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

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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.
  • Digital Imaging in Equine Practice

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

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