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IN THIS ISSUE » New On Farm Ultrasound Uses: Beyond Pregnancy Diagnosis

» Clinical Radiography » T he new Z5 ultrasound

»L  earn how to scan the Bovine Reproductive Tract

» Foetal sexing quick guide » Vet Charity Challenge

Issue 5 – 2014

Kat’s welcome…

The New Mindray Z5

Welcome to our fifth edition of In Focus. As BCF’s in-house Radiographer I am committed to helping you get the very best quality X-ray images. We have developed a wide range of free learning materials including exposure charts which are available to download from our website. We have also developed a wide variety of bovine ultrasound learning materials including instructional videos, bovine sexing guide and our new clinical booklet demostating non-reproductive applications of ultrasound for various farm animals. All these resources are free to download from our website. If you have any ideas on how we can assist you with your learning, please do not hesitate to get in touch. kat.evans@bcftechnology.com

New on farm ultrasound uses: Beyond pregnancy diagnosis BCF are pleased to announce the release of our new clinical booklet which is called “On farm ultrasound uses: Beyond pregnancy diagnosis”. In-house vet, Kimberly Palgrave, BS BVM&S RCVS, created this clinical booklet with the aim of helping veterinarians understand the value in using ultrasound for more than reproductive purposes. This booklet is a reference guide for non-reproductive applications of Easi-Scan for various farm animals. The booklet provides key clinical descriptions and tips, along with normal and abnormal ultrasound images to show how ultrasound can aid diagnosis of various on-farm conditions. This new farm animal learning resource can be downloaded for free from the Learning section of the BCF website at www.bcftechnology.com/ learning/farm-animal

www.bcftechnology.com +44 (0)1506 460 023

The new Z5 is proving extremely popular. High quality images and Doppler at only £7,200 with one probe. Ideal for the small animal vet who wants to do more than black and white scanning. Vet Kimberly Palgrave commented on the Z5, “The image quality and harmonic imaging of the Z5 is excellent. I have been using the Z5 recently myself and found it really easy to use. It also offers the benefits of using Colour Doppler, allowing visualisation of vascular structures within organs such as the liver, kidneys and the abdominal aorta.” Amanda Smith from Gourley Veterinary Surgery, Ashton under Lyne commented, “Great machine, good images, gives clear detail, portable and is easy to clean.” For more information visit our website www.bcftechnology.com and speak to your local BCF Account Manager to arrange a demonstration.

Your ultrasound and X-ray people


Latest

BCF update What’s wrong with this picture? Do you know how to improve the quality of these radiographs? What exposure factors would you alter if these were retaken? Test your knowledge and turn to page 5 for the answer.

Small animal abdominal and cardiac videos still available Don’t forget, our series of instructional videos explaining how to perform small animal abdominal and cardiac ultrasound examinations are still available in the small animal learning section of the BCF website. BCF in-house vet Kimberly Palgrave BS BVM&S GPCert(DI) MRCVS produced these series of free online instructional step-by-step videos in collaboration with The Royal (Dick) School of Veterinary Studies, The University of Edinburgh.

New lower price for the Logiq-e ultrasound scanner The Loqiq-e BT12 ultrasound scanner now benefits from a £5,000 price reduction, making it an even more appealing investment for vets looking for a mid-level ultrasound scanner at only £14,995 with one probe.

Both series of videos offer a chance to earn an hour of CPD by completing a short self-assessment quiz following the videos.

The Logiq-e is a referral level, portable, abdominal and cardiology scanner suitable for both small animal and equine veterinary practices. Visit the product section of the BCF website to find out more about the Logiq-e scanner. 2

www.bcftechnology.com


Latest

In Focus | Issue 5

Latest from BCF Edinburgh university invest in the latest Radiography technology “One of the main differences is that it’s wireless, so you don’t have cables around. This is especially useful when you’re doing young or difficult horses. It’s quite simple to acquire images and remove the plate… the Cuattro makes life easier” Paula Finnie DCR(R) BSC commented,

The Royal (Dick) School of Veterinary Studies Equine Unit are staying at the forefront of technology by investing in the Cuattro Slate 3 Wireless Digital Radiography system. The Slate 3 Wireless DR represents that next generation of Equine DR, offering significant improvements over 1st generation DR. The new system offers fast image processing, improved image quality, easy to navigate software along with a wireless plate, resulting in vast improvements to ambulatory equine radiography Eugenio Cillan-Garcia LV MRCVS, Royal (Dick) School of Veterinary Science commented,

“It’s better than CR, as when you’re out in the field, you have an instant image. You know there and then whether it’s of diagnostic quality rather than having to come back into the department to process them. It’s made the workload flow much easier. The benefits from being wireless is that you’re not having to continually look to see where the wires are and if the horse is standing near them.” The capabilities of the Slate 3 Wireless DR system will allow Edinburgh University Equine Unit to offer a higher level of patient care due to the improvements in workflow and speed of image processing. In-stable surgeries and diagnosis can be made faster and easier with the Slate 3 Wireless DR. To find out more about the Slate 3 Wireless DR, visit the product section of the BCF website.

