RSTI FocalSpot 2017.1 > Destination Success

32 YEARS OF EDUCATION AND TRAINING EXCELLENCE // ISSUE 1.17 #THINKRSTI

NEWS FROM THE LEADER IN RADIOLOGICAL SERVICE TRAINING // RADIOLOGICAL SERVICE TRAINING INSTITUTE

DESTINATION>SUCCESS

NEW STEPS TO ENGAGE!

RSTI EXPANDS BEYOND 2017

SHIMADZU STEPS OFF

FIND THE FULL 2017 RSTI TRAINING COURSE INSERT INSIDE // VISIT RSTI ONLINE @ RSTI-TRAINING.COM THE PRESIDENT’S LENS // 2-3

COURSE SCHEDULE // INSERT

NEW TRAINING // 4

MIKE’S TECH TIP // 11

DAVE’S RAVE // 6

SHIMADZU IN THE HOUSE // 12-13

NEW! EXCHANGE THE FUTURE // 8-9

RSTI STORE // 15

STATE OF OH REG. NO. 93-09-1377T // ©2017 RSTI | DESIGN BY MOSSMEDIA

NEW STEPS TO ENGAGING YOUR SUCCESS FROM THE LENS OF DALE COVER // PRESIDENT, RSTI last row of training bays will be filled with Shimadzu systems to support our agreement with them and to house the courses RSTI has developed for our open Shimadzu training.

For many years RSTI has been growing and more recently, we have seen rapid growth in our Exchange division. During this growth we have made various parts of the operation fit where ever we could into whatever space we had.

The last time RSTI did a major rework of the facility was nearly 30 years ago, around 1989.

T

hese are very exciting times at RSTI! While I have always enjoyed my time here and never shied away from sharing my enthusiasm about the things that have improved at RSTI, or talking it up when we develop new ways to help you with performing the critical and cost saving tasks you face every day, there are so many things happening right now at RSTI that I find it hard to decide where to begin. Well... here goes.

Late last year RSTI and Shimadzu Medical USA inked a deal where we will be providing the factory training for Shimadzu for all of their current product line.

We are currently in the process of installing the systems and developing classes. Soon the entire

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At that time we added what is now the training lab area and converted the old lab space into classrooms and a cafeteria. This time with the goal of meeting or surpassing our usual high quality standards we decided to dramatically change the facility to fit our new operations and future growth.

With an eye on expanding our opportunities to provide you with the best tools for success we tore out the old unused office space in the back, relocated the car collection and cleared out some other obstacles so we could build a first rate repair center.

This repair center will focus on computer repairs, component level repairs on circuit boards and subsystems and digital detector repair and testing.

Adjacent to the repair center we constructed testing stations for up to seven CT systems dedicated to quality control testing and verification of repair functions.

In addition to the CT bays we have installed eight stations for digital mammography, stations for testing mobile X-Ray systems and stations for up to six digital X-Ray systems. These systems are dedicated to repair and testing – separate from the 45+ systems for training.

In our repair center we have installed a Huntron Tracker for automated testing of circuit boards.

This high tech tool will help with repairs on boards that are not documented well enough for an average bench tech to easily troubleshoot. After the automated test, measurement data are compared to standardized measurements to locate likely failed components.

The board will then be loaded into an automated pick and place rework solder system to have the suspect components replaced.

Following a parts sale, all returned exchange circuit boards and sub-systems are installed in one of the quality control systems for complete certification testing. This is also the case with any parts repaired by RSTI Exchange. Nothing makes it into inventory without being subjected to our rigorous testing to ensuring that they perform to manufacturers specifications.

Rethinking and remodeling the back half of RSTI accomplishes three big goals.

FIRST, it gives the RSTI Exchange operation an advanced repair facility that is in keeping with their mission and goals to provide the highest quality and most thoroughly tested pre-owned parts available in the industry.

SECOND, moving the Exchange test systems to the new repair facility gave us the room we needed to install the systems we need to fulfill our agreement with Shimadzu.

THIRD, what it does for you, is improve your training environment while you are at RSTI and also gives you more opportunities to succeed with cost effective and high quality replacement parts.

Speaking of your training environment, we will soon begin building two more classrooms and as we move through 2017 we will begin the process of remodeling our existing classrooms.

#FULLYENGAGEDLEARNING As I said, these are exciting times. I look forward to showing you around the new facilities and discussing how we can help you take new steps to succeed in the medical imaging world.

Dale Cover PRESIDENT, RSTI

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STEP AHEAD WITH RSTI FACTORY TRAINING ANOTHER OEM TRUSTS RSTI TO PROVIDE COMPREHENSIVE IN HOUSE TRAINING

BY TODD BOYLAND VP Training / RSTI Instructor Some of you may have heard by now, but RSTI has some very exciting news to share with the industry to kick off 2017.

