P R O D U C T S

Chart Smart
Company GE Medical Systems
DIGITAL RADIOGRAPHY
Hologic Inc.
I Compiled by Mark Palacio
Waukesha, WI Bedford, MA
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Product name Revolution XQ/I Revolution XR/d EPEX™ Fully integrated direct-to-digital RADEX™ Fully integrated direct-to-digital DirectRay® Direct-to-digital dedicated chest
imaging system for general radiography imaging system for ambulatory and system (Model DR1000C)
general radiography
Price range $360,000- $470,000- List price n/a but includes DirectRay amorphous List price n/a but includes DirectRay Lst price n/a but includes DirectRay
$425,000 $550,000 selenium detector, operator console, ceiling amorphous selenium detector, operator con- amorphous selenium detector, operator
mounted Omniflex™ tube crane, table and detec- sole, wall-mounted U-arm, 80 kW X-ray gen- console, servo-linked chest and tube stand,
tor support, 80 kW X-ray generator, 400,000 heat erator, 400,000 heat unit X-ray tube, Inverse 80 kW X-ray generator, 400,000 heat unit
unit X-ray tube, Inverse Topography™ software Topography™ software package, applications X-ray tube, Inverse Topography™ software
package, applications training, and warranty. training and warranty. package, applications training and warranty.
Detector type Amorphous Amorphous Amorphous selenium flat-panel DirectRay Amorphous selenium flat-panel DirectRay Amorphous selenium flat-panel DirectRay
silicon silicon direct-to-digital technology direct-to-digital technology direct-to-digital technology
Detector size 16” x 16” (41 x 41 cm) 16” x 16” (41 x 41 cm) 18.5” x 18.5” x 1.75” (47 cm x 47 cm x 4.5 cm) 18.5” x 18.5” x 1.75” (47 cm x 47 cm x 4.5 cm) 18.5” x 18.5” x 1.75” (47 cm x 47 cm x 4.5 cm)
Maximum image 16” x 16” (41 x 41 cm) 16” x 16” (41 x 41 cm) 14” x 17” (35 cm x 43 cm) 14” x 17” (35 cm x 43 cm) 14” x 17” (35 cm x 43 cm)
Spatial resolution 2,022 x 2,022 2,022 x 2,022 3.6 lp/mm Nyquist resolution 3.6 lp/mm Nyquist resolution 3.6 lp/mm Nyquist resolution
(line pairs/mm)
Pixels 4 million 4 million Approximately 8 million Approximately 8 million Approximately 8 million
Pixel pitch 200 microns 200 microns 139 microns 139 microns 139 microns
Cycle time (acqui- <15 sec. <15 sec. < 12 seconds preview time < 12 seconds preview time < 12 seconds preview time
sition and display)
General rad room Single Double Single Single Single
detector configura-
tion (single, double)
Bucky size n/a n/a 21” x 21” x 5-3/4” 21” x 21” x 5-3/4” 27”W x 27.5” H x 6.5” D
Bucky 13:01 12:01 table, 13:01 Choice of 10:1 or 12:1 removable Choice of 10:1 or 12:1 removable Choice of 10:1 or 12:1 removable
grid ratios wall stand reciprocating grid reciprocating grid reciprocating grid
Bucky lines 198 lines/in 198 lines/in 60 lines/cm 60 lines/cm 60 lines/cm
(78 lines/cm) (78 lines/cm)
Type(s) of X-ray Aadvantx E Aadvantx E 80 kW high-frequency generator 80 kW high-frequency generator 80 kW high-frequency generator
generator(s) used (65 or 85 kW) (65 or 85 kW)
Standard software Tissue equalization Tissue equalization Console software controls acquisition and Console software controls acquisition and Console software controls acquisition and
distribution of patient- and exam-related data; distribution of patient- and exam-related data; distribution of patient- and exam-related data;
exposure and image capture process; digital exposure and image capture process; digital exposure and image capture process; digital
image processing; systems administration, image processing; systems administration, image processing; systems administration,
and remote diagnosis via modem. Exam-spe- and remote diagnosis via modem. Exam- and remote diagnosis via modem. Exam-
cific processing algorithms automatically specific processing algorithms automatically specific processing algorithms automatically
optimize image display. Single button two- optimize image display. Single button two- optimize image display. Single button two-
