TECHNOLOGY

Diagnostic imaging can mean the difference in catching a life-threatening illness and missing it.
Global Imaging acquires only the best of breed imaging systems available worldwide, providing
for high-resolution CT scans, picture-perfect MRIs and razor-sharp ultrasonography.
With this power to clearly visualize body tissues, our radiologists can more confidently
analyze and assess each case in less time and with less error.
And that means a happier patient in the long run.

What is Radiography-based (X-Ray) Bone Densitomentry?
Every day, physicians use radiography, or x-rays, to view and evaluate bone fractures and other injuries
of the musculoskeletal system. However, a plain x-ray test is not the best way to assess bone density . To detect osteoporosis accurately, doctors use an enhanced form of x-ray technology called dual-energy x-ray absorptiometry (DXA or DEXA). DEXA bone densitometry is today's established standard for measuring bone mineral density (BMD). DEXA is a quick, painless procedure for measuring bone loss. Measurement of the lower spine and hips are most often done. More portable devices that measure the wrist, fingers or heel are sometimes used for screening, including some that use ultrasound waves rather than x-rays.

What are some common uses of the procedure?
DEXA bone densitometry is most often used to diagnose osteoporosis, a condition that often affects women after menopause but may also be found in men. Osteoporosis involves a gradual loss of calcium, causing the bones to become thinner, more fragile and more likely to break. The DEXA test can also assess your risk for developing
fractures. If your bone density is found to be low, you and your physician can work together on a treatment plan to help prevent fractures before they occur. DEXA is also effective in tracking the effects of treatment for osteoporosis or for other conditions that cause bone loss. Bone density testing is strongly recommended if you:

• are a post-menopausal woman and not taking estrogen.
• have a personal or maternal history of hip fracture or smoking.
• are a post-menopausal woman who is tall (over 5 feet 7 inches) or thin (less than 125 pounds).
• are a man with clinical conditions associated with bone loss.
• use medications that are known to cause bone loss, including corticosteroids such
as Prednisone, various anti-seizure medications such as Dilantin and certain
barbiturates, or high-dose thyroid replacement drugs.
• have type 1 (formerly called juvenile or insulin-dependent) diabetes, liver disease,
kidney disease or a family history of osteoporosis.
• have high bone turnover, which shows up in the form of excessive collagen in
urine samples
• have a thyroid condition, such as hyperthyroidism
• have experienced a fracture after only mild trauma.
• have had x-ray evidence of vertebral fracture or other signs of osteoporosis.

How should I prepare for the procedure?
On the day of the exam eat normally, but don't take calcium supplements for at least 24 hours beforehand. Wear loose, comfortable clothing, avoiding garments that have zippers, belts or buttons made of metal. Inform your physician if you recently had a barium examination or have been injected with a contrast material for a computed tomography (CT) scan or radioisotope scan; you may have to wait 10 to 14 days before undergoing a DEXA test. Women should always inform their physician or x-ray technologist if there is a possibility they are pregnant.

How does the procedure work?
The DEXA machine sends a thin, invisible beam of low-dose x-rays with two distinct energy peaks through your bones. One peak is absorbed mainly by soft tissue and the other by bone. The soft tissue amount can be subtracted from the total and what remains is a patient's bone mineral density.All devices feature special software to compute the data and display them on a computer monitor, allowing your doctor to make an accurate diagnosis. The amount of radiation used is extremely small—less than one-tenth the dose of a standard chest x-ray.

How is the procedure performed?
The DEXA bone density test takes 10 to 30 minutes, depending on the equipment used and the parts of the body being examined. You may be asked to undress and put on a hospital gown. Then you'll lie on a padded table with an x-ray generator below and a detector (an imaging device) above. Most often, doctors focus on bone loss in the spine and hip where most osteoporosis-related fractures happen. During an examination of the spine, your legs will be supported on a padded box to flatten your pelvis and lower (lumbar) spine. To assess your hip, the technologist will place your foot in a brace that rotates the hip inward. In both cases the detector is slowly passed over the area, generating images on a computer monitor. The peripheral DEXA (pDEXA) test is even simpler. You place your finger, hand, forearm or foot in a small device, and a bone density reading is obtained within a few minutes. These tests may not be as sensitive—especially in younger people—and cannot be used to monitor response to treatment.

What will I experience during the x-ray procedure?
DEXA bone densitometry is a simple, non-invasive procedure. Once on the table you may be asked to hold an awkward position for a short time while the arm of the machine passes over your body taking measurements. It is important that you stay as still as possible during the procedure to ensure a clear, useful image. No anesthesia is required. The procedure is painless and radiation exposure is minimal.


