The computed tomography (CT) procedure has advanced rapidly and has become the imaging exam of choice. The CT scan allows for thin cross-sectional views of body organs and tissues, using non-invasive radiographic techniques. Since the computerized image is so sharp, focused, and three-dimensional, many tissues can be better distinguished via CT scans than on standard x-ray systems.

Amber Diagnostics has provided some very informative links below to help you through the process of buying or selling your CT system.

• A Basic Overview of the CT System
• Types of CT Scanners on the Market
• How Much Does a CT Scanner Cost?
• Tips to Follow Before Your CT Purchase

For additional purchasing, safety, and site planning tips, be sure to download the FREE CT Scanner Buyers Guide.

If you have any further questions about CAT scan systems, or regarding buying and selling radiology equipment, give me a call anytime.

Posted by:
Nathan Welch
MRI, CT & PET/CT Specialist
407.438.7847
Nathan@amberusa.com

Site planning design layouts for the installation of a GE Signa Ovation Open MRI. A thorough site technical drawing and construction evaluation of the proposed MRI location, as well as communication with all that are involved from planning to installation, should begin early in the site planning process.

The site plans should clearly indicate the location of the magnet isocenter and its surroundings to configure the workstation, RF coil storage cabinet, patient support, operator's table, and more. The site plans and technical drawings presented here are for example only.

Specific ceiling heights are required as well, especially in the exam room (exam room suspended ceiling and exam room RF ceiling) and access route. As for flooring, carpet is discouraged due to dust, static shock, and sanitary issues. Rather, use vinyl tile flooring for the rooms.

The magnet's fringe field and ferromagnetic objects are of primary concern when selecting an MRI site. Since fringe fields are 3-dimensional, areas on the floors above and below the imaging facility may also need shielding. A detailed knowledge of a magnet's fringe field and its relationship to surrounding equipment and activities is an essential part of site planning and installation.

Caution should also be taken to protect the magnetic field as well. The presence of ferromagnetic material such as wheel chairs, AC chillers, vehicles, elevators, and electric railway systems can adversely affect the uniformity and homogeneity of the magnetic field. Protect the magnetic field from potential damage by knowing the location and amount of steel shielding, large ferrous objects, external vibrations, and moving objects within the building.

Since MRI technology is especially complex and sensitive, it is best to let an MRI specialist install, fine-tune, and maintain the system. If you have questions with your MRI project, please to contact us!

Posted by:
Nathan Welch
MRI, CT & PET/CT Specialist
407.438.7847
Nathan@amberusa.com

C-Arms are overhead x-ray image intensifiers that provide real-time detailed viewing of anatomic structures using fluoroscopic dyes. The system is a non-invasive device that does not enter the patient’s body, making it safe for screening before, during and after procedures.

These machines are mobile and easily transportable, and can be used in confined spaces. The special arced semi-circular design permits the physician to rotate and angle an x-ray tube without moving the patient. The flexibility allows physicians to quickly view and monitor the placement of devices such as pacemakers, catheters and prostheses.

Whether you are buying or selling a C-Arm machine, Amber Diagnostics has provided the top five articles to help you with your next c-arm purchase.

1. Types of C-Arms Used Today
2. Which C-Arm Is Right For My Practice
3. C-Arms in the Global Market
4. Safety Tips for Radiation Exposure (Fluoroscopy)
5. Important Tips Before Buying C-Arms

For additional tips, be sure to download the FREE C-Arm Buyers Guide.

If you have any further questions about c arm systems, or about buying and selling radiology equipment, do not hesitate to contact me.

Posted by:
John Brant (JB)
Sales Manager
407.438.7847
john@amberusa.com

The practice of urology and the high-tech urological imaging systems used today have become an important part of radiology. Urology is a surgical specialty that works with diseases of the male and female urinary tract, as well as the male reproductive organs. It is considered to be a rapidly changing and exciting area of medicine.

The most common procedures urologists perform include vasectomy, cystoscopy, treatments for benign prostate hypertrophy, removal of the kidney or prostate (due to cancer), transurethral surgeries, removal of kidney/ureteral stones, and anti-incontinence surgeries for both men and women.

According to Dr. Joseph Banno, a board-certified urologist, Ambulatory Surgery Centers (ASC) should include the following six urology procedures at their locations in order to maximize profits at the center while satisfying patient needs as well.

1.       Male and Female Incontinence
(Sling procedures are quick, simple surgeries to help prevent incontinence, and are much more efficient in ASCs. Moreover, reimbursements can be generous in this area.)

2.       Endoscopy
(Endoscopic procedures allow for viewing of the urethra, prostate and bladder; and also allows for treating simple and complex urethral strictures.)

3. Neurostimulation
   (Overactive bladders are becoming common health problems, but not many medications are curing the actual problem. Neurostimulation can be used to treat urinary frequency, and reimbursements can average $15,000.)
   
   
4. Penile Implants
   (As Medicare approved coverage for penile implant surgery, ASCs can negotiate with various insurance companies to make this surgical procedure financially viable, especially since the popularity of the implants is likely to grow.)
   
   
5. Extracorporeal Lithotripsy
   (This non-invasive procedure designed to eliminate kidney stones can now be completed safely and easily at surgery centers.)
   
   
6. Vasectomy Reversals
   (Though most insurance companies do not cover vasectomy reversals, patients can save money by having the procedure done in the safe setting of an ASC.)

At Amber Diagnostics, we have all the urology supplies you need for your ASC including urological imaging table, surgical instruments, x-ray, chairs, and more. If you need more information on our used urology systems for sale (refurbished to OEM standards), please give me a call or drop me an email.

Posted by: 

Bobby Serros
President/CEO

bobbys@amberusa.com
407.438.7847

Sources: http://www.beckersasc.com/news-analysis/6-urology-procedures-ascs-should-perform-to-maximize-profits.html

http://www.auanet.org/content/residency/what-is-urology.cfm

2012 was certainly a memorable year for healthcare, particularly with the new Affordable Care Act (ACA) coming into effect. Though we cannot guarantee what Obamacare holds for the future, we do see a spark of optimism in the new era with promising new medical devices, safe and effective surgery/treatments, and the development of new drugs designed to help save patients lives. These are improvements that are bound to change the course of medicine.

