Radiographic Units Public Site

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5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA Tel +1 (610) 825-6000 Fax +1 (610) 834-1275 Web www.ecri.org E-mail [email protected]

UMDNS Information

This report covers the following deviceterms and product codes listed in ECRIInstitute’s Universal Medical Devicenomenclature System ™ (UMDNS™):

Radiographic Systems, Digital, Chest [18-431]

Radiographic Units, Chest, Automated [18-425]

Radiographic Units, Chest, Manual [18-428]

Radiographic Units, Chest

Scope of this Product ComparisonThis Product Comparison covers manual or automatic conventional and digital chest radiographic units.

Compatible x-ray generators, x-ray tubes, and x-ray film processors are not discussed in detail but are listed in the

chart; for more information on these devices, see the Product Comparisons titled X-RAY GENERATORS and X-RAY

FILM PROCESSORS, AUTOMATIC. See the report titled DIGITAL IMAGING SYSTEMS, COMPUTED RADIOGRAPHY for

information related to devices that use phosphor plates to produce digitized images and that can be used in place

of traditional photographic-type x-ray film cassettes.

These devices are also called: chest x-ray units.

Purpose

Chest radiographic units are used for radiographic imaging of the thorax, the most frequently performedmedical radiographic imaging procedure in the world. The images produced are used for diagnosing lung

disorders such as acute infections and chronic malignancies; for indicating whether additional diagnostic tests,

such as computed tomography, are needed; and for imaging inhaled objects.

In a manual conventional chest radiographic system, the x-ray film and screen are held in a cassette that is

inserted into a cassette holder. The technologist photographs the exposure, then carries the cassette to a darkroom

or feeds it into a daylight x-ray film processor. (For more information, see the Product Comparison titled X-RAY

FILM HANDLING EQUIPMENT, AUTOMATIC, DAYLIGHT.) By automating the transfer of x-ray film from a supply

magazine to a film-receiving magazine or automatic film processor, automatic chest radiographic units eliminate

the need to handle x-ray cassettes. Automating film loading and removal reduces the time between studies,

increases patient throughput, and minimizes film handling errors; it

offers a particular advantage in high-volume radiology departments.

Chest radiography is complicated by the need for a very large

dynamic range; the lungs absorb very little radiation, while the

mediastinum absorbs a large amount. Various designs have been

devised to overcome these limitations with conventional radiography

(e.g., asymmetric screen film).

Digital radiographic systems use a variety of techniques to acquire x-

ray images that are digitized for viewing, storage, or hard-copy

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©ECRI Institute. 2007. All Rights Reserved.

printing. The patient positioning and imaging techniques used with digital chest radiographic systems are

identical to those used in conventional chest radiography. However, the greatly increased dynamic range

provided by digital radiography increases visibility across the whole image and reduces the number of retakes.

Additionally, since the detector converts x-rays to a digital image, there is no need for film handling. The result is

a much faster exam, permitting greater patient throughput than film-based systems.

Principles of operation

Conventional chest radiography

A manual chest radiographic unit consists of a control console; a generator unit; an x-ray tube, housing, and

suspension system; and a Bucky film tray grid system. The standard chest x-ray examination is performed at a

source-to-image distance (SID) of up to 200 cm (80 in), with the patient standing in the posteroanterior or lateral

position. The film cassette is loaded into the tray and, following exposure, manually removed and loaded into a

film processor.

Automatic chest radiographic units typically incorporate a supply magazine, a pair of intensifying screens, a

receiving magazine, and a transport assembly connected to a film processor’s receiving magazine. Some units can

be configured with an automatic film processor. X-ray film isloaded in bulk into the supply magazine; most units allow

daylight loading and have empty-magazine warning signals.

In a typical imaging procedure, a patient ID card is inserted

into the unit, and a set of rollers or cams (with a horizontal or

vertical drive mechanism) moves one film from the supply

magazine into position for the x-ray exposure. In some

models, a gravity-driven system transports the film. During

exposure, patient information is recorded on the film by

shining incandescent light through printed information on the

ID card. The insertion and removal of the patient ID card to

transport the film into the x-ray field prevent improper patientidentification and accidental or duplicate exposures.

Once the film is in place, it is tightly compressed between

the intensifying screens. The patient is then positioned, and

the exposure is made. Several chest radiographic units are

servo controlled; that is, the vertical motion of the x-ray tube is

identical to the vertical motion of the film receptor to keep the

x-ray beam and film accurately centered during patient

positioning. Other units use a light-centering beam to

maintain accurate vertical alignment.

To preferentially absorb scattered radiation, a radiographic

grid—a thin plate composed of alternating lead strips and radiolucent plastic—is located between the patient andthe film-screen device. To optimize exposure and minimize technical errors, most units offer automatic exposure

control (AEC), also called phototiming, as a standard or optional feature. AEC automatically terminates exposure

when a preset exposure level has been reached.

After the x-ray exposure is completed in manual systems, the film is transported to the receiving magazine and

then removed in a darkroom for processing. If a dedicated automatic film processor is used, a transport system

bypasses the receiving magazine and automatically feeds the exposed film into the processor.

Although conventional chest radiographic units are still in use, many healthcare facilities are now purchasing




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digital systems. Digital systems provide electronic storage to reduce film supplies; and permit direct transfer to

picture archiving and communication systems (PACS) for interpretation; and interfacing to a radiology

information system (RIS) to provide patient worklists and exam status updates, and digital image manipulation,

which can reduce the number of retakes.

Digital chest radiography

Several manufacturers offer digital

chest radiographic units. The imaging

configuration typically consists of an

exposure system with an imaging

receptor; a computer console; and a

connection to PACS. Imaging receptors

use photostimulable phosphor plates (as

in computed radiography), charge-

coupled devices, amorphous silicon

plates, or amorphous selenium plates to

convert x-ray photons to electricalsignals.

In digital chest systems, a computer

workstation is used for reviewing and manipulating the image and for processing the image data. The image can

then be viewed on a high-resolution monitor by a radiologist. The typical workstation can interface with the

system for archiving the image on an optical disk or transmitting the image over a hospital computer network

(see the Product Comparison titled PICTURE ARCHIVING AND COMMUNICATION SYSTEMS (PACS), RADIOLOGY).

The workstation, image-archiving devices, printers, low- and high-resolution monitors, and interfaces to a

hospital network may be offered as standard or optional features, depending on the manufacturer. Additionally,

some systems can download patient information from a RIS or a hospital information system to store this

information with the film/images.

Reported problems

Most reported problems with chest radiographic units relate to the mechanical construction of the units and

the difficulty of transporting the thin x-ray film rapidly through repeated cycles. Warped film, irregularities in

film thickness and alignment, and high temperatures and humidity can damage the film-transport mechanism.

Quality control procedures should include performing chemical processing and intensifying-screen contact

tests, inspecting the mechanical safety of the mounting, and verifying the coincidence of the x-ray beam with the

center of the field (if the unit is servo controlled), x-ray beam field centering, and AEC operation.

Facilities should also verify that the digital system purchased will interface with a RIS and/or PACS. For

proper interfacing capabilities, systems should meet Health Level 7 (HL7) specifications (for RISs) and/or Digital

Imaging and Communications in Medicine (DICOM) 3.0 specifications (for PACS).Lack of conformance could

result in failure to properly store and/or transmit images.

