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Functions, uses and parts of a C Arc

Functions, uses and parts of a C Arc

 

The arc in C is specialized medical equipment used in radiology and interventional procedures to obtain real-time X-ray images of the inside of the human body. It is a mobile device that enables radiological and fluoroscopic imaging. Its name derives from its C-shaped structure"which allows a wide range of movements and the acquisition of images from multiple angles and positions for capture specific anatomical views without moving the patient.

It is used to obtain X-ray and fluoroscopic images without having to move the patient to the radiology department. Therefore, diagnostics and procedures can be performed at the patient's hospital bedside or on the operating table during surgery. Its use is essential in areas such as surgery, orthopedics, traumatology, cardiology, neurology, urology and minimally invasive procedures.

Among the main advantages offered by the arc in Cis that facilitates diagnosisoffers a high precision and safety, y decreases the duration of surgical interventions in which the patient is under general anesthesia. In the following article, we analyze how a C-arm works, its parts, functions and main applications and uses. medical equipment.

 

How does a C-arc work?

The operation of a surgical C-arm is similar to that of the X-ray machines conventional. Combine two main elements that work in an integrated manner How does this process work?

X-ray generator

The process begins with the X-ray tubelocated at one end of the "C" arm. This component emits a beam of radiation which passes through the patient's body. Collimators, which are adjustable devices on the tube, delimit the radiation field, ensuring that only the area of interest is irradiated. This not only improves image quality, but also minimizes radiation exposure to other areas.

When the X-ray beam passes through the patient's body, interacts with the different tissuesgenerating a phenomenon called differential absorption. The Denser tissues, such as bones, absorb more radiation. and are represented as white areas in the image. On the other hand, the soft tissues and air-filled areas allow the rays to pass through more easily, appearing in gray or black tones. This difference in absorption is what creates the contrast in radiological images.

Image detector or intensifier

At the opposite end of the X-ray tube is the image detector or intensifier. This component receives the rays that have passed through the patient and converts them into electrical signals. Modern detectors, called digital flat panel detectors, process these signals to generate high-resolution images. This advance has largely replaced traditional intensifiers, offering greater sharpness and less radiation exposure.

The signals captured by the detector are sent to a processing system that converts the data into digital images.. This software automatically optimizes parameters such as contrast, brightness and sharpness to ensure that images are clear and easy to interpret. These images are displayed in real time on monitors connected to the system, allowing the medical team to observe the area of interest while the procedure is being performed.

 

C-arc: Parts and functions

The C-arm in radiology consists of several parts that work together to provide high quality images in real time during medical procedures. Below are its main components and functions:

Part Description
C-shaped arm Central structure connecting the X-ray tube to the detector.
X-ray tube Located at one end of the C-arm, it emits the radiation beam.
Image detector At the opposite end of the X-ray tube, it captures the radiation passing through the patient.
Mobile base Wheeled structure that supports the equipment and facilitates its transport.
Control panel Operational console from where the equipment parameters are adjusted.
Monitors Screens connected to the image processing system.
Collimator system Adjustable device located in the X-ray tube.
Cooling system Components that dissipate the heat generated by the X-ray tube.

Detailed picture of the parts of a C-arc

Parts of a C-arc

1. "C" shape arm

It is the main structure that connects the essential components of the equipment, such as the X-ray tube and the imaging detector.

Functions:

  • The C-shaped arm connects the X-ray tube, which is located at one end, to the image detector or intensifier, which is located at the opposite end, allowing a wide range of movement around the patient.
  • Facilitates imaging from multiple angles no need to move the patient.
  • Includes rotations in multiple planes: horizontal, orbital and verticalThis makes it possible to adapt to different types of procedures.

X-ray tube

This is the radiation generator located at one end of the C-arm.

Functions:

  • Emits X-rays through the patient's body.
  • Its intensity and duration are controlled to obtain quality images. while minimizing radiation exposure.
  • Security is a key aspect in the use of the C-arm. These devices are designed to minimize radiation exposure for both the patient and the medical staff. They have specific systems that reduce scattered radiation and integrated dosimeters continuously monitor the delivered dose.

3. Image intensifier or digital flat detector

It is located on the opposite side of the X-ray tube, capturing the radiation passing through the patient.

Functions:

  • Converts X-rays into visible images in real time.
  • The state-of-the-art digital flat panel detectors offer higher resolution images and lower radiation exposure compared to traditional intensifiers.

4. Control Console

This is the external control panel operated by the radiological technician during diagnosis.

Functions:

  • Allows adjustment of exposure parametersThe company has a wide range of products, such as time and intensity, among other aspects.
  • Controls the movement of the arc and the orientation of the images.
  • Saves and transmits the images obtained for further analysis. The data is stored in a PACS system (Picture Archiving and Communication System), allowing quick and easy access for further analysis.

3. Monitor

The C-arm includes one or more high-resolution monitors, usually in Full HD, which allow physicians to view images in real time during procedures. This screen is connected to the system, usually located near the surgical field.

Functions:

  • Displays radiological and fluoroscopic images in real time so that physicians can be guided through the procedure.
  • Some systems include dual monitors to compare images in real time with previous analyses.

6. Mobility system

It is a rolling base with lockable wheels or fixed support system on larger models.

Functions:

  • Facilitates C-arm transport between different areas of the hospital.
  • Allows you to position the equipment in a stable and safe manner around the patient.

7. Power generator

It provides the power needed to operate the X-ray tube and other system components.

Functions:

  • Regulates the power supply to ensure consistent performance during use.

8. Image processing software

By means of a radiodiagnostic softwareThe computerized system manages the acquisition, processing and storage of medical images.

Functions:

  • Improved image quality through techniques such as contrast adjustment and noise reduction.
  • Allows measurements and annotations directly on the images.

9. Collimator system

It is the device located in the X-ray tube that is responsible for controlling the irradiated area to be analyzed or treated.

Functions:

  • Adjusts the radiation field to focus only on the area of interest.
  • Reduces unnecessary radiation exposure for both the patient and the medical staff.

10. Refrigeration system

The cooling system is the mechanism for dissipating the heat generated by the X-ray tube.

Functions:

  • Maintains equipment temperature within safe operating limits.
  • Prolongs X-ray tube lifetime.

