances científicos en esta reunión  España y poder explicar como Carestream quiere liderar el los retos en la radiología portátil.

AHRA 2013: Thoughts on the DRX-Revolution

In this video Anthony Aukes, Radiology Manager at Carle Foundation Hospital, reviews the Carestream DRX-Revolution Mobile X-ray System after seeing it at AHRA 2013. Aukes talks about how the life of any tech at an imaging facility is always fast paced and busy, but the built in features on the portable helps enhance their workflow and make their life much easier.

This year we showcased our new 2530C detector, which is something Aukes feels has a place in the hospitals’ NICU department. Being able to capture and review images quickly allows radiologists to show physicians what they’re looking for without any detrimental impact to patient care.

When discussing converting rooms to DR, Aukes emphasized the “do more with less” motto many healthcare facilities face today and how to stay on the leading edge of technology. The DRX-1 system allows them to upgrade exam rooms to newer technology with lower dose and better image quality without having the expense of replacing a whole room.

Carestream goes to extremes…

Helen Titus

Helen Titus, Marketing Director, X-ray Solutions, Carestream

Over the Polar Ice.

Right now, Carestream is on a six-month trek across the frigid Antarctic continent. Well, none of our people are actually on the trip – but one of our flagship products is.

On March 21st, a small team of explorers set off on “The Coldest Journey.” They will attempt to conquer the last major challenge of polar exploration: to cross the Antarctic continent in winter. They’ll travel for six months, across 2,480 miles, at temperatures that can fall to –129F. During this perilous expedition, the team needs the ability to provide advanced medical care if needed – including diagnostic X-ray capabilities. The expedition’s doctor, Rob Lambert, knew that any X-ray system going on this journey would need to be exceptionally rugged, small, light and easy to operate. He chose the CARESTREAM DRX Transportable / Field Portable X-ray System.

The DRX-Transportable is a durable, all-in-one digital solution. It includes the DRX wireless detector, all electronics, a wireless access point and a tablet PC – all securely packed in a tough, protective case. Designed for easy portability, this is a system the expedition can depend on. Check out The Coldest Journey’s website.

Under the Desert Sun

The DRX-Transportable is even built to be rugged enough for military applications. This video* (also shown below) demonstrates how quickly the portable system can be deployed to evaluate serious battle injuries sustained by soldiers in desert combat – and in virtually any other environment as well.

The DRX-Transportable’s mobility and and wireless performance also make it ideal for disaster relief, EMT use, and travel to nursing homes and in-home care.

*Video is a bronze winner of the 34th Annual Telly Awards

Video: See the CARESTREAM DRX-Revolution Preview at RSNA 2011

Portable imaging has been a big draw to our booth this week at RSNA.

Mobile x-ray systems are an essential tool in treating what are often the sickest of patients – those confined to bed and in need of urgent care.  However, bedside diagnostic imaging also poses several frustrating challenges ranging from maneuverability to positioning and alignment.

Our engineering team has been hard at work on the development of the first  mobile DR system designed from the ground up with technologist needs in mind and the prototype for  CARESTREAM DRX-Revolution*Mobile X-Ray System is making its debut at RSNA in a special preview area of our booth (#1611).

The live presentation is embedded below:

[youtube=http://www.youtube.com/watch?v=Suv9u-qhPVE&w=560&h=315]

This system will include all essential tools that rad techs have long been waiting for because it was developed as a direct collaboration with the end-user for their feedback and testing.  For instance, when the x-ray system hits the hallways of hospitals, it will feature a fully automatic collapsible column and even storage space for gloves, sanitizers and paperwork.

The preview of the CARESTREAM DRX-Revolution* at RSNA is just one more opportunity for us to listen to radiologists about their portable imaging needs and see if we got it right.

Did you get to see the CARESTREAM DRX-Revolution at RSNA?  What did you think?

*Not commercially available