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Novel Tilting Table Performs All Radiography and Fluoroscopy Procedures on a Single System

By MedImaging International staff writers
Posted on 13 Oct 2011
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Image: The Clinodigit Omega (Photo courtesy of Italray).
Image: The Clinodigit Omega (Photo courtesy of Italray).
A technologically advanced, new generation remote-controlled tilting table for radiography and fluoroscopy brings about workflow and cost optimization.

The Clinodigit Omega is the newest Italray (Florence, Italy) product, a next-generation device for both radiography and fluorography procedures that performs, in just one limited-size equipment, all the work of four different diagnostic rooms: digital fluoroscopy, emergency, radiography, and chest rooms.

The original design of the table has allowed procedures not as yet available on traditional radio-fluoro devices. The Clinodigit Omega differentiates itself because of two main characteristics: the tilting tabletop movement in which the patient table can be removed from the active X-ray area allows for more than the traditional dynamic examinations typical of remote-controlled tables--all the X-ray examinations require minimal patient-detector distance. It also performs radiography and fluoroscopy examinations directly on the mobile table for trauma patients that are too risky to move from mobile table to system tabletop, or for handicapped/elderly/bariatric patients who are difficult to move from mobile table to system tabletop.

Clinodigit Omega, according to company spokespersons, is the only one that can perform both fluoroscopy and radiography on a mobile table. The tube stand rise allows a focus film distance (FFD) source-image distance (SID) of 200 cm, once the table has been removed from the active area. This distance cannot be found in any other remote-controlled tilting table.

The well-established filmless technology has been improved by Italray with the Clinodigit Omega, introducing new standards in both digital radiography and fluorography, using, as an image acquisition system, a dynamic flat panel (amorphous silicon) for image display immediately after patient X-ray exposure. Once acquired, the image can be directly exported, (Digital Imaging and Communications in Medicine [DICOM]-format) to the information technology (IT) system in order to be visualized anywhere in the hospital network (other review stations), or to be sent to a DICOM printer, either exported on a read only device as CD/DVD for both an additional back up and to be delivered to patient.

“With Clinodigit Omega, we can now perform all X-ray examinations, both radiography and fluoroscopy, in one single room; this allowed us to switch from two dedicated rooms [one for radiography and one for fluoroscopy] to just one multipurpose room where all X-ray examinations can be performed with flexibility, patient comfort, and the excellent image quality given by the dynamic flat panel detector,” stated Dr. Andrea Stiatti, director of diagnostic imaging department, Leonardo da Vinci Institute (Florence, Italy).

“Rather than taking the old remote-controlled table architecture and just replacing the II [image intensifier] with the flat panel detector, like many vendors have done, with Clinodigit Omega we started completely from a blank sheet and designed a 100% new product, which, thanks to its unique features and functionalities, allows users to use the new dynamic flat panel detector at its full potential and without any legacy limitation,” said Filippo Recchi, export manager at Italray.

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