 

Clinical uses and applications of a C-arm in radiology

The C-arm is a medical device widely used in radiology and interventional medicine due to its ability to generate real-time images with high precision. What are its main uses and clinical applications?

Orthopedic surgery

In the field of orthopedic surgery, the C-arm is essential for the precise placement of screws, intramedullary nails and plates used in orthopedic surgery. fracture treatment. It is also used for guiding fracture reduction or deformity correction procedures. Its ability to provide clear, real-time images allows the surgeon to visualize bone structures and ensure that implants are positioned correctly, reducing the risk of errors during surgery.

Spine surgery

In spinal interventions, the C-arm facilitates the precise placement of the fixation devices such as pedicle screws and spinal fusion brackets. In turn, it is also used in procedures such as the vertebroplasty. The real-time images it generates are crucial to avoid injury to sensitive nerve structures and to ensure a successful outcome.

Interventional radiology

The C-arm is an essential tool in interventional radiology, where it is used for guided procedures such as biopsies, drains and tumor ablations. It is also indispensable in angiographieswhere digital subtraction imaging (DSA) allows high-precision visualization of blood vessels. This equipment facilitates minimally invasive procedures, which require detailed, real-time imaging to ensure accurate results.

Interventional cardiology

In cardiology, the C-arc is used in procedures such as coronary angiographieswhich evaluates the circulation in the arteries of the heart. It is also key to the implantation of pacemakers and other cardiac devices. Thanks to the dynamic images it provides, physicians can perform complex procedures with greater safety and precision.

Vascular surgery

In vascular surgery, the C-arm allows detailed visualization of the vascular system, which facilitates procedures such as the stenting to repair aneurysms or the insertion of filters in the vena cava.

Urology

In urology, this equipment is used to guide procedures such as placement of ureteral catheters or nephrostomies. It is also useful in the percutaneous nephrolithotomywhere kidney stones are removed using minimally invasive techniques. Real-time imaging helps physicians locate specific structures and avoid damage to surrounding tissues.

Gastroenterology

In gastroenterologic procedures, the C-arm is used for inserting feeding tubes or drainsas well as for placing esophageal prostheses. This device is especially useful in delicate procedures where precision is crucial, such as in hard-to-reach areas within the gastrointestinal tract.

Neurosurgery

In neurosurgery, the C-arm is used for procedures such as the electrode placement for deep brain stimulation or minimally invasive spinal surgeries. The ability to generate highly accurate intraoperative images is critical for navigating complex structures of the nervous system and ensuring patient safety.

Oncology

In the treatment of cancer, the C-arm is a valuable tool for radiofrequency or microwave ablationswhere localized tumors are destroyed. It is also used for the placement of markers to guide radiation therapy. Its ability to generate precise images allows for accurate positioning of instruments in malignant tissues, optimizing treatment.

Traumatology

In emergency situations or in traumatology, the C-arc is used for evaluate complex fractures and guide reduction procedures. It allows to verify in real time the correct alignment of the bones, which is crucial to ensure the patient's functional recovery.

Emergency procedures

In emergency environments, this equipment is indispensable for the immediate evaluation of serious injuriesas major trauma, and for guiding critical procedures such as thoracic drainage. Its ability to generate immediate images allows physicians to make quick decisions and save lives in critical situations.

Dentistry and maxillofacial surgery

In dentistry and maxillofacial surgery, the C-arm is used for the dental implant placement and surgical planning in the mandibular region. Provides detailed images of the bony structures of the skull and jaw, ensuring accurate results.

Gynecology and obstetrics

In gynecology, this equipment is used for interventional procedures, such as the placement of intrauterine devices or catheters used in fertility treatments. Its use improves the accuracy of procedures in sensitive areas, increasing safety and effectiveness.

 


Conclusion

The C-arm stands out for its versatility, as it is used in multiple medical specialties. Its ability to provide real-time imaging facilitates decision-making during complex procedures, reducing errors and improving clinical outcomes. In addition, by enabling minimally invasive interventions, it contributes to faster patient recovery and greater efficiency in medical resources.

If you are a health professional and you are interested in to acquire a C-arc or any other radiodiagnostic equipment, our 4D team will contact you to advise you and find the best solution for your clinic or hospital.

Contact 4D

 

Bibliography

Diaz, P. (2023, March 10). Advances in mobile radiology, C-arms and fluoroscopy. El Hospital. Retrieved from https://www.elhospital.com/es/noticias/unidades-moviles-para-radiologia-y-fluoroscopia
Kiko Ramos

CEO of 4D Médica. Expert in marketing and distribution of medical equipment.

Components and types of ultrasound scanners: Find the perfect model

Components and types of ultrasound scanners: Find the perfect model

Ultrasoundultrasonography, also known as ultrasonography, is a non-invasive technique using ultrasound to obtain real-time images of the inside of the body. For this purpose, a medical equipment specific: the ultrasound scannerHow does it work and what types of ultrasound scanners are available on the market? We address this in the following article.

The ultrasound scanner: How does it work?

The ultrasound scanner is a medical equipment in the field of image diagnosis. It employs a device called a transducer which emits high-frequency sound waves, called ultrasound. These waves are inaudible to the human ear and travel through the different internal tissues of the body. At the moment when the waves encounter the various organs and structures, it is when are reflected as echoes. These echoes are picked up by the transducer and generate the medical images that can be displayed on a screen. These images are known as ultrasound scans and allow professionals to evaluate different tissues and internal organs of the organism.

In the realization of a ultrasoundis used, a transducer that glides over the skin in the area to be analyzed. This device is coated with a conductive gel that facilitates the transmission of ultrasound waves. It has the function of eliminating the air that exists between the skin and the transducer, helping to improve the quality of the images. In an ultrasound scan, the following can be obtained still images and also allows to observe the movement in real time. It is an essential medical equipment in medicine that has the function of analyzing the state of organs such as the heart or blood flow.