RSTI and Shimadzu Medical Systems (SMS-USA) have reached an agreement for RSTI to be the certified training facilitator for Shimadzu medical imaging products.

As of January 2017, RSTI will be offering training on the following Shimadzu systems: CLOSED DOOR COURSES FOR SHIMADZU ENGINEERS: Shimadzu Trinias Angiography/Cath Lab Shimadzu Sonialvision G4 Digital Flat Panel R&F Shimadzu RADSpeed Pro EDGE DR with motorized OTS

RSTI is very excited to be partnering with SMS as we have been getting many requests for additional Shimadzu products. This agreement positions RSTI to be able to offer training and parts on many new and dynamic Shimadzu products that are rapidly gaining market share throughout the industry. We have been testing and stocking a large inventory of Shimadzu parts for many systems, and will be increasing our parts offerings as well.

OPEN COURSES FOR ALL RSTI STUDENTS: Shimadzu RADSpeed & RADSpeed Pro Shimadzu EFX & MX7 Digital portables Shimadzu MobileArt & MobileDaRt Evolution portables

Please call us for any questions you may have regarding Shimadzu training classes and Shimadzu parts.

DON’T FORGET TO EXPLORE THE RSTI COURSE SCHEDULE INSERT! CONVENIENTLY AVAILABLE AS A LARGE PULLOUT INSERT IN THIS NEWSLETTER!

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VISIT RSTI-TRAINING.COM // CALL 440.349.4700 // 5

DAVE’S RAVE OEC 9900 UPS TECH TIP

BY DAVE DOMANSKI // RSTI INSTRUCTOR

Hey all! I hope the New Year finds you all in fine fettle.

To help you start 2017 on a good note I offer this tech tip that could save you about $800 should this ever happen to an OEC 9900 in your care.

What you may NOT know is that this UPS has a rather curious habit of appearing to be broken when it is not.

Should the batteries in the UPS fail, it will appear that the UPS itself is dead as a doornail. It will not power up or perform a self test or show any signs of life.

Before you order a new UPS, try replacing the batteries. It could save you some dough, especially considering that the replacement UPS will be a different model that requires hardware changes and a software upgrade.

Be aware that when you make the final battery connection it WILL arc and you will jump a bit. At least I did.

After battery replacement the UPS should operate normally. I do recommend leaving the monitor cart plugged in overnight just to make sure that the batteries receive a full charge.

I hope this helps and best wishes for the New Year from me and mine to you and yours!

“I completed the Phase 1: Principles of Servicing Diagnostic X-Ray Systems this past spring while I was attending Western Technical College as a Biomedical Equipment Technician student. I wanted to let you know that I have accepted a job at Mayo Clinic in the Medical Imaging department. Having completed the Phase 1 course at RSTI was a large factor in getting selected for this position. I wanted to take a moment to thank you all for having provided that opportunity to me. I had a great time while at your institution and the knowledge I gained through the course will be of great benefit to my career.” – Tim Z., RSTI Alumnus

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– Dave

TESTIMONIAL

As many of you are aware, all 9900s are equipped with a UPS (uninterruptable power supply) whose primary reason for existing is to protect the GPOS single board computer from improper shut-downs which could corrupt the LINUX operating system that resides therein. The most typical model is the Powerware 5115 equipped with proprietary firmware that allows it to communicate properly with the system interface pcb and the intelligent shut down power control board.

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VISIT RSTI-TRAINING.COM // CALL 440.349.4700 // 7

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RSTI EXCHANGE ADDS NEW PARTS LINES With our million-dollar renovation nearly complete, RSTI Exchange is proud to position itself as one of the leading provides in quality used parts.

Our knowledge and experience put us on the front edge of technology and our new facilities help us put it to work for you. We also have extensive service expertise enabling us to install any of the parts we sell, so you can tackle complex repairs with confidence.

Tech support from RSTI Exchange is available to supplement your own knowledge and experience.

You can depend on RSTI Exchange to respond to your service issues quickly and professionally and you can trust that we back our warranties. Give us a call and speak to one of our customer service representatives.

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WHAT IS RESOLUTION? “WHAT YOU TALKIN’ ‘BOUT, WILLIS?”

BY MIKE PETELIN // RSTI INSTRUCTOR Resolution, by definition, is the number of pixels (horizontally and vertically) that can be displayed at any one time. As the medical imaging world continues to evolve toward digital capture we, as service professionals, need to be acutely aware of the benefits and implications of system resolution.

Currently there are no x-ray systems on the market that have an equivalent resolution to that of mammo film (13 to 16 lp/mm).

Resolution of a captured image is directly related to file size. Special attention has to be made when adding a system with a high resolution detector such as a Digital Mammography system or a Mammography CR system. We need to take into account how many of these high resolution images are to be sent over our network and the amount of images that are anticipated to be archived over a period of time.