On other fronts in the medical industry, communication and new technologies are certainly emerging - putting more power in the hands of patients. With these new developments, healthcare communication and technology holds some key trends for us in 2013.

Campaigns
2013 will be a year of major campaigning ranging from new pharmaceuticals and disease awareness campaigns to educational campaigns such as the changes in healthcare including insurance, costs, and reimbursements. Engaging patients to prioritize their own health care through various communication vehicles will be key for health care PR professionals in 2013.

Senior Care
As patients age, their susceptibility to life-threatening disease grows as well. Medical conditions such as breast cancer and Alzheimer’s will continue to be a hot topic especially in fighting the diseases. Those working on new diagnosis and treatment options will be raising awareness on their brand, the value of early diagnosis, care programs, and , most importantly, matching the sickness with the right drugs/ treatments.

Health in the Palm of Your Hand
Aside from fitting perfectly in their lab coat, doctors have found smartphones and tablets to be extremely useful for medical purposes. Now, patients are also using mobile devices to access health information and manage their own health as well. The FDA has cleared a number of apps that can, for example, allow radiologists to read medical images or help patients track their moles for signs of skin cancer. These apps are aimed to avoid unnecessary doctor visits, while also helping keep health costs under control. Mobile devices are expected to play an active role in preventative care, coordination, and post discharge, making a mobile strategy an essential part of any healthcare communication planning in 2013 and years to follow.   

 
With ongoing advancements in the healthcare industry, Amber Diagnostics continues to fulfill our mission by providing the highest quality radiology equipment and diagnostic interpretation for every individual with the intention to save a life everyday. We provide hospitals and imaging centers with quality, affordable used and refurbished medical equipment including MRI systems, CT scanners, Rad Rooms, and much more. Feel free to contact me anytime if you would like to buy or sell us your hospital equipment.

Posted by:

Bobby Serros
President/CEO

1.888.561.7900
bobbys@amberusa.com

Resources: http://www.healthcarecommunication.com/Main/Articles/10279.aspx#

Magnetic shielding. The magnet’s fringe field and ferromagnetic objects are of primary concern when selecting an MRI site. Fringe fields can be substantially decreased through the use of magnetic shielding; since fringe fields are 3-dimensional, areas on the floors above and below the imaging facility may also need shielding. Other ways to control fringe fields is securing the magnet area with locked entrances to keep out unauthorized personnel, and preventing inadvertent introduction of potentially hazardous metallic objects. Consequently, a detailed knowledge of a magnet’s fringe field and its relationship to surrounding equipment and activities is an essential part of site planning and installation. Caution should also be taken to protect the magnetic field as well. The presence of ferromagnetic material such as wheel chairs, AC chillers, vehicles, elevators, and electric railway systems can adversely affect the uniformity and homogeneity of the magnetic field. Protect the magnetic field from potential damage by knowing the location and amount of steel shielding, large ferrous objects and structures, external vibrations or shocks, and moving objects within the building.

Posted by:
Nathan Welch
MRI, CT & PET/CT Specialist
407.438.7847
Nathan@amberusa.com

Providing x-ray services for referring doctors or for your own patients is an added value, but the cost to perform these services (especially with cuts in reimbursements) can pose a challenge. In turn, this can also mean that going digital with your Rad Room could be an unrewarding investment. The good news is that as technology expands, prices are coming down. Before going digital with your rad room, be sure to explore other options and look into your patient volume, review reimbursements, and see if it would be financially feasible.

“I want a Rad Room, but I want my images to be digital!”
This is a common issue for our clients all around the world. We suggest they consider buying a Computer Radiology (CR) System along with their Rad Room.

• Fuji CR Systems
• Kodak CR Systems

The CR can be used with any analog Rad Room by taking the x-ray (similar to how x-rays are performed now), but using a CR Plate instead. After the x-ray is taken, the plate is then placed inside the CR system where it is scanned and processed. The image then appears on the CR workstation where it can then be burned to a CD, sent via the Internet to a radiologist, or printed to film (if necessary) to a Dry Laser Camera.

The CR System is an affordable solution for anyone wanting to go digital without experiencing the high costs associated with a Digital Rad Room.

How does someone go film-less with an x-ray room?
Going with a direct digital rad room is an option for those who want to go film-less. This means you can take an x-ray, and the image is immediately transferred to a workstation where it can be burned to a CD or sent via the Internet to a reading radiologist.

The downside of having the direct digital Rad Room arrangement is that the initial cost can be pricey, and one of the negative implications in the global market is the cost for service and parts. The digital detector alone can cost anywhere from $35,000 to $45,000 (USD).

Though it is an option for our clients, until there are more of these digital rad rooms on the market, we feel that it may not be a practical investment for emerging markets.

If you need further assistance in making a decision on a digital rad room, or other imaging devices, contact us anytime. We’re here to help!

Posted by:

Bobby Serros
President/CEO

407.438.7847
bobbys@amberusa.com

There’s a good chance you may already own one of the most universal health care innovations out there right now: a smartphone and/or tablet. It’s not just for checking your Facebook anymore; these digital devices are highly utilized within the medical world as well. Mobile devices and apps have gone from being novelties into established tools.

In addition to the electronic sounds from imaging equipment and patient monitors often heard in hospitals, the familiar sounds of tapping on screens and dings of text messages from mobile devices have also become part of the environment. More than 80 percent of physicians own and use mobile devices, according to recent surveys.

Is There Anything Out There That Doesn’t Have an App?