stage. Fastprep™ and expose feature works stage. Fastprep™ and expose feature works stage. Fastprep™ and expose feature works
like a traditional screen-film system. Exam like a traditional screen-film system. Exam like a traditional screen-film system. Exam
Coach™ guides operator through exams. Coach™ guides operator through exams. Coach™ guides operator through exams.
Add-on Dual energy Dual energy Optional Inverse Topography™ software Optional Inverse Topography™ software Optional Inverse Topography™ software
software subtraction, broad- subtraction, broad- expands the visibility of low-contrast expands the visibility of low-contrast expands the visibility of low-contrast
band connectivity band connectivity structures (tissues and vessels) while structures (tissues and vessels) while structures (tissues and vessels) while
maintaining and enhancing visibility of maintaining and enhancing the visibility of maintaining and enhancing the visibility of
high contrast structures (bone). high contrast structures (bone). high contrast structures (bone)
PACS Yes Yes System price includes interface with up to System price includes interface with up to System price includes interface with up to
integration three approved connectivity devices from the three approved connectivity devices from the three approved connectivity devices from the
Hologic connectivity list. All major PACS Hologic Connectivity List. All major PACS Hologic Connectivity List. All major PACS
storage service providers are included. storage service providers are included. storage service providers are included.
Type On-site On-site Applications training included in system price; Applications training included in system price; Applications training included in system price;
of training biomedical training available biomedical training available biomedical training available
Date clinically 1999 2000 May 1999 July 2000 August 1998
released
Number of installs >250 worldwide >100 worldwide >200 detectors worldwide; >50 EPEX >200 detectors worldwide; >25 RADEX >200 detectors worldwide; >20 dedicated
systems installed systems installed chest systems installed
U.S. regions with Equally distributed Equally Eastern region Eastern region Eastern region
most installs distributed
Warranty type 12 months 12 months Full one-year warranty on parts and labor Full one-year warranty on parts and labor Full, one-year warranty on parts and labor
(X-ray tube is pro-rated) (X-ray tube is pro-rated) (X-ray tube is pro-rated)
Unique features Advanced Advanced The EPEX one-detector system utilizes DirectRay The RADEX one-detector system utilizes The DirectRay Dedicated Chest System (Model
applications applications, tilting amorphous selenium X-ray imaging technology DirectRay amorphous selenium X-ray imaging DR1000C) utilizes DirectRay amorphous seleni-
wall stand and covers the full range of general technology. The system is designed to cover um X-ray imaging technology. The servo-linked
radiography exams including cross-table, in- the full range of chest, ambulatory and outpa- chest stand and X-ray tube afford a wide range
table, stretcher and chest imaging. DICOM pro- tient imaging. DICOM protocols include of capabilities. DICOM protocols include
tocols include Storage Service in CR or DX ob- Storage Service in CR or DX objects, Commit, Storage Service in CR or DX objects, Commit,
jects, Commit, Print and Worklist Detector pre- Print, and Worklist Detector presampling MTF: Print, and Worklist Detector presampling MTF:
sampling MTF: 98 percent at 1.0 cy/mm, 89 98 percent at 1.0 cy/mm, 89 percent at 2.0 98 percent at 1.0 cy/mm, 89 percent at 2.0
percent at 2.0 cy/mm, and 70 percent at 3.0 cy/mm, and 70 percent at 3.0 cy/mm. Input cy/mm, and 70 percent at 3.0 cy/mm. Input
cy/mm. Input patient and exam info via DICOM patient and exam information via DICOM patient and exam information via DICOM
Modality Worklist, keyboard, or barcode entry. Modality Worklist, keyboard, or barcode entry. Modality Worklist, keyboard, or barcode entry.