Purchase considerations

ECRI recommendations

Included in the accompanying comparison chart are ECRI’s recommendations for minimum performance

requirements for chest radiographic units; recommended specifications have been categorized into two groups—

digital and film. Both types of systems require an x-ray tube, which may be sold separately and is not included in



















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the chart. The film system consists of an upright stand on which a film cassette is placed.

For an optimal automatic chest x-ray system, purchasers should also consider an x-ray generator with 3-phase,

12-pulse output or the equivalent with an appropriate power rating (see the Product Comparison titled X-RAY

GENERATORS); an x-ray tube with a dual focal spot (0.6 mm and 1.0 to 1.3 mm); and an anode with a high-speed

rotor. A 5 kW generator is acceptable for chest procedures; however, if other projections, such as lumbar spine,

are necessary, then an 80 kW generator should be considered.Other available options are film-size interchangeability and an external cassette holder, which allows the use of

either portrait or landscape alignment of 35 × 43 cm (14 × 17 in) film.

Digital chest systems offer several advantages over conventional chest radiographic units. Chiefly, the

dynamic range of digital imaging receptors is much larger than that of x-ray film: x-ray film can record exposure

differences of approximately 100:1, while digital imaging receptors can record differences of approximately

10,000:1. This large dynamic range allows a wider range of exposures, decreasing the need for additional

exposures. Additional advantages of direct digital imaging include postprocessing features, electronic storage,

and networking capability.

Digital chest systems must be able to quickly and effectively produce high-quality chest radiographs. Image

quality is defined by pixel size and the signal-to-noise characteristics of the detector. The images must read out

quickly; some systems can read out and process an image in less than 10 seconds, while nontraditional techniquestake over a minute. The image-readout time is not the same as the cycle time, and some systems with longer

image-readout time can reexpose the patient before the final image is ready. Therefore, even the busiest system

only needs to process a maximum of 60 images per hour.

After the image is produced, advanced image processing must be available so that the images are delivered to

radiologists without further manipulation. Digital image capture enables the use of more technically advanced

applications such as dual energy subtraction, temporal subtraction, and computer-aided detection. Some

manufacturers now supply dual energy subtraction and other more advanced processing capabilities so that

more information can be gleaned from simple chest x-rays.

If a digital chest system will be purchased, compliance with the DX class of the DICOM 3.0 standard should be

a requirement for all newly purchased equipment (including storage devices) to facilitate future network

additions. Purchasers should require DICOM-conformance statements from suppliers that explain in detail whichinformation objects, service classes, and data encoding are supported by the system. Each conformance statement

requested should reflect parallel format and device vocabulary to facilitate accurate comparisons between

suppliers and should be inspected by a competent specialist.

Other considerations

If the chest radiographic unit is to be integrated with other x-ray components, compatibility among the

components should be verified before purchase. The chart lists compatible x-ray generators, x-ray tubes, and film

processors for each model of chest radiographic unit.

Departments examining extremely ill or debilitated patients should determine the availability of overhead

patient-support bars. Not all manufacturers furnish support belts for securing the patient against the unit. Some

units require either keypunch cards or 3 × 5 inch file cards for patient identification, while others accept both. Notall manufacturers provide a stereo-shift option for depth-perception studies.

Cost containment

Because radiographic systems entail ongoing maintenance and operational costs, the initial acquisition cost

does not accurately reflect the total cost of ownership. Therefore, a purchase decision should be based on issues

such as life-cycle cost (LCC), local service support, discount rates and non-price-related benefits offered by the












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supplier, and standardization with existing equipment in the department or hospital (i.e., purchasing all

radiographic systems from one supplier).

An LCC analysis can be used to compare alternatives and/or to determine the positive or negative economic

value of a single alternative. For example, hospitals can use LCC analysis techniques to examine the cost-

effectiveness of leasing or renting equipment versus purchasing the equipment outright. Because it examines the

cash-flow impact of initial acquisition costs and operating costs over a period of time, LCC analysis is most usefulfor comparing alternatives with different cash flows and for revealing the total costs of equipment ownership.

One LCC technique—present value (PV) analysis—is especially useful because it accounts for inflation and for the

time value of money (i.e., money received today is worth more than money received at a later date). Conducting a

PV/LCC analysis often demonstrates that the cost of ownership includes more than just the initial acquisition cost

and that a small increase in initial acquisition cost may produce significant savings in long-term operating costs.

The PV is calculated using the annual cash outflow, the dollar discount factor (the cost of capital), and the lifetime

of the equipment (in years) in a mathematical equation.

The following represents two sample eight-year PV/LCC analyses for a typical chest radiographic unit:

Present Value/Li fe-Cycle Cost A nalyses

Assumptions

Operating costs are considered for years 2 through 8

Dollar discount factor is 5%

Inflation rate is 4% for disposables

Inflation rate is 6% for a full service contract

Radiographic chest units typically include a radiographic unit; a high-frequency or 3-phase, 12-pulse generator

of at least 50 to 80 kW power; autocollimators; focal spots of 0.6 to 1.3 mm; an x-ray tube with anode heat capacity

of ≥300,000 heat units; AEC; a supply magazine; a pair of intensifying screens; a receiving magazine; and a

transport assembly to a film processor’s receiving magazine. (Some units include a film processor.)

Alternative 1—Service contract excludes x-ray tubes and glasswareCapital Costs

System = $250,000 (analog); $400,000 (digital)

Accessories = $16,100 (film processor); $4,850 (radiation protection)

Total Capital Costs = $270,950; $420,950

Operating Costs

Service contract, years 2 through 8 = $15,000/year

Cost for replacing x-ray tube and other glassware at the end of years 2, 4, 6, and 8 = $15,000/year

Total Operating Costs = $15,000 for years 3, 5, and 7; $30,000 for years 2, 4, 6 , and 8

PV = ($438,276; $588,276)

Alternative 2—Service contract includes x-ray tubes and glassware

Capital Costs System = $250,000 (analog); $400,000 (digital)

Accessories = $ 16,100 (film processor); $4,850 (radiation protection)

Total Capital Costs = $270,950; $420,950

Operating Costs

Service contract, years 2 through 8 = $20,000/year

Total Operating Costs = $20,000

PV = ($417,771; $567,771)




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Other costs not included in the above analyses that should be considered for budgetary planning include those

associated with the following:

Equipment upgrades not included in the service contract

Personnel Film and film processing

Utilities

Other disposables and accessories

Contributions to overhead

As illustrated by the above sample PV/LCC analyses, the initial acquisition cost is only a fraction of the total

cost of operation over eight years. Therefore, rather than making a purchase decision based solely on the

acquisition cost of a chest radiographic unit, buyers should consider operating costs over the lifetime of the

equipment. In addition, the analyses show that purchasing the more expensive service contract that includes x-

ray tube replacement actually results in lower operating costs over eight years.

For further information on PV/LCC analysis, customized analyses, and purchase decision support, readersshould contact ECRI’s SELECT™ Group.

Hospitals can purchase service contracts or service on a time-and-materials basis from the supplier. Service

may also be available from a third-party organization. The decision to purchase a service contract can be justified

for several reasons. Purchasing a service contract ensures that preventive maintenance will be performed at

regular intervals, thereby eliminating the possibility of unexpected maintenance costs. Also, many suppliers do

not extend system performance and uptime guarantees beyond the length of the warranty unless the system is

covered by a service contract.

