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Flat Panel Detector Speeds Up Imaging and Diagnosis

By MedImaging International staff writers
Posted on 20 Sep 2024

Image: The Reveal 35C flat panel detector overcomes the limitations of other dual-energy X-ray technologies with its SpectralDR technology (Photo courtesy of KA Imaging)

Imaging in the ICU presents unique challenges, particularly when computed tomography (CT) is not a viable option. ICU patients are often in critical condition and may have multiple lines, tubes, or implantable devices, making transportation to the medical imaging department difficult. A new study has now shown that an innovative flat panel detector offers improved image quality, comparable or faster reading times, increased diagnostic confidence, quicker time to potential intervention, and the ability to reduce the need for CT imaging in the ICU.

The study evaluated KA Imaging’s (Waterloo, ON, Canada) Reveal 35C detector, which provides dual-energy images directly at the patient's bedside, addressing many of the challenges associated with ICU imaging. Seventeen participants, including radiologists and intensivists, were interviewed for the study. More than half of the physicians reported better image quality, faster or equal reading times, increased confidence in diagnoses, and a shorter time to potential intervention.

Additionally, the study suggested a reduction in the need for CT scans. Intensivists reported a trend toward fewer CT scans, supported by hospital data showing a 37.5% decrease in chest CTs during the study period compared to the previous three months and a 16.67% reduction compared to the same period in the prior year.

“In certain cases, especially when computed tomography (CT) is not an option, dual-energy X-ray can permit improved visualization of soft tissues by subtracting unwanted structural noise […] and simultaneously reducing unnecessary radiation exposure. Medical lines and tubes can be better visualized using the bone image that dual-energy X-ray detectors also produce,” the study noted.

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70 (46.014785766602): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

71 (527.14347839355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802524 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (51.975250244141): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 1887.0830535889): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (453.94897460938): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 2852.9167175293): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 5550.1461029053): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802524 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (488.0428314209): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

89 (!!!!! 5276.2031555176): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (!!!!! 2156.0192108154): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 7656.0974121094): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (803.94744873047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

104 (302.07633972168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

105 (118.97087097168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802524 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

106 (!!!!! 10189.056396484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

107 (!!!!! 2981.1859130859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

108 (!!!!! 1202.1064758301): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802524 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (78.916549682617): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (524.04403686523): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294802521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 6937.0269775391): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

112 (!!!!! 4730.9398651123): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 6941.0800933838): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

114 (!!!!! 5211.1148834229): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

115 (!!!!! 7722.8546142578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

116 (!!!!! 8146.0475921631): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

117 (!!!!! 5067.1100616455): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

118 (258.20732116699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

119 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

120 (271.08192443848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

121 (!!!!! 7894.0391540527): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 131957.05413818): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

123 (!!!!! 7634.162902832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802524 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802524 AND type='deeppockets_item' AND published='1' LIMIT 1

124 (!!!!! 51934.957504272): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (!!!!! 7972.0020294189): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (!!!!! 7833.9576721191): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

127 (!!!!! 7957.2200775146): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (!!!!! 7644.8917388916): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

129 (!!!!! 8005.1422119141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (!!!!! 4268.8846588135): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

131 (!!!!! 2112.865447998): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (!!!!! 1926.1837005615): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

133 (!!!!! 3687.1433258057): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (!!!!! 2526.0448455811): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (260.1146697998): SELECT name FROM jos_deeppockets WHERE id=211

136 (948.90594482422): SELECT name FROM jos_deeppockets WHERE id=211

137 (!!!!! 1293.8976287842): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (706.91108703613): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 4053.1158447266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

140 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

141 (!!!!! 9021.9974517822): TRUNCATE TABLE jos_trademed_module

142 (472.06878662109): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802524 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (555.03845214844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

144 (299.93057250977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (!!!!! 3951.7879486084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

146 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

147 (!!!!! 2048.0155944824): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

148 (678.06243896484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

149 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

150 (!!!!! 3352.8804779053): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802524 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802524 AND type='deeppockets_item' AND published='1' LIMIT 1

151 (109.91096496582): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

152 (44.107437133789): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

153 (247.95532226562): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

154 (!!!!! 3881.9313049316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

155 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802524 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802524 AND published='1' LIMIT 1

156 (835.18028259277): select jos_twitters.link from jos_twitters where cat=10

157 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

158 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

159 (63.896179199219): select jos_linkedin.link from jos_linkedin where cat=10

160 (781.05926513672): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

161 (!!!!! 1922.8458404541): insert into jos_banners_delta values (14615,'2025-08-01 22:19:27','216.73.216.210','view'),(14202,'2025-08-01 22:19:27','216.73.216.210','view'),(14203,'2025-08-01 22:19:27','216.73.216.210','view')

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