Companies are listed in order of installations. September’s focus is mammography; contact assistant editor Mark Palacio at [email protected] for more information.

78 ADVANCE for Imaging and Oncology Administrators I July 2002 www. advance forIOA.com
Swissray International Siemens Medical Solutions Inc.,
Elmsford, NY, Iselin, NJ,
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ddRMulti, ddRCombi, Aristos FX Multix FD Vertix FD Thorax FD

ddRModulaire and ddRChest

$325,000-$395,000 list price n/a n/a n/a n/a

Digital optical design Trixell pixium 4600 (CsI/a-Si) Trixell pixium 4600 (CsI/a-Si) Trixell pixium 4600 (CsI/a-Si) Trixell pixium 4600 (CsI/a-Si)

17” x 14” rotates to 14” x 17” 17” x 17” 17” x 17” 17” x 17” 17” x 17”
17” x 14”/14” x 17” 17” x 17” 17” x 17” 17” x 17” 17” x 17”
3 lp/mm 3.5 lp/mm 3.5 lp/mm 3.5 lp/mm 3.5 lp/mm

5.24 megapixel 9 million (3K2) 9 million (3K2) 9 million (3K2) 9 million (3K2)
16 microns (effectively 169 microns on scintillator) 143 um 143 um 143 um 143 um
Detector cycles in 2 seconds/full resolution im- < 4 sec. preview < 4 sec. preview < 4 sec. preview < 4 sec. preview
age in 5 seconds.
Multi-functional single detector n/a Double Single Single

14” x 17”/17” x 14” n/a n/a n/a n/a

10:1 oscillating 15:1 15:1 15:1 15:1

112 lines/inch 200 200 200 200

Swissray GEN-X-4000: 80 kW output with exposure 50 kW and 80 kW high frequency 50 kW and 80 kW high frequency 50 kW and 80 kW high frequency 50 kW and 80 kW high frequency
times from .001 to 5 seconds
SwissVision: complete technologist workstation Patient and examination manage- Patient and examination manage- Patient and examination manage- Patient and examination manage-
functionality. ment; exposure and postprocessing; ment; exposure and postprocessing; ment; exposure and postprocessing; ment; exposure and postprocessing;
image documentation and printing. image documentation and printing. image documentation and printing. image documentation and printing.

OrthoVision: special orthopedic functionality in- Get worklist, DICOM SC, MPPS Get worklist, DICOM SC and MPPS Get worklist, DICOM SC and MPPS Get worklist, DICOM SC and MPPS
cluding image combination for scoliosis and
digital calipers

Full DICOM compliance (IHE proven) DICOM send, print, get worklist, SC DICOM send, print, get worklist, SC DICOM send, print, get worklist, SC DICOM send, print, get worklist, SC
and MPPS and MPPS and MPPS and MPPS

Complete, on-site training with experienced ddR On-site On-site On-site On-site
technologists
ddRMulti: 1997; ddRCombi & ddRChest: 2000; 2002 1998 1998 1998
ddRModulaire: 2002
>200 combined 150 total systems 150 total systems 150 total systems 150 total systems

Equally distributed n/a n/a n/a n/a

One year complete coverage, including detector One year parts and labor One year parts and labor One year parts and labor One year parts and labor

SizeWise collimation: only digitizes exposed detector One console for fully integrated con- One console for fully integrated con- One console for fully integrated con- One console for fully integrated con-
area; fast system start-up (ready for use in 3 minutes trol of all radiographic functions; ful- trol of all radiographic functions; as trol of all radiographic functions; tilt- trol of all radiographic functions;
from cold start); no routine calibration requirement; ly motorized with automatic system per Vertix plus pullout detector on ing wall stand with top collimation. top collimation.
modular design means easy upgradeability and maxi- positioning. table for “contact” radiography.
mum obsolescence protection; all detector compo-
nents are individually serviceable and covered in serv-
ice contract; 100 percent pixel fill factor: No “dead”
surface on detector; all acquisition parameters are
stored in the DICOM header of each image—previous
images can be recreated by recalling all acquisition
parameters with a two key command (Ctrl-M).

www. advance forIOA.com July 2002 I ADVANCE for Imaging and Oncology Administrators 79
 P R O D U C T S

Chart Smart
Company Canon Medical Systems
DIGITAL RADIOGRAPHY
Eastman Kodak Co.
I Continued
Irvine, CA Rochester, NY
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Product name CXDI-11 upright CXDI-22 retrofit sensor CXDI-31 portable DirectView DR 5100 for chest and DirectView DR 7100 for general DirectView DR 9000 for general
chest system or complete system digital sensor upright exams radiography radiography
Price range n/a n/a n/a List $350,000 List $415,000 with integrated table List $435,000 excludes table

Detector type Amorphous silicon Amorphous silicon Amorphous silicon Amorphous selenium-direct Amorphous selenium-direct Amorphous selenium-direct

