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CBCT System Simplifies Extremity Imaging Studies

By MedImaging International staff writers
Posted on 22 Sep 2016

An innovative cone beam computerized tomography (CBCT) system images extremities in three dimensions (3D) for use by orthopedic and sports medicine practices and other healthcare providers.

The Carestream Health (Rochester, NY, USA) OnSight 3D Extremity System enables healthcare providers to capture high-quality 3D images at the point of care (POC) and conduct a patient consultation in a single visit, allowing specialists to visually illustrate to their patients their condition or injury, and help them understand the reason for a suggested treatment or surgical procedure. The system provides an easily accessible open bore to allow weight-bearing studies that are not possible with traditional CT.

System features include the ability to perform upper and lower extremity exams, including weight bearing tests; high-resolution, large field, isotropic 3D images that can help to reveal subtle or occult fractures; reduced doses compared to conventional CT systems; advanced metal and scatter correction algorithms and reduced noise by using iterative reconstruction techniques; and a small footprint and simplified design that cut the time and cost of system installation.

“Our extremity imaging system can help in treating a host of orthopedic conditions that affect the biomechanical behavior of the joints such as arthritis, meniscus loss, instability and malalignment syndromes,” said Helen Titus, worldwide marketing director for ultrasound and CT solutions at Carestream. “Orthopedic imaging is a major focus for Carestream because of the prevalence of musculoskeletal conditions among people of all ages.”

During CBCT, the region of interest is centered in the field of view. A single 200-degree rotation acquires a volumetric data set, which is used to produce a digital volume composed of 3D voxels of anatomical data, which can then be manipulated and visualized. CBCT has only recently become practical with the introduction of large-area high-speed digital X-ray imagers, such as hydrogenated amorphous silicon (a-Si:H)-based flat-panel detectors.

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64 (416.99409484863): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

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66 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

67 (699.99694824219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

68 (390.05279541016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

69 (110.86463928223): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

70 (411.9873046875): SELECT fid FROM jos_deeppockets WHERE id=294766124 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294766124 AND published='1' LIMIT 1

71 (91.075897216797): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

72 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

73 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

74 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

75 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

76 (29.087066650391): SELECT fid FROM jos_deeppockets WHERE id=294766124 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294766124 AND published='1' LIMIT 1

77 (33.855438232422): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

78 (222.92137145996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

79 (147.10426330566): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

80 (41.961669921875): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

81 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (195.02639770508): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (81.777572631836): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (249.86267089844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

96 (61.988830566406): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

97 (57.93571472168): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

98 (530.95817565918): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

110 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

111 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

112 (341.89224243164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

113 (!!!!! 2210.8554840088): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

114 (52.928924560547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (45.061111450195): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

117 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

118 (42.915344238281): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294766124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

119 (481.84394836426): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294766124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

120 (676.87034606934): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

121 (407.93418884277): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

122 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

123 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

124 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

125 (34.809112548828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

126 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

127 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

128 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

129 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

130 (469.92301940918): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766124 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766124 AND type='deeppockets_item' AND published='1' LIMIT 1

131 (!!!!! 1124788.9995575): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

132 (!!!!! 682450.05607605): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

133 (!!!!! 6814.0029907227): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

134 (!!!!! 5462.1696472168): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

135 (!!!!! 7800.1022338867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

136 (!!!!! 1363.99269104): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

137 (271.08192443848): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

138 (93.936920166016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

139 (422.00088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (351.90582275391): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (526.90505981445): SELECT name FROM jos_deeppockets WHERE id=215

142 (29.802322387695): SELECT name FROM jos_deeppockets WHERE id=215

143 (437.02125549316): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (!!!!! 2590.8946990967): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

145 (!!!!! 3580.0933837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

146 (124.21607971191): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

147 (362.15782165527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

150 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

151 (!!!!! 1025.915145874): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

152 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

153 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

154 (471.11511230469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766124 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766124 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (70.095062255859): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

156 (28.848648071289): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

157 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (!!!!! 3123.9986419678): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

159 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766124 AND published='1' LIMIT 1

160 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

161 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10

162 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

163 (!!!!! 3950.1190185547): select jos_linkedin.link from jos_linkedin where cat=10

164 (716.20941162109): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

165 (!!!!! 4219.0551757812): insert into jos_banners_delta values (14615,'2025-04-29 21:11:21','18.119.99.38','view'),(14202,'2025-04-29 21:11:21','18.119.99.38','view'),(14203,'2025-04-29 21:11:21','18.119.99.38','view')

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