ECRI recommends that, to maximize bargaining leverage, hospitals negotiate pricing for service contracts

before the system is purchased. As a guideline, service contracts typically cost approximately 6% to 9% of the

system’s list price (depending on whether the service contract includes x-ray tubes and glassware). Additional

service contract discounts may be negotiable for multiple-year agreements or for service contracts that are bundled with contracts on other radiographic equipment in the department or hospital.

In addition, hospitals should negotiate for a significant discount—some suppliers may discount from 5% to

20%. The actual discount received will depend on the hospital’s negotiating skills, the system configuration and

model to be purchased, previous experience with the supplier, and the extent of concessions granted by the

supplier, such as extended warranties, fixed prices for annual service contracts, and guaranteed on-site service

response. Buyers should make sure that applications training is included in the purchase price of the system.

Some suppliers do offer more extensive on-site or off-site training programs at an additional cost.

ECRI recommends that buyers consider the number and types of studies to be performed before deciding on a

specific system configuration. Also, if multiple systems are necessary to handle the patient volume, hospitals

should consider the types of systems and capabilities that need to be purchased to avoid paying for unnecessary

features. Purchasing all systems from one supplier could result in a significant discount. Standardization ofequipment can make staff training easier, simplify servicing and parts acquisition, and provide greater bargaining

leverage when negotiating new equipment purchases and/or service contract costs.

Although installing digital imaging systems could result in significant cost savings from eliminating film and

its associated handling problems, the initial cost can be $300,000 to $400,000 (Nields 1998) compared to

approximately $200,000 for conventional equipment.




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Stage of development

Advances in improved image quality, image storage, and image transmission to other locations allow digital

systems to dominate the market today.

Bibliography Aufrichtig R. Comparison of low contrast detectability between a digital amorphous silicon and a screen-film

based imaging system for thoracic radiography. Med Phys 1999 Jul;26(7):1349-58.

Chotas HG, Floyd CE Jr, Ravin CE. Technical evaluation of a digital chest radiography system that uses a

selenium detector. Radiology 1995 Apr;195(1):264-70.

Cox GG, Cook LT, McMillan JH, et al. Chest radiography: comparison of high-resolution digital displays with

conventional and digital film. Radiology 1990 Sep;176(3):771-6.

Curry TS 3rd, Dowdey JE, Murry RC Jr. Christensen’s physics of diagnostic radiology. 4th ed. Philadelphia: Lea &

Febiger; 1990.

de Valois JC, van Heesewijk HP. Economic aspects and cost calculations for a digital selenium-based chest

imaging system. AJR Am J Roentgenol 1996 Oct;167(4):950-2.

Floyd CE Jr, Baker JA, Chotas HG, et al. Selenium-based digital radiography of the chest: radiologists’ preference

compared with film-screen radiographs. AJR Am J Roentgenol 1995 Dec;165(6):1353-8.

James JJ, Davies AG, Cowen AR, et al. Developments in digital radiography: an equipment update. Eur Radiol

2001 Dec;11(12):2616-26.

Launders JH, Kengyelics SM, Cowen AR. A comprehensive physical image quality evaluation of a selenium

based digital x-ray imaging system for thorax radiography. Med Phys 1998 Jun;25(6):986-97.

Marshall NW, Faulkner K, Busch HP, et al. An investigation into the radiation dose associated with differentimaging systems for chest radiology. Br J Radiol 1994 Apr;67(796):353-9.

Nields M. DR: the final link to the digital department. Diagn Imaging 1998 Aug;20(8):53-4.

Schaefer-Prokop CM, Prokop M, Schmidt A, et al. Selenium radiography versus storage phosphor and

conventional radiography in the detection of simulated chest lesions. Radiology 1996 Oct;201(1):45-50.

van Heesewijk HP, van der Graaf Y, de Valois JC, et al. Effects of dose reduction on digital chest imaging using a

selenium detector: a study of detecting simulated diffuse interstitial pulmonary disease. AJR Am J Roentgenol

1996 Aug;167(2):403-8.

Yaffe MJ, Rowlands JA. X-ray detectors for digital radiography. Phys Med Biol 1997 Jan;42(1):1-39.

Supplier informationAMRAD

Amrad/Summit Industries Inc [171242]

2901 W Lawrence Ave

Chicago, IL 60625-3621

Phone: (773) 588-2444 (888) 772-6723 Fax: (773) 588-3424




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Internet: http://www.summitindustries.net

E-mail: [email protected]

CANON

Canon Europa NV [157138]

Bovenkerkerweg 59-61 Postbus 2262

Amstelveen NL-1180 EG

The Netherlands

Phone: 31 (20) 5458926 Fax: 31 (20) 5458220

Internet: http://www.canon-europa.com

Canon Inc [157139]

Kiyohara-Kogyodanchi Utsunomiya-shi

Tochigi-ken 321-3292

Japan

Phone: 81 (28) 6678693 Fax: 81 (28) 6678699

Internet: http://www.canon.co.jp


Canon Medical Systems [104469]

15975 Alton Pkwy

Irvine, CA 92618

Phone: (949) 932-3100 (800) 970-7227 Fax: (949) 753-4280

Internet: http://www.usa.canon.com


DELFT IMAGING

Delft Imaging Systems bv [440007]

Gildetrom 39

Veenendaal NL-3905 TB

The Netherlands

Phone: 31 (318) 583126 Fax: 31 (318) 583130

Internet: http://www.delftimagingsystems.com


Delft Instruments NV [172867]

Gildetrom 35

Veenendaal NL-3905 TB

The Netherlands

http://www.summitindustries.net/






http://www.canon-europa.com/



http://www.canon.co.jp/






http://www.usa.canon.com/






http://www.delftimagingsystems.com/



















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Phone: 31 (318) 583126 Fax: 31 (318) 583130

Internet: http://www.delft-instruments.com


EASTMAN KODAK

Eastman Kodak Co [101437]

343 State St

Rochester, NY 14650

Phone: (505) 724-1089 (800) 698-3324

Internet: http://www.eastmankodak.com

Kodak Japan Ltd [227142]

Yamaman Building 61 Koamicho Nihonbashi Chuo-ku

Tokyo 103-8540

Japan

Phone: 81 (3) 56445348 Fax: 81 (3) 56445095

Internet: http://www.kodak.co.jp


FERRANIA IMAGING

Ferrania SpA [403771]

viale della Liberta 57 Frazione Ferrania

Cairo Montenotte SV I-17014

Italy

Phone: 39 (019) 52214236 Fax: 39 (019) 5224491

Internet: http://www.ferraniait.com


FUJI

Fuji Medical Systems Co Ltd (Japan) [199543]

13-8 Ginza 7-chome Chuo-ku

Tokyo 104

JapanPhone: 81 (3) 35453311 Fax: 81 (3) 35438073

Internet: http://www.fujifilm.com

Fuji Photo Film (Europa) GmbH [199544]

Heesenstrasse 31 Postfach 190321

http://www.delft-instruments.com/






http://www.eastmankodak.com/



http://www.kodak.co.jp/






http://www.ferraniait.com/






http://www.fujifilm.com/














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Duesseldorf 11 D-40549

Germany

Phone: 49 (211) 50890 Fax: 49 (211) 5089344

Internet: http://www.fujifilm.de


FujiFilm Medical Systems USA Inc [105698]