Parts of an ultrasound scanner

An ultrasound scanner consists of the following components:

Parts of an ultrasound scanner Description
Transducer or probe Device in charge of emitting and receiving ultrasonic waves.
Monitor Screen where the images generated by the ultrasound scanner are displayed.
Control panel Interface with buttons and controls to adjust parameters and settings.
Central processing unit Processor that handles the data and generates the ultrasonic images.
Storage system Allows to save images and data obtained during diagnosis.
Power supply Provides electrical power to the device.
Software Program that controls the operation of the ultrasound scanner and processes the images.
Handles and wheels Facilitate the mobility of the equipment within the hospital or clinic.
Ports and connections They allow the connection of accessories and additional devices.

Image of the parts of an ultrasound scanner

Detailed image of the parts of an ultrasound scanner

Transducer or probe

It is the main part of the device, responsible for transforming electrical signals into ultrasound waves. They are made of piezoelectric material and function as ultrasound emitters and receivers. There are different types of transducers:

Depending on its use

  • LinearThey are used for superficial and vascular studies. They generate rectangular images and use high frequencies, since they do not require much penetration, being useful in the exploration of ligaments, tendons, muscles, thyroid, scrotum, breast and superficial vessels.
  • Curved or convexThey have a curved shape and produce trapezoidal images. They are used with low frequencies because they are designed to explore deep structures, as in obstetrics and abdominal studies in general.
  • Endocavitary or intracavitaryThey can be linear or convex. Their frequency varies according to the required penetration. They are used in intravaginal and intrarectal studies, for gynecological or prostate examinations.
  • SectorialThey are a variant of the convex transducers and offer triangular or fan-shaped images. They use frequencies similar to those of curved transducers and allow an intercostal approach, so they are used in cardiac and abdominal studies.

According to frequency

  • High frequency (up to 15 MHz)They are used to explore small and superficial structures.
  • Low frequency (approximately 2.5 MHz)They are used for ultrasound scans that require a greater depth of penetration.

Monitor

Displays the images generated by the processing unit.The image is displayed on the monitor, so that professionals can observe and evaluate the state of the different anatomical structures in real time. Most current monitors can reproduce images in grayscale and color.

Control panel

It is located in the front part of the ultrasound scanner and allows the ultrasound specialist to make various adjustments to the equipment configuration. It allows to modify the brightness, the sharpness of the images and the frequency of the sound waves. In addition, it also allows to configure the necessary parameters to carry out the type of ultrasound that the patient requires.

Central processing unit

It is the component that receives the information provided by the probe. It converts the signals into electrical impulses and generates the image of the anatomical part of the area to be analyzed.

Storage system

It is the internal element that allows to save images and patient's data for further analysis. It can consist of an internal memory, USB or be connected to a PACS system (Picture Archiving and Communication System).

Power supply

Provides power to the ultrasound machineThe power supply is provided either by alternating current or by rechargeable batteries in the portable models.

Software

It is essential for processing ultrasound signals and generating medical images. It can include specific modules for different types of studies, such as cardiology or gynecology, among other areas.

Handles and wheels

These elements facilitate handling and transport of the equipmentespecially in the case of mobile ultrasound scanners.

Ports and connections

This type of components included in the ultrasound scanners are used for connect multiple probes, USB devices or DICOM interfaces to share images.

Types of ultrasound scanners

Having analyzed the operation of an ultrasound scanner and its main components, we can differentiate between different types of ultrasound scanners:

Category Types of ultrasound scanners
Imaging technology
  1. 2D ultrasound scanners
  2. 3D ultrasound scanners
  3. 4D ultrasound scanners
  4. Doppler ultrasound scanners
    • Color Doppler
    • Pulsed Doppler
    • Continuous Doppler
  5. Tissue Doppler Ultrasound Scanners
Mobility
  1. Portable ultrasound scanners
  2. Cart or console ultrasound scanners
  3. Wireless ultrasound scanners
Clinical Specialty
  1. Obstetrics and gynecology:
  2. Cardiac (Echocardiograms)
  3. Vascular
  4. Musculoskeletal and physical therapy
  5. Abdominals
  6. Neurological
  7. Urological
  8. Endoscopic
Resolution and advanced technology
  1. High resolution ultrasound scanners
  2. Ultrasound scanners with Artificial Intelligence (AI)
Type of purchase
  1. New ultrasound scanners
  2. Used ultrasound scanners

Imaging technology

1. 2D ultrasound scanners

  • These are the most common and basic models. Generan two-dimensional images in real timeThey are widely used in the obstetrics area, to perform general and abdominal studies.
  • Main applicationsBasic analysis, pregnancy control and organ evaluation.

2. 3D ultrasound scanners

  • Allow display three-dimensional structures in real timeproviding greater detail. They are useful for creating more accurate images of fetuses and studying structural abnormalities.
  • Main applicationsThey are used in advanced obstetrics and for surface studies of organs and tumors.

3. 4D ultrasound scanners

  • They add the time dimension to 3D imagesallowing to see the movement in real time. It is especially useful in the obstetrics area to see fetal movements.
  • Main applicationsObstetrical diagnosis and dynamic studies of joints.

4. Doppler ultrasound scanners

  • They use the Doppler effect for assessing blood flow in vessels and organs. There are different models and variants:
    • Color DopplerThey offer a color representation of the blood flow.
    • Pulsed Doppler technologyThey provide a more detailed analysis of blood flow velocities.
    • Continuous DopplerThey measure very fast flows.
  • Main applicationsThey are used for vascular, cardiac and circulatory studies.

5. Tissue Doppler Ultrasound Scanners

  • They are in charge of making a specific evaluation of the movements of the heart tissues and blood flow.

Mobility

1. Portable ultrasound scanners

  • They are small and lightweight devicesThey are ideal for home transport, emergency or remote areas. There are multiple versions that include advanced technologies, such as 2D ultrasound, Doppler, etc.
  • Main applicationsThey are used for emergencies and ICU, mobile clinics and medical visits to remote areas.

2. Trolley or console ultrasound scanners

  • They are larger and more robust models. They have a fixed console that offers a variety of functions and high-resolution imaging options.
  • Main applicationsThey are used in hospitals and specialized clinics.

3. Wireless ultrasound scanners

  • They are connected to mobile devicesThe medical imaging systems, such as tablets or smartphones, through applications. They are characterized by high portability and immediate access to the generated medical images.
  • Main applicationsThey are used in sports medicine, emergencies and telemedicine.

