VolumeRAD™ Digital Tomosynthesis
Volumetric images at a low dose
VolumeRAD digital tomosynthesis
Today clinicians rely on standard radiography as the first diagnostic test for most chest, orthopedic and trauma cases. Advanced medical imaging is often ordered for complex cases that radiography cannot solve. These additional imaging modalities may result in higher radiation exposure, higher imaging costs, and a delay in diagnosis & treatment that could also mean more anxiety and discomfort for the patient.
VolumeRAD Digital Tomosynthesis brings 3-dimensional imaging into your radiography room, helping you resolve inconclusive x-rays "here and now" with minimal added radiation. Our cost-effective technology helps improve patient experience by providing additional information that could help make care decisions faster.
- Obtain multiple cross-section images of the anatomy in a single sweep at a low dose, including chest, abdomen, extremities, spine, skull & sinuses
- Resolve inconclusive x-rays in orthopedic & trauma cases efficiently
- Achieve superior lung nodule detection sensitivity compared to conventional chest x-ray
- Improve patient experience with advanced imaging "here and now"
7.5 increase in lung nodule sensitivity for nodules between 4 mm and 6 mm diameter vs. standard X-Ray. No clinical evidence has been established supporting the following claims in patients with active lung or pleural disease that could obscure pulmonary nodules, including fibrosis, emphysema, compressed lung, scarring, severe lung disease, and in patients with objects in or around the lungs that could obscure pulmonary nodules. The effectiveness of the device may vary depending on nodule prevalence and type.
How it works
VolumeRAD Digital Tomosynthesis
VolumeRAD provides multiple images of the anatomy in a single sweep at a low dose, including chest, abdomen, extremities and spine.
During the sweep, up to 60 ultra-low dose exposures are obtained. Similar to CT exams, the acquired data is then reconstructed into a set of tomographic images (parallel to the detector plane). These images, in DICOM format, can be reviewed sequentially on the acquisition console or on any standard PACS review workstation.
Acquisition sweeps can be performed either at the wall stand or at the table. There are four sweeps available
Wallstand Horizontal Sweep: Horizontal sweep of the tube for supine imaging at the wall stand (requires extended arm and mobile table)
Wallstand Vertical Sweep: Vertical sweep of the tube for upright imaging
Table Horizontal Sweep: Horizontal sweep of the tube for supine imaging
Wallstand Cross-table Sweep: Cross-table sweep of the tube for cross-table imaging at the wall stand
VolumeRAD for lung nodule detection
The detection of lung nodules and subsequent patient management can be difficult with traditional chest radiography.
A recent international multicenter clinical trial has demonstrated that GE Healthcare's VolumeRAD* Tomosynthesis imaging of the chest offers improved detection and management of patients with lung nodules compared to conventional radiography.
- Superior lung nodule detection sensitivity compared to conventional CXR (7.5 increase in lung nodule sensitivity for nodules between 4 mm and 6 mm diameter vs. standard X-Ray)
- Improved identification of cases that require follow-up  (1.5 times more sensitive than two-view CXR without decreased specificity)
- Improved conformity with guidelines for patient follow-up and care
- Improved sensitivity of detection of small lung nodules in the range of 3-20 mm in diameter; 3.6 times more sensitive than conventional two-view CXR, without decreased specificity
- A minimal-dose, volumetric imaging technique with the simplicity and efficient workflow of conventional chest X-ray; superior to CXR for lung nodule detection  (patients receive only 1.6 times more radiation than they do with a two-view (PA and LAT) chest X-ray exam)
Greg Kicska, M.D. PhD.
Thoracic Imaging, Department of Radiology
University of Washington, Seattle, WA
In this webinar learn how one of the top academic radiology departments in North America is using VolumeRAD Digital Tomosynthesis to improve the detection of small lung nodules. Dr. Kicska, Associate Professor of Cardiothoracic Imaging at University of Washington discusses the advantages and limitations of Digital Tomosynthesis and how this cost-effective technology could be used to resolve inconclusive x-rays "here and now", with minimal added radiation. Dr Kicska discusses:
- Basic principles of digital tomosynthesis, its advantages and limitations compared to standard radiography and CT
- Clinical cases where VolumeRAD is used to detect pathologic conditions of the chest
- Emerging applications of digital tomosynthesis in thoracic imaging
Some interesting clinical cases
 No clinical evidence has been established supporting the following claims in patients with active lung or pleural disease that could obscure pulmonary nodules, including fibrosis, emphysema, compressed lung, scarring, severe lung disease, and in patients with objects in or around the lungs that could obscure pulmonary nodules. The effectiveness of the device may vary depending on nodule prevalence and type.
 Defined as a recommendations for further advanced imaging, based upon the Fleischner Society guidelines for pulmonary nodule management. MacMahon, Heber, et al. "Guidelines for Management of Small Pulmonary Nodules Detected on CT Scans: A Statement from the Fleischner Society." Radiology 237.2(2005):395-400.