Smart device technology has proved particularly useful in the field of radiological imaging, where physicians and technicians are continually looking to implement new technology. A 2011 Jackson & Coker Associates study reported nearly 25 percent of radiologists were already using them clinically. In one instance, a Japanese surgical team used an iPad, wrapped in cling-film to preserve sterility–to provide an image of the surgical procedure in process. These surgeons were able to zoom in and out of images being fed to the device. Others have found apps useful in various ways such as displaying patient imaging studies during surgery, contact patients with referral information, or conduct developmental tests on children.

 “Every single one of them is using mobile technology to some extent. It’s a massive trend,” said Jon DeVries, VP of product solutions at Merge Healthcare. “It’s changing the way people practice. Diagnostics are still done at work stations, but it’s changed how they collaborate, form partnerships, and provide care”

What Started As a Trend, Ended as a Need.

“Apps” and “going mobile” were once trendy buzzwords, but now they have been integrated well into the medical practice. The convenient access mobile devices provide has helped foster the spirit of collaboration within the specialty of radiology, allowing radiologists and staff to work together more easily as a clinical care team.

Mobile devices also improve the communication between provider and patient. These devices give them the freedom to come out onto the floor and have face-to-face interactions with colleagues and patients. Mobile technology can even help physician’s stay connected while away from the hospital, keeping the process of patient care flowing.

Stay Cautious and Keep It Safe.

New technologies and applications designed for radiology appear swiftly, making it tempting to explore and adopt new apps or devices as they come onto the market.  But be cautious, examine them closely and choose carefully to ensure they are actually meeting your needs. The best strategy is to tell vendors what your policies are regarding HIPAA, and the level of integration you will need.

Another challenge in the use of mobile technology is safety and security. Physicians and health care professionals face more security responsibilities than do other consumers of electronics. According to a 2011 Mobile Technology Survey from the Health Information Management and Systems Society (HIMSS), 97 percent of clinicians, including radiologists, access patient data on mobile devices, but only 38 percent of health care organizations actually have policies to regulate how to correctly use these tools. To ensure patient data does not end up in the “wrong hands”, there should be centralized control over devices, especially when employees are using a number of different types of devices.

2013 and Beyond.

So what does the future of digital devices in health care delivery hold for us? If current trends are any indication, you can expect to see mobile technology continuously popping up. As the upcoming generation of physicians is unquestionably more tech savvy, we can expect to see mobile digital devices making its way into practices in some nifty ways. The physician’s office of the future is said to undoubtedly feature greater integration of mobile digital technology.

If you have any questions regarding mobile radiology or radiology equipment, feel free to contact me anytime.

Posted by:

Bobby Serros
President/CEO

1.888.561.7900
bobbys@amberusa.com

References:
 http://www.diagnosticimaging.com/practice-management/content/article/113619/2128049

http://industryreport.jacksoncoker.com/physician-career-resources/newsletters/monthlymain/des/Apps.aspx

No matter how much we try to avoid it, small doses of radiation seem to be everywhere - from computer monitors, television sets, and airport body scanners to nuclear power plants, smoke detectors, and dental x-rays. According to the latest estimates, an average person in the U.S. receives an effective dose (the radiation risk averaged over the entire body) of about 3 millisievert (mSv) per year just from natural sources and cosmic radiation. Remember, these natural “background” radiation doses vary widely from one part of the country to another.

What Can Patients Do to Help Themselves?

Radiation exposure should be limited whenever possible. Still, when a CT scan is deemed critical, patients should get it. "Those [radiation] doses just are not really significant at this point compared to the benefit of extending lives, saving lives and improving the quality of lives," says Dr. Ellenbogen of the American College of Radiology, also a radiologist at Southwest Diagnostic Imaging Center in Dallas.

While you can’t go back in time to calculate the doses of radiation received in the past, you can certainly take steps moving forward. For example, many are now only considering procedures such as dental X-rays and additional CT scans if there is a cause for concern – not just for preventive reasons anymore.

Radiation Exposure Estimates

The chart below is a comparison of effective radiation dose with background radiation exposure. The effective doses are typical values for an average-sized adult, and the actual dose can vary substantially, based on a person’s size for instance.

Remember, there are ways radiation exposure can be fine-tuned to help lower radiation levels. Those who use radiology equipment must be adequately trained in equipment operation and radiation safety principles to protect the patients and personnel that are subject to exposure.

Call me with any questions you may have about CT safety or CT equipment.

Posted by:

Nathan Welch
MRI, CT & PET/CT Specialist
407.438.7847
Nathan@amberusa.com

References: 
http://well.blogs.nytimes.com/2012/08/20/medical-radiation-soars-with-risks-often-overlooked/

http://www.radiologyinfo.org/en/safety/index.cfm?pg=sfty_xray

http://online.wsj.com/article/SB10001424052702303410404577468950681647544.html?_requestid=572078

Before you close in on that low-priced CT scanner, think about space. Room configurations require careful planning; and you must also prepare for site inspections that can ultimately result in delays and extra costs if not done properly. To help mitigate these hassles, a carefully designed plan by a qualified professional specifying floor plans, equipment placement, plumbing, power requirements, shielding, and other potential safety measures should be composed for all CT site locations. (Keep in mind, the site planning information below is primarily for reference. Local and state requirements; site conditions; and personal preferences may also have a major impact on your final layout).

Computed Tomography systems are typically located in the ER, or a radiology suite. Sometimes they can also be found near cath labs and cardiology suites. When planning to implement one of these systems in a facility, it’s not just about the scan room itself, but also the surroundings. It is necessary to consider uncontrolled areas above and below the facility (especially PET/CT) as well as those on the same level.

Proper planning should be done by a qualified expert that has knowledge of both the clinical operation of an imaging facility and radiation protection design methods for CT scanners.

Shielding Considerations

Ceilings and/or floors with occupied areas above or below CT scan rooms will most likely require shielding. Uncontrolled areas with high occupancy should be located as far from the CT exam room as possible. If uncontrolled areas are located either above or below the PET uptake and imaging rooms, the spacing between floors may need additional shielding. Moreover, floors need to be able to support the additional weight associated with added shielding.