TO CALCULATE AN INDIVIDUAL IMAGE FILE’S SIZE, WE USE THE FOLLOWING EQUATION:

[Height(# of pixels) aX Width(# of pixels) X Color Depth X Bit Depth ] ÷ 8 = Size of Image in Bytes A real world example is a Hologic Selenia©. The pixel dimensions are 3328 x 4096 with a color depth of one, or monochrome, and a bit depth of 14 bits. The division by eight simply changes the final result from bits to bytes. If we wanted the result in Kilobytes we

would further divide by 1024; an additional division by 1024 will result in Megabytes. The calculation would be as follows:

[3328 (height) X 4096(width) X 1 color X 14 bits] ÷ 8 = 23,855,104 Bytes Divide by 1024 to get 23,296 Kilobytes Divide again by 1024 to get 22.75 Megabytes

A typical mammography study requires 4 views, or images, so a single patient can compile 91 Megabytes of image data in a single exam. If patient throughput is 10 per day that would be 910 Megabytes of image data per day (assuming no compression is being used). We need to know if our PACS Archive, and our network, has the ability to handle this load.

The moral of this story is that when a facility buys the latest and greatest in imaging technology, we need to be sure everything that this system will be utilizing, from network resources to storage, is robust enough to handle the load.

VISIT RSTI-TRAINING.COM // CALL 440.349.4700 // 11

SHIMADZU STEPS IN NEW! OEM TRAINING PARTNERSHIP IN HOUSE

BY DUSTIN ZIMMERMAN RSTI Instructor RSTI has partnered with Shimadzu Medical Systems to provide OEM training for their full line of imaging equipment. One portion of this is their Cardiac/ Angiography line. Shimadzu received FDA clearance in 2014 for three separate models including floor mounted, ceiling mounted, and biplane systems.

The Trinias platform comes in many different setups depending on the intended use of the lab.

The Trinias C8 and F8 are utilized primarily for cardiac procedures. The F12 and C12 are primarily used for angio procedures. The biggest difference between the two is the detector size, as the C8 and F8 utilize an 8 inch detector where a smaller imaging area is preferred.

The F12 and C12 utilize a 12 inch detector during angio procedures.

One of the features that sets Shimadzu aside from the other OEMs is the range of coverage.

Unlike most OEMs, the C-arm itself is capable of transverse motion in both the ceiling and floor mounted versions. Most OEMs utilize the lateral movement of the patient support to achieve coverage of extremities.

The ceiling mounted version provides full patient coverage with 210 cm coverage in the transverse direction and 190 cm in the longitudinal direction. By providing this amount of coverage without moving the table, image quality is improved by limiting motion, as well as limiting non-useful radiation to the patient. The

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floor mounted version has six different axis of travel allowing it to achieve almost the same coverage as a ceiling mounted system with a smaller footprint.

The Trinias can also come with a 58� high resolution display where the display matrix is customizable on the fly. This allows the user to select the best display for them based on individual procedures. With their SCORE PRO software they are able to produce high quality images with lower patient dose by utilizing noise reduction algorithms.

Shimadzu has really stepped up their game in the cardiac/angio realm of patient imaging. We look forward to providing high quality training for their engineers for years to come. Our equipment cycle for training purposes is currently around 5 years from the time it comes out until we start training on it. It’s exciting to be training on cutting-edge technology by partnering with Shimadzu.

NEW! SHIMADZU TRAINING PARTNERSHIP SHIMADZU MEDICAL SYSTEMS USA SELECTS RSTI TO DELIVER ITS AUTHORISED TRAINING Radiological Service Training Institute (RSTI) is pleased to announce that they have entered into an agreement with Shimadzu Medical Systems USA that positions RSTI as the exclusive provider Shimadzu’s OEM training courses.

RSTI will be delivering closed door factory training on Shimadzu Trinias Cardiovascular, SONIALVISION G4 Radigraphic/Fluoroscopic and RADspeed Pro EDGE systems. Through this agreement RSTI is also authorized to openly offer training courses on all Shimadzu portable X-Ray and older Shimadzu imaging systems.

Shimadzu will work with RSTI to provide the lab equipment to be staged at RSTI’s state of the art training center located in Solon Ohio.

Shimadzu to deliver the kind of high quality training they need and validates our constant efforts to stay on the cutting edge” says, Dale Cover, President RSTI. We are extremely excited about the RSTI training partnership. RSTI has a long history of providing high quality course offerings, and believe this will offer our students excellent course instruction in their state-ofthe-art training facility” says Jeffrey Seiler, National Service Business Manager SMS USA.

Contact Shimadzu Medical Systems USA closed door training or visit RSTI (rsti-training.com) for the open courses.

“We are proud that Shimadzu Medical Systems USA has chosen RSTI to provide their factory training for them. It is an honor to be trusted by an OEM like

PHOTO COURTESY OF SHIMDZU MEDICAL SYSTEMS ©2017

VISIT RSTI-TRAINING.COM // CALL 440.349.4700 // 13

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