Guess the X-ray: December’s Image Challenge

Can you guess the image in the X-ray?

Happy December! It is time to put your thinking caps on for December’s “Guess the X-ray” Image Challenge! No one correctly guessed the November image: it was … Batman! More specifically, a Batman action figure with flexed elbow!

We welcome radiologists, technicians, RAs, MDs, PAs – or anyone who thinks they’re up to the challenge – to guess the subject in this X-ray. Please leave your answer in the comment section below or on our Facebook page. We’ll share the answer at the end of the month.

December Image Challenge

Have fun and happy guessing!

Diagnostic Reading #42: Five “Must Read” Articles on HIT and Radiology

Articles include: Dubai hospitals implement 3D printing before surgery; high-tech tracking system helps verify desired patient care activities; social media may be used to obtain patient feedback; docs vastly outperform computer algorithms in diagnostic accuracy; and a visual dashboard brings together key clinical data in ICUs.

Dubai hospitals to implement 3D printing before surgery – AuntMinnie

Soon all Dubai Health Authority hospitals in the United Arab Emirates will be able to print artificial limbs, denture molds, fracture casts, and organ models to simulate surgery before the actual procedure. The new initiative is expected to speed medical procedures, save costs, and help doctors pMedical team performing surgerylan complicated surgeries. Also 3D printing will help in providing accuracy in medical education.

Tracking technology serves many purposes in new facility – Health Data Management

A new hospital installed a high-tech tracking system that uses tags attached to clinicians and patients to monitor activity and verify that required actions are being taken. For example, if a patient is not seen by a nurse within a specific time threshold a TV screen at the nurse station notes the time lapse and the appropriate nurse is alerted. Tags on patients let personnel know where they are at all times and let family and friends track the progress of a patient in surgery via a screen in waiting rooms. This system also assists in patient flow, admission and transfer-referral procedures, as well as tracking patients who left without being seen and ED diversions. Continue reading

Study: Pediatric Fracture Detection

As a research scientist at Carestream Health, my recent work has focused on pediatric X-ray imaging – specifically, on the goal of achieving high-quality diagnostic images while minimizing dose. To explore potential solutions to this challenge, I initiated a study in collaboration with Samuel Richard, PhD, a fellow researcher at Carestream, and Sosamma T. Methratta, MD, of the Milton S. Hershey Medical Center in Hershey, PA. The study had two specific goals: 1) Determine the impact of a simulated reduced dose rendering on the detection of skeletal fractures in children, and 2) Evaluate the effect of enhanced skeletal processing on the same detection task. The methodology and results of this study were on display at RSNA 2015.

carestream-rsna-2015-pediatric-fracture-detection-study-9-638 Continue reading

Study: Dual-Energy Imaging and Digital Tomosynthesis

Innovative X-ray-based imaging technologies for rapid and accurate diagnosis of thoracic disease in critically ill patients

My most recent research at Toronto General Hospital explored the value of dual-energy (DE) imaging and digital tomosynthesis (DT) as solutions to the limitations of conventional radiographic thoracic imaging (chest radiography). Both DE and DT have been around for a few decades, but  recent advancements in digital detectors have made this technology increasingly promising in clinical use.

To this end, I conducted a study in collaboration with Ali Ursani, BEng, Fatima Ursani and Narinder Paul, MD, from Toronto General Hospital. Dr. Paul, who is the Site Chief, Toronto General Hospital – Joint Department of Medical Imaging, was the principal investigator in the study. In addition, four imaging experts from Carestream Health – Samuel Richard, PhD, Xiaohui Wang, PhD, Nathan Packard, PhD, and Levon Vogelsang PhD – were key participants. Additional support for patient recruitment consisted of the research coordinator and the team of technologists trained on the system with DE and DT functionalities.

Among the study’s many objectives were these:

  • Understand the gap between the performance of state-of-the-art chest radiograph (CXR) and computed tomography and the current needs of imaging facilities and patients.
  • Explore the concepts of dual-energy  imaging and digital tomosynthesis  as viable solutions to address these needs.
  • Examine the potential benefits that might be offered by a combined DE and DT system.Carestream DE and DT imaging

Continue reading

Defining Innovation in Medical Imaging

Measuring the Impact of New Technology

“Innovation” is a desirable goal in healthcare. Many imaging providers seek news ways and breakthrough Carestream-Health-Award-Logotechnologies to improve patient care. But how do you measure innovation? How do you determine which new solutions to invest in? According to Frost & Sullivan, new technology investments “must have a positive and demonstrable impact on the cost efficiency, the quality and the outcome of imaging enterprises’ service lines.”

To help providers with their decision making, Frost & Sullivan evaluates and benchmarks products on their attributes and their impact on operations. Recently, Frost & Sullivan put our DR, fluoroscopy, ultrasound, CBCT and healthIT imaging informatics products through its rigorous evaluation and selected Carestream as the winner of the 2016 North American Medical Imaging New Product Innovation Leadership Award. The award is yet another proof point that our products help enhance the value, profitability and marketability of the radiology profession.

You can click the image below to learn more about Frost & Sullivan’s 10-step process for evaluating candidates for the award, and the reasons they chose Carestream as the winner.

Carestream OnSight 3D Extremity System received FDA 510(k) clearance in September 2016.

Guess the X-ray – December’s Image Challenge

To end 2015 on a high note we’re offering up another round of our radiology image contest, and in the holiday spirit we’re including 2 images this time!