Image of types of ultrasound scanners

Clinical Specialty

1. Obstetrics and gynecology

  • This type of transvaginal ultrasound scanners are specialized in the visualization of the fetus, uterus and ovaries of women.

2. Cardiac (Echocardiograms)

  • They are designed to evaluate the structure and heart function, valves and blood flow.

Vascular

  • They are used for analize arteries and veinsmeasuring the flow and detecting obstructions or thrombi.

4. Musculoskeletal and Physical Therapy

  • Allow visualizing muscles, ligaments, tendons and joints. These physiotherapy ultrasound scanners are used in sports medicine to detect injuries or to analyze the recovery from an injury.

5. Abdominals

  • They are oriented to the study of abdominal organs like the liver, kidneys, spleen or pancreas.

6. Neurological

  • They are used for assessing the brainespecially in neonates.

7. Urological

  • These devices are designed to examine the kidneys, bladder and prostate of the male.

8. Endoscopic

  • They combine ultrasound with endoscopes to obtain internal images of the digestive tract or areas of difficult access.

Resolution and advanced technology

1. High resolution

  • This type of medical equipment offers images of the highest qualityIt is therefore especially useful in complex applications.

2. Ultrasound scanners with Artificial Intelligence (AI)

Type of purchase

1. New ultrasound scanners

New ultrasound scanners are newly manufactured, previously unused ultrasound machines with the latest technology upgrades and full manufacturer's warranties. They feature the following characteristics:

  • State-of-the-art technologyThey incorporate the latest innovations in imaging, such as advanced Doppler, elastography, 3D and 4D ultrasound and even artificial intelligence.
  • Full warrantyThey offer extensive warranties that are backed by the manufacturer, generally from 1 to 5 years.
  • CustomizationYou have the possibility to configure the equipment according to your specific needs, including transducers and software.
  • Longer service lifeSince they have no previous use, their potential useful life is longer, especially if proper maintenance is carried out.
  • Certifications and technical supportThey comply with all current quality and medical safety standards. In addition, they have specialized technical support.

2. Second-hand or opportunity ultrasound scanners

The used ultrasound scanners are previously used ultrasound devices that have been reconditioned or overhauled to ensure their functionality before being sold again. These devices may come from clinics, hospitals or doctors' offices that have refurbished them for newer models or no longer need them. Compared to new models, they have the following features characteristics:

  • Technical reviewBefore being sold, ultrasound scanners undergo a series of quality tests to ensure that they are functioning properly. These may include repairs, cleaning, calibration and software upgrades.
  • Reduced priceThey are less expensive than new equipment, which makes them attractive for small clinics, independent physicians or institutions with limited budgets.
  • Variety of modelsYou can find from basic ultrasound scanners to advanced equipment with technologies such as Doppler or 3D.
  • Limited WarrantySome suppliers offer warranties, but these are usually shorter than those for new equipment.
  • Variable statusThe performance and service life of used ultrasound scanners will depend on how well the device has been maintained during previous use.

 


Conclusion

The ultrasound scanner is a medical equipment that is widely used in the field of diagnostic imaging to perform one of the most popular medical tests: ultrasound. Depending on the technology, mobility, medical specialty and type of purchase, different types of ultrasound scanners can be found.

There is a wide range of ultrasound scanners on the market that adapt to each of the medical needs. If you need more information, contact us and from 4D Médica we will offer you personalized advice so that you can choose the most suitable ultrasound scanner for your center.

Contact 4D

 

Bibliography

Luis Daniel Fernandez Perez

Director of Diagximag. Distributor of medical imaging equipment and solutions.

PACS system in radiology: What is it and how does it work?

PACS system in radiology: What is it and how does it work?

 

The technology has had a significant impact on the healthcare system, especially in the radiology area. In recent years, one of the most relevant changes following the advent of the Internet has been the use of computerized systems in the field of image diagnosis. This has allowed the development of a digital imaging department where medical information can be managed and stored conveniently and securely.

In a digital imaging department, we can distinguish three fundamental tools: the PACS system, the RIS system and the HIS system. In the following article, we analyze what the PACS system is, how it works and its relationship with the RIS and HIS system.

What is the PACS system in radiology?

The term PACS stands for Picture Archiving and Communication System, which refers to Image Archiving and Communication System. This is a computer software used in the radiology area for the following purposes store, manage, present and share medical images and diagnostic procedure reports electronically.

Before the advent of the PACS system in radiology, the images generated after diagnostic examinations were stored in a physical format, mainly as radiographic films. Therefore, from the time the medical test was performed, there was a long process until the final image was obtained. With digitization, it is now possible to resort to a AI software for the different medical teams to obtain an accurate faster and more efficient access to informationwhich will allow optimize workflow in clinical practice.

How does the PACS system work?

A PACS system consists of a series of mechanical and electronic components which are connected to each other by a copper or fiber optic communication network. Specifically, we can differentiate between four main components:

  1. Image acquisition hardware
  2. Workstations for image interpretation and review
  3. Servers for storage and transmission of images
  4. Network for data transmission

All these elements work in an integrated manner to allow medical images to be captured, stored, distributed and displayed digitally. Through the use of this network, the graphic information generated in different studies, such as a CT scan, is transmitted to the magnetic resonance imaging o TAC.

How does this process unfold?

First of all, data from the system servers is passed to the archiving drives. Subsequently, they are distributed to the stations where radiological physicians review the generated medical images and also to the teleradiology serverswhich allow access to the archive through the Internet.

With a digital radiology PACS system, you can view images remotely from any medical department, office or externally. To do so, health care personnel have special identification codes which allows them to access diagnostic tests for each patient.

The DICOM medical imaging communication standard

For information and images to flow through the PACS system components, it is necessary to comply with the DICOM medical image communication standard. DICOM stands for Digital Imaging and Communications in Medicine and is a standard for the communication of medical images. standard for digital storage and transmission of medical images and related patient information.

It is responsible for define the file format and structure and, in turn, includes a communications protocol to facilitate connectivity between medical devices and systems. However, it should be noted that the majority of modern devices and medical equipment current DICOM images are produced.