Recommended ceiling heights for exam rooms should be at least 8ft.Typically, it is presumed that the patient is about 1 meter above the floor; and the dose rate is calculated at 0.5 meters above the floor (for rooms on top) and at 1.7 meters above the floor (for rooms below the exam room). Additional shielding is recommended for the nursing stations, the control room, and even vertical barriers.

The patient and the CT scanner itself are considered “sources of radiation” to personnel and the public. Technicians that work directly with the patients are prone to being exposed to the most doses that can stem from patient injections, patient positioning, and unavoidable exposure during imaging. Dose levels in controlled areas are subject to ALARA (As Low As Reasonably Achievable) considerations with the maximum limits said to be 50 mSv per year.

Portable lead shields can be used effectively to shield patients in uptake rooms. Other shielding considerations also include walls generally requiring 0.5 to 1.0 inch lead, doors needing 0.25 to 0.5 inches lead; and viewing windows should generally be leaded glass or acrylic.

Gantry

The gantry can be cooled with chilled water derived from a closed loop connection from either an onsite chilled water supply or the heat exchanger. Chilled water supply must be available onsite in order to supply the heat exchanger that is located inside the gantry. If the facility will not supply chilled water, a heat exchanger cabinet is needed. The heat exchanger cabinet is then cooled with an outdoor cooling unit. As for an air-cooled gantry – this type of gantry has integrated cooling fans for air intake and air exhaust. In this instance, room air is used as cooling air, but requires thorough speculation (i.e., room size, thermal insulation, etc.) to ensure the temperature range of air needed for the system will be properly maintained.

Climate Control

The CT exam room is recommended to remain anywhere from 64-75 degrees Fahrenheit (18-24 degrees Celsius). The rest of the CT suite can be set as low as 59 degrees to 75 degrees. It is absolutely imperative that the climate be maintained at all times, even non-operating hours such as weekends, holidays, and overnight. Heat output in one section of the facility should not change the humidity and temperature in other areas. If this is a cause for concern, the exam room should be individually controlled to meet the temperature requirements.

Power Supply

Construction for a CT imaging center or mobile CT sites need to be performed in compliance with all applicable local and national electric codes (NEC) and regulations. Power requirements such as supply configuration, line voltage, branch power, and circuit breakers will vary based on factors such system requirements and power consumption (whether it is standard water/water heat exchanger or air cooled system, or has an optional water/air split cooling system). Do keep in mind that the exam room should contain at least one emergency power off button.

If you have questions or difficulty with your CT project planning, do not hesitate to contact me. I am here to help!

Posted by:

Nathan Welch
MRI, CT & PET/CT Specialist
407.438.7847
Nathan@amberusa.com

References:
http://www.crcpd.org/Pubs/PET-CT-Fusion/02-18-04_1330-Martin.pdf  

As with any investment you make, you want to do your research and homework beforehand when buying a CT scanner for your facility. Be prepared to ask all the appropriate questions, and have answers ready for the seller about what you are looking for, your demographics, and especially your budget. Below are some tips to help you out prior to purchasing your system.

• Before buying a CT scanning system, facilities must evaluate patient population, clinical needs, and desired throughput.

• Be sure you know what type of CT scanner your facility requires. Amber's professional sales team can also help you determine the right CT scanner for your requirements.

• Remember, multi-slice CT scanning systems can handle more complex exams and more varied patient populations. On average, a 16-slice CT system can adequately perform most routine clinical exams.

• Computer Tomography systems may also be different in the speed of image reconstruction, so choosing the right hardware and software configurations is key to optimizing patient throughput.

• Buyers should also consider the systems cycle time, spatial resolution, data-storage features, and helical scanning protocols when comparing CT models & manufacturers.

• Be sure to cover all the potential safety measures in early design considerations before the purchase of CT systems, because they raise the cost of construction.
• Buyers should always ask about the length of warranties, and which services and parts are covered in the warranty. You want to make certain the warranty covers enough for long term success.

• To really understand its functionality and compatibility to the specific facility, customers are encouraged to examine CT scanner models they are considering as it is operating.

• Site planning & room construction woes? Not only does it require careful planning, but speculation from different individuals can mean constant changes, delayed implementations, and ultimately extra costs. To mitigate these hassles, ask the vendor to provide a carefully designed plan.

• Construction considerations should include power, air conditioning, and OEM installation requirements. A CT system’s ability to produce artifact-free images may rely heavily on the electrical power energizing the instrument. Buyers should install surge suppressors and means for automatic disconnection if the power fails.

• Keep in mind that the reliability and lifespan of the CT scanning system can be harmed if adequate air-conditioning for the computer equipment is not provided.
  
  
• Finally, always choose an experienced supplier whose CT service and training resources are reliable and reputable. Contracts between buyer and supplier should always be guaranteed in writing.

If you need honest answers to any questions regarding CT purchases or would like to suggest more tips for buyers, feel free to contact us. I look forward to hearing from you!

Posted by:

Nathan Welch
Account Manager
407.438.7847
Nathan@AmberUSA.com

As costs of CT scanners decline rapidly, making a move towards purchasing an advanced multi-slice CT is becoming easier these days. In fact, an advanced multi-slice unit is priced less than a single-slice CT scanner was years ago. However, even though prices may have been dropping, associated costs may be higher given the complexity of these machines. So it is still important to determine whether your facility can afford the machine, and if it will be utilized to its full potential. Low-volume facilities will not benefit much from higher slice counts.

While declaring a particular price on CT scanners is too broad of a topic, do understand that brand new CT equipment can cost you up to one million dollars. (Of course buying used medical equipment will cut costs significantly!)  The more slices you need for your practice, the bigger investment you will need to make. Brands such as Siemens and Philips will cost less than a Toshiba and GE. Also, water cooled scanners are generally less expensive than air cooled scanners.