VolumeRAD for orthopedic practices
"We're saving the doctor time, we're saving the patient time, we're getting to the diagnoses more quickly,
David E. Quinn, M.D., Board Certified Orthopedic Surgeon at the Capital Region Orthopaedics, Albany, NY.
Today orthopedic specialists rely on standard radiography for diagnosing skeletal trauma, monitoring bone union, and evaluating the success of surgical interventions. Advanced medical imaging is often ordered for complex cases that radiography cannot solve. These additional imaging modalities may result in higher radiation exposure, higher imaging costs, and a delay in diagnosis & treatment that could also mean more anxiety and discomfort for the patient.
VolumeRAD digital tomosynthesis can be used to detect and monitor complex fractures and implants whilst being competitive when compared to other imaging modalities on radiation dose, workflow and economics.
Orthopedic Applications of VolumeRAD Digital Tomosynthesis: Virtual panel discussion
In this virtual panel discussion and clinical case review, learn how a top academic department of orthopedic surgery and a leading orthopedic center in the US are using GE's VolumeRAD Digital Tomosynthesis in their practice.
John A. Carrino, M.D., MPH
Vice Chairman of Radiology, Department of Radiology and Imaging at the Hospital of Special Surgery in New York, NY leads the panel.
Samir Mehta, M.D.,
Chief of Orthopaedic Trauma & Fracture Service and Assistant Professor of Orthopaedic Surgery at the University of Pennsylvania, presents 2 fracture cases that involve hardware.
"What we can get with advanced imaging is an ability to understand our fracture pattern when it's out of plane. VolumeRAD really does this very well"
"We actually have little signs up reminding us, Don't forget about getting a tomo"
Watch the case review
David E. Quinn, M.D.,
Board Certified Orthopedic Surgeon at the Capital Region Orthopaedics, Albany, NY, discusses three upper extremity cases.
"As orthopedic surgeons, we're trying answer some very simple questions especially with respect to fracture care ... Is there a problem? Does the patient need an operation or is it indicated? Has it been done properly? Is the problem resolved? I've found that digital tomosynthesis helps answer these questions in a substantial percentage of cases with minimal risk and minimal expense."
Watch the case review
John Sabol, Ph.D.,
Chief Scientist, GE Healthcare Global Research explains the physics behind the modality and provides a dose comparison of VolumeRAD vs plain X-rays and CT.
David E.Quinn, M.D.
Board Certified Orthopaedic Surgeon. Capital Regional Orthopaedics, Albany, NY
Learn more with this complimentary webinar on how one of New England's largest orthopedic centers, has implemented VolumeRAD Digital Tomosynthesis to bring advanced volumetric imaging capability into their fixed radiography suite. They are successfully resolving suspicious x-rays with a cost-effective technology that provides diagnostic confidence "here and now", with minimal added radiation.
- See how digital tomosynthesis compares to other imaging modalities on radiation dose, workflow and economics
- Review clinical cases where VolumeRAD is used to detect and monitor complex fractures and implants
A track record of innovation
GE has over 10 years of experience with VolumeRAD Digital Tomosynthesis and we are proud to have served clinicians and patients across the globe by bringing 3-dimensional imaging into the digital radiography suite.
The principles of tomosynthesis were known for many decades as a technique to produce section images of the anatomy. The development of new generation flat-panel detectors opened the door to practical clinical applications. GE Healthcare's breakthrough came in 2005 with FDA's 510(k) clearance of "Revolution XR/d Digital Radiographic Imaging System with Tomosynthesis" - the first solution to bring volumetric imaging into a fixed digital radiography suite. R&D efforts continued and in 2013 GE announced the results of the Vortex study showing superior lung nodule detection sensitivity of VolumeRAD compared to conventional chest X-ray.
Over a decade and 1200 installations later, we are proud to see that VolumeRAD is used in a variety of clinical situations across the globe including chest, abdomen, extremities and spine imaging. With over 50 peer-reviewed publications to date, VolumeRAD is also the subject of a growing number of scientific studies investigating its ability to provide three-dimensional information at lower dose and potentially lower cost than other advanced imaging modalities.
But our focus is on looking ahead. Our mission is to continue to touch the world with earlier answers and more hope to improve health and extend life.
Click on the infographic below to learn more on the key historical events around VolumeRAD
REIMBURSEMENT INFORMATION FOR DIGITAL X-RAY TOMOSYNTHESIS (DTS) WHEN UTILIZED FOR THORACIC OR ORTHOPEDIC X-RAY EXAMINATIONS
Your focus is on what is best for the patient. You work hard to deliver high-quality care as fast and as cost-effectively as possible. Understanding appropriate coding and coverage is essential for managing your practice.
The Reimbursement information below addresses coding, coverage, and payment for digital x-ray tomosynthesis (DTS) for chest and musculoskeletal (Orthopedic) examinations. While this advisory focuses on Medicare program policies, the information may also be applicable to selected private payers throughout the country. For appropriate code selection, contact your local payer prior to claims submittal.