BCF launch the Foetal Sexing Quick Guide As part of BCF’s continued commitment to providing learning to the veterinary industry, BCF have now released a new bovine foetal sexing quick guide as a free download on the BCF website— www.bcftechnology.com. This quick guide will aid you in learning the skill of foetal sex determination with ultrasound. The guide provides: • Detailed annotated images • Positioning tips • Step-by-step written and visual instructions The guides have been created by BCF in-house vet Kimberley Palgrave who commented: “The bovine foetal sexing guide was created with the aim of giving vets a few tips to help them develop confidence in foetal sex determination using ultrasound. Hopefully this guide can help people feel more assured in their technique and enable them to obtain additional information that the farmer can use in their herd management programme.” To download the quick guide, visit the Farm Animal Section of the BCF website.

BCF focus on service improvements At BCF we listen to your feedback. This is why we have spent the last year focusing on making improvements within our service and customer care operations. Our Customer Operations Manager Arlene McGorry says. “We have invested in more resource in our Customer Care and Service Operations in the past 6 months. Our premier focus is our repair turn-around-time which has improved 70% over the past 6 months. Implementing field service support has also contributed to our improved turn-around-time of 5 days (from equipment arriving with us to leaving us) along with the addition of a dedicated Service Manager and Engineer at our service centre in Dundalk in Ireland.” If you have any questions about servicing your ultrasound and X-ray equipment please call us.

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Radiography

5 common mistakes when taking X-rays BCF Account Manager Craig Hoines outlines five common mistakes which happen when taking digital X-rays and how to avoid them.

1. Incorrect X-ray trigger activation in long exposure settings The X-ray trigger should be depressed half-way to prime the X-ray generator. This is known as prepping the generator. For a rotating anode generator, this allows the anode to come up to speed prior to the exposure.

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You then depress the trigger the rest of the way to fire the generator. This full depression should be maintained until the X-ray generator stops beeping or there is a visual indication of a red light to stop. BCF Technology small animal exposure chart for Film-Screen Radiography systems – Thorax and Abdomen Suggested exposures are for a Focal Spot/Film Distance of 100cm without a grid

Thorax – lateral view Thickness (cm)

Suggested kV

Suggested mAs

Thorax – VD/DV view Adjusted kV

Adjusted mAs

Cat/Small Dog (<15kg) 7

Thickness (cm)

Suggested kV

Suggested mAs

1.5

9

60

1.5

12

70

2

15

70

2

7

60

9

60

2

12

70

2.5

15

70

2.5

18

75

2

18

75

2.5

21

80

2

21

80

2.5

23

80

4

23

80

4.5

Large Dog (>25kg)

Large Dog (>25kg) 80

25

6

Abdomen – lateral view Thickness (cm)

Suggested kV

Suggested mAs

Cat/Small Dog (<15kg)

80

6.5

Abdomen – VD/DV view Adjusted kV

Adjusted mAs

Thickness (cm)

Suggested kV

Suggested mAs

50

2.5

6

50

3

8

55

3.5

8

55

4

10

55

4

10

55

4.5

12

60

5

12

60

5.5

14

65

6.5

14

65

7

16

65

8

16

65

8.5

Medium Dog (15-25kg)

Adjusted mAs

Medium Dog (15-25kg)

18

70

20

75

10

22

75

12-14

10

Large Dog (>25kg) 75

Adjusted kV

Cat/Small Dog (<15kg)

6

24

Adjusted mAs

1.5

18

70

20

75

10.5

22

75

12-14

10.5

Large Dog (>25kg) 12-14

24

75

12-14

Your ultrasound and X-ray people

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The X-ray exposure will vary with different focal distances in relation to the X-ray plate i.e. a shorter focal distance at a given kV and mAs will produce an over-exposed image as opposed to a given kV at a greater focal distance.

Medium Dog (15-25kg)

Medium Dog (15-25kg)

25

Adjusted kV

Cat/Small Dog (<15kg)

60

2. Inconsistent X-ray focal film distance

+44 (0)1506 460 023 | training@bcftechnology.com | facebook.com/bcftechnology | www.bcftechnology.com

Put simply, when you increase the distance from the generator to the receiver/plate you need to increase the exposure. For an increase from 60 to 80 cm this relates to roughly doubling the mAs or increasing the kV by 10.