Higher costs for equipment can be counterbalanced by the profit made through the machine. With multi-slice CT equipment, hospitals can conduct a broader range of examinations, exams can be performed more quickly, and more procedures can be performed in a single day (while maintaining the same level of staff and other fixed costs). Essentially, the increase in patient volume can help with your return on investment.

Buying Used Medical Equipment
Buying used or refurbished CT scanners is certainly a cost-effective strategy that can get the same job done on patients for a lower cost, than when buying new equipment. Remember, just because a piece of equipment is labeled as “used” does not make it less effective or less functional. For any reason, whether it is a surplus of machines or a decline in business, a medical company may decide to sell equipment that is perfectly functional. Even if the machine has barely been touched, it is no longer considered new, and becomes secondary. This also means a very good piece of equipment is now on the market for a low price.

As with any investment, new, used or refurbished, you always want to buy with a trusted source (like Amber Diagnostics) that guarantees quality. As long as you are working with a reliable seller, the benefits will certainly outweigh the financial risks of buying used medical equipment. If you are not ready to buy, there are rental options available as well.

CT Rental Solutions
Amber Diagnostics offers mid and long-term CT scanner rental services with turnkey service and technical support for hospitals, clinics, urgent cares and physician offices. Regardless of your circumstances, we provide high quality medical equipment to meet your needs of providing continuous patient care while maintaining your imaging revenue.

Benefits of Renting a CT with Amber:

• Easy, flexible terms
• Exceptional customer service
• Advanced imaging technology (allows for increased throughput and patient comfort)
• Experienced technical support
• Wide variety of equipment platforms
• Imaging systems equipped with current software upgrades and imaging accessories

A Brief Look at Reimbursements
Reimbursements for diagnostic imaging can also play a role in getting your return on investment, but keep in mind that reimbursement figures differ based on insurance carrier and site of care. As for the Centers for Medicare & Medicaid Services (CMS), the codes have changed for abdomen and pelvis CT scans performed together, cutting the reimbursement in half for these new combined-code services. For example, each time these scans are run together on the same patient, for the same reason, and on the same service date, you could lose hundreds of dollars in reimbursements, regardless of whether the test requires a contrast agent.

As reimbursement rates vary from state to state, it is beneficial to understand the rules and regulations of the particular site your practice is located in. This will better educate and prepare you for any impact this will have on your services.

If you have any questions regarding costs, rental options, or even reimbursements for your CT equipment, contact me anytime, I am here to help.

Posted by:
Nathan Welch
MRI/CT Specialist
407.438.7847
nathan@amberusa.com

References: http://drpauldorio.com/ct-scan-rates-plummet-for-2011-but-work-effor

Whether you are buying or selling an MRI, Amber Diagnostics has compiled a collection of important articles to help you better understand the MRI system.

Purchasing an MRI System

• 5 Questions You Must Ask Before Buying an MRI
• Most Important Tips when Buying an MRI
• Which MRI System Do I Need for My Business?
• How much does an MRI System Cost?

Project Planning

• MRI Site Planning Checklist
• Making Sure Your MRI Center Is as Safe as Possible

MRI Care

• Proper MRI Maintenance
• De-Installation of an MRI Machine
• How To Prevent an MRI From Losing Its Cool

For additional tips, be sure to download the FREE MRI Equipment Guide Book.

If you have any further questions about MRI scanners, or about buying and selling radiology equipment, do not hesitate to contact me.

Posted by:
Nathan Welch
MRI & CT Specialist
407.438.7847
Nathan@amberusa.com

The CT scanner has been referred to as one of the most important advances in radiology since the x-ray. The introduction of CT scanning has helped cut down the need for invasive procedures. Major benefits of the spiral CT include its ability to create 3-D images of areas inside the body; its ability to better detect small abnormalities; and its rapid scan time, which means less time for patients to lie still.

Which Slice Would You Like?
The decision to purchase a multi-slice CT involves sensible considerations such as equipment costs, demographics, and whether it fits in with the overall budget. You will need to decide on the number of slices and workflow features you need. Equipment sellers (such as Amber Diagnostics) should be able to review the capabilities of different machines, and help make suggestions based on your needs.

Single slice scanners are capable of acquiring one image per gantry rotation. A scanner with more slices allows faster acquisition; for instance, a multi-slice would make it easier to examine unruly children or weak elderly patients that can’t lie still for too long. While multi-slice scanners have become the industry norm, the single slice machines are still a useful component, and should continue to be around for quite some time.

The ideal slice count depends on the types of services or exams you tend to provide, which is also based on the demographics of your target patients.

Multi-slice comes in 4, 6, 8, 16, 32, 40, and 64 slice configurations. Additional slices enhance diagnostic capabilities and broaden the range of applications, especially if the facility will be performing cardiac studies.

2, 4, 6 or 8-slice CT systems are all whole-body scanners capable of scan routine 0.8 to 0.5-second full 360-degree rotation scans, while acquiring multiple slices in a single rotation. These models are perfect for mid-to-high volume locations and will provide fast scanning and excellent image quality.

16-slice system. 16-slice systems can perform a wide variety of sophisticated and complex imaging procedures. It provides full organ coverage with high resolution imaging, but is not considered adequate for detailed cardiac analysis such as coronary vessel analysis.

32 to 40 slice scanners. These scanners generally feature shorter examination times than the 16-slice, with reduced likelihood of motion artifacts.

64-slice system. A 64-slice scanner is said to have significantly improved CT Angiography (CTA), and is particularly recommended for cardiac studies. The speed and sensitivity of these scanners allow physicians to see how well the heart is contracting, to view the walls of arteries for plaque formation, and to observe the tiniest of vessels and arterial branches. They can produce exceptionally sharp images of the finest details, and significantly reduce scan time.

Additional Features to Consider
Now remember, when considering which scanner to purchase, not only is it important to consider the number of data slices, but also to take into account the length of coverage in one rotation. The rotation time of the tube and the detectors surrounding the patient (gantry rotation time) has a direct effect on overall scan time.

