One room that has it all                                             Combined DR and fluoroscopy solution helps staff      ...
Equipment to deliver optimal care                        Children’s equipment selection process.Duke Children’s overriding...
vertical stand in the same room with the         Ms. Ancarana points out that the digital           when their child is un...
the console on the fluoro equipment in the                      DRF room, Dr. Frush concludes, “All of our                 ...
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Rf easy diagnost_eleva_at_duke_children_s_hospital_and_health_center-usa_customer_story

  1. 1. One room that has it all Combined DR and fluoroscopy solution helps staff do their best for patientsWho/where Duke Children’s Hospital and Health Center is a hospital within a hospital atDr. Donald P. Frush, Pediatric Radiologistand Chief of Pediatric Radiology the Duke University Medical Center in Durham, North Carolina. SupportingDr. Caroline Carrico, PediatricRadiologist and Assistant Professor over 175,000 pediatric outpatient visits a year, Duke Children’s is consistentlyEric Porter, Technical AdministratorAnja Ancarana, Pediatric Radiological ranked among the top pediatric specialty programs throughout the country.TechnologistDuke Children’s Hospital and Health Within the Pediatric Radiology Department for the quality of care that they are going toCenter, Durham, North Carolina, USAPart of Duke University Medical Center of Duke Children’s sits a two-in-one Digital receive at Duke. “We simply have to be able Radiography and Fluoroscopy (DRF) room to provide them with excellence in diagnostic that fits in quite well in this busy and highly capabilities that includes both the equipment regarded environment. This one room and our own expertise”.Challenge incorporates Philips latest digital radiographicComplement Duke Children’s and fluoroscopic technology and helps Duke’scommitment to deliveringcompassionate world class patient care pediatric radiologists and technologistswith state-of-the-art digital radiographic perform a wide range of applications.and fluoroscopic technology. Findequipment that maximizes staff By selecting this DRF configuration, Duke’sefficiency, helps shorten exam time, personnel are able to provide confidentdelivers outstanding clinical results, andat the same time helps minimize X-ray diagnostic results to referring physiciansdose to their predominantly pediatric quickly, efficiently, and in a way that minimizespatient population. the radiation exposure their patients receive. Challenges associated with pediatrics Dr. Donald Frush, Chief of PediatricSolutionPhilips two-in-one DRF room solution, Radiology points out that Duke’s pediatrica full digital radiography and fluoroscopy patient population poses some specificroom. With a digital vertical stand andoverhead tube assembly for radiographic challenges. “These patients are often quite illexams, an EasyDiagnost Eleva for and the amount of time that they can spendfluoroscopic studies, with an additionalstatic digital flat detector built in the away from their care facility is sometimestable for radiographic use. very limited. They may be getting multiple radiographic studies and our need to monitor Dr. Donald P. Frush performs a fluoroscopy study carefully the amount of radiation they get in the DRF room during fluoroscopy is very important,” he says. He also notes that his patients and their parents have extremely high expectations
  2. 2. Equipment to deliver optimal care Children’s equipment selection process.Duke Children’s overriding commitment “For this particular room,” Mr. Porterto providing the absolute best care for explains, “we asked for input from severaltheir patients was a key driver in helping quarters internally.” Both the pediatric andthem decide which technology to choose adult radiologists, as well as the technologists,when upgrading their radiographic and were asked to participate. Each group worked Eric Porter, Technical Administratorfluoroscopic capabilities. independently to come up with their own for the Department of Radiology recommendations. Of the final decision, Mr. Porter recalls, “Both from the children’s While there are three different possible“We needed to have a way to side of it, as well as the adult side of it, and DRF configurations available from Philips, maximize our use of time from the technologists, everybody came Duke Children’s features a vertical stand, and efficiency” back with the same recommendation, with a large 17 x 17” digital detector, and a independently. They all preferred the Philips.” ceiling suspended X-ray tube. There is alsoReviewing their top priorities, Dr. Frush an EasyDiagnost Eleva fluoroscopic systemsays, “We had to have state-of-the-art New approach to maximize