419 West Ave

Stamford, CT 06902

Phone: (203) 324-2000 (800) 431-1850 Fax: (203) 353-0926

Internet: http://www.fujimed.com


GE HEALTHCARE

GE Healthcare Asia (Japan) [300443]

4-7-127 Asahigaoka Hino-shi

Tokyo 191-8503

Japan

Phone: 81 (3) 425826820 Fax: 81 (3) 425826830

Internet: http://www.gehealthcare.com.jp


GE Healthcare Australia [441444]

Parklands Estate Unit 4B 21 South Street

Rydalmere 2116

Australia

Phone: 61 (2) 98164000 Fax: 61 (2) 98464001

Internet: http://www.gehealthcare.com


GE Healthcare Europe [171319]

283 rue de la Miniere boite postale 34Buc Cedex F-78533

France

Phone: 33 (1) 30704040 Fax: 33 (1) 30709855

Internet: http://www.gehealthcare.com/evev/

GE Healthcare USA [439946]

http://www.fujifilm.de/






http://www.fujimed.com/






http://www.gehealthcare.com.jp/






http://www.gehealthcare.com/






http://www.gehealthcare.com/evev/















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3000 N Grandview Blvd

Waukesha, WI 53188

Phone: (262) 544-3011 (800) 643-6439 Fax: (262) 544-3384

Internet: http://www.gehealthcare.com

IDC

Imaging Dynamics Co Ltd [370913]

2340 Pegasus Way NE Suite 151

Calgary AB T2E 8M5

Canada

Phone: (403) 251-9939 (866) 975-6737 Fax: (403) 251-1771

Internet: http://www.imagingdynamics.com


KONICA MINOLTA

Konica Minolta Holding Co [441055]

Marunouchi Center Building 1-6-1 Marunouchi Chiyoda-ku

Tokyo 100-0005

Japan

Phone: 81 (3) 33495175 Fax: 81 (3) 33405738

Internet: http://konicaminolta.co.jp


Konica Minolta Medical & Graphic Imaging Europe GmbH [441090]

Betastrasse 13

Unterfoehring D-85774

Germany

Phone: 49 (89) 124790 Fax: 49 (89) 12479258

Internet: http://www.konicaminolta.de


Konica Minolta Medical Imaging Inc [441054]

411 Newark Pompton Tpke

Wayne, NJ 07470

Phone: (973) 633-1500 (800) 934-1034 Fax: (973) 633-0562

Internet: http://www.konicaminolta.us





http://www.imagingdynamics.com/






http://konicaminolta.co.jp/






http://www.konicaminolta.de/






http://www.konicaminolta.us/


















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LISTEM

LISTEM Corp [392886]

414-4 Chongchon-dong Pupyong-ku

Inchon 403-032

Republic of Korea

Phone: 82 (32) 5155511 Fax: 82 (32) 5129814

Internet: http://www.listem.co.kr


LISTEM USA Inc [393197]

5200 NW 43rd St Suite 102 PMB 338

Gainesville, FL 32606

Phone: (352) 271-5232 Fax: (352) 271-8978

Internet: http://www.listem.co.kr


QUANTUM MEDICAL IMAGING

Quantum Medical Imaging LLC [384274]

2002 Orville Dr

Ronkonkoma, NY 11779

Phone: (631) 567-5800 Fax: (631) 567-5074

Internet: http://www.quantummedical.net


SIEMENS MEDICAL SOLUTIONS

Siemens AG [401832]

Henkestrasse 127

Erlangen D-91052

Germany

Phone: 49 (9131) 840 Fax: 49 (9131) 845400

Internet: http://www.siemensmedical.com E-mail: [email protected]

Siemens Canada Ltd [174735]

2185 Derry Rd W

Mississauga ON L5N 7A6

http://www.listem.co.kr/












http://www.quantummedical.net/






http://www.siemensmedical.com/

















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Canada

Phone: (905) 819-8000 (888) 303-3353 Fax: (905) 819-5777

Internet: http://www.siemens.ca


Siemens Medical Solutions USA Inc [399199]

51 Valley Stream Pkwy

Malvern, PA 19355

Phone: (610) 448-4500 (888) 826-9702 Fax: (610) 219-3124

Internet: http://www.siemensmedical.com


Siemens SA de CV [339105]Poniente 116 No 590

Cd de Mexico 02300

Mexico

Phone: 52 (5) 3282000 Fax: 52 (5) 3282017

Internet: http://www.siemens.com.mx

SWISSRAY

Swissray America Inc [354504]

1180 McLester St Unit 2

Elizabeth, NJ 07201

Phone: (908) 353-0971 (888) 867-9477 Fax: (908) 353-1237

Internet: http://www.swissray.com


Swissray Medical AG [177064]

Turbistrasse 25-27

Hochdorf CH-6280

SwitzerlandPhone: 41 (41) 9141212 Fax: 41 (41) 9141213

Internet: http://www.swissray.com


VILLA SISTEMI

Villa Sistemi Medicali SpA [156442]

http://www.siemens.ca/












http://www.siemens.com.mx/



http://www.swissray.com/
























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via delle Azalee 3

Buccinasco MI I-20090

Italy

Phone: 39 (02) 488591 Fax: 39 (02) 4881844

Internet: http://www.villasm.com E-mail: [email protected]

Note: The data in the charts derive from suppliers’ specifications and have not been verified through

independent testing by ECRI or any other agency. Because test methods vary, different products’ specifications

are not always comparable. Moreover, products and specifications are subject to frequent changes. ECRI is not

responsible for the quality or validity of the information presented or for any adverse consequences of acting on

such information.

When reading the charts, keep in mind that, unless otherwise noted, the list price does not reflect supplier

discounts.And although we try to indicate which features and characteristics are standard and which are not,

some may be optional, at additional cost.For those models whose prices were supplied to us in currencies other than U.S. dollars, we have also listed the

conversion to U.S. dollars to facilitate comparison among models. However, keep in mind that exchange rates change

often.

Need to know more?

For further information about the contents of this Product Comparison, contact the HPCS Hotline at +1 (610)

825-6000, ext. 5265; +1 (610) 834-1275 (fax); or [email protected] (e-mail).

Last updated October 2006

http://www.villasm.com/















15


Product Comparison Chart

MODEL ECRI-RECOMMENDED

SPECIFICATIONS1

ECRI-RECOMMENDED

SPECIFICATIONS1

AMRAD AMRAD

Radiographic Chest Units,

Digital


Film

Chest DXR System CS System

WHERE MARKETED Worldwide Worldwide

FDA CLEARANCE Yes Yes

CE MARK (MDD) No No

TYPE Digital Film (manual) Manual Manual

MAXIMUM IMAGE SIZE,

cm (in)

43 x 43 (17 x 17) All standard film sizes 43 x 43 (17 x 17) 43 x 43 (17 x 17)

Cycle time, sec 30 10 Not specified

Images/hr 60 Not specified Not specified

PIXEL SIZE, µm 200 NA NA

DICOM 3.0 COMPLIANT Yes Yes Not specified

CASSETTE HOLDER Yes NA Yes

PATIENT ID TYPE DICOM modality worklist,

keyboard, barcode

Flash Not specified Not specified

AUTOMATIC

EXPOSURE CONTROL

Yes Yes Not specified Optional

VERTICAL TRAVELMinimum to maximum

height, cm (in)

50-180 (19.7-70.9) 50-180 (19.7-70.9) Not specified Not specified

SERVO CONTROL Yes No No

SID, cm (in) 150-200 (59.1-78.7), fixed

but user-selectable

150-200 (59.1-78.7), user-

selectable

102 (40.2), 183 (72) 102 (40.2), 183 (72)

STEREO SHIFT No No

COMPATIBLE

EQUIPMENT

Film processors All DICOM Optional None None

X-ray generators All standard models AMRAD AMRAD

X-ray tubes All standard models Toshiba Toshiba

Tube stand Floor Floor, wall Floor, wall

POWER

REQUIREMENTS

VAC 120 (chest unit only) 240 240

Current, A Not specified Not specifiedDIMENSIONS, L x W x H,

cm (in)

Not specified Not specified

WEIGHT, kg (lb) 452.5 (1,000) 422 (930)

This is the first of two

pages covering the above

model(s). These

specifications continue

onto the next page.