 

Advantages of using a PACS system in radiology

We analyze the main advantages offered by a PACS system in the management of radiological images:

Improved workflow in radiology departments

Radiologists and medical teams involved in the diagnostic imaging process can access and review digital images from any workstation on the hospital's network or remotely through the web server. This allows rapid consultation of studies and collaboration between physicians and specialists.

Error reduction

As the format of medical images is no longer physical, eliminating the possibility of duplicate diagnoses and also reduces both the risk of loss as the damage of the generated medical images.

Integration with other IT systems

One of the main advantages of the PACS system is that it allows the integration with other IT systems that can be used in health careThe RIS (Radiological Information System) and HIS (Hospital Management Software).

Capacity to store large volumes of data

Not only is it essential for clinical management and patient care, being able to store large volumes of medical imaging data is a key aspect for research and education in the area of health and medicine. In this way, researchers can access image databases for studies and students in training can use many of the images as educational material.

More accurate and detailed diagnosis

The use of the PACS system provides a more detailed reading of the diagnoses. This is mainly because the images are reviewed on high-resolution monitors and can be manipulated more accurately, which helps to detect abnormalities present in the image more quickly and accurately. 

Saving time and resources

Another of its advantages is that it offers a time saving and a decrease in the workload of the staff.The cost of printing X-rays and other radiological elements was also reduced. At the same time, waiting times and resources at the hospital level are reduced.

Relationship between the PACS, RIS and HIS system

PACS, RIS and HIS are three systems key components in the digital health informatics ecosystem. Their interrelation is essential for the efficient functioning of the healthcare services of any clinic, health center or hospital. While the PACS system in radiology is used to manage, store and share images of the different diagnostic imaging procedures, the RIS and HIS system have other functions. What is each used for and what is the relationship between them?

The RIS system

The RIS system or Radiology Information System, is the program that runs the digital radiology department. It is a software that contains all the information of the radiology area and hospitals, thus enabling manage information and processes related to diagnostic imaging services.

Functions performed

  • Scheduling of appointments and studies
  • Order generation
  • Recording of results with the generated medical images
  • Workflow management in the radiology department

The HIS system

As for the Hospital Information System (HIS), it is a system of hospital information system. By using it, all the data are stored in the data related to the management and administration of a hospital. It is designed to manage all areas involved in the operation of a hospital from a single platform.

Functions performed

  • Management and scheduling of medical appointments
  • Patient care: Administration of patients' medical records and results of medical examinations performed.
  • Human Resources
  • Billing
  • Monitoring the quality of medical care

Interaction of PACS, RIS and HIS systems

  • HISThe central system that coordinates and stores all patient information in a clinic or hospital facility, including demographic, clinical and financial data.
  • RISIt communicates with the HIS system to obtain relevant patient information and to manage the radiology area. It is used to schedule radiological procedures requested from other areas of the hospital.
  • PACSRIS-PAC: Works hand in hand with RIS to store and manage the medical images generated by the requested studies. The RIS-PAC interaction allows the report to be presented in both systems so that each report appears linked to the images of the study performed.

 


In conclusion, a PACS system is a fundamental tool in the radiology area to be able to store and manage medical images digitally. All this helps to improve healthcare and promote faster, more detailed and accurate clinical diagnosis.

If you need more information about our imaging solutions, just contact us and our staff will give you personalized advice.

Contact

BIbliography

Clínica Universidad de Navarra (n. d.). PACS. Medical dictionary. Retrieved from https://www.cun.es/diccionario-medico/terminos/pacs

Ochoa, P. J., Murillo, M. R., & Torres, J. A. (2004). PACS system (picture archiving and transmission system). Anales de Radiología de México, 3(3), 153-162. https://www.analesderadiologiamexico.com/previos/ARM%202004%20Vol.%203/ARM_04_3_3_Julio-Septiembre/arm_04_3_3_153-162.pdf

López-Arroyo, A., Villarreal-García, A. J., & López-Arroyo, S. (2005). The DICOM format and PACS systems in medical imaging. Gaceta Médica de México, 141(5), 477-485. Retrieved from https://www.scielo.org.mx/pdf/gmm/v141n5/v141n5a11.pdf

Clinic Cloud (n. d.). DICOM format: what it is and how this standard works in medical imaging. Retrieved from https://clinic-cloud.com/blog/formato-dicom-que-es-estandar-imagenes-medicas

Luis Daniel Fernandez Perez

Director of Diagximag. Distributor of medical imaging equipment and solutions.

What is the RIS management system for diagnostic imaging?

What is the RIS management system for diagnostic imaging?

Technology is becoming increasingly important when it comes to storing and managing different data and resources. In the field of medicine, we can highlight the RIS management system for diagnostic imaging. This is a type of specialized software used in the radiology area and in other medical fields to manage information and processes related to the services provided by the image diagnosis. In the following article, we analyze how it works, its main features and advantages.

What is the RIS management system for diagnostic imaging?

The RIS management system is responsible for automating the management of medical imaging data and information. It works like a hospital information system (HIS), but the main difference is that it is specifically tailored to radiology departments in clinics, hospitals and healthcare centers.

It is called RIS (Radiology Information System) and represents a key part of the IT infrastructure in radiology departments, clinics and hospitals. A radiodiagnostic software is a tool that includes a multitude of functions in a single centralized platformfrom manage patient data and history, store medical images and create customized reports. Therefore, it stands out as a solution that helps to improve workflows and optimize medical imaging processes.

Main features and functions of the RIS system

How does the RIS system work? We analyze the main features and functionalities it offers:

Patient registration

Firstly, the RIS system is used to register the patients to be attended. For this purpose, the different data to create your medical record: the personal information of contact, the medical history and the insurance information.

Appointment scheduling

Once the patients are registered in the system, they can be scheduling appointments for diagnostic imaging tests. From radiographs, computed tomography or CAT scans, magnetic resonancesetc. The software organizes and prioritizes orders according to urgency, equipment and personnel availabilityoptimizing the management of time and available resources.

Storage and tracking of medical images

Radiologists can attach the results of the images generated after the medical tests directly to the patient's fileThis speeds up the availability of the studies. At the same time, it also allows include data related to medical examinationssuch as reports and diagnostic information.

