DIGITAL IMAGING SYSTEMS

Revision Date: 11/01
Process Code: Navy and Marine Corps:   ID-01-08/-09/-10/-11; Air Force:  CL04; Army:  CLD, PNT, VHM
Usage: Navy: High; Marine Corps: High; Army: High; Air Force: High
Alternative for: Wet chemical processing of x-ray film.
Applicable EPCRA Targeted Constituents: Silver (CAS #7440-22-4)

Overview: Digital imaging systems have proven to significantly reduce the time, expense, health risks, and environmental compliance issues associated with traditional x-ray film chemical development. There are several methods of forming digital images. One is the direct method, in which the image is obtained using a digital image receptor attached directly to a computer. An other is an indirect method, where the image is transformed from analog to digital using a video camera or other digitizer system, then displayed on a computer. There are also several other methods of acquiring a digital image, i.e, CT, MRI, Nuc Med, CR. Digital Direct Radiography (DDR) uses a charge-coupled device (CCD) array that is sensitive to x-rays. The CCD captures an image similar to that appearing on normal x-ray film; however, the digital image is instantly stored in the computer and is immediately available for display and review on a monitor. This is only one vendors approach to the technologies used for direct radiography.  With digital imaging systems, there is no film processing and therefore, no need to purchase x-ray film or developing chemicals, and there is no waste to dispose.

Several military units have been using digital imaging systems to replace wet film processing in medical, dental, non-destructive inspection (NDI), and explosive ordnance disposal (EOD) applications.  Major advantages of digital images include large dynamic range of information and the ability to window and level.  It is not limited to one contrast “snap shot.”  Digital images can be enhanced with changes in gray scale and filters, allowing improvement of different regions within the same image. Since images are stored electronically, they are readily available for retrieval, plus they can be sent electronically to physically separate locations for consultation or review.

Wet x-ray processing exposes technicians to the chemicals necessary for developing the film. These chemicals eventually reach the end of their usefulness and must be disposed of as hazardous wastes, and fresh chemicals must be purchased and stocks maintained. Because spills may occur, the organization is required to develop and maintain a spill contingency plan.

Further detailed information on digital imaging can be obtained from the Digital Radiography home page at: http://www.bh.rmit.edu.au/mrs/DigitalRadiography/  


Compliance Benefit: Because digital imaging eliminates the use of chemicals used in wet film development, the system will help facilities meet requirements under RCRA, 40 CFR 260-268, SARA Title III, and Executive Order 12856, "Federal Compliance with Right-to-Know and Pollution Prevention."  The use of X-ray digital imaging also helps facilities comply with Executive Order 13101, "Greening the Government through Waste Prevention, Recycling, and Federal Acquisition."   This EO requires Federal facilities to incorporate waste prevention and recycling into daily operations to increase efficiency and reduce disposal of wastes.

The Compliance Benefits listed here are only meant to be used as a general guideline and are not meant to be strictly interpreted. Actual compliance benefits will vary depending on the factors involved, e.g., the amount of workload involved.


Materials Compatibility:
Digital imaging systems use specialized computer components in addition to conventional desktop computers. The specialized components are necessary because of the large amount of information contained in digital images, and the high capacity storage that provides the ability to manipulate and enhance the images. The cost of a digital imaging system can be reduced if your organization already has desktop computers. These can be connected to the digital imaging system so that images can be accessed from these desktop computers.  Medical images are enormous files and are their transfer is limited by network bandwidth.


Safety and Health: Wet x-ray processing exposes technicians to the chemicals necessary for developing the film. Use of a digital imaging system would be a step toward protecting workers, patients, and the environment through reduction in use of hazardous chemicals. Another important issue with the use of a digital imaging system is a significant reduction in the amount of hazardous chemical wastes produced.  Consult your local industrial health specialist and your local health and safety personnel prior to implementing this technology.


Benefits:
  • Can be used by medical x-ray, dental x-ray, NDI, and EOD units.
  • Eliminates the need to purchase processing chemicals and x-ray film for most but not all radiographic exams.
  • Eliminates the need to dispose of the used processing chemicals as hazardous wastes when they need replenishing.
  • Greatly reduces the use of the fresh water required in the wet film development process.
  • Eliminates the need for silver recovery units and the associated equipment and man-hours necessary to process and turn-in this commodity.


