Case 1
A 13- year-old patient arrived post-surgical with extreme hip pain. An AP hip radiograph was taken, but did not allow enough clinical information to determine the screw-placement status.
Had an implanted screw invaded the hip joint space?
VolumeRAD study ordered.
VolumeRAD allowed removal of overlying structures, helping to enable a confident diagnosis.


The definitive answer: no.
A single-slice interval from the VolumeRAD data revealed that the implanted screw had not invaded the joint space.
The patient underwent secondary surgery and proper implant placement was confirmed.

Case 2
A patient at a hospital in St. Louis, MO., presented with a historic chest x-ray showing an anomaly in the left upper lung lobe as a bone growth, rather than as a tissue lesion.
Is it bone growth or a tissue lesion?
Dual Energy Extraction applied.
Through a Dual Energy Subtraction chest exam, the bony anatomy was removed from the images, increasing the visibility of the tissue-based anatomy.
Definitive diagnosis achieved.
A 12 mm nodule was discovered directly behind the area of concern, ruling out the rib-related bony growth. Digital radiography with Dual Energy Subtraction may have helped lead to a definitive diagnosis.

Case 3
A patient presented with gross hematuria. To confirm the cause, hospital staff turned to VolumeRAD, choosing this tool over CT.
What was causing blood in the urine?
VolumeRAD study ordered.
Staff initially chose a 20 min radiograph, then considered different options.


Definitive diagnosis achieved.
The single 4 mm slice interval image revealed a lobulated mass in the left paramedian aspect of the bladder. The radiologist stated the following: The increased coronal spatial resolution of the digital rad image helped confirm diagnosis; and, the ureter entering the bladder was clearly visible.

Case 4
A 49-year-old patient presented in the emergency department with chest pain, nausea and vomiting. Initial PA chest images were negative.
Was it a mass causing this patient’s symptoms?
Dual Energy Extraction applied.
A Dual Energy Subtraction chest exam subtracted calcified structures from the PA image, and a mass was identified in the esophagus.


Definitive diagnosis achieved.
A congenital or acquired out-pouching of the esophageal wall was discovered and diagnosed as an esophageal diverticulum. Later, a CT exam confirmed the diverticulum.


Case 5
6-year-old patient with multiple lytic lesions, Oliers disease, could not stand properly for a traditional upright image paste protocol. The pathology required an alternate imaging method: several images were acquired while patient was lying flat.
How do advanced applications work in unique situations?
Desired image created.
Using Auto Image Paste, multiple low dose images were obtained and pasted into a single image using the recumbent table paste mode.
Improved productivity achieved.
The Auto Image Paste software on the hospital’s radiographic system allowed non-upright pasting imaging. Total exam time: under 4 minutes. In this case, the hospital realized a 70 percent reduction in total time as compared to a previous study using a long cassette.