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 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: • • • • 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) 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 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) 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 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: 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: cosmedicalandfoods@yahoo.com cosmedicalandfoods@gmail.com ciaibezima@yahoo.com info@coscharismedical.org Tel: 08029433376, 08131093000, 08057542258 08065299905 THANK YOU