Norfolk and Norwich trust streamlines CBCT service

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NNUH CBCT implementation team

Patients at Norfolk and Norwich University Hospitals NHS Foundation Trust are now benefitting from a streamlined cone beam CT (CBCT) service. Previously, patients could be seen at the trust but then needed to be referred to London to receive examinations for maxillofacial surgery, otorhinolaryngology and cervical spine examinations. Patients not only faced a long journey for their examination, but also a delay in receiving results.

In order to offer patients a complete dental service, the trust contacted FUJIFILM Medical Systems for help in finding the right CBCT solution. Working in collaboration with senior account manager Iain Sims, the trust found the NewTom GiANO HR met its needs. The system offers complete hybrid CBCT for 2D and 3D imaging, with high resolution images that capture the smallest details.

Consultant radiologist, head and neck, Dr Davina Pawaroo said: “Pathology of the temporal bones and paranasal sinuses involves looking at a lot of very small structures in a very small space. The same goes for dental pathology. Excellent spatial resolution and exquisite bone detail is required in order to sufficiently review the anatomy of these areas and give radiologists more confidence in diagnostic reporting and surgeons the detail they need before performing complex surgery. CBCT now gives us the ability to image patients at slices of a third of a millimetre, giving us a volumetric picture of the patient, and has improved imaging of the temporal bones, paranasal sinuses and dental region.”

Senior radiologist Kerrie Fox commented on the system’s improved image quality and ease of use, adding that a quicker exposure time benefits young children and those with disabilities and medical conditions that make it difficult to stay still for the standard length of time, while still achieving a diagnostic image.

Synapse PACS is used across the trust, as well as community hospitals and GP surgeries, totalling more than 6,000 active users. This has linked in with the GiANO HR where images can be shared and assessed via 120 clinical workstations and 60 reporting workstations, with an additional 60 home reporting workstations, helping to improve workflow for the team.

Picture: Strategic development manager and project manager for CBCT implementation Liz Rump, retired general radiology modality lead Kathy Robinson Fitt, senior radiographer Kerrie Fox and consultant radiologist, head and neck, Dr Davina Pawaroo with FUJIFILM Medical Systems UK senior account manager Iain Sims.

Published on the front page of the September 2023 issue of RAD Magazine.

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