Detector size 21.7” L x 23.5” W 23.8” L x 25.4” W 12.8” L x 12.9” W 14” x 17” (35 x 43 cm) 14” x 17” (35 x 43 cm) 14” x 17” (35 x 43 cm)
x 7” H, x 2.9” H, x .8” H,
90 lbs. 79 lbs. 6.2 lbs.
Maximum image 17” x 17” 17” x 17” 9” x 11” (24 x 30 cm) 14” x 17” (35 x 43 cm) 14” x 17” (35 x 43 cm) 14” x 17” (35 x 43 cm)
(43 x 43 cm) (43 x 43 cm)
Spatial resolution 3.1 lp/mm Nyquist; 3.1 lp/mm 5.0 lp/mm Nyquist 3.6 lp/mm Nyquist frequency 3.6 lp/mm Nyquist frequency 3.6 lp/mm Nyquist frequency
(line pairs/mm) 4.2 lp/mm visible Nyquist; 4 (54 percent fill factor),
.2 lp/mm visible 7 lp/mm visible
Pixels 7.2 million 7.2 million 6.38 million 7.86 megapixel (2,560 x 3,072) 7.86 megapixel (2,560 x 3,072) 7.86 megapixel (2,560 x 3,072)
Pixel pitch 160 microns 150 microns 100 microns 139 microns 139 microns 139 microns
Cycle time (acqui- 3 sec. 3 sec. 3 sec. 10 sec. 10 sec. 10 sec.
sition and display)
General rad room Single, double Single, double Single, double Single (for upright exams with fixed Single (for general radiography rotat- Single (for general radiography
detector configura- and triple and triple and triple source to image detector distance) ing table from -15 degrees to 90 de- rotating, offset U-arm variable source
tion (single, double) grees with removable bucky for ex- to image detector distance)
tremity and chest exams and variable
source to image detector distance)
Bucky size n/a n/a n/a 18.4” x 18.4” (46.7 x 46.7 cm) 18.4” x 18.4” (46.7 x 46.7 cm) 18.4” x 18.4” (46.7 x 46.7 cm)

Bucky n/a n/a n/a 10:1 10:1 10:1

grid ratios
Bucky lines n/a n/a n/a Rotating array within bucky Rotating array within bucky Rotating array within bucky

Type(s) of X-ray All All All CPI CPI Fischer

generator(s) used
Standard software Edge-enhancement, Edge-enhancement, Edge-enhancement, Kodak DirectView DR System Kodak DirectView DR System Kodak DirectView DR System
various HD various HD various HD Operator Console with Perceptual Operator Console with Perceptual Operator Console with Perceptual
curves, display curves, display curves, display Tone Scaling (PTS) Image Processing Tone Scaling (PTS) Image Processing Tone Scaling (PTS) Image Processing

Add-on HIS/RIS integration HIS/RIS integration HIS/RIS integration Kodak DirectView EVP software Kodak DirectView EVP software Kodak DirectView EVP software
software

PACS Standard DICOM Standard DICOM Standard DICOM Yes: DICOM 3 print and store (DICOM Yes: DICOM 3 print and store (DICOM Yes: DICOM 3 print and store (DICOM
integration 3 worklist management optional) 3 worklist management optional) 3 worklist management optional)

Type Applications and tech- Applications and tech- Applications and tech- On-site, hands-on instructor; On-site, hands-on instructor; On-site, hands-on instructor;
of training nical training for in- nical training for in- nical training for in- extensive user manual and quick extensive user manual and quick extensive user manual and quick
house staff and dealers house staff and dealers house staff and dealers reference guides reference guides reference guides
Date clinically 1998 1999 2001 In trade trial as of press In trade trial as of press Sept. 2000
released
Number of installs 100 (CXDI-11 and 100 (CXDI-11 and 5 in the U.S. n/a n/a < 100
CXDI-22) in the U.S. CXDI-22) in the U.S.
U.S. regions with n/a n/a n/a n/a n/a Northeast and Midwest
most installs
Warranty type One year One-year One year One year with extensions available One year with extensions available One year with extensions available

Unique features Upright stand for Retrofit plate or Portable (unlimited Integrated user interface, patient Integrated user interface, patient Integrated user interface, patient
high-throughput complete system; positioning); adapted and exam data capture, exam tutor, and exam data capture, exam tutor, and exam data capture, offset U-arm
chest rooms. interfaces to most for extremity work, automatic exposure control, rotating automatic exposure control, rotating for trauma, and a rotating detector
generators; adapts to trauma (c-spine, etc.), detector for portrait and traverse detector for portrait and traverse for portrait and traverse orientation.
elevating tables. ER, pediatrics and orientation, and removable bucky for orientation, and removable bucky for
neonatal work. extremity and chest exams. extremity and chest exams.

Companies are listed in order of installations. September’s focus is mammography; contact assistant editor Mark Palacio at [email protected] for more information.

