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Digital Imaging in Equine Practice  Elise Wickett, RVT              Mike Pownall, DVM McKee-Pownall Equine Services www.mpequine.com
X-rayUltrasoundMRIPhotographsImage archivingSharing
Radiography
The Differences DIGITAL One (very expensive) plate Generator Computer CONVENTIONAL Film	 Cassettes Generator Processing/Developing tanks Automatic Processor/Developer Dark room
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)
FUJI-CR
IDEXX-DR
(Insert Idexx Video)
EKLIN-DR
UNO-DR
Ultrasound DIGITAL Superior image quality Added features Print and save digital images CONVENTIONAL ?
MRI
MRI
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
(Insert Suzy Clogs video)
Advanced Procedures Navicular Bursa Injection Back, Neck, SI evaluation and injection Pastern Injection Venogram
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
Drop Box Drop box online file sharing
iPad
Challenges Temperature Environment (we work in barns!) Electricity Cost Technical Support Learning Curve
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
Take Home Tip DO THE RESEARCH
Contact Us http://www.slideshare.net/mpequine Facebook.com/Mckee-Pownall-Equine-Services Twitter MckeePownall McKeePownallES MelissaMckeedvm info@mpequine.com

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Digital Imaging in Equine Practice

Editor's Notes

  1. 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.
  2. Military grade product
  3. 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.
  4. Temperature: The reality working in Ontario is that we and our equipment are expected to perform in temperatures ranging from -30 to 30 above.