RADspeed Pro EDGE
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RAD Experiences Using the RADspeed Pro EDGE Package Hirohito Tanaka, R.T. Department of Radiology, Chibune General Hospital Hirohito Tanaka 1. Hospital Description Our hospital was originally established in Tsukuda in 1958, near Chibune Station on the current Hanshin Main Line, as Chibune Clinic. As an acute care general hospital for the Nishiyodogawa Ward of Osaka City, the hospital serves an important role in providing healthcare for the region and also for providing perinatal, maternal, and child healthcare. On July 1, 2017, our newly updated hospital was opened at a new location in front of the Fuku Station on the Hanshin Namba Line (Fig. 1 and 2). Built based on the concept of “Safety and Security for the Future,” the earthquake-proof building designed to withstand natural disasters has nine floors with approximately 32,700 m2 of floor area. Though the number of beds remains the same (292 beds), it is 2.5 times more spacious than the previous facility, so that patients can be provided with a more restful space. As before, the new Chibune General Hospital will continue to serve as an acute care general hospital for treating key diseases, such as diabetes, myocardial infarctions, strokes, and cancer, for providing adult healthcare involving the cardiovascular system, gastrointestinal system, kidney dialysis, cerebrovascular system, or gynecology, and for improving perinatal care. In addition, the hospital is actively involved in emergency care for foreign patients, thereby providing sophisticated healthcare that is safe and worry-free for a wide variety of Japanese and foreign patients. The recent update involved replacing almost all of our diagnostic imaging systems. As part of that process, we introduced three new Shimadzu X-ray systems, including the RADspeed Pro EDGE package. The follow is a report of our experience with starting up the systems, starting clinical operations, and using tomosynthesis. (b) Fig.1 Exterior (a) of and View (b) from the Hospital Fig.2 ospital Front Desk H 2. Background of Adoption In terms of criteria for selecting a general radiography system for the relocated hospital, we needed to start the selection process with a blank sheet of paper, regardless of the manufacturer. As a result, the department personnel at the time prepared the following wish list. • Ability to perform axial projection radiography of hip joints on both sides without having to reposition the patient No.84 (20

NICU/GCU Room Department of Radiology, Chibune General Hospital Shimadzu Products Currently Used at our Hospital Angiography Room General Radiography Room 1 Operating Room General Radiography Room 2 General Radiography Room 3 Portable Unit for Patient Ward Fig.3 himadzu Products Currently Used at the Hospital S • b i l i t y t o f i x t h e X - r a y t u b e a t a n y a n g l e t o A accommodate a variety of radiography situations • Ability to perform long view radiography easily and stitch images automatically • Include a light-weight FPD with simple and userfriendly image processing...

Fig.5 Control Room (Right to left: UD150B-40, the image processing unit, the tomosynthesis image processing unit, the electronic medical record terminal, and the image inspection system terminal) the technologist to focus on assisting and positioning the patient, which, needless to say, significantly reduced the number of mistakes made selecting the Anatomical Program and X-ray exposure conditions. However, in order to cooperate the entire process, from RIS terminal to image processing unit, an electronic medical records and RIS master database needed to be prepared before the system was...

gurney during an emergency, for example. We find this and other extensive functionality, which is not available from other brands, very useful. 5. Experience Using Long View Radiography Previously, long view radiography involved mounting two or three 14 × 14-inch size imaging plates in a long CR cassette. After acquiring the images, the long cassette was replaced with a 14 × 14-inch cassette and load them to the reading equipment. Thus, it took about 10 minutes for each long view radiography. Furthermore, it was necessary to perform the post processing for three images and print them to the...

The RADspeed Pro EDGE package is capable of tomosynthesis in both the standing and supine positions. However, standing and supine positions involve different FPD movements. For supine tomosynthesis, the cross-section height can be specified, so that the FPD moves along with the tube, but for standing tomosynthesis, the FPD remains stationary and only the tube moves. Therefore, the cross-section height cannot be specified a). That means the available radiography range is different in standing and supine positions, so additional care is required. It takes about 12 seconds to acquire 60...