Although most exams do not require the smallest slice width, CT scanning systems with thinner (and more) slices in one rotation, can handle the more complex exams and diverse patient populations. Scanners are able to achieve rotation times of less than 0.3 seconds, but these fast rotations are best reserved for specialist studies such as cardiac scanning (to minimize image artifacts caused by heart motion). 0.5 second rotations are usually more adequate for general body scanning, while 1 second rotation times are ample for head scanning.

CT systems may also differ based on the speed of image reconstruction. Acquiring more slices is not beneficial if patient throughput is delayed by slow image reconstruction. But buying a high specification computer is only worth it if it will be well-utilized.

Finally, think about how images will be manipulated, interpreted and managed. Hospitals may choose to have advanced 3D CT computer applications for manipulating and/or reading. Additionally, radiologists should decide on a method of storage for large data sets. Regardless of the interpreting method, a hospital may continue with hard copy archiving, implement an intermediate electronic data storage solution, or may move to the full PACS electronic workflow (which would be ideal for those with a sufficient budget).

If you have questions about our inventory of CT scanners, or need help choosing the right slice for your facility, give me a call anytime!

Posted by:

Nathan Welch
Account Manager
407.438.7847
Nathan@AmberUSA.com

With medical devices, medications, and diagnostic studies continuously advancing, it seems that innovation and medicine now go hand in hand. But it is not just the medical systems that are making a turn for the digital; this time, the advancement in the industry is the implementation of both the EMR and EHR system. 

Though there are both positive and adverse reactions towards this new technology, the objective of the electronic records system has been to help improve the quality and efficiency of patient care, and reduce healthcare delivery costs through better coordination of medical services. Improving the Health IT infrastructure is also intended to allow physicians to securely exchange patient data with other health care providers.

What is the Difference Between an EMR and EHR?
Most of us may want to run the other way at the thought of reading an article on electronic health and medical records, but it is important to understand the concept of them as they are a central piece of the new US healthcare reform.

Though EMR and EHR tend to be used interchangeably, both systems actually differ in meaning and intent. However, do note that an EMR is ultimately the source of data for the EHR. EHRs are reliant on EMRs being in place, and EMRs cannot reach its full potential without EHRs in place.

The EMR (Electronic Medical Records) is a digital version of the paper charts created in hospitals, which is used by healthcare practitioners to document, monitor, and manage health care delivery. The data in an EMR is considered a legal record specifying the patient’s encounter during their visit to a care delivery organization (CDO), and is owned by the CDO.

An EMR contains the patient’s medical and treatment history, with the ability to track data over time; identify which patients are due for screenings or checkups; monitor patient conditions such as blood pressure readings or vaccinations; and even improve overall quality of care within the practice. However, the information in an EMR does not easily travel out of the practice. In fact, records may even need to be printed out and mailed to specialists and qualified recipients.

An EHR (Electronic Health Records), on the other hand, is designed to reach out beyond the standard clinical data collected from the primary health organization, and focuses on the health of the patient in its entirety. The EHR represents the ability to easily share medical information among “stakeholders” that can consist of patients, healthcare providers, employers, and payers/insurers, including the government. This information moves with the patient to the specialist, laboratory, nursing home, ER or hospital within the state or even span across the country.

With fully functional EHRs, all members of the team have ready access to the latest health records and patient history, which allow for more coordinated, patient-centered care. With EHRs, patients can also view their own records such as lab results to keep track of and continue making lifestyle changes to improve their health.

As the health care system has faced several challenges, implementing new healthcare technology, such as electronic records, has potential to advance the efficiency of patient care. However, adopting electronic records has yielded some concerned reactions within the medical community as well. Many providers are not comfortable with the complexities of EMR based documentation, not to mention the costs that may be associated with implementing new software and training. While some practices have utilized EMR systems to improve productivity, others have struggled to reach acceptable levels of business processes; and with the focus shifting towards coordinated care, this trend is likely to continue for a significant period of time. Organizations will need to streamline their practice while properly planning for the risks associated with EMR and EHR based information exchange.

Success/Failure of Implementation
The success or failure of the implementation for EMRs and EHRs in a particular organization lies within the key aspects of the selection process, change management, and solid training. The selection process can become a tedious and difficult project, but dedicated research and analysis can help yield optimal results for the long run. So be sure to select an EMR and EHR solution designed specifically for the unique needs of your specialty. Change management is an essential part of successful implementation. Selling the practice-changing techniques to the staff by involving them in the process and allowing them to voice their concerns can influence motivation and end results. Finally, goal-oriented training curriculum as well as personalized training can go a long way in ensuring efficiency and productivity. Do not allow vendors to cram the training into a short period of time; those involved with the transition need time for proper adoption and a full understanding of how the new system works.

If you would like to voice your opinions about the new policies in today’s healthcare system, or have specific questions about radiology equipment, contact me anytime.

Posted by: 

Bobby Serros
President/CEO

407.438.7847
bobbys@amberusa.com

References:

 http://www.scribd.com/doc/104331036/Key-Areas-of-EMR-Implementation?goback=.gde_2573591_member_155866603

http://www.policymed.com/2009/04/health-care-reform-electronic-medical-records-and-health-it.html

http://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/

http://www.streamlinemd.com/Data/Sites/58/assets/StreamlineMD_WhitePaper_1B.pdf    

The computed tomography (CT) procedure has advanced rapidly since the 70’s, and has become the imaging exam of choice. Patients should keep in mind that CT scans do not cause any pain. During a CT scan, a patient is asked to lie very still on a narrow table that slides into the center of the scanner, called the gantry. They may even be asked to hold their breath for a few seconds, to prevent blurring of the pictures. CT scans take anywhere from 15 minutes to 1 hour to complete, and the length of the procedure depends on the size of the area being x-rayed. Some patients may be concerned with claustrophobia, but the width of the gantry is wide enough to usually prevent feelings of claustrophobia. Aftercare is generally not required following a CT scan. The technologist will continue to keep an eye on the patient for possible adverse contrast reactions immediately following the exam.