Who interprets the results and how do I get them?
The results of a DEXA bone density exam are interpreted by a radiologist*, who is a physician specially trained to diagnose conditions and diseases by obtaining and interpreting medical images. The radiologist will send an interpretation of your results and a signed report to your primary care physician who will work with you to develop a treatment plan. Usually available within a few days, your test results will be in the form of two scores.

Siemens Arcadis Varic(C-arm)

2006 Model with Aspia VB 2006 Software Serial #10509

C-arm is used during image-guided interventions, or minimally invasive procedures;
this along with our other imaging modalities is in sync with all emerging trends.

• Common look and feel across modalities
• Optimized for speed and efficiency
• Reduces prep time significantly
• Exceptional patient and image handling
• High image quality at lowest radiation dose levels

With a focus on innovation and optimum system performance, this C-arm uses Syngo software,
which means maximum flexibility in patient registration, exceptional patient and image
handling fast and intuitive examination programs, unbridled capability of documenting
and archiving. The Arcadis Varic not only offers full digital imaging, but also high
accuracy and high image quality while maintaining exposure radiation dose levels to a minimum.

MAMMOMAT Novation DR

2006 Model with Syngo 2006 Software Serial #1583

GLOBAL IMAGING ENHANCES DIAGNOSTIC CAPABILITIES WITH DIGITAL MAMMOGRAPHY SYSTEM

• Lowest Radiation: Branch new shielding technology reduces radiation dose by more than 50%
• Increased Patient Comfort: Features include flexible paddles and a patented
technique called OpComp® that senses breast thickness for a more comfortable compression
• Increased Detection: Helps increase cancer detection rates with Computer Assisted Diagnosis (CAD) markers
• Largest Detector in the Industry: Allows imaging of almost all breast sizes
• Excellent Image Quality
• Latest Technology: Full-field detector technology
• Increased Detection: Of small and low contrast objects

Vantage 1.5T Ultra-short MRI

2006 Model with 7.11 2006 Software Serial # P2A05Y2036

The Vantage 1.5T MRI system reflects Toshiba's commitment to caring for your patients and your business. Combining exclusive patient comfort features and industry-leading homogeneity, this system offers the fast, comfortable exams patients appreciate and the outstanding images you depend on. Vantage gives you the benefit of diagnostic confidence because all of its components work perfectly together providing quality healthcare.

• Ultra-short, ultra-wide-bore system delivers patient-friendly exams and high performance applications
• Pianissimo TM technology reduces scan noise by as much as 90%
• New magnet offers twice the homogeneity of other 1.5T systems
• SPEEDER parallel processing supports high-speed, high-quality imaging
• Advanced hardware platform increases patient throughput and system utility for years to come

Unsurpassed MRI Technology Vantage's industry leading platform provides the prerequisites necessary to perform all state-of-the-art imaging techniques.

Patient-friendly gantry and couch Vantage's ultra-short bore magnet and 65.5cm gantry opening provides a greater feeling of openness for the patient, helping to reduce claustrophobic sensations normally associated with conventional long bore systems.


Ultra-short Magnet
High homogeneity
Length: 1.4 m (w/cover: 1.495 m)
Wide Flare and opening

Powerful Gradient System
Powerful Computer System

RF System
4-ch. Std. 8-ch
QD Head SPEEDER
QD Torso/Cardiac SPEEDER
Powerful Gradient System

Toshiba Kalare TM

2005 Model with EPS 3.1 Software Serial # 6050 & 91462

Kalare's flexible digital system provides excellent support for:

• Gastrointestinal exams
• ERCP
• Myelography
• Venography
• Nonvascular interventional radiography
• Abdominal and peripheral angiography studies with the EPS-Plus digital fluorography unit

While Kalare expands general R&F and interventional radiology capabilities, it also helps staff
perform more exams with ease, comfort and speed.

• A universal table configuration, for proven reliability
• State-of-the-art tableside controls, for more patient focused exams
• The latest digital processing systems, for excellent productivity and connectivity

This feature-rich, system approach positively impacts productivity; resource allocation, asset
utilization and clinical outcomes at a value-oriented price.

EXELLENCE SHOULD BE SHARED

That's why at Global Imaging we offer multi-modality imaging services including ULTRASOUND.

• Echo Dopplers
• Carotid Arterial Dopplers
Toshiba – 2006 Model with 7.2 2006 Software
GE – 2006 Model with 8.0 2006 Software

For all other general Ultrasound needs our Xario from Toshiba performs the following exams:
• Abdominal
• OB/GYN
• Vascular (lower venous Doppler)
• Thyroid US
• Transvaginal US
• Testicular US