Digital Imaging in Equine Practice

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Elise Wickett, RVT and Mike Pownall, DVM of McKee-Pownall Equine Services gave this presentation to the OAVT on December 19, 2011

Elise Wickett, RVT and Mike Pownall, DVM of McKee-Pownall Equine Services gave this presentation to the OAVT on December 19, 2011

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  • Improved image quality. Instant response and results, very helpful in emergency fracture type situation. Also know right away when an image needs to be re-shot, downside of this is the ease of taking additional shots may make people a bit more casual with their technique and we may end up exposing ourselves and the horses to more radiation. Not using chemicals, potentially less environmental impact. Less physical storage required, but will explain more about this later in the presentation.
  • Military grade product
  • This standing equine MRI is the only one of its kind in Canada. It is a digital imaging modality that provides the practitioner with an enormous amount of information and it is completely technician run.
  • Temperature: The reality working in Ontario is that we and our equipment are expected to perform in temperatures ranging from -30 to 30 above.

Transcript

  • 1. Digital Imaging in Equine Practice
    Elise Wickett, RVT Mike Pownall, DVM
    McKee-Pownall Equine Services
    www.mpequine.com
  • 2. X-rayUltrasoundMRIPhotographsImage archivingSharing
  • 3. Radiography
  • 4. The Differences
    DIGITAL
    One (very expensive) plate
    Generator
    Computer
    CONVENTIONAL
    Film
    Cassettes
    Generator
    Processing/Developing tanks
    Automatic Processor/Developer
    Dark room
  • 5. DR/CR
    Direct Radiology
    Digital
    One digital ‘plate’
    Image quality?
    Portable
    Cost ($70-100,000.00)
    ComputedRadiology
    Digital
    Cassettes
    Slower
    Image quality?
    Portable?
    Cost ($30-70,000.00)
  • 6. FUJI-CR
  • 7. IDEXX-DR
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. (Insert Idexx Video)
  • 15. EKLIN-DR
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. UNO-DR
  • 21.
  • 22.
  • 23. Ultrasound
    DIGITAL
    Superior image quality
    Added features
    Print and save digital images
    CONVENTIONAL
    ?
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. MRI
  • 29. MRI
  • 30. Photos and Videos
    Enhance medical history
    Improve client communication
    Communication with other members of the medical team (DVM, farrier)
    Monitor case (before and after)
    Gait analysis, hoof analysis
  • 31.
  • 32.
  • 33. (Insert Suzy Clogs video)
  • 34.
  • 35.
  • 36.
  • 37. Advanced Procedures
    Navicular Bursa Injection
    Back, Neck, SI evaluation and injection
    Pastern Injection
    Venogram
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44. Image Archiving and Sharing
    Stay on the equipments own internal drive/storage
    CDs, Hard Drive or USB
    Picture Archive Communication System
    Email (Drop Box)
    iPad
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52. Drop Box
    Drop box online file
    sharing
  • 53. iPad
  • 54. Challenges
    Temperature
    Environment (we work in barns!)
    Electricity
    Cost
    Technical Support
    Learning Curve
  • 55. Can Your Practice Justify the Cost?
    DR X-Ray
    $90,000
    5 years at 6% interest = $117,000.00
    4years of service = $24,000
    Total = $141,000.00 total or $28,200/yr (23,400)
    If 400 rads will cost $70.50 each (58.50)
    1000 = $28.20 (23.40)
    1500 = $18.80 ( 15.60)
    Expect 20-30% increase
  • 56. Take Home Tip
    DO THE RESEARCH
  • 57. Contact Us
    http://www.slideshare.net/mpequine
    Facebook.com/Mckee-Pownall-Equine-Services
    Twitter
    MckeePownall
    McKeePownallES
    MelissaMckeedvm
    info@mpequine.com