3. Not using X-ray exposure chart A poor quality exposure chart will lead to varying X-ray image quality. When an exposure chart hasn’t been kept up to date or is not accurate enough, it can lead to poor quality images. Ideally, an exposure chart should be looking at the thickness of the region you are X-raying, not the weight of the animal. A missing or old exposure chart can lead to time being wasted through poor X-ray quality with re-takes of the X-ray often being required.

4. Labelling images incorrectly We are all human and we can all make mistakes, but it is vital from both a patient care and legal point of view to ensure that all X-ray images are correctly labelled. This is especially the case for horses being vetted, or dogs having hips or elbow radiographed for the BVA schemes. Whether you are using film, or a digital system you should still include: • The name of the patient • The surname of the owner • Date that the radiograph was taken • Ideally, a patient record number or a microchip number.

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This means that a later date you know exactly whose images you are looking at.

5. Foggy moments! (fogged cassette artefacts) This is where the user is not erasing the X-ray cassette, thus not removing scatter/background radiation from the cassette. This can result in you having excess noise on your images and thus reduces image quality. All you need to do is simply erase the CR cassettes if they haven’t been used for a few days. This is especially important if they have been left close to the X-ray generator or in an excessively warm location. This cassette had been left by a radiator, with some cables in front of it. To read the full blog and other useful articles, visit the News section of the BCF website.

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www.bcftechnology.com


Clinical

In Focus | Issue 5

Clinical learning What’s wrong with this picture­—Answer This is the image retaken using the correct exposure settings: Changes to settings used for image (A) – The level of contrast between abdominal organs is poor in this image. This is the result of the kV being too high. Using a lower kV setting in an area of poor natural patient contrast, such as the abdomen, can improve the level of radiographic contrast achieved. It is important to remember that if you decrease the kV, the mAs should be correspondingly increased to obtain an adequate level of radiographic exposure. Changes to settings used for image (B) – In comparison to image (A), the degree of contrast in this image is too high. Although there are areas of the image which appear to be overexposed, such as the caudodorsal lung field and ventral abdomen, the vertebrae are relatively underexposed.

Therefore, to improve the diagnostic quality of this radiograph and enable both the soft tissue structures such as the spleen and bony structures to be visualised, the kV should be increased with a corresponding decrease in mAs.

Bonus points for those who spotted the lack of Left/Right marker in this image! For more clinical case studies and resources, visit the BCF Technology website.

Learn how to scan the Bovine Reproductive Tract Our new range of videos explaining how to scan the bovine reproductive tract are now available on the BCF website. Our in-house vet, Kimberly Palgrave, in collaboration with the University of Bristol Veterinary School, has developed this series of online instrucitonal videos demonstrating how to perform an ultrasound examination of the bovine reproductive tract. The short videos cover everything from machine set up and controls, to scanning techniques and features identified in pregnant and non-pregnant cows. You can earn one hour of free CPD by completing the short self-assessment quiz at the end of the videos. To see the videos, visit the Farm Animal Learning section of the BCF website.

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Charity

Vet Charity Challenge event raises an amazing £50,000 Saturday 28th September saw the second annual Vet Charity Challenge take place at Pershore College in Worcestershire. Bathed in lovely sunshine, 55 teams of four spent the day walking, running, cycling, kayaking and orienteering along with a variety of mental tasks.

Everyone seemed to really enjoy themselves and get into the spirit of the event.” The event aims to develop better team work within your practice, Becky Lewis from the Oak Vet Group, Haverfordwest commented. “A brilliant day out! Good for team building. A fun day with your friends which gives you a massive sense of achievement whilst raising money for excellent charities.” Kerry Lambert from Ashworth Veterinary Group, Hampshire added, “The day was both exhilarating and exhausting. It was very well organised and friendly—bit sore now though.”

This year’s winners were the BVC Bashers from Belmont Veterinary Centre in Hereford. Sarah Simpson said, “We are absolutely delighted and shocked to win. We managed to get all of the kayak and cycling points and as many running checkpoints as we could manage. We were not bad with map reading and timekeeping and were committed to just keep going. The event was fantastic fun and great for team bonding. We all know each other a little better now and we will definitely be back to defend our title next year.”

BCF Technology Marketing Manager, Jason Rogers said, “The response we got for the Challenge this year has been amazing, with double the number of teams we had in 2012. It was quite a sight to see over 200 people at the briefing at the start of the day. 6

Sarah Hibbert from Companion Care added, “Awesome! An absolute must do! Finished the day with a great balance of tiredness, happiness and a huge sense of achievement.”

Do you know the latest on the BCF website?

