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Vita CR LLI Sales Training

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Why LLI?

Long Length Imaging (LLI) exams include scoliosis and

other leg-length exams that require a larger area to be

imaged than can fit on a typical 14” x 17” screen

Target: Facilities that would perform long length exams

include hospitals, general imaging centers, orthopedic

clinics, and chiropractic offices

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Target Customers

Customers looking for solutions enabling imaging of full spines, lower extremities

with patients in an erect or supine position and a solution that can be used in

multiple places:On the radiology table in the x-ray roomIn the x-ray room with patients in an upright position with cassette against a wallBed side exams where the cassette would be pushed under the patientIn the operating room

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Target Customers

Customers wanting to transition more of

their radiography operations for

digital for:

Improved workflow

Eliminating film & storage expense

Easy access & image distribution

Target Decision Makers: Radiology

administrators / Office managers

Target Influencers: Radiologists,

Orthopedic surgeons, Radiology

technologists

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Value Proposition

Enjoy the benefits of digital capture and processing of long length exams with

the easy to use Carestream Long Length Imaging System and your Vita CR system.

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The Carestream Long Length Imaging System

The Carestream Long Length Imaging System is an option for the Carestream

Vita CR Family of systems.

The LLI System is also an upgrade option to the installed base of PoC 360

Systems

The LLI System will work on CRs in the tabletop configuration only– it will not

work on readers on Z-Carts

Accessory options include a portable caddy with grid, wall stand holder with grid

and beam attenuation filters

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LLI System Components – Screen & Cassette

The Carestream Long Length Imaging

System uses a single Carestream GP

flexible screen and double-ended 14” x 33”

cassette

Weight 10.8lbs / 4.9kg

Size 14” x 33” / 35 x 84cm

Source to Image Distance (SID)

40-72” / 102-183cm

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LLI System Components – Screen & Cassette Cont.

The tech is able to use the solution in full daylight conditions- no need to use in

subdued light or darkroom to load or process the cassette

After exposure, the tech will first insert the cassette end labeled “#1” in the CR

scanner; When the scanning is complete the tech will then insert the end labeled

“#2” to scan the opposite end of the screen.

The software will automatically stitch and display the resulting image for review

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LLI System Components - Software

Software Version 3.0 SP5 or higher is required + LLI Stitching Software

License (CAT no. 8135006 or 8201212 – Page 14)

The user would select the Full Spine / Full Leg exams from the

Organs/Sub-Organs Buttons

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LLI System Components – Software Cont.As part of the Carestream QC Software, a stitching algorithm is used to

automatically combine the 2 scanned images into a single image for display– this is

the same algorithm used for the Kodak DirectView LLI products

There is no need to manually align, order or rotate images in

preparation for stitching– the software does it automatically

Distribute the stitched image to softcopy workstations or

hardcopy laser imagers just like any other scanned image

Note: Printing true size will not fit a regular paper size

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LLI System Components – Support Bracket

The LLI system will use a support bracket attached to the reader to support the

long cassette while it is inserted in the scanner

This stabilizing mechanism prevents plate movement and cassette distortion over

time

The support bracket slides out of the way when a long length cassette is not in use

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LLI System Components – Portable Caddy with Grid

The portable caddy with grid allows for imaging of supine long length exams or

could be hung on the wall for upright exams

Easily move from location to location

Grid cannot be removed

Note: Can NOT be used interchangeably with the DirectView Classic/Elite

Portable Caddy, as cassettes are different sizes

Weight 17lbs / 7.7 kg

Size 17”W x 1.2”D x 40.2”L / 43 x 3 x 102 cm

Grid Ratio8:1 with 103 LPI

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LLI System Components – Vertical Cassette Holder with GridConveniently holds LLI cassette for upright long length exams

Has a range of ½” from the floor to 74” and can be adjusted in 1” increments to

accommodate the patient height and body part to be imaged

Can use close to the floor to image the ankle for leg-length exams – eliminates the

need of the patient climbing a step

Grid cannot be removed

Note: Can NOT be used interchangeably with the DirectView Classic/Elite Vertical

Cassette Holder, as cassettes are different size

Grid Ratio8:1 with 103 LPI (Same as portable caddy)

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LLI System Components – Beam Attenuating Filters

Required for optimum image quality

Beam Attenuation Filters help ensure uniform exposure by compensating for varying

degrees of body thickness; This creates a more uniform density and look throughout

the stitched image

CSH provides these as an option for customers who do not currently own filters

The attenuating filters are made of a lead-plastic material that is 30% lead by weight.

Since lead is an efficient absorber of x-ray the filters attenuate the x-ray beam

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LLI System Components – Beam Attenuating Filters Cont.

The filters are magnetically held in

place by a filter holder (Cat# 1686526)

that easily attaches to the collimator

accessory tray

2 filters are available:Lateral thoracic spine

CAT# 8515157AP/PA

CAT# 1955046

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Beam Attenuating Filters – Patient Positioning

AP/PA Beam Attenuation Filter CAT# 1955046

Beam Attenuation Filter Holder CAT# 1686526

Lateral Beam Attenuation Filter CAT# 8515157

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Workflow

Double click the Acrobat icon below to view a detailed LLI procedure for Vita

Adobe Acrobat Document

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Key Selling Points

The Carestream Long Length Imaging System allows customers to move their

scoliosis and leg-length exams to digital for improved workflow, easy access to

images and easy storage

The portable caddy with grid allows users to perform bedside supine exams for

broader use; Gridded exams provide higher image quality to the radiologist; The

caddy with wheels makes it easy for the tech to move from room to room

The vertical holder with grid allows easy positioning of the patient for upright

exams; The user can quickly place the cassette for the exam needed– extends

from the ½” off the floor to 74”

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Key Selling Points – Cont.

The Carestream automatic stitching software uses a proven algorithm for fast

and accurate stitching; No tech interaction is required

LLI cassettes are lighter than their analog alternatives (approx 2.5lbs) making it

easier for the tech to move around

The beam attenuation filters and holder provide a uniform image from top to

bottom making it easier for the radiologist to make their diagnosis

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