We welcome radiologists, technologists, RAs, MDs, PAs – or anyone who thinks they’re up to the challenge – to guess either subject in this educational X-ray quiz. Please leave your answer in the comment section below.


Sorry Carestream employees – please sit this one out.

Guess The X-Ray – September’s Image Challenge

Happy September everybody! Time for a new Image Challenge. Last month we had a clock radio, and we think we have another good image for September.

This month’s image is below; please leave your guesses below or on our Facebook page. The challenge will run until September 30, or until the first person correctly names the image. Good luck!


Sorry… Carestream employees and their agencies are prohibited from entering.

September Image Challenge

Guess The X-Ray- August’s Image Challenge

Happy August everyone! Time for a new image challenge.

Last month’s flashlight image was pretty easy, and we think that this month’s image will be a little tougher. The image for August is below. Please enter your guesses in the comments below or on our Facebook page. The challenge will run until August 31, or until the first person enters the right answer. Good luck!

As always, Carestream employees and their agencies are prohibited from entering.


August Image Challenge

Guess the X-ray — December’s Image Challenge

Congratulations to the winners of last week’s image challenge, which was a mantle clock! Here’s the original image…

Below is December’s X-ray image. Good luck guessing this one! Please leave your answer in the comment section below. The challenge will run until December 31, or until the first person correctly names the item in the image. Good luck and happy guessing!

Sorry…Carestream employees and their agencies are prohibited from entering.

December Xray Image


Speeding Trauma Care with Digital Radiography

Editor’s Note: The following is a guest blog post by Gillian Tickall, Chief Radiographer at The Alfred. The Alfred is a major tertiary referral teaching hospital that provides the most comprehensive range of specialist medical and surgical services in Victoria, Australia. Tickall kindly shares how converting to digital radiography has helped to shave off 9 to 10 minutes when working on trauma patients.

A pacesetter in Australia’s national healthcare system, The Alfred Hospital in Melbourne sees 60 percent of the traumas in Victoria. For our radiology department, this equates to about 2,400 exams per year.  Like any public hospital, one of our key challenges is increasing patient throughput while also improving the patient experience and outcome. This challenge is no small feat as capital funding decreases, pushing the lifespan of our equipment from 10 to 15 years.

One way we’ve addressed this challenge and financial constraint has been to use CARESTREAM DRX detectors and mobile retrofit kits to bring our imaging technology in both the main department as well as the emergency department, into the realm of modern technology.  For example, we were able to convert a conventional x-ray room, to a fully functional DR x-ray room, capable of meeting the demands of inpatient, outpatient and emergency examinations in a way that is of benefit to our patients.

Carestream detectorIn addition to inpatients from the hospital’s burns and trauma units, the room also supports a large population of outpatients, used for multiple exam types, from elderly patients in traction with broken limbs who have to be lifted onto the table to follow-up multi-trauma traffic accident victims. In these cases, it’s particularly helpful to have a wireless detector that you don’t have to reposition between projections.  If the detector is positioned incorrectly, the image is accessible immediately and if anatomy is clipped, the radiographer can retake the image after slight repositioning of the detector, which is already behind the patient, thus less distress to the patient.

The benefits in intensive care are significant, through the use of Carestream’s tube and line visualization software, doctors, while by the bedside can see immediately if they have put a nasogastric tube down correctly or not. They can see the image on the monitor allowing them to make an immediate assessment and correction if required. This feature is fantastic. You don’t need another exposure, if you are not quite sure of where the nasogastric tube is going into the stomach you take a copy of the diagnostic image and then apply the software tool and it’s beautiful. The line shows up perfectly and that is a huge benefit. The ICU doctors think it’s fantastic.

Another benefit is when we go to a code blue in the ward, when the patient has just arrested and we are not sure what could have caused it, we do an x-ray. All the necessary doctors and staff are there and they can see the image straight away. They then have the ability to make a decision immediately while the patient is critical. For us to go all the way back to the department , process the image, put it on  the network and bring it back to the code blue team takes time the patient doesn’t have and can result in a negative clinical outcome.  We managed to shave off a good 9 to 10 minutes when working on trauma patients, which is an awful lot of time when you think about the standard golden hour with traumas.

The DRX detectors also allow us to share between the dedicated imaging rooms and ED. For the purpose of ED we have a room that has 2 wireless detectors, 1 for the vertical bucky and 1 for the table bucky, which can be taken out and used on the trauma trolleys For the odd time you need to do a mobile you can take one detector out of the room and the room will still function, the ability to maintain effective concurrent room and mobile workflows is terrific.

We also have 3 of the new cesium iodide [DRX-1C] detectors, which provide the same image quality with a lower dose as compared to detectors in the ED room and retrofit room in the main department. These are used on the mobile units for mostly in the intensive care unit and the wards. The actual exposure is minimal compared to what we used to use. We used to use the exposure settings of 85 KV on 5 or 6 MAS for a chest X-ray and [with the DRX-1C] we are using now 90 KV on 1.6 MAS. This represents a significant dose saving for the patients who may have to have 1, 2, 3 x-rays a day while they are in intensive care. Given, these images are absolutely necessary, all the more reason radiation dose exposures need to be as minimal as possible and monitored.

When it comes to evaluating the value of our conversion to DR, I look at it in terms of its ability to allow more time for my radiographers to spend with the patient, decreasing the pain effect on the patient and also having the ability to see the image instantaneously.  It does mean that we can get more patients through, while still achieving a better patient experience and better outcome.