80 ADVANCE for Imaging and Oncology Administrators I July 2002 www. advance forIOA.com
Philips Medical Systems Fischer Imaging Corp. InfiMed Inc. Imaging Dynamics Cares Built Inc. Wuestec Inc.
Bothell, WA Denver, CO Liverpool, NY Calgary, Alberta, Canada Keyport, NJ Mobile, AL
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Digital Diagnost TH Digital Diagnost VR VersaRad-D StingRay DR Xplorer 1700 Clarity 7000 DX480

$550,000-$750,000 $520,000-$620,000 $400,000 $225,000 $185,000 retrofit; $220,000-$330,000 n/a

$249,000 full system

Electronic, flat detector Electronic, flat detector Amorphous selenium Amorphous silicon Charge coupled device CMOS (Complimentary Charge coupled device
made of amorphous silicon made of amorphous silicon Metal Oxide Semiconductors)
43 x 43 x 2.7 cm (inhousing); 43 x 43 x 2.7 cm (inhousing); 35 x 43 cm (14” x 17") 17” x 17” 40” L x 21” W x 18” D 17” x 16.6” 26.52” H x 13.41” D
53 x 48.8 x 4.5 cm (exhousing) 53 x 48.8 x 4.5 cm (exhousing) x 27.54” W

43 x 43 cm 43 x 43 cm 35 x 43 cm (14" x 17") 17” x 17” 17” X 17” 17” x 16.6” 14” x 17”

Up to 3.5 lp/mm Up to 3.5 lp/mm 139 3.5 lp/mm 4.6 Nyquist 6.12 lp/mm 3.4 lp/mm

3,000 x 3,000 3,000 x 3,000 2,560 x 3,072 9 million 4,000 x 4,000 51,800,000 captured 11.9 million
143 143 139 micron/pixel 143 microns 108 microns 76 microns 120 mm pixel pitch
12 sec. 12 sec. 15 sec. <8 sec. 15 sec. 30 sec. 15 sec. acquisition,
15 sec. display
Single (optional double with Single n/a Single or double Single Any room configuration – n/a
wall stand) single or double

43 x 43 cm 43 cm x 43 cm 52H x 53W x 14D cm 23” x 22.5” x 2.7” 17” x 17” 28.5” L x 17.9” W x 2” H n/a
(22.55”H x 21.05”W fits in standard Bucky
x 5.65” D)
12:1 and 8:1 12:1 and 8:1 10:1 User defined 10:1, 12:1 10:1 or customer n/a
preference
36 lines/cm 36 lines/cm 60 lines/cm User defined 104 103 or customer n/a
preference
Optimus 50 kW, 65 kW Optimus 50 kW, 65 kW Fischer DX 80HF Universal generator CPI Cares Built or customer All
or 80 kW or 80 kW interface preference
Standard image Standard image Exam Specific Algorithm Automatic Image Optimiza- Sharpening, segmentation, Edge enhancement, window, n/a
processing and DICOM processing and DICOM ex- (ESA) for storing imaging tion, Low-noise edge- tissue, LUT determination, level, tissue equalization,
export port techniques based on enhancement, Histogram DICOM Worklist invert, zoom, zoom-window,
body part Applications (to further and generator interface
customize image density
and contrast), Image reverse
(positive-negative), Area of
Interest, Multiple-step
magnification, customizable
Look-Up-Tables for optimal
brightness and contrast.
RIS integration, advanced RIS integration, advanced n/a n/a All required standard Connects to any PACS or n/a
image export, advanced image export, advanced DICOM package
printing printing
Complete integration with Complete integration with DICOM print; store and Full DICOM 3 compatibility A.L.I. DICOM Tool Kit Yes n/a
PACS PACS work list management are
supported
On-site On-site Four days on-site clinical Applications training Minimal Dealer training for technical n/a
training provided provided and customer applications

May 1999 Nov. 2001 n/a April 2001 November 2001 February 2002 2001

45 40 15 12 5 1 n/a

East and South East and South East n/a n/a New Jersey Equally distributed

Standard 12 months Standard 12 months One year parts and labor One year One year parts and labor One year, all components are n/a
serviceable
RIS/HIS/PACS: network ca- RIS/HIS/PACS: network ca- Ceiling mounted U-arm for Retrofit solution—can retro- High-resolution, low-cost, Retrofitable into any 2 CCDs, network capable,
pabilities, DICOM 3 compli- pabilities, DICOM 3 compli- versatile positioning. fit into virtually any table in single head for chest and standard Bucky; flat-panel sold as complete system,
ant, supports off-detector ant, supports off-detector use today; universal genera- table; minimal installation detector field serviceable; pre-emptive diagnostic
image processing, 17” x 17” image processing, 17” x 17” tor interface; dual-panel ac- considerations. modular construction; extra capabilities, ETL, ISO9001,
detector, DR/CR integration, detector, DR/CR integration, quisition into one processor; longevity due to addition of a TUV and 510(k) approval.
digital tomography. digital tomography. DICOM 3 configuration stan- protective lead acrylic shield
dard; customizable image inside detector; grayscale:
processing features. 4096 shades of gray.

www. advance forIOA.com July 2002 I ADVANCE for Imaging and Oncology Administrators 81