Patient follow-up and test management

The RIS system makes it possible to perform the follow-up of the patient's treatment and of the examinations carried out through the system. In this way, the complete medical history can be accessed and patient information can be checked for necessary updates during the diagnostic process.

Workflow tracking

Allows you to track each stage of the process, from the initial request to the generation of the final reportThe system ensures efficient and uninterrupted execution. Another aspect to highlight is that improves collaboration between different medical teams who work in patient treatment, such as radiologists, technicians and medical specialists.

Report generation

Radiologists can writing and sharing diagnostic reports based on processed images. The reports are securely stored and made available to physicians and also to authorized patients. The results are generated digitally, but can also be sent by e-mail and fax, as well as exported for printing on paper. Using the RIS system, different statistical reports can be produced, either for specific examinations, individual patients or groups of patients.

Data analysis and statistics

The system produces reports and statistics on workflows, volumes of studies performed and equipment performanceThe results of this study will facilitate administrative decision making and increase the efficiency of diagnostic imaging services.

Data storage and security

All information, including images, reports, and financial records, is stored in secure databases. This helps to ensure the compliance with medical and privacy regulationssuch as GDPR in Europe or HIPAA in the United States.

Billing and administration

Another of its functions is that automates the creation of invoices related to exams performed. By integrating payment and insurance records, financial management processes can be simplified.

What are the advantages of RIS for diagnostic imaging?

The RIS management system offers numerous advantages, mainly in terms of efficiency, accuracy and quality of service in the field of radiology. We explain its main benefits in the medical field:

Workflow optimization

Allows you to manage all stages of medical diagnosisfrom the request to the delivery of reports. This helps to improve organization and reduce delays that may arise. At the same time, automated appointment scheduling ensures that the efficient use of time and resources.

2. Accuracy and security of data

Reduces the occurrence of errors by centralizing patient information, as test results are located on a single platform. On the other hand, by complying with data security regulations such as HIPAA and GDPR, the medical information included in the RIS system is kept confidential.The patient's data is processed correctly.

3. Quick access to information

Physicians, radiologists and technicians have immediate access to patient records and studiesThis streamlines clinical decision making. And not only that, the system usually includes a integration with cloud-based solutions. In this way, the medical team can remotely access information from anywhere, anytime.

4. Integration with other medical systems

It works in conjunction with other medical systems: both PACS and HIS. On the one hand, the PACS system is used to manage the long-term storage of both images and patient information, and HIS systems are hospital information software used in the management of clinics and hospitals. Therefore, the integration of these systems into the RIS system makes it possible to create a complete healthcare ecosystem.

5. Improved patient care

Offers a agile, comprehensive and seamless patient care experience. Among its advantages is the reduction of waiting times in treatment planning and diagnosis, the results are available more quickly and reduce the administrative burden to be carried out by professionals and patients.

6. Cost reduction

In addition to optimizing the work process, helps reduce costs and increase profitability. It eliminates the need to create paper documentation and reduces administrative errors, thus optimizing billing processes and scheduling of medical services.

In summary, the RIS management system is an essential tool for optimizing administrative and clinical processes in radiology and other areas of diagnostic imaging. The use of radiodiagnostic software helps to increase efficiency, service quality and patient care.

Luis Daniel Fernandez Perez

Director of Diagximag. Distributor of medical imaging equipment and solutions.

X-Ray Machines: How they work and what types are there?

X-Ray Machines: How they work and what types are there?

The X-rays are a form of electromagnetic radiation, similar to visible light. This medical technique was created in 1895 by the physicist Wilhem Conrad Röntgen, whose findings led to the development of radiological practice. It is an essential method in the medical field and is used by means of specific equipment: the X-ray machines. X-rays are able to penetrate matter, so they can pass through most objects and tissues, including the human body. Once through the body, the X-rays reach a radiographic plate or computer where digital images, known as radiographs, are generated.

The radiographs are a type of diagnostic imaging and are used to analyze the different internal areas of the organism. The images that are produced are displayed in different shades of black and white.since each tissue allows a certain amount of X-ray beams to pass through it.. Dense materials, such as bones and metals, appear black, while muscles and fatty elements appear in shades of gray. In some types of X-rays, a contrast medium, such as iodine or barium, is introduced so that tissues can be visualized in the images in greater detail.

X-rays can be used aloneas in the equipment of conventional radiology, or combined with other techniquessuch as computed tomography or CT. In the following article, we explain how X-rays work, what they are used for and the types of X-ray machines that exist.

How do X-ray machines and X-rays work?

For imaging in conventional radiography, the patient stands behind a screen that blocks the radiation and operates the X-ray equipment. During the procedure, the body part to be analyzed is placed between the X-ray source and an X-ray detector.

The X-rays passing through the tissues are recorded on a radiation detector plate. Y, depending on the density of the tissues, will pass through a certain amount of radiation.The image produced shows the different degrees of density of the internal structures of the organism. The higher the tissue density, the more X-rays pass through and the whiter the image generated.How are the different tissues displayed?

  • Metal has a white color.
  • Bone see almost white.
  • Fat, muscle and fluids are shown with shadows, in different shades of gray.
  • Air and gas are displayed in black color.

Main uses of X-rays

X-rays have multiple uses in the field of medicine. X-rays are used for the diagnosis of diseases and injuries, as a support technique to perform surgical procedures, as a therapeutic treatment, in minimally invasive procedures and for the early detection of diseases. Below, we discuss the different procedures where X-ray technology is used to diagnose and treat diseases:

Diagnostic radiography

X-rays are used as diagnostic test to detect bone fractures, tumors and abnormal masses, pneumonia, etc.as well as lesions, calcifications, foreign objects, intestinal obstructions and dental problems.

2. CT or computed tomography

It combines the X-ray technique together with the computed tomography or CAT scan to create cross-sectional images of the body. Subsequently, can be combined to generate a three dimensional image X-ray images. CT images are more detailed than those of a conventional X-ray and allow professionals to analyze the internal structures of the body from various angles.

Mammography

Breast radiography is used to detecting breast disorders, mainly breast cancer. Breast tissue is sensitive to radiation, so special mammography units are used to minimize radiation exposure. digital radiology equipment.