Disadvantages:
  • High initial cost.
  • Lower quality image in come applications.
  • Very large recurring maintenance costs, estimated at 5 –10% of the initial installation costs.

 

Economic Analysis: This cost analysis was extracted from an NSWC Indian Head, Maryland, report. The data was collected between May 1998 and April 1999. The instrumentation involved was the Fuji Digital Radiography System and the Virtual Media Integration software package. The application was in Ordnance.
  1. Traditional Wet Chemistry X-ray Processing

a.     Consumables: (prints, developer, fixer, water, and pre-cleaning sheets)

  • Prints:
    Cost per year     $32,000.00/yr.
  • Developer and Fixer:
    Cost per year     1,500.00/yr.
  • Waste:
    Cost per year     $653.12/yr.
  • Pre-cleaning:
    Cost per year     $6,000.00/yr.

b.     Labor:

  • Taking the Initial Shot:
    Total cost per year with two technicians:      $16,800/yr.
  • Re-shooting the Object 
    Total cost per year to take, develop, and re-shoot:     $152,000/yr.
  • Silver Recovery Maintenance:
    Cost per year     $1,408/yr.
  • Mixing Chemicals:
    Cost per year     $792/yr.
  • Pre-cleaning:
    Cost per year     $4,400/yr. 

c.     Total Annual Operating Cost:

Consumables     $40,153.12
Labor:                  $175,400.00
Total:                 $215,553.12

      2.     Digital Radiography

a.     Consumables plus maintenance*

  • Digital Radiography Film (laser print film):       $400/yr.

b.     Labor    

  • Taking the Initial Shot:
    Cost per year     $16,800/yr.
  • Scanning/Reading the Initial Shot: 
    Cost per year     $146.67/yr.
  • Manipulating the Shot: 
    Cost per year     $4,693.67/yr.

c.     Total Annual Operating Cost:

Consumables:  $400.00
Labor:          $21,640.34
Total:          $22,040.34

*  This category does not include film for some studies, networkig costs, e.g., T-1 line to transmit images to other sites for interpretation, archive media, or CR devices, which require replacement of Image Plates and Cassettes after approximately 1000 uses.

3.     Cost Analysis Summary (per year)

Annual Operating Cost

Traditional Wet Chemistry X-ray Processing      $215,553.12
Digital Radiography                                           $22,040.34
Operating Cost Change per Year                  $193,512.78

Click Here to view an Active Spreadsheet for this Economic Analysis and Enter Your Own Values. To return from the Active Spreadsheet, click the reverse arrow in the Tool Bar.


Approving Authority: None.


NSN/MSDS: None.


Points of Contact: Navy:
Mr. Raymond Wendrzycki
Naval Air Warfare Center
Aircraft Division
Highway 547
Mail Stop:  RDW-482200B562-3
Lakehurst, NJ  08733-5130
Phone:  (732) 323-1666
DSN:  624-1666
FAX:  (732-323-4917


Air Force (Medical):
Dr. Cindy Elmore
Wilford Hall Medical Center
Lackland AFB, TX  78236
Phone:  (210) 292-6936
DSN 554-6936
FAX:  (210) 292-3941

LtCol Kali Mather
David Grant Medical Center
Travis AFB, CA  94535
Phone:  (707) 423-3720
DSN 799-3720
FAX:  (707) 423-

LtCol (Sel) William Ruck
74 MDSS/SGSXP
4881 Sugar Maple Drive
WPMC Wright-Patterson AFB, OH  45433-5529
Phone:  (937) 257-4986
DSN 787-4986
FAX:  (937) 257-9682
Email:  william.ruck@wpafb.af.mil


Vendors: This is not meant to be a complete list, as there are other manufacturers of this type of equipment.