16


Product Comparison ChartMODEL ECRI-RECOMMENDED

SPECIFICATIONS1

ECRI-RECOMMENDED

SPECIFICATIONS1

AMRAD AMRAD


Digital


Film

Chest DXR System CS System

OPTIONAL

ACCESSORIES

Advanced image

processing (dual-energy

subtraction or computer-aided detection)

None specified None specified

PURCHASE

INFORMATION

List price, std

configuration

$99,500-118,100 $16,900-26,900

Warranty 5 years limited 5 years

Year first sold 2005 1985

Fiscal year November to October November to October

OTHER

SPECIFICATIONS

None specified. None specified.

LAST UPDATED October 2006 October 2006

Supplier Footnotes 1These recommendations

are the opinions of ECRI's

technology experts. ECRI

assumes no liability for

decisions made based onthis data.

1These recommendations

are the opinions of ECRI's

technology experts. ECRI

assumes no liability for

decisions made based onthis data.

Model Footnotes

Data Footnotes






18


Product Comparison ChartMODEL CANON CANON CANON CANON

CXDI-40EC CXDI-40EG CXDI-50C CXDI-50G

OPTIONAL

ACCESSORIES

Grid; DR image viewer

workstation; extended

warranty available



warranty available



warranty available



warranty available

PURCHASE

INFORMATION

List price, std

configuration

$197,240 $167,240 $161,940 $136,940

Warranty 1 year 1 year 1 year 1 year

Year first sold 2006 (previous model

since 2003)

2002 (previous models

since 1999)

2006 2003

Fiscal year January to December January to December January to December January to December

OTHER

SPECIFICATIONS

Digital flat-panel sensor;

images are captured and

displayed within 3 sec.

Digital flat-panel sensor;

images are captured and

displayed within 3 sec.

Portable digital flat-panel

sensor; images are

captured and displayed

within 3-5 sec.

Portable digital flat-panel

sensor; images are

captured and displayed

within 3-5 sec.

LAST UPDATED October 2006 October 2006 October 2006 October 2006

Supplier Footnotes

Model Footnotes1Standard configuration is

a retrofit to facility's

radiographic suite.

1Standard configuration is


radiographic suite.



radiographic suite or

certain mobile units.



radiographic suite or

certain mobile units.Data Footnotes




19


Product Comparison ChartMODEL DELFT IMAGING DELFT IMAGING DELFT IMAGING EASTMAN KODAK

Digidelca-M Electrodelca Thorascan DirectView DR 3000

System

WHERE MARKETED Worldwide Worldwide Worldwide America

FDA CLEARANCE Yes Yes Yes Yes

CE MARK (MDD) Yes Yes Yes Yes

TYPE Direct digital 100 mm spot-film camera Direct digital Cesium Iodide (TI) flat

panel

MAXIMUM IMAGE SIZE,

cm (in)

40 x 40 (15.8 x 15.8) 40 x 40 (15.8 x 15.8) 44 x 44 (17.5 x 17.5) 43 x 43 (17 x 17)

Cycle time, sec <10 <10 <10 <8

Images/hr 100 180 60-120 180

PIXEL SIZE, µm 200 NA 162 143

DICOM 3.0 COMPLIANT Yes NA Yes Yes

CASSETTE HOLDER NA Yes NA NA

PATIENT ID TYPE Barcode, RIS, DICOM

modality worklist and via

keyboard

ID card projected on film Barcode, RIS, DICOM

modality worklist and via

keyboard

Worklist, keyboard,

barcode

AUTOMATIC

EXPOSURE CONTROL

Yes Yes 3-field (software

configurable)

Yes

VERTICAL TRAVEL

Minimum to maximum

height, cm (in)

115-185 (45.3-72.8) 115-185 (45.3-72.8) 115-185 (45.3-72.8) Floor to 126.5 (50)

SERVO CONTROL NA NA Yes NA

SID, cm (in) 120 (47.2) 120 (47.2) 200 (79) or 183 (72) 100-180 (40-72) variable

STEREO SHIFT NA NA NA No

COMPATIBLE

EQUIPMENT

Film processors NA Protec C2; optional roll

film adapter

NA NA

X-ray generators Sedecal Sedecal Sedecal 64 kW and 80 kW high-

frequency with digital

feedback control circuitry

X-ray tubes Dunlee, Varian, others Dunlee, Varian, others Dunlee, Varian, others 400,000 HU

Tube stand Floor Floor Floor Floor

POWER

REQUIREMENTS

VAC 380, 440, 480; 50/60 Hz;

3-phase

380, 440, 480; 50/60 Hz;

3-phase

380, 440, 480; 50/60 Hz;

3-phase

380-480; 50/60 Hz

Current, A 16 16 50-80 120 maximum

DIMENSIONS, L x W x H,

cm (in)

181 x 100 x 252 (71.3 x

39.4 x 99.2)

250 x 100 x 252 (98.4 x

39.4 x 99.2)

282.5 x 100 x 252 (111.2

x 39.4 x 99.2)

223 x 100 x 84 (88 x 39 x

33) positioner, 61 x 41 x

69 (24 x 16 x 27)

generator

WEIGHT, kg (lb) 350 (771.8) 350 (771.8) 300 (661.5) camera stand,

350 (771.8) x-ray stand

800 (1,760)



model(s). These


onto the next page.




20


Product Comparison ChartMODEL DELFT IMAGING DELFT IMAGING DELFT IMAGING EASTMAN KODAK

Digidelca-M Electrodelca Thorascan DirectView DR 3000

System

OPTIONAL

ACCESSORIES

DICOM modality worklist

extension or HIS/RIS

interface, DICOM C-store

extension, DICOM mini-PACS

Protec C2 film processor,

100 mm viewers

DICOM modality worklist

extension or HIS/RIS

interface, DICOM C-store

extension, DICOM mini-PACS

Kodak DirectView EVP

software, DICOM worklist

management software,

IHE software, capture linksoftware

PURCHASE

INFORMATION

List price, std

configuration

€240,000 (US$286,616) €160,000 (US$191,190) €350,000 (US$417,729) $320,000


Year first sold 1998 1992 2001 2006

Fiscal year January to December January to December January to December January to December

OTHER

SPECIFICATIONS

Low-dose direct digital

mass chest screening.

Low-dose mass chest

screening.

Low-dose direct digital

slot-scan technology for

image quality.