Contrast Agents: Contrast agents, or “dyes”, are often used in CT exams to demonstrate certain anatomic details that, otherwise, may not be visible. If contrast agents are used in the CT exam, these will be administered (by mouth, injected into a vein, by enema, or given in all three ways) several minutes before the study begins.

The CT Image: CT scans allow for a more three-dimensional effect. Clear-cut sections of the body can be located and imaged as cross-sectional views, and various densities of tissue can be easily distinguished. Standard findings on a CT exam show bone, the densest tissue, as white areas. Tissues and fluid will show as various shades of gray, and fat will appear dark gray or black. The radiologist can determine if tissues and organs appear normal by the different gradations of the gray scale. Radiologists can also differentiate among types of tumors throughout the body by viewing details of their makeup.

Preparing for the CT Scan

Be sure to remind your patients of these simple steps prior to their scheduled CT scan:

• Wear comfortable, loose-fitting clothing to the exam. (Hospital gowns may be provided during the scan.)
  
  
• Metal objects including jewelry, eyeglasses, dentures and hair accessories should be left at home or removed prior to exam.  Hearing aids and removable dental work may also need to be removed.
  
  
• If contrast material will be used during the exam, patients may be asked to avoid eating or drinking anything four to six hours prior to the scan. 

• Be sure to inform the physician of all medications or about any allergies, especially to contrast materials (such as iodine or even shellfish). Bring a list of current medications (prescriptions, over the counter medications, and vitamins.)
  
  
• Inform the doctor of any recent illnesses or medical conditions, or history of heart disease, asthma, diabetes, kidney disease, or thyroid problems.  Any of these conditions may increase the risk of an unusual adverse effect.
  
  
• Women should always inform their physician or technologist if there is any possibility that they are pregnant. Pregnant women or those who could possibly be pregnant should not have a CT scan unless the diagnostic benefits outweigh the risks.

Risks
The most common concern with CT scans is the radiation exposure. It is true that the radiation exposure from a CT scan can be higher than from a regular x-ray. However, not having the procedure can be more risky than having it. People considering a CT scan must weigh the risks and benefits.

If you have any questions about the CT procedure, or the equipment itself, do not hesitate to call or drop me a line.

Posted by:
Nathan Welch
MRI/CT Specialist
407.438.7847
Nathan@amberusa.com

References: http://www.encyclopedia.com/topic/CT_Scans.aspx

Introduced in the early 1970s, the computed tomography (CT) procedure advanced rapidly and has become the imaging exam of choice. The CT scan allows for thin cross-sectional views of body organs and tissues, using non-invasive radiographic techniques. Since the computerized image is so sharp, focused, and three-dimensional, many tissues can be better distinguished via CT scans than on standard x-ray systems.

CT scans, also known as computerized axial tomography or CAT scans, are done through the use of a 360-degree x-ray beam and computerized production of images. They can utilize a number of imaged slices to reconstruct the tomographic plane of the patient. These images are then used for diagnostic purposes.

CT applications include detecting a wide range of abnormalities or diseases in any part of the body such as cancer, trauma, infection, inflammation, calcium scoring, pneumonia, tuberculosis, angiography, stroke, bone fracture, sinusitis, spinal column damage, and much more.

Sinus studies. The sensitivity of the CT allows for pinpointing areas of chronic sinus infection, and is useful for planning prior to functional endoscopic sinus surgery. The CT scan can also show details of sinusitis; the extent and location of tiny fractures of the sinus and nasal bones; and evaluate trauma or disease of the sphenoid bone.

Brain studies. CT brain scans can detect different types of tumors, strokes, or other lesions in the brain area such as hematomas (collections of blood that have escaped from the vessels). Congenital abnormalities in children, such as hydrocephalus, may also be confirmed with a CT.

Body scans. The CT body scan (from the chin to below the hips) can identify abnormal body structures and organs such as tumors, cysts, fractures, and other damages. Throughout the body, a CT scan may be used to observe abdominal organs, such as the liver, kidneys, adrenal glands, spleen, pancreas, and lymph nodes.

Aorta scans. CT scans can focus on the thoracic or abdominal sections of the aorta to locate aneurysms and other possible aortic diseases. Aorta scans provide the ability to visualize and measure the thickness of the artery, which is very helpful in diagnosing aortic aneurysms, aortic clots, or aortic rupture.

Chest scans. CT scans of the chest are useful in distinguishing tumors and in detailing accumulation of fluid in chest infections. Chest CT studies can also identify further problems in the heart and lungs.

Virtual endoscopy. Virtual endoscopy is a new technique that uses spiral CT for doctors to see inside organs and other structures without surgery or special instruments. One type of virtual endoscopy, known as CT colonography or virtual colonoscopy, is under study as a screening technique for colon cancer.

If you need more information about CT scanners or buying CT equipment, please give me a call anytime.

Posted by: 

Nathan Welch
MRI & CT Specialist
407.438.7847
Nathan@amberusa.com

References: http://www.encyclopedia.com/topic/CT_Scans.aspx

Since 1994 Amber Diagnostics, Inc. has successfully remarketed, refurbished and re-assembled pre-owned radiology equipment. We have been in the business of selling and servicing medical equipment for many years, but what many don’t realize is that we also buy back equipment directly from clinics, hospitals, private physicians and imaging centers.

So if you have x-ray and radiology equipment to sell now or in the near future, we will buy it! Amber Diagnostics purchases all makes, all models, and all modalities.

Our full time acquisitions staff will qualify all systems to be purchased and offer a complimentary fair market evaluation for your equipment. Amber also provides complete purchasing services including equipment de-install, system removal and shipping provided by our experienced engineers.

As of today, we are actively looking to buy anything used in the radiology department including MRI machines, both single-slice and multi CT scanners, digital and analog mammos, bone densitometers, c-arms, accessories, x-rays, mobile CT and mobile MRI, and more. We have clients around the world waiting for us to buy your system.