4. Fluoroscopy

X-rays and a fluorescent screen are used together. to obtain real-time images of the movement inside the body. It is also used to analyze diagnostic processes, such as following the path of a contrast agent.

One of the uses of fluoroscopy is to analyze heart movement and beats. For this, radiographic contrast agents are used to view the blood flow in the heart muscle, blood vessels and organs. This type of technique is also used to guiding an internally threaded catheter during cardiac angioplastya minimally invasive procedure to open clogged arteries that supply blood to the heart.

5. Therapeutic use of radiotherapy for the treatment of cancer.

Another use of X-rays is as therapeutic technique to destroy tumors and cancer cells. The dose of radiation used to treat cancer is higher than the radiation used in diagnostic tests. This type of therapeutic radiation can come from X-ray equipment or radioactive material. that is placed in the body or bloodstream.

Types of X-ray machines

What types of X-ray machines are available on the market? We can differentiate the following medical equipment using this technology:

Conventional X-ray machines

They are the most basic equipment and are designed to obtain static images of the internal structures of the body. It is used for diagnose bone fractures, pulmonary evaluation by means of a chest X-ray and the identification of dental problems.

Portable X-ray machines

This type of X-ray machines are lightweight, compact and portableThe products can be easily transported. Used in emergencies and rural areasand to care for patients who cannot be transferred.

Digital X-ray machines

They are replacing film plates with digital detectors to develop a real-time diagnostics and the generated images have a high resolution and are of higher quality.

Fluoroscopy systems

These are specific devices that use X-ray technology for the following purposes observing dynamic processes in the body in real time. These machines are used for minimally invasive surgical procedures, gastrointestinal studies and orthopedic diagnostics.

Mammography machines

They are designed for perform breast tissue studies. They are essential for the screening for tumors, abnormalities and breast cancer. In this case, the X-ray emission is low energy in order to better analyze the soft tissues that make up the breasts.

Computed tomography or CT equipment

These units are designed with a advanced system that uses X-rays to create detailed, three-dimensional images of the body. It is highly accurate and is used to evaluate internal injuries, tumors, as well as brain, thoracic, abdominal and extremity studies.

C-arc

These X-ray machines are equipped with a C-shaped arm que emits the X-rays from one end and captures digital images at the other end. C-arc is used for image-guided surgical procedures and in orthopedic and cardiovascular interventions. It offers a deeper analysis, since the area to be analyzed can be visualized from different angles.

Dental X-ray machines

This type of device is designed for capture images of the teeth and various maxillofacial structures. On the one hand, there are the intraoral equipment which capture images of the inside of the mouth and, on the other hand, there are the extraoral equipment which include panoramic systems that take full images of the jaw and mouth. They are mainly used for the diagnosis of caries, periodontal diseases and orthodontic planning.

X-ray machines for bone densitometry

X-rays are used to measuring bone mineral densityand, therefore used to diagnose osteoporosis and perform the follow-up of bone loss treatment.

 


Conclusion

In conclusion, X-rays are a very complete technique that has a large number of uses in the health field and, depending on each medical need, there is specific X-ray equipment to analyze, study and treat various diseases.

If you are interested in acquiring an X-ray machine for your clinic, health center or hospital, at 4D Médica we are specialists in the sale of medical radiological equipment and we offer an excellent after-sales service. Ask us about our equipment without obligation.

Contact 4D Médica

 

Bibliography

National Institute of Biomedical Imaging and Bioengineering (n. d.). X-Ray. Retrieved from: https://www.nibib.nih.gov/espanol/temas-cientificos/rayos-x

Nuclear Forum (n. d.). History of the first radiography. Retrieved from: https://www.foronuclear.org/actualidad/a-fondo/historia-de-la-primera-radiografia/

My Diagnosis (n. d.). Radiography: Definition and uses. Retrieved from: https://midiagnostico.es/radiografia-definicion-y-usos/

MSD Manual (n. d.). Radiographs. At Common imaging tests. Retrieved from: https://www.msdmanuals.com/es/hogar/temas-especiales/pruebas-de-diagn%C3%B3stico-por-la-imagen-habituales/radiograf%C3%ADas

Mayo Clinic (n. d.). X-Ray: About this test. Retrieved from: https://www.mayoclinic.org/es/tests-procedures/x-ray/about/pac-20395303

Kiko Ramos

CEO of 4D Médica. Expert in marketing and distribution of medical equipment.

What is a CT scan and what is it used for?

What is a CT scan and what is it used for?

The computed tomographyalso known as computed axial tomography, also known as computed tomography, or TAChas become one of the most popular techniques of image diagnosis most commonly used. It is a procedure that uses special X-ray equipment and advanced computers to obtain three-dimensional images with different slices of the body.

Since its clinical introduction in 1971, it has undergone successive advances that have allowed its application in different fields of medicine. At present, computed tomography is used to diagnose disorders such as cancer, cardiovascular conditions, infectious processes, trauma and diseases of the locomotor apparatus. In the following article, we analyze how it works, what it is used for and the origin and evolution of this diagnostic test.

How does a CAT scan work?

In order to perform this diagnostic imaging, the following is used computed axial tomography system which incorporates a X-ray scanners generating three-dimensional images with different cuts of the interior of the organism.

These slices are called tomographic images and are used for the following purposes study various internal regions of the bodyThe CT scanner can be used to view everything from organs, bones and soft tissues to blood vessels. In contrast to radiography, which only provides a two-dimensional representation, the CT scan makes it possible to observe the three-dimensional images. This makes it possible to analyze tissues with greater detail and clarity. Another aspect to note is that the CT scanner utilizes a X-ray source and has a ionizing radiation higher than that of an X-ray.

During the procedure, the CT scanner rotates around the circular opening of a threaded structure called Gantry. The patient lies on a bed and is inserted inside the scanner so that the specialist can analyze the tissues. The X-ray detectors are located in front of the X-ray source and generate a series of images through different cuts. Subsequently, are transmitted to a computer where the interior of the organism can be visualized and analyzed.

CT contrast medium

As with X-rays, dense structures within the body, such as bones, are easy to image. However, soft tissues are more difficult to image. For this reason, contrast media have been developed that increase the visibility of tissues during X-ray or CT scans. Contain a set of substances that are safe for patients and allow the X-rays to be stopped, so that the organs will be seen in greater detail in the test.