Floor-mounted U-arm

design; single operator

console controls detector

and generator; exam

coach software, exam

tutor for display of exam

views and tracking their

completion; user interfacecommon to DirectView CR

systems; CR/DR

integration;

multifunctional. Meets

requirements of CSA,

CUL, and UL.

LAST UPDATED July 2004 July 2004 July 2004 October 2006

Supplier Footnotes

Model Footnotes

Data Footnotes




21


Product Comparison ChartMODEL EASTMAN KODAK EASTMAN KODAK FERRANIA IMAGING FUJI

DirectView DR 7500WM

System

DirectView DR 9000

System

LifeInVision DR 942 ClearView-D : ClearView-

ES

WHERE MARKETED America Worldwide, except Japan Europe, Middle East Worldwide

FDA CLEARANCE Yes Yes Submitted Yes


TYPE Cesium Iodide (TI) flat

panel

Cesium Iodide (TI) flat

panel

Chest-dedicated digital

radiography

Digital

MAXIMUM IMAGE SIZE,

cm (in)

43 x 43 (17 x 17) 43 x 43 (17 x 17) 43 x 43 (17 x 17) 43 x 43 (17 x 17)

Cycle time, sec <8 <8 3 for final image 8-25

Images/hr 180 180 360 (10 sec exam

repetition time)

174

PIXEL SIZE, µm 143 143 143 100

DICOM 3.0 COMPLIANT Yes Yes SCU print, store, worklist,

mpps

Yes

CASSETTE HOLDER NA NA Not specified Yes

PATIENT ID TYPE Worklist, keyboard,

barcode

Worklist, keyboard,

barcode

RIS link, barcode reader,

keyboard data entry

Automatic with Flash IIP

workstation networked

(DICOM worklist

management), manual

AUTOMATIC

EXPOSURE CONTROL

Yes Yes 3-field ionization chamber 3-field

VERTICAL TRAVEL

Minimum to maximum

height, cm (in)

Wall; floor to 190 (74.8) Floor to 250 (98.4) 50-161 (20-63.4) 78-153 (30.8-60.3)

SERVO CONTROL Yes NA Yes Yes

SID, cm (in) 100-180 (40-72) variable 100-180 (40-72) variable 100-250 (39.4-98.4) User-selectable

STEREO SHIFT No No Yes Not specified

COMPATIBLE

EQUIPMENT

Film processors NA NA None specified DICOM networks, storage

SCP printers

X-ray generators 80 kW high-frequency with

digital feedback control

circuitry

80 kW high-frequency with

digital feedback control

circuitry

CPI Most standard models

X-ray tubes 400,000 HU 400,000 HU Dunlee, Varian Most standard models

Tube stand Floor Floor Ceiling or wall Most standard models

POWERREQUIREMENTS

VAC 380-480; 50/60 Hz 380-480; 50/60 Hz 220 V console and

stand/400 V generator

200-240; 50/60 Hz

Current, A 180 maximum 180 maximum 5 standby, 155

maximum/phase

generator

1.5 kVA


cm (in)

48.8 x 40.6 x 124 (19.2 x

16 x 48.7) generator, 116

x 96.5 x 239.5 (45.6 x 38 x

94.3) chest stand, 41.9 x

49 x 121.9 (16.5 x 19.3 x

48) TDU

48.8 x 40.6 x 124 (19.2 x

16 x 48.7) generator, 81 x

203 x 203 (32 x 80 x 80)

digital overhead system

425 x 300 x 280 (167.3 x

118.1 x 110.2)

95 x 81 x 180 (37.4 x

31.44 x 70.81)

WEIGHT, kg (lb) 560 (1,230) 1,010 (2,230) 350 (771.8) ceiling-

mounted stand, 110

(242.6) wall-mounted

Bucky

560 (1,235)



model(s). These


onto the next page.




22


Product Comparison ChartMODEL EASTMAN KODAK EASTMAN KODAK FERRANIA IMAGING FUJI

DirectView DR 7500WM

System

DirectView DR 9000

System

LifeInVision DR 942 ClearView-D : ClearView-

ES

OPTIONAL

ACCESSORIES




IHE scheduled workflowsoftware, capture link

software, dose area

product meter, floor rail




IHE software, capture linksoftware

Patient stand stretcher,

barcode reader, automatic

operator log-in

Autocollimation, overhead

and side patient supports,

DICOM worklist

management software,gonad shield, energy

subtraction, multiexam

grid; also available and

fully integrated with front-

end components via

SpeedLink x-ray control

software

PURCHASE

INFORMATION

List price, std

configuration

$420,000 $450,000 Not specified Not specified


Year first sold 2005 2000 2001 1999

Fiscal year January to December January to December Not specified April to March

OTHER

SPECIFICATIONS

Automatic tracking of the

overhead tube to followthe wall stand Bucky;

HIS/RIS connectivity,

exam tutor for display of

exam views and tracking

their completion; user

interface common to

DirectView CR systems;

CR/DR integration; wall

stand with extending

retractable arm, Bucky tilt

for table exams and Bucky

swing for cross-table

views; optional floor rail;

single operator console

controls detector and

generator.

U-arm design; single

operator console controlsdetector and generator;

exam coach software,

exam tutor for display of

exam views and tracking

their completion; user

interface common to

DirectView CR systems;

CR/DR integration;

configure system for a

variety of applications,

workflow, budgets; dual-

detector system includes

wall stand and fixed

elevating tables. Meets

requirements of CSA,

CUL, and UL.

Version DR942 T with

tilting and rotatingdetector. ISO certified.

Cassette holder, DMS

interface board; DMSnetwork interface board;

multifrequency

processing; optional

footswitch.

LAST UPDATED October 2006 October 2006 September 2005 October 2006

Supplier Footnotes

Model Footnotes

Data Footnotes




23


Product Comparison ChartMODEL FUJI FUJI GE HEALTHCARE IDC

Velocity-U Velocity-Ufp Revolution XR/d Xplorer 1800

WHERE MARKETED Worldwide Worldwide Worldwide Worldwide



TYPE Digital Digital Digital Direct digital

MAXIMUM IMAGE SIZE,

cm (in)

43 x 43 (17 x 17) 43 x 43 (17 x 17) 41 x 41 (16 x 16) flat

panel

43 x 43 (17 x 17)

Cycle time, sec 7-9 7-9 <20 15-20/image

Images/hr 240 240 180 ~120

PIXEL SIZE, µm 100 100 200 108

DICOM 3.0 COMPLIANT Yes Yes Yes Yes

CASSETTE HOLDER Optional Optional NA NA

PATIENT ID TYPE Automatic w/Flash IIP


(DICOM worklist

management), manual

Automatic with Flash IIP


(DICOM worklist

management), manual

Keypunch, barcode,

modality worklist

RIS, modality worklist,

manual

AUTOMATIC

EXPOSURE CONTROL

3-field 3-field 3-field 3-field

VERTICAL TRAVEL

Minimum to maximum

height, cm (in)

47-153 (18.5-60.3) 47-153 (18.5-60.3) 31-182 (12.2-71.7) 34-185 (13.4-72.8)

SERVO CONTROL Yes Yes Yes Optional

SID, cm (in) User-selectable User-selectable 180 (70.9) 100-240 (custom-order

focal spots available)

STEREO SHIFT Not specified Not specified No NA

COMPATIBLE

EQUIPMENT

Film processors DICOM networks, storage

SCP printers

DICOM networks, storage

SCP printers

NA NA

X-ray generators Most standard models Most standard models GE (65 or 80 kW) Any high-frequency

generator

X-ray tubes Most standard models Most standard models GE All matching tubes with at

least 0.6 and 1 mm focal

spots

Tube stand Most standard models Most standard models Floor Ceiling

POWER

REQUIREMENTS

VAC 200-240; 50/60 Hz 200-240; 50/60 Hz 380-480 110-250; 50/60 Hz; 15 ACurrent, A 4.1-5 4.1-5 Not specified 15 (240 VAC), 15 (120

VAC)


cm (in)

45 x 64 x 184 (17.72 x

25.39 x 72.3)

45 x 64 x 184 (17.72 x

25.39 x 72.3)

487 x 396 x 259 (192 x

156 x 108) (XR/d wall

stand with extended arm)1

185 x 185 x 242 (73 x 73 x

95.5)

WEIGHT, kg (lb) 220 (485) 220 (485) 800 (1,764) 295 (650)



model(s). These


onto the next page.




