MSK cases show how digital tomosynthesis can complement 2D and CT imaging

Agfa has published a white paper that demonstrates the clinical value of digital tomosynthesis (DTS) in productivity-oriented clinical environments. The paper includes several MSK cases with indications, imaging examples and the added value propositions of DTS.

In clinical practice, planar x-ray images are usually the first imaging technique used. However, in many cases patients require supplemental imaging from another modality such as CT or MRI. This usually requires the patient to move to a different area and involves an additional workflow. DTS, on the other hand, provides the missing clinical information while the patient is being examined within the same department.

Agfa says its DTS solution can add clinical value in a wide range of domains, including orthopaedics for the detection of microfractures, weight-bearing examinations, pulmonology and urology. By combining the advantages of multi-slice reconstruction with the low dose and fast workflow of general radiography, it delivers meaningful answers that help improve the patient’s experience and outcome.

Agfa’s white paper focuses specifically on the clinical value of DTS for MSK imaging – a key examination group for mid-size and productivity-oriented hospitals. Bone fractures and trauma can make it difficult to properly position the patient due to pain and mobility issues. With tomosynthesis immediately following an x-ray examination, the patient is already positioned and does not have to be repositioned.

In three illustrated clinical MSK cases, the white paper lays out the added value of Agfa’s DTS. The main advantages are summarised as: improved triage since final diagnosis is possible while the patient is still in the clinic and waiting times for subsequent imaging modalities can be avoided; little or no patient repositioning is required to obtain the necessary clinical information – lateral projections can be avoided; and a significantly lower dose compared to CT, even low dose CT.

“Agfa’s DTS solution turns hidden depths into meaningful answers, using patented tomosynthesis algorithms that overcome the traditionally slow iterative reconstruction process,” says head of CR/DR Georges Espada.

“DTS is available with the DR 600 and DR 800 direct radiography solutions, empowered by Musica. Used with these solutions, it supports a  smooth and efficient radiography workflow.”

Picture: DTS is available with Agfa’s DR 600 and DR 800 systems.

Published on page 22 of the May 2020 issue of RAD Magazine.


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