Remember, we do all the work; we send our trucks to your facility at your convenience, use our certified engineers to de-install it, and of course, pay you for it before leaving.

We are ready to make a CASH offer today!
With the recent reduction in radiology reimbursements, we understand your priority is to get the most money back for your excess capital equipment. When you sell to Amber, you can get top dollar for your surplus medical imaging equipment!

• Easy hassle-free process
• Fast & FREE market price quote
• Immediate payment (upon inspection)
• Professional de-install & system removal

If you are ready to liquidate your used medical systems, please give me a call today.

Posted by:

Tommy Dukes
Acquisitions Director

407.438.7847
tommy@amberusa.com

Check Out These Safety Proofing Tips for your MRI Facility

It is important to have an MR safety program in place that involves and educates all staff members at your imaging facility. This can help minimize the potential accidents and life-threatening injuries to patients, technicians, and others in the vicinity. Below are some tips to help safeguard against preventable hazards at your practice.

Leadership & Training.
There should be a designated leader to effectively inform and educate all employees, new and current, on safety precautions, especially around the sensitive magnet. The safety program leader should also train all personnel who may have access to or near the magnet room such as security, housekeeping, and even firefighters.

Establishing Policies & Procedures.
You know what they say: Out of sight, out of mind... Avoid that from happening with your staff by clearly documenting safety procedures and policies around your facility. This can also help facilitate the training program, minimize confusion, and help make safety practices part of the work culture. Once you’ve implemented a safety program, don’t overlook it; trainings, walkthroughs and inspections should be recurring.

Preventing Magnetic Field Disasters.
The most common hazard associated with the MR system is the combination of magnetic forces with flying ferrous objects. Not only is it dangerous for individuals near the magnet, ferromagnetic materials can also damage the magnet itself, which can result in very costly consequences. Patients and staff members should be thoroughly screened for metal objects and metal implants prior to entering the scan room. Proper site planning is also key in pinpointing potential hazardous zones around the facility. Please refer to page 12 of the MRI Buyers Guide for in depth details.

Temperature Control.
A top priority for imaging sites is to ensure a comfortable and safe experience for patients. Remember to keep your magnet room set at a temperature lower than 70 degrees – a warmer room does not equal a comfortable patient. Remember to use pads to space patients from coils and bore walls to avoid any discomfort or burns.

Protect Against Quenching.
Quenching is a possibility that can lead to serious injury. This occurs when there is a sudden boil-off of the entire volume of cryogenic liquid, which causes a rapid loss of the static magnetic field. To protect against quenching and other damages, be sure to keep your cooling system clean; stay on top of your MRI maintenance; exclude ferromagnetic materials from the vicinity of the magnet; schedule helium fills; monitor helium levels regularly; and always inspect your system. Call a professional promptly if you suspect anything.

Promote Cleanliness…Avoid Infections.
In addition to cleaning hands often in a hospital environment, it is just as important to ensure the bore, pads, coil, and room of an MRI are properly cleaned as well. According to the OSHA Healthcare Advisor, it is recommended that facilities implement a policy for infection control. Procedures may include mandatory hand washing/sanitization, cleaning any items that come in contact with patients, inspect and replace pads when necessary, promptly remove any body fluids, and always use extra caution if a patient has an open wound or infection.

Remember, the first step to ensuring your system is in a safe environment is to execute proper site planning.

If you have any questions or additional tips for safeguarding your MRI facility and equipment, call or drop me a line anytime!

Posted by:

Nathan Welch
MRI/CT Specialist
407.438.7847
Nathan@amberusa.com

References: http://www.gesignapulse.com/signapulse/signapulseautumn2011?pg=80#pg80

Following decades of slow growth, Africa has begun pursuing economic reforms, and is expected to grow by 6% in the coming years. The healthcare sector is one of the major industries beginning to make an impact in Africa, showing signs of notable progress as the quality of hospitals, professionals, and access to medical equipment is improving.

The growth of the middle class in Africa is also expected to continue this year, presenting new opportunities that include a growing demand for private health services and adoption of new technologies. Subsequently, as the health facilities begin upgrading or replacing outdated imaging systems, this will also provide immense opportunities for those selling in the refurbished medical equipment market.

Currently, most of Africa’s hospital equipment and supplies are imported, and there exists a solid need for supply of a wide range of hospital equipment, instrumentation, and machinery. In Kenya itself, private health institutions account for 60% of total medical equipment and supplies.

Typically, private practitioners require high end medical equipment, but the public sector acquires less costly equipment. Nonetheless, being a price-sensitive market, African buyers are always on the lookout for high quality, competitively priced medical equipment to meet their requirements.

Amber Diagnostics and West Africa

For many years, Amber Diagnostics, Inc has proudly extended our services, including an established team of experienced service engineers, to those in West Africa and beyond. Our goal is to positively impact the lives of those living overseas, and helping clients from different parts of the world capitalize on acquiring medical equipment with cost effective solutions.

Nigeria is one of the many countries we have successfully built a strong relationship with. Economic reform has successfully put Nigeria back on track towards achieving its full economic potential, and is now considered the largest economy in the West African region (and the second largest economy in all of Africa, following South Africa). Nigeria has been reorganizing its health system with a comprehensive strategy to improve all areas of health care including efficiency and cost.

As advanced technology continues to change radiology, we are here to help our international clients embrace the new technologies and better their medical practice. From selling equipment to completing the installation, we make it easy for the African market to work with Amber. We believe that the more we work together, the better chances we have at excelling in our respective businesses.

If you have questions or concerns about importing or exporting radiology equipment overseas, feel free to contact me anytime. The entire Amber team is here to help.

Posted by: 

Bobby Serros
President/CEO

407.438.7847
bobbys@amberusa.com

References: http://www.expogr.com/business_news/africa_medical_healthcare_business_news.htm#a

http://en.wikipedia.org/wiki/Health_care_in_Nigeria

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