For example, to examine the circulatory system, an iodine-based intravenous contrast medium is injected into the bloodstream to illuminate the blood vessels.

What is CT used for?

CT is used as a clinical diagnostic test, in follow-up studies to analyze the patient's health status, in radiotherapy treatment planning, and even for screening asymptomatic individuals with specific risk factors. A computed tomography scan creates detailed images of the bodywhich include the brain, thorax, spine and abdomen.. Specifically, we can highlight the following uses:

  • To help diagnose the presence of a cancer or tumor.. It is one of the most widely used techniques to screen for the presence of colorectal cancer and lung cancer.
  • Obtain information about the stage of a cancer.
  • Determine if a cancer reacts to treatment.
  • To detect the return or recurrence of a tumor.
  • Diagnose an infection.
  • Support technique to guide a biopsy procedure.
  • To guide some local treatmentssuch as cryotherapy, radiofrequency ablation and radioactive seed implantation.
  • Radiotherapy planning external beam or surgery.
  • Study the blood vessels.

When did computed tomography come into being?

Computed tomography was introduced in 1971 as an X-ray modality. which allowed axial images of the brain to be obtained, so it was a clinical method used specifically in the neuroradiology area. Its evolution has made CT a versatile imaging technique with which three-dimensional images of any anatomical area can be obtained. Currently, it is a diagnostic imaging equipment with a wide range of diagnostic capabilities. wide range of medical applications in oncology, vascular radiology, cardiology, traumatology or interventional radiology.

Evolution: From its beginnings to the present day

At 1971The following were developed first CT scanners for clinical use. During these early years, the EMI-scanner was used, with which brain data could be obtained and the calculation time per image was about 7 minutes in total. Soon after, scanners applicable to any part of the body were developed. At 1973In the early 1990s, the axial scannerswhose equipment had only one single row of X-ray detectors. Subsequently, it was when the helical or spiral scannerswhich incorporated multiple detector rowsits clinical use had a significant impact on the widely used and are the ones currently in use.

Current CT equipment: Main improvements and types

The evolution of the medical equipment has made it possible to obtain significant improvements. In today's systems, the image quality and offer both a better quality of life and a better spatial resolution as a low contrast resolution. In addition, nowadays, the following are also available CT scanners designed for specific clinical applications. Among them, we can highlight:

  • Specific CT equipment for radiotherapy treatment planning: These scanners offer a larger aperture diameter than usual, thus allowing a study with a wider field of view. Thus, the images generated have greater detail and clarity.
  • Hybrid equipment integrating CT scanners with other imaging techniquesHybrid solutions are now available. Among them, we can highlight the CT scanner incorporating a positron emission tomograph (PET) or a single photon emission tomograph (SPECT).
  • Specialized scanners for new indications in diagnostic imagingDual-source" CT scanners, which are equipped with two X-ray tubes, have been developed, as well as "volumetric" CT scanners, which incorporate up to 320 detector rows, making it possible to obtain complete data on the organs analyzed in a single use.

Main risks

CT scans can diagnose serious diseases and conditions such as cancer, hemorrhage or blood clots. An early diagnosis is essential in order to find a solution as soon as possible and save lives. However, it is true that it is a test that presents some risks that are important to discuss:

X-Ray

One of the main risks of CT is that it utilizes the X-rayswhich produce ionizing radiation. This type of radiation can have certain effects on the organism and it is a risk that increases with the number of exposures to which a person is subjected. However, the risk of developing cancer by the radiation emitted by the X-rays is generally low.

Use in pregnant women and children

In the case of pregnant women, there are no risks for the baby if the area of the body being imaged is not the abdomen or pelvis. But, medical professionals often perform tests that do not use radiation, such as the magnetic resonance imaging or ultrasound. As for the childrenare more sensitive to ionizing radiationas they have a longer life expectancy and the risk of developing cancer may be higher compared to adults.

Reactions to contrast medium

On the other hand, another aspect to be highlighted is that some patients may have allergic reactions to contrast medium and, in very specific cases, temporary renal insufficiency. In this situation, intravenous contrast media should not be administered to patients with abnormal renal function.

 


Conclusion

As we have been able to analyze, computed tomography or CT is very useful for detailed and precise analysis of certain internal tissues and organs. By means of X-rays, certain conditions or serious diseases can be studied, which is why it is essential for clinical diagnosis and its application in different fields of medicine.

Are you interested in a CAT scanner? Contact us and we will advise you without obligation so that you can choose the most suitable medical equipment for your clinic or hospital.

Contact 4D

 

Bibliography

International Atomic Energy Agency (n.d.). Computed tomography (CT). Retrieved from https://www.iaea.org/es/recursos/proteccion-radiologica-de-los-pacientes/informacion-para-los-pacientes-y-la-poblacion/tac

National Cancer Institute (n.d.). Computed Tomography (CT): Fact Sheet. Retrieved from https://www.cancer.gov/espanol/cancer/diagnostico-estadificacion/hoja-informativa-tomografia-computarizada

National Institute of Biomedical Imaging and Bioengineering (n.d.). Computed tomography (CT). Retrieved from https://www.nibib.nih.gov/espanol/temas-cientificos/tomograf%C3%ADa-computarizada-tc

MSD Manual (n.d.). Computed tomography (CT). Retrieved from https://www.msdmanuals.com/es/hogar/temas-especiales/pruebas-de-diagn%C3%B3stico-por-la-imagen-habituales/tomograf%C3%ADa-computarizada-tc?ruleredirectid=756#M%C3%A1s-informaci%C3%B3n_v21423499_es

Bernabéu, J. L., Bueno, E., & Figueroa, J. (2016). The use of computed tomography in medical physics. Journal of Medical Physics, 17(2), 125-133. Retrieved from https://revistadefisicamedica.es/index.php/rfm/article/view/115/115

MedlinePlus (n.d.). Computed tomography. U.S. National Library of Medicine. Retrieved from https://medlineplus.gov/spanish/ency/article/003330.htm

Kiko Ramos

CEO of 4D Médica. Expert in marketing and distribution of medical equipment.

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