24


Product Comparison ChartMODEL FUJI FUJI GE HEALTHCARE IDC

Velocity-U Velocity-Ufp Revolution XR/d Xplorer 1800

OPTIONAL

ACCESSORIES

Autocollimation, patient

side supports, DICOM

worklist management

software, gonad shield,

multiexam grid, footswitch,cassette holder and

multifrequency

processing; also available

and fully integrated with

front-end x-ray

components via


software

Autocollimation, patient

side supports, DICOM

worklist management

software, gonad shield,

multiexam grid, footswitch,cassette holder and

multifrequency

processing; also available

and fully integrated with

front-end x-ray

components via


software

Read/write CD-R; DICOM

review station, image

archive, laser printer;

gonad shield

Mobile float-top table,

shields, restraints, sponge

sets, others

PURCHASE

INFORMATION

List price, std

configuration

Not specified Not specified Not specified $213,000

Warranty 1 year; 3 years for IP or

100,000 exp

1 year; 3 years for IP or

100,000 exp

1 year 3 years; 5 years, extended

Year first sold 2004 2006 1999 2002

Fiscal year April to March April to March January to December January to December OTHER

SPECIFICATIONS

Motorized overhead

patient support and

oscillating grid (10:1/40-

72") for chest exams;

positioned in front of the

detector for easy user

replacement.

Motorized overhead

patient support and

oscillating grid (10:1/40-

72") for chest exams;

positioned in front of the

detector for easy user

replacement.

DQE 68%; tissue

equalization, dual energy

subtraction; computer-

aided detection (rapid-

screen chest CAD).

Meets requirements of

CAN/CSA C22.2 No.

601.1, CE No. 77598

Council Directive

93/42/EEC, EN 6061-1,

FDA 501(k), ISO 9001:

2000 certification.

LAST UPDATED October 2006 October 2006 October 2006 September 2005

Supplier Footnotes

Model Footnotes Newly released

December 2006.

Data Footnotes Dimensions are for

estimated minimum suite

size: system/generator

cabinet; tube stand,

including tube and

collimator; and wall stand,

including detector,

respectively.




25


Product Comparison ChartMODEL KONICA MINOLTA LISTEM QUANTUM MEDICAL

IMAGING

QUANTUM MEDICAL

IMAGING

Regius 370 Upright DR MC-120 QMI VS-1 System QMI VS-1D Digital


FDA CLEARANCE Yes No Yes Yes

CE MARK (MDD) Yes Yes (generator only) Yes Yes

TYPE Digital Manual

photofluorography/radiography

Manual Digital

MAXIMUM IMAGE

SIZE, cm (in)

43 x 43 (17 x 17) 9 x 9 (3.5 x 3.5) (photograph

of fluoroscopic image)

43 x 43 (17 x 17) 43 x 43 (17 x 17)

Cycle time, sec 16 3/frame NA 6

Images/hr 210 >60 NA 600

PIXEL SIZE, µm 175; 87.5 high NA NA 160

DICOM 3.0

COMPLIANT

Yes NA NA Yes

CASSETTE HOLDER Optional Optional 43 x 43 cm (17 x 17 in) 43 x 43 cm (17 x 17 in)

DR

PATIENT ID TYPE DICOM modality worklist,

touchscreen, monitor,

keyboard

Digital type (000-999) NA Keyboard/RIS

AUTOMATIC

EXPOSURE

CONTROL

3-field No 3-field 3-field

VERTICAL TRAVEL

Minimum to

maximum height,

cm (in)

75-155 (29.5-61) 9-50 (3.5-19.7) optional 35-163 (13.8-64) 42-163 (16.4-64)

SERVO CONTROL Yes Yes No No

SID, cm (in) User-selectable 100 (39.4) 100-200 (39.4-78.7) 100-200 (39.4-78.7)

STEREO SHIFT NA Not specified No No

COMPATIBLE

EQUIPMENT

Film processors All DICOM 3.0 Agfa, Fuji, Kodak, Pronosco,

others

All processors All DICOM-compatible

processors

X-ray generators Most major suppliers LISTEM high-frequency 300

mA, 125 kVp

Quantum, others

comparable with INDI XL

Series

Quantum, others


Series

X-ray tubes Most major suppliers Toshiba Varian, Toshiba;

compatible with all major providers

Varian, Toshiba;

compatible with all major providers

Tube stand Most major suppliers Floor Universal Universal

POWER

REQUIREMENTS

VAC 110, 220 190-230; 50/60 Hz 120, 240, 480 120, 240, 480

Current, A 6, 12 90 6 6

DIMENSIONS, L x W

x H, cm (in)

61 x 80 x 170 (24 x 31.5 x

67)

Not specified 130 x 200 x 285 (51.2 x

78.7 x 112.2)

130 x 200 x 285 (51.2 x

78.7 x 112.2)

WEIGHT, kg (lb) 350 (778) 400-450 (882-992.3) 595 (1,310) 595 (1,310)



model(s). These

specifications continueonto the next page.




26


Product Comparison ChartMODEL KONICA MINOLTA LISTEM QUANTUM MEDICAL

IMAGING

QUANTUM MEDICAL

IMAGING

Regius 370 Upright DR MC-120 QMI VS-1 System QMI VS-1D Digital

OPTIONAL

ACCESSORIES

Side and overhead

handgrips, knee sensor,

footswitch, wall mount for

LCD, hybrid processing,autocollimation, lead

apron

Magazine cassette ladder Gonad shield, patient

restraints, mobile float-top

table

Gonad shield, patient

restraints, mobile float-top

table

PURCHASE

INFORMATION

List price, std

configuration

NA $40,000-50,000 $47,800-60,900 $313,000-327,000

Warranty 2 year warranty for the

plate

18 months from date of

shipment

1 year 1 year

Year first sold 2006 1999 1995 1999

Fiscal year April to March January to December January to December January to December

OTHER

SPECIFICATIONS

Cesium bromide phosphor

detector, supports up to 3

DICOM store outputs and

2 DICOM printers; 4860 x

4860 pixel resolution; 12-

bit grayscale.

ISO certified. CSA, ISO, and UL

certified.

CSA, ISO, and UL

certified.

