ex·em·plar/ig’zempl?r/ n. one that is worthy of imitation; a model
The Xmplar-dr is the name of the Lodox full-body X-ray scanners for hospital and clinic use. It was named so because it is the “the model”, or exemplar, for high speed, low-radiation radiography that all clinicians should aspire to. The new machine offers a number of technological advances, based on user-feedback, that optimise its use and further secure its place as the ideal imaging modality for trauma centers.
Both the Xmplar-dr and Statscan utilize Linear Slot Scanning Technology to provide radiographs of the entire body in just 13 seconds without using stitching or re-takes of any kind. This unique technology allows these images to be produced at a very low dose to the patient (just 0.12mGy entrance dose) and attending staff, while at the same time maintaining an excellent image quality that is equivalent to or better than conventional radiography systems.
A rotating C-arm allows images at any angle from 0° (AP) to 90° (lateral) to be obtained. With a simple user-interface, optimised pre-set technique factors, and straightforward controls, the system is also easy to operate; allowing complete, two-view examinations to take place in less than 5 minutes.
In short, the Lodox scanners serve as a model for digital radiology that rapidly and safely provides clinicians with high quality X-ray information of the entire body.
Some of the outstanding features of the scanners are:
- Compact and integrated award-winning design that is both aesthetically pleasing and practical for hygiene purposes.
- Custom designed ‘smart’ gurney including:
- Single-touch automatic lifting and lowering of the table to accommodate the C-arm at any angle
- Radio-lucent, adjustable side rails
- Normal (220kg/440lbs) or bariatric (330kg/660lbs) weight capacity
- Electrical operation for lifting and lowering the table, guided from either the trolley, remote control or user interface
Our exceptional image quality can be attributed to the noise- and scatter-rejecting design of the system.11 The use of Time Domain Integration and Linear Slot Scanning Radiography result in images that have been found to be equal to or better than conventional X-ray images for the detection of thoracic, pulmonary, mediastinal, pelvic and peripheral injuries.4
Lodox images have a pixel sixe of 60?m, up to 5 line-pairs/mm limiting spatial resolution and more than 16000 grey levels of contrast resolution. This is supported by patented image-processing and viewing software resulting in high-definition, high-contrast images.
Lodox prides itself on its quality engineering and production that results in a product built to withstand the rigours of busy trauma and forensic pathology centres. Further to this, we ensure that the engineers who provide our technical services are highly skilled and trained, and are prepared to respond to any technical issues swiftly and competently.
Ease of Use
Both the Statscan and the Xmplar-dr systems are designed for use in environments where speed is of the essence, and its usability features compliment this. A clear, simple to follow, step-by-step user interface guides the user through each step of the process. The C-arm, rotation angle and start- and stop- positions can be set using either the user-interface or the remote control.
One of Lodox’s key usability features is the fact that the technique factors (kVs and mAs) for each exam are automatically optimized depending on the size of the patient and the area being investigated. This simplifies the imaging process considerably, and ensures that best quality images are obtained for every scan without the need for re-takes.
The Lodox Xmplar-dr is primarily targeted at trauma units and Lodox Statscan is tailored for forensic pathology (medico-legal) centres, as both have full-body, high-speed, low dose imaging capabilities. To read more about these applications, please visit our Trauma and Forensic Pathology pages.
During Lodox’s use by innovative clinicians, the system has also been found to be particularly useful in a variety of imaging investigations. It has been shown to be superior to conventional radiographs for visualisation of the main bronchii for the detection of TB and lung pathology 12, and also found to be useful in determining the presence and location of foreign bodies such as bullets. 7 When applied to imaging of ventriculo-peritoneal shunts, it provides a complete view of placement at a much reduced radiation load for these frequently imaged patients.13 This same ability to image a large area has also been found useful in identifying and localising foreign bodies in trauma and criminal cases. 15 Other applications include bone cancer scanning,16 emergency room arteriography,17 single-shot Intravenous Pyelograms and as a tool for acquiring accurate anatomical measurements on radiographs.18
Two areas of application to which the Lodox LSSR technology is particularly suited is in paediatrics, and the imaging of bariatric patients.
Significantly lower radiation dose and high diagnostic image quality make Lodox a first-choice for paediatric poly-trauma, providing more comprehensive and efficient triage imaging.4, 8 The shorter examination time requires a lower degree of patient compliance and the low level of scattered radiation allows concurrent resuscitation.4, 8 The full-body X-ray image is particularly helpful in the diagnosis of non-accidental injuries in children. 8
The open C-arm design improves accessibility for imaging of large patients and the load- bearing design of the bariatric trolley permits weight up to 300 kg (660 lbs). The unique, focused fan-beam of the linear slit-scanning technology improves image quality by reducing large-patient scatter degradation.
To see images from some of these applications, please view our Trauma Image gallery.
The scanning systems include custom image viewing and manipulation software, contained in the Diagnostic Viewing Station or DVS. This software application allows zooming, cropping and annotation of images. Images are optimised for viewing using the lucidTM and de-noise software, which provide the best balance of grey levels for viewing both soft tissue and bony areas. However, windowing and levelling can also be custom-adjusted using an on-screen control. Images can be exported and saved from the software, and sent to PACS and HIS/RIS systems.
The Xmplar-dr and Statscan are operated by a user-interface which aids the operator to take the best images in the shortest amount of time. The clear, step-by-step approach is designed to maximise ease of use by guiding the user through each imaging procedure, and providing clear feedback. Imaging studies are selected with the touch of a single icon, which automatically sets optimal technique factors based on patient size and region of interest, allowing high quality images of any area to be obtained quickly and consistently.