efficiency which includes an identical static digitaldose reduction technology, certainly Philips ability to combine the latest DR detector located in the table as well.Grid Controlled Fluoroscopy was a must. and fluoroscopic capabilities into a single The Duke staff can perform the full range of digital radiographic exams with the wall unit. The EasyDiagnost Eleva handles all fluoro studies. However, when the fluoro unit is not needed, the Scopo control tower can be moved up to the head end of the table and parked back and out of the way. This allows for routine radiographic studies to be accomplished right on the table using the overhead tube assembly and the table’s digital detector. “It allows much more efficient use of technologists’ time”The digital vertical stand increases the range of applications Dr. Frush reports, “Having radiography in the same room where you are ableWe had to have equipment with optimal room represents a new approach in room to provide fluoroscopic evaluation isimage quality. We needed to have a way to configurations. The concept was to help a tremendous advantage in terms ofmaximize our use of time and efficiency. And institutions better utilize their radiography efficiency. It allows much more efficientwe needed to have DR capability.” Dr. Frush and fluoroscopy rooms and improve their use of technologists’ time and controlalso pointed out that the ability to integrate overall workflow. Radiographic cases can of patient flow. I think it is very, verythe new equipment with the department’s come in at any time, but most fluoroscopic helpful to have these centralized so thatexisting PACS was a key criterion. studies are scheduled for the mornings. it decreases the extra efforts that areEric Porter, Technical Administrator for the Consequently the fluoro system and the made for obtaining both these kinds ofDepartment of Radiology at Duke University room itself may often be under used the evaluations.” In describing the expandedMedical Center, was actively involved in Duke rest of the day. capabilities of having a digital detector in the2
  3. 3. vertical stand in the same room with the Ms. Ancarana points out that the digital when their child is undergoing an examination,fluoro unit, Mr. Porter notes, “This makes equipment gives her more confidence that we have equipment that has state-of-the-artthe room especially useful because of the she’ll get an excellent image the first time, dose reduction technology and that we aremultitasking and multi-procedure use of reducing the need for retakes. “The image watching out for the welfare of their children.”the room.” Additionally there is just one quality in the DRF room is outstanding.investment needed to profit from two kinds The UNIQUE system that they use to Understandably the radiologists andof reimbursements. process their images is very detail oriented. technologists at Duke have high praise for Subtle things are caught and seen much easier the DRF room’s EasyDiagnost Eleva system now.” Since there’s no film or cassettes to and its grid controlled and pulsed fluoroscopy“My workflow has improved handle, she has more time to focus on her technologies. These techniques from Philips tremendously because of the patients. “The DRF room enables me to are regulated by a highly advanced in-pulse instant images” spend quite a bit of time with my patients, control circuit that optimizes each pulse because I’m not having to leave the room to independently. Immediately, within the firstDigital workflow saves time run films or view images in a different area. pulse, the beam´s penetration is optimized toThe technologists clearly appreciate the time The computer system is all in one place. provide the relevant diagnostic information.savings they are achieving with the digital And I can talk to the patients and see themaspects of the DRF room. The speed of the whole time,” says Ms. Ancarana. This allows the radiologists to reduce thethe digital radiographs, the inherent image X-ray dose to the patient while still achievingquality optimization, and the fact that they Technologies that reduce X-ray dose outstanding image quality in their exams.accomplish these with minimum exposure to Duke Children’s is very interested in taking Referring to the need to reduce cumulativepatients are benefits they freqently mention. full advantage of their new equipment’s dose radiation to their patients, Ms. AncaranaAnja Ancarana, Pediatric Radiological limiting technology. Dr. Frush sees this as a says,”These are just kids and we don’t wantTechnologist at Duke Children’s, says, “I key objective in their overall mission. He says, them to carry too much dose from theirbelieve that the digital room with the digital “I have to personally know that we are doing childhood into their adulthood. The Griddetectors has made my life as an X-ray tech everything we can to minimize the dose to Controlled Fluoroscopy carries an 85%* lessa lot easier. My workflow has improved children. That we can reassure parents that dose rate. And we’re very proud of that.”tremendously because of the instant images,because we can see them faster, we cansend them out to the radiologist faster.The clinicians can see the images faster,everything is digital and we can let ourpatients go back and be seen by the cliniciansthat need to be seeing them.”“The DRF room enables me to spend quite a bit of time with my patients” Technologist Anja Ancarana prepares the EasyDiagnost Eleva for a fluoroscopy procedure 3