Purchase Information for DoD Components:
V.A. National Acquisition Center
X-Ray Team Leader
Phone: (708) 786-5250
FAX:  (708) 786-5256

Medical
Canon U.S.A. Incorporated
Lake Success, NY
Phone: (516) 328-4601

Eastman Kodak Co. Health Imaging
Rochester, NY
Phone: (800) 328-2910, ext 1640

AGFA Corporation
P. O. Box 19048
10 South Academy Street
Greenville, SC 29602-9048
Phone: (864) 421-1600
FAX:  (864) 421-1612
URL:  www.agfa.com/healthcare

Marconi Medical Systems
595 Miner Road
Cleveland, OH  44143
Phone: (440) 473-3000
FAX:  (440) 473-2413
www.marconimedical.com/

Swissray America Incorporated
100 Grasslands Road
Elmsford, NY  10523
Phone: (914) 345-3700
FAX:  (914) 345-1585
URL:  http://www.swissray.ch/

Philips Medical Systems
22100 Bothell Everett Highway
P.O. Box 3003
Bothwell, WA  98041-3003
Phone: (800) 526-4963
or (425) 487-7000
FAX:  (425) 485-6080
URL:  http://www.pmsna.com/

Dental
Schick Technologies Inc.
30-00 47th Avenue
Long Island City, NY11101
Phone:. (800) 472-4425
or (718) 937-5765
FAX:  (718) 937-5962
URL:  http://www.schicktech.com/

Sirona U.S.A.
1200-A Westinghouse Blvd.
Charlotte, NC  28273
Phone: (704) 587-0453  ext. 103
FAX:  (704) 587-9394
Email:  marketing@sirona.com
URL:  http://www.sirona.com/

GENDEX Division - A Division of DentSply
901 W. Oakton Street
Des Plaines, IL  60018-1884
Phone:  (847) 640-4800
URL:  www.gendexxray.com/

PerkinElmer Opto Electronics
44370 Christy Street
Fremont, CA94538-3180
Phone: (800) 775-OPTO (6786)
or (510) 979-6500
Email:  opto@perkinelmer.com
URL:  http://.opto.perkinelmer.com/

Non-Destructive Inspection (NDI)
Delta X-Ray
2111 Wilson Boulevard, Suite 700
Arlington, VA  22201
Phone:(888) 521-8221
or (703) 820-5204
FAX:  (703) 820-5205
Email:  sales@delta-xray.com
URL:  http://www.delta-xray.com/

American NDT Products Inc.
Utah
Phone: (801) 485-2638
URL:  http://www.americanndt.com/

PerkinElmer Optoelectronics
44370 Christy Street
Fremont, CA94538-3180
Phone: (800) 775-OPTO (6786)
or (510) 979-6500
FAX:  (510) 687-1344
Email:  opto@perkinelmer.com
URL:  opto.perkinelmer.com

Explosive Ordnance Disposal (EOD)
Delta X-Ray
2111 Wilson Boulevard, Suite 700
Arlington, VA  22201
Phone: (888) 521-8221
or (703) 820-5204
FAX:  (703) 820-5205
Email:  sales@delta-xray.com
URL:  http://www.delta-xray.com/

 

Sources: Dr. Cindy Elmora, Lackland AFB, TX, October 2001.
Preproduction Initiative – NELP “Digital Radiographic System (Ordnance Application) Cost Analysis,” NSWC Indian Head, Maryland, May 98-Apr 99
“Digital Radiography – A Pollution Prevention Success Story with Teeth,” HQ AFCEE/EQ (PRO-ACT), CrossTalk Edition #42, Nov 97
“Air Force Medical Service Model Cost Reduction Opportunity and Pollution Prevention Plan,” Sep 00
“Aircraft Maintenance Pollution Prevention Model Shop Report,” Jan 00
“Digital Dental Radiology – A Summary,” E. Arana and L. Marti-Bonmati (undated)
“The Denoptix System – Practical Digital Radiography for the Orthodontist,” Dr. Jon Menig (undated)
“A Digital Radiography Experience,” Dr. S. Mancuso (undated)
“Digital Radiography Captures X-ray Images in Computer Format,” Technology Profiles (undated)
“Digital Imaging Heralds Waning of Film Era,” QuadTech, Jan 1999
“Digital Radiology” (from World Wide Web)
“Digital Radiography Home Page,” http://www.bh.rmit.edu.au/mrs/DigitalRadiography
Eastman Kodak Company
Schick Technologies Inc.
Canon U.S.A. Inc.
Sirona Dental Co



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