LAST UPDATED October 2006 October 2006 October 2006 October 2006

Supplier Footnotes

Model Footnotes

Data Footnotes




27


Product Comparison ChartMODEL QUANTUM MEDICAL

IMAGING

QUANTUM MEDICAL

IMAGING

SIEMENS MEDICAL

SOLUTIONS

SWISSRAY

Verti-Q Chest System Verti-Q Tilt-D Digital AXIOM Aristos TX ddR Chest




TYPE Manual Digital Digital Direct digital

MAXIMUM IMAGE SIZE,

cm (in)

43 x 43 (17 x 17) 43 x 43 (17 x 17) 43 x 43 (17 x 17) 35 x 43 (14 x 17), 43 x 35

(17 x 14)

Cycle time, sec NA 6 5 4

Images/hr NA 600 >180 typical; ≤1,200

possible

900

PIXEL SIZE, µm NA 160 143 x 143 160

DICOM 3.0 COMPLIANT NA Yes Yes IHE

CASSETTE HOLDER 43 x 43 cm (17 x 17 in) 43 x 43 cm (17 x 17 in)

DR

NA NA

PATIENT ID TYPE NA Keyboard/RIS DICOM modality worklist

(RIS integrated), barcode,

manual entry

Manual, barcode, worklist

via DICOM 3.0 or HL7

AUTOMATIC

EXPOSURE CONTROL

3-field 3-field Yes 3-field

VERTICAL TRAVEL

Minimum to maximum

height, cm (in)

35-154 (14-61) 35-154 (14-61) 35-172 (14-68) 50-190 (19.7-74.8),central beam above floor

SERVO CONTROL No No Yes Remote-controlled

motorized movement

SID, cm (in) 96.5-183 (38-72) 96.5-183 (38-72) 180 (70.9) 150 (59.1)

STEREO SHIFT No No Yes Not specified

COMPATIBLE

EQUIPMENT

Film processors All processors All DICOM compatible

processors

All DICOM compatible

processors

All with DICOM 3.0

interface

X-ray generators Quantum, others


Series

Quantum, others


Series

50 or 80 kW, sold as

complete system with

Siemens radiographic

tube

CPI 50 kW, 100 Hz

X-ray tubes Varian, Toshiba;

compatible with all major

providers

Varian, Toshiba;

compatible with all major

providers

Siemens Siemens Optilix

Tube stand Floor, floor-ceiling,

overhead tube crane

Floor, floor-ceiling, or wall,

overhead

Floor Floor

POWER

REQUIREMENTS

VAC 110, 220, 480 110, 220, 480 400; 60 Hz; 3-phase 400,480; 50/60 Hz; 3-

phase

Current, A Not specified Not specified Not specified 50


cm (in)

32 x 45 x 206 (12.8 x 17.7

x 81.1)

73.6 x 43 x 206 (29 x 16.9

x 81.1)

305 x 300 x 245 (120 x

118 x 96.5)

220 x 166 x 234 (86.6 x

64.6 x 92.1)

WEIGHT, kg (lb) 139 (306) 185 (408) 184 (405) stand, 192

(423) tube support

650 (1,430)


pages covering the abovemodel(s). These


onto the next page.




28


Product Comparison ChartMODEL QUANTUM MEDICAL

IMAGING

QUANTUM MEDICAL

IMAGING

SIEMENS MEDICAL

SOLUTIONS

SWISSRAY

Verti-Q Chest System Verti-Q Tilt-D Digital AXIOM Aristos TX ddR Chest

OPTIONAL

ACCESSORIES

Side-mounted patient

handgrips, overhead

patient handgrips, gonad

shield, mobile float-toptable

Side-mounted patient

handgrips, overhead

patient handgrips, gonad

shield, mobile float-toptable

Various collimator filters IGS 500, IGS 1000

floating tabletop, IGS

1000H height-adjustable

floating tabletop,eXpertView and

eXpertVoice

PURCHASE

INFORMATION

List price, std

configuration

$43,000-65,000 $336,000 with overhead

tube crane; $300,000 with

floor-mounted tube crane

Not specified Not specified

Warranty 1 year 1 year 1 year from first clinical

use; up to 3 years, limited

1 year

Year first sold 2000 2000 1999 2000

Fiscal year January to December January to December October to September July to June

OTHER

SPECIFICATIONS

CSA, ISO, and UL

certified.

CSA, ISO, and UL

certified.

None specified. Ergonomic, high-

throughput chest system;

interface to DICOM (IHE)

and HL7. Meets

requirements of CCC, CE124, DHHS, IEC, SDA,

and UL.

LAST UPDATED October 2006 October 2006 October 2006 September 2005

Supplier Footnotes

Model Footnotes

Data Footnotes






30


Product Comparison ChartMODEL VILLA SISTEMI

VD3

OPTIONAL

ACCESSORIES

Motorized footrest, tilting

Bucky, patient restraints,

cassette holders,

cephalometric device

PURCHASE

INFORMATION

List price, std

configuration

Not specified

Warranty Not specified

Year first sold Not specified

Fiscal year Not specified

OTHER

SPECIFICATIONS

None specified.

LAST UPDATED October 2006

Supplier Footnotes

Model Footnotes

Data Footnotes




Policy Statement

The Healthcare Product Comparison System (HPCS) is published by ECRI Institute, a nonprofit organization.

HPCS provides comprehensive information to help healthcare professionals select and purchase diagnostic and

therapeutic capital equipment more effectively in support of improved patient care.

The information in Product Comparisons comes from a number of sources: medical and biomedical

engineering literature, correspondence and discussion with manufacturers and distributors, specifications from

product literature, and ECRI Institute’s Problem Reporting System. While these data are reviewed by qualified

health professionals, they have not been tested by ECRI Institute’s clinical and engineering personnel and are

largely unconfirmed. The Healthcare Product Comparison System and ECRI Institute are not responsible for the

quality or validity of information derived from outside sources or for any adverse consequences of acting on such

information.

The appearance or listing of any item, or the use of a photograph thereof, in the Healthcare Product

Comparison System does not constitute the endorsement or approval of the product’s quality, performance, or

value, or of claims made for it by the manufacturer. The information and photographs published in Product

Comparisons appear at no charge to manufacturers.

Many of the words or model descriptions appearing in the Healthcare Product Comparison System are

proprietary names (e.g., trademarks), even though no reference to this fact may be made. The appearance of any

name without designation as proprietary should not be regarded as a representation that is not the subject of

proprietary rights.

ECRI Institute respects and is impartial to all ethical medical device companies and practices. The Healthcare

Product Comparison System accepts no advertising and has no obligations to any commercial interests. ECRI

Inastitute and its employees accept no royalties, gifts, finder’s fees, or commissions from the medical device

industry, nor do they own stock in medical device companies. Employees engage in no private consulting work

for the medical device industry.

About ECRI InstituteECRI Institute, a nonprofit organization, dedicates itself to bringing the discipline of applied scientific research

in healthcare to uncover the best approaches to improving patient care. As pioneers in this science for nearly 40

years, ECRI Institute marries experience and independence with the objectivity of evidence-based research.

More than 5,000 healthcare organizations worldwide rely on ECRI Institute’s expertise in patient safety

improvement, risk and quality management, healthcare processes, devices, procedures, and drug technology.

ECRI Institute is one of only a handful of organizations designated as both a Collaborating Center of the World

Health Organization and an Evidence-based Practice Center by the U.S. Agency for Healthcare Research and

Quality. For more information, visit www.ecri.org.





Documents

Radiographic Units Public Site