  4. 4. the console on the fluoro equipment in the DRF room, Dr. Frush concludes, “All of our room to be very user friendly in making needs have been met in terms of combining those quick adjustments.” a state-of-the-art digital radiography system with a fluoroscopy system, and the ability Another feature of the EasyDiagnost Eleva to interface quite easily with a PACS that that the Duke radiologists find very useful is is from a different vendor. And I have to FluoroGrab. Dr. Carrico says she uses it to say with the Philips (equipment) and the easily capture key images at critical points image quality I have been very pleased with in the study. “Most of our studies are single what we’ve seen, both in the room and the contrast examinations. The fluoro store translation of this information to our PACS.” images obtained during the study or from the last image hold are quite often more “The best thing is the dose than adequate quality for diagnosis.” She adds that it’s very helpful to be able to saving for our patients”Dr. Caroline Carrico, Pediatric Radiologist select the images right from tableside, usingand Assistant Professor the tower control or the remote control. Ms. Ancarana says simply, “We as Both Dr. Frush and Dr. Carrico value the technologists actually gravitate towardsDr. Caroline Carrico, Pediatric Radiologist feature which allows collimation using the the room now. It takes beautiful pictures, itand Assistant Professor, believes the option last image from the fluoro frame grab. has an ease of work with it, and it’s a goodof doing certain complex studies in the new As Dr. Frush explains, “I particularly like the room.” She also believes the room is helpingDRF room is a real advantage, explaining, ability to collimate the examination without them do the best for their patients. “The“It is beneficial to have a fluoroscopy unit that having the fluoroscopy on. This allows us to room allows us to do exams in a very verylets us manipulate the pulse rate and other target ideally what we are looking for and timely manner, and allows the patient toparameters during the exam. With pulsed substantially decreases the radiation dose.” be in and out of the room in a very fastfluoroscopy we are able to both reduce our time frame.”patients exposure to ionizing radiation and A room that works for staffto still perform high quality examinations." and patients Dr. Carrico’s conclusion on the benefits of By all accounts, the DRF room at Duke the DRF room for her and her patients,Duke configured their EasyDiagnost Eleva to Children’s Hospital and Health Center is “I appreciate having that unit. I think it worksstart fluoro exams at a very low pulse rate enhancing the staff’s efficiency and their quite well. The best thing is the dose saving(two pulses per second) with the option of ability to deliver the highest level of care for our patients. Kids have an amazing spirit.increasing the frequency, all the way to 30 to their patients. The Philips equipment has They are very special, and they touch yourpulses per second, if needed. With complete proved a good fit for the challenges that are heart, so we try and do our best for them.”tableside control the radiologists have the inherent in pediatric radiology. Mr. Porterability to change the pulse frequency, and describes the DRF room as the “unit ofother variables during the procedure to choice” since its installation. He credits theensure they achieve the necessary diagnostic ease of use and efficiency, especially as itinformation. Dr. Frush emphasizes, “I find relates to the digital rad. In describing the * results may vary © 2008 Koninklijke Philips Electronics N.V. Philips Healthcare is part of Royal Philips Electronics All rights are reserved. Philips Healthcare Global Information Center Philips Healthcare reserves the right to make changes in specifications and/ fax: +31 40 27 64 887 P.O. Box 1286 or to discontinue any product at any time without notice or obligation 5602 BG Eindhoven and will not be liable for any consequences resulting from the use of this Printed in The Netherlands The Netherlands publication. 4522 962 36211 * OCT 2008