Caroline Gardner from Oak Vet Otters, in Haverfordwest added, “Thank you to everyone for a great day. Might take a few days to get over it though, especially after the ceilidh!” This year the event is raising money for three animal based charities, Hearing Dogs for Deaf People, SPANA and Animals Asia. In 2012 the event raised £21,000. Gavin Mitchell, Managing Director of BCF Technology, commented, “We are delighted to have raised even more this year, just over £50,000 in total which we handed over to the charities at the London Vet Show.” For more information, to see the results and to register your interest in entering a team or teams in the Vet Charity Challenge 2014, take a look at the website vetcharitychallenge.co.uk To see all the photos and videos of the day and to keep up with the very latest information, search for Vet Charity Challenge on Facebook facebook.com/ vetcharitychallenge and vetchallenge on Twitter twitter.com/vetchallenge.

Have you visited the BCF website recently? We have a full range of learning materials available for free for small animal, equine and farm animal species. We have everything from clinical videos, booklets, guides, case studies, blogs, articles, all produced to help vets improve their imaging skills. Check out the resources today, and give us feedback if there’s anything you would like to see on the site! www.bcftechnology.com


News

In Focus | Issue 5

Return on Investment How to convince your boss to invest in new imaging equipment

How often have you suggested to your boss or other vet partners that you should invest in some new pieces of diagnostic imaging equipment and they simply say no? Bosses and partners do not want to be pestered with extra costs to the business. It is up to you to present a business argument to show what a great investment for your practice your new ultrasound or X-ray equipment will be. They are looking to see how quickly it will pay for itself and how much more money the practice would make by investing in new equipment.

30th Year celebrations We have moved As we continue to grow, we are excited to announce we have now moved to our new global headquarters. We have moved to much larger premises at Strathclyde Business Park near Glasgow. Now employing over 70 people BCF also have offices in Ireland, North America and France. We also have and over 40 distributors worldwide.

Way back in 1983 BCF Technology was started by the founders George Bowie, Alan Cole and Brian Fraser. They used their initials to create the company name. We are delighted to be celebrating our 30th anniversary this year. Diagnostic imaging has certainly come a long way during this time.

Your equipment needs a service

BCF Return on Investment Calculators To help, we have created some simple Return on Investment calculators, available on the BCF website, to help you prepare and present your figures. You will be surprised just how quickly ultrasound and X-ray equipment pays for itself and then for the rest of its usable life is generating profit for your practice.

Don’t forget the added bonus of the Annual Investment Allowance As an added bonus, don’t forget to mention the larger Annual Investment Allowance (AIA) available for capital purchases. This can help provide a big tax incentive for investing in new capital equipment. Take a look at the Return on Investment Calculators and more information of the Annual Investment Allowance at www.bcftechnology.com

Your ultrasound and X-ray equipment has a hard life in a vet’s practice. To reduce the risk of a breakdown, we recommend an annual service. Here is a great example why a service is valuable, just see how much fur, dust and dirt has got inside this ultrasound machine. Clipped fur can get sucked up in the machines fan, if the fan becomes blocked, the electronic circuit board may overheat and create a very expensive repair, which could be thousands of pounds. Planned Maintenance Agreements and Easi-Scan Lifetime Warranty are available from BCF to make your service requirements easier for you. Speak to your local Account Manager or find more details on our website. 7


Your ultrasound and X-ray people

United Kingdom +44(0)1506 460 023 Ireland +353 (0)42 932 0070

Your ultrasound and X-ray people Meet your local account manager

BCF have a number of ultrasound and X-ray experts throughout the UK and Ireland who are happy to provide advice and help you find the right imaging equipment for your practice. Find your local BCF Account Manager below: South West Kat Evans

Scotland and North of England Russell Brown 07803 899512 russell.brown@bcftechnology.com

Also nationwide training–qualified Radiographer

07525 991 063 kat.evans@bcftechnology.com

M62 Corridor Sarah O’Grady 07801 341 027 sarah.o’grady@bcftechnology.com

North of Ireland Carol Harrison 07760 908 463 carol.harrison@bcftechnology.com

East Nigel Perry 07876 202 016 nigel.perry@bcftechnology.com

South of Ireland Bryan Gee +353 (0)867 915 837 bryan.gee@bcftechnology.com

Midlands and London Annie Makin 07801 340 329 annie.makin@bcftechnology.com

Russell Brown Sarah O’Grady Nigel Perry Annie Makin

Wales and South West Peter Higginson 07841 881 631 peter.higginson@bcftechnology.com

Peter Higginson Craig Hoines Kat Evans Carol Harrison Bryan Gee

South Craig Hoines 07841 881 632 craig.hoines@bcftechnology.com

Follow us on Social Media! Follow us on Social Media for regular updates of free CPD, clinical quizzes, new product information, competitions (with prizes!) and more. Like us on Facebook Facebook.com/bcftechnology

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BCF In Focus Magazine Jan 2014  

BCF In Focus customer magazine

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