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High-resolution images with greatly reduced radiation dose

The "Interdisciplinary Central Endoscopy" department at Leipzig University Hospital (UKL) put a new, state-of-the-art X-ray machine into operation at the end of the year. It provides high-resolution images for ERCP examinations, i.e. endoscopic procedures for X-ray-assisted examination and treatment of the bile ducts, despite the low radiation dose. The dose of radiation to which patients are exposed has even been halved compared to the previous model.
27/12/2023

The old system had been in operation for twelve years. The installation of the new device took five months - without interrupting operations. An interim solution worked without any restrictions for the patients.

"We took the opportunity to convert the treatment room at the same time and thus ensure better working conditions," reports Dr Jürgen Feisthammel, Medical Director of the "Interdisciplinary Central Endoscopy" at the UKL. The image sensor of the new device is - similar to modern digital cameras - much more sensitive than the previous model. On the one hand, this allows an examination with a low radiation dose, and on the other hand, details can be easily recognised thanks to the good image resolution, he explains. The investment of 1.3 million euros for the equipment and conversion was covered in full by the Free State of Saxony from state funds.

After the first few weeks of working with the new R&O device, Dr Feisthammel is very satisfied: "For the types of bile duct procedures that we primarily perform, this is the absolute top device. It has fulfilled our expectations, the work is fun." Only half of the previously required radiation dose is now necessary, emphasises the UKL expert, "which is good for our patients, but also good for our employees."

Dr Feisthammel and the endoscopy team primarily use the X-ray device for ERCP examinations. This can be used, for example, to remove bile duct stones or treat bile duct tumours. In the latter case, the bile ducts are blocked and the bile cannot flow out. Here, for example, the doctors insert stents, i.e. small tubes through which the bile can drain away again. It is also possible to treat the tumours using lasers or high-frequency current, for example, he reports. With one to two hours of treatment per person, this means four or five patients a day with the new device.

Source: Press release from Leipzig University Hospital dated 27 December 2023

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