Standing X-ray Table Helps Those Who Can’t Stand

June 23, 2017 by mmb4na@virginia.edu   |   Leave a Comment

How do you get a standing x-ray of someone who can’t stand? Well, the answer used to be a lot more complicated than it is now.

For a long time, staff would maneuver the patient as best they could. They supported the patient while standing (which isn’t ideal because it exposed the staff to unnecessary radiation), or they slid boards under their backs, taking the picture from behind. Most of the time, they had to try a couple of times before getting it right. It was time-consuming and uncomfortable for the patient.

Now, there’s something new. It’s a table that tilts upright, taking the patient from a flat-on-their-back position to a vertical one without them moving a muscle.

 

Here’s how it works: Staff transports a patient via bed or stretcher. Next they transfer the patient to this special standing table. The patient is strapped in at the knees, waist, and chest (all straps not shown in the video). The table tilts upward until the patient is “standing.” The x-ray technologist can now take pictures that are more accurate, cause little patient discomfort, and don’t expose staff to unnecessary radiation!

Chair in seated position

Anthony Calise, Chief X-Ray Technologist, told about one patient with a pelvic fracture. He had been through surgery and couldn’t bear weight on one leg. Without the standing table, getting him into an upright position would have been difficult. “Prior, we would have had him sit up in bed and you would just get what you could get,” said Calise. “Now you can sit them in the chair and get their spine vertical without bending them at the waist.”

Chair prepped for vertical position

The table is made of radiolucent material, meaning x-rays can see through it. In addition to taking patients from their back to a standing position, it can also easily take them to a sitting position. “It’s been a long time coming, and we hope to keep making progress,” Calise said.

The team has partnered with Sonesta Medical to test the radiolucent standing table at UVA and has also received great ideas from several UVA Biomedical Engineering students to further refine the table.

 

Comments (9)

  1. John Zenker says:

    Thank heavens! I’ve been complaining about upright films to clear spines, and asking for one of these for 20 years! Now to find an easily disinfectable knee and chest strap…

  2. Akpan Emmanuel says:

    Is this really different from the tiltable flouroscopy table we have been using?

    1. adg5bb@virginia.edu says:

      Without knowing what kind of fluoroscopy table you are referring to, it is difficult to say. Perhaps they are quite similar. We are glad to hear that you have a good option for imaging patients with mobility issues!
      Best,
      UVA Radiology Marketing Team

  3. Oparaji Franklin says:

    This is beautiful, atleast for us radiographers in Nigeria, it will go a long way in accurate patient positioning, reduction of radiation exposure to staff and public ,and many other benefits. Kudos.

  4. Well, this is impressive. Through this number of patients who are suffering from disabilities will get relax and able to get relief from their pain while standing of X-ray.

  5. Robert says:

    A video detailing an entire exam, including AP and Lat imaging of the entire spine would be helpful. Additionally, pictures showing the table from all angles. From the pictures shown it looks like the pistons in the back would obscure anatomy during AP imaging, and the platform the bed rests on in an upright position would be too far from Imaging equipment to get patient close enough for imaging without large object to image distance.

  6. Linda Roberts says:

    What a relief! The nursing staff keeps talking about a standing X-ray for my elderly mother who has a broken right hip and a broken left leg, a broken arm and three fractured vertebrae. I thought they were crazy and was upset about at the prospect of the pain she would have to endure. This tool helps it make sense.

  7. Mitch Maceda says:

    Where can we purchase one?

    1. bs9ey@virginia.edu says:

      Hi Mitch,

      UVA Radiology and Medical Imaging developed this standing x-ray table in partnership with Sonesta Medical. You can learn more about it here:

      https://www.sonestamedical.se/sonesta-sst/

      All